The purpose of this research study is to test a new process for diagnosing pancreatic cancer by examining changes to your DNA that can be detected from a blood test. The information we learn by doing this study could potentially help people in the future. Participants in this study will have blood samples collected, have their medical records reviewed by study personnel and fill out questionnaires at different time points during the study. Blood sample collection will occur during normal routine clinic visits. Participation in this study will last approximately 5 years.
This clinical testing protocol outlines the validation process for an epigenetic assay targeting host peripheral blood cell and the associated host DNA methylation signatures designed to diagnose pancreatic cancer. The overall protocol process will involve three distinct stages representing three patient cohorts with up to 150 subjects per cohort across 3 populations of patients. Cohort one will act as signature development phase; cohort two will act as signature finalization phase; and cohort three will act as a validation cohort phase. Each cohort with include the following patient populations with up to 50 patients per population: 1. Pancreatic cancer, NO chemotherapy. Surgical resection and/or radiation therapy 2. Pancreatic cancer, WITH chemotherapy. All stages including remission 3. At risk group (individuals who have chronic pancreatitis, been diagnosed with an intraductal papillary mucinous neoplasm (IPMN), have a family history of pancreatic cancer and/or have a known genetic disposition)
Study Type
OBSERVATIONAL
Enrollment
450
University of Maryland Baltimore Washington Medical Center
Glen Burnie, Maryland, United States
Identification of tumor-associated host methylation signature
Genome-wide methylation profile of whole blood from pancreatic cancer patients, pre-cancer patients, patients undergoing therapy, and control subjects.
Time frame: 5 years
Technology development
The investigators will develop array-based assays using whole-blood samples, focused on disease-specific methylation sites to provide early diagnosis, prognosis, and therapeutic efficacy prediction.
Time frame: 5 years
Technology validation
The investigators will validate identified blood-based circulating methylation signatures in patients at high risk for developing pancreatic cancer.
Time frame: 5 years
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