BioMEL- Diagnostic and Prognostic Factors in Melanoma.

NCT ID: NCT05446155

Last Updated: 2024-01-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

2000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-11-04

Study Completion Date

2028-12-31

Brief Summary

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The investigators' hypothesis is that cutaneous melanoma, melanoma in situ, dysplastic nevi and benign nevi all differ in not only clinical characteristics but also molecular and genotypic characteristics.

Patients with suspected primary cutaneous melanoma or a differential diagnosis, or secondary melanoma can be asked to participate in the first part of the project and patients with suspected or confirmed secondary (spread) melanoma can be included in the second part of the study. Participants included in the study answer a validated questionnaire regarding epidemiological and phenotypic factors to map medical history, prior UV exposure, family history of melanoma and/or other cancer types, skin type, smoking habits, alcohol use and quality of life.

Blood samples (whole blood) are collected before primary local excision and before secondary surgical procedures as well as during follow up of patients with secondary disease and oncologic treatment. During local excision of the primary pigmented skin lesion, full-thickness skin punch biopsies are taken by trained dermatologists. The biopsies, in the lesion and next to the lesion in the normal skin of the suspected melanoma, are taken, snap frozen and stored deep frozen. The primary lesions are documented by accurate imaging methods prior to excision.

Tissue samples from suspected or confirmed secondary melanomas are collected mainly through surgical and core needle biopsies before, during and after treatment and in case of disease progress or treatment failure. Tissue samples are snap-frozen and stored in the same way as samples from primary melanomas.

Comprehensive questionnaire based, imaging-based information, as well as histologic information provided from the pathologist report is included and stored in a secure database.

All the information in the database, along with information from molecular analysis of tissue and/or blood samples will then be used to find objective, molecular and clinical differences in melanoma, melanoma in situ, dysplastic and benign nevi along with potential information of biological aggressivity of both primary and secondary melanoma in order to find more objective diagnostic markers.

Detailed Description

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See above.

Conditions

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Melanoma Melanoma in Situ Dysplastic Nevi Mole (Dermatology) Image Mutation

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with a suspected primary melanoma or equivocal pigmented skin tumour

Patients, 18 years or older, in dermatological outpatient routine care in Helsingborg, Lund or Malmö Hospitals. Patients are planned for surgical excision for an equivocal pigmented skin lesion that could be a primary melanoma or a differential diagnosis of melanoma. Imaging of tumours will be applied before surgery. Blood samples are taken before surgery. Tumour/normal skin biopsies will be taken and snap-frozen (-80°C) immediately after surgery. A baseline questionnaire about skin cancer risk factors, co-morbidities, phenotypic factors, diets, smoking, alcohol and quality of life will be given to the patient before surgery.

Imaging

Intervention Type DIAGNOSTIC_TEST

Diagnostic and prognostic imaging, omics and machine learning methods will be applied

Patients with secondary melanoma (metastatic disease)

Patients, 18 years or older, in surgical or oncological routine care in Helsingborg, Lund, Malmö or Kristianstad Hospitals. Patients are planned for surgical excision or cytological diagnostics (needle aspiration) of metastatic melanoma. Imaging of tumours will be applied before surgery. Blood samples are taken before surgery. Tumour biopsies will be taken and snap-frozen (-80°C) immediately after surgery. A baseline questionnaire about skin cancer risk factors, co-morbidities, phenotypic factors, diets, smoking, alcohol and quality of life will be given to the patient before surgery.

Imaging

Intervention Type DIAGNOSTIC_TEST

Diagnostic and prognostic imaging, omics and machine learning methods will be applied

Interventions

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Imaging

Diagnostic and prognostic imaging, omics and machine learning methods will be applied

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

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transcriptomics genomics metabolomics histopathological examination deep and spatial sequencing dermoscopy machine learning methods

Eligibility Criteria

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Inclusion Criteria

* Primary part of the project: Patients in dermatological outpatient routine care in Helsingborg, Lund or Malmö Hospitals. Patients are planned for surgical excision for an equivocal pigmented skin lesion that could be a primary melanoma or a differential diagnosis of melanoma
* Secondary part of the project: . Patient, in surgical or oncological routine care in Helsingborg, Lund, Malmö or Kristianstad Hospitals. Patients are planned for surgical excision or cytological diagnostics (needle aspiration) of metastatic melanoma.
* All subjects have to be able to provide written informed consent.

Exclusion Criteria

* Patients with lesions, primary or secondary, that are so small that a punch biopsy for the study would risk affecting the histopathological diagnosis.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Region Skane

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kari Nielsen, Ass. Prof.

Role: PRINCIPAL_INVESTIGATOR

Lund University Cancer Centre

Locations

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Helsingborg Hospital

Helsingborg, Skåne County, Sweden

Site Status RECRUITING

Kristianstad Hospital

Kristianstad, Skåne County, Sweden

Site Status RECRUITING

Lund University Hospital

Lund, Skåne County, Sweden

Site Status RECRUITING

Skåne University Hospital Malmö

Malmo, Skåne County, Sweden

Site Status RECRUITING

Countries

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Sweden

Central Contacts

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Kari Nielsen, Ass. Prof.

Role: CONTACT

+46424061000

Facility Contacts

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Kari Nielsen, Ass. Prof.

Role: primary

+46424061000

Kari Nielsen, Ass. Prof.

Role: primary

+46424061000

Kari Nielsen, Ass. Prof.

Role: primary

+46424061000

Kari Nielsen, Ass. Prof.

Role: primary

+46424061000

References

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Helkkula T, Christensen G, Ingvar C, Isaksson K, Harbst K, Persson B, Ingvar A, Hafstrom A, Carneiro A, Gaspar V, Jonsson G, Nielsen K. BioMEL: a translational research biobank of melanocytic lesions and melanoma. BMJ Open. 2024 Feb 2;14(2):e069694. doi: 10.1136/bmjopen-2022-069694.

Reference Type DERIVED
PMID: 38309755 (View on PubMed)

Related Links

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Other Identifiers

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2013-101

Identifier Type: -

Identifier Source: org_study_id

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