Prospective Study of oncRNA Stratification of Cancer by Size and Stage

NCT ID: NCT05833360

Last Updated: 2025-03-18

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

2400 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-07-14

Study Completion Date

2030-07-14

Brief Summary

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Cancer strikes about one in three women and one in two men in the U.S. and more than 600,000 die from it each year. The best chance to reduce these numbers and save lives is through early detection and intervention.

The investigators are developing a blood test to detect cancer from a simple blood draw also referred to as a liquid biopsy. This test is based on orphan non-coding RNAs (oncRNAs) that are abundant in the blood of patients with cancer and largely absent in people without cancer. Using artificial intelligence (AI) and machine learning (ML) investigators are able to interpret the thousands of oncRNAs found in the blood of patients with cancer by identifying unique, cancer-specific patterns. oncRNA patterns can be used to detect several types of cancer and detect cancer at the earliest stages.

This is a prospective, observational study to collect blood samples and medical information from participants with and without cancer to represent the population in the USA. The investigators have designed the study to include participants without cancer, participants with conditions that are a predisposition for cancer, participants with pre-malignant lesions, and participants with cancer. Patients with a wide variety of cancers are going to be included i.e. bladder, breast, colorectal, esophageal, gastric, kidney, liver, lung, ovarian, pancreatic, prostate, and uterine cancer.

Each participant will be asked to donate a small blood sample and to share their medical information. The participant's medical information will be updated during the course of the study. The blood will be tested for oncRNA. The objective is to create a blood repository and associated medical database to develop a blood test for cancer, for different cancer types. The study is designed to be inclusive and represent the population in America.

If this study is successful, the results will enable a world where cancer can be detected early with a simple blood test and diagnosed accurately, with better chances of cure. The investigators believe this study has the potential to transform cancer detection in America.

Detailed Description

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Conditions

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Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Control Cohort

Participants without cancer, with general medical comorbidities

Exai oncRNA blood test

Intervention Type DEVICE

A phlebotomist will collect approximately 40 ml (about 2-3 tablespoons) of blood from the subjects after consent. The Exai oncRNA blood test will be run on the blood samples.

Cancer Predisposition Cohort

Participants without cancer, with comorbidities that induce cancer predisposition.

Exai oncRNA blood test

Intervention Type DEVICE

A phlebotomist will collect approximately 40 ml (about 2-3 tablespoons) of blood from the subjects after consent. The Exai oncRNA blood test will be run on the blood samples.

Pre-Malignant Condition Cohort

Participants without cancer, with pre-malignant conditions

Exai oncRNA blood test

Intervention Type DEVICE

A phlebotomist will collect approximately 40 ml (about 2-3 tablespoons) of blood from the subjects after consent. The Exai oncRNA blood test will be run on the blood samples.

Cancer Patients Cohort

Participants with a cancer diagnosis.

Exai oncRNA blood test

Intervention Type DEVICE

A phlebotomist will collect approximately 40 ml (about 2-3 tablespoons) of blood from the subjects after consent. The Exai oncRNA blood test will be run on the blood samples.

Interventions

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Exai oncRNA blood test

A phlebotomist will collect approximately 40 ml (about 2-3 tablespoons) of blood from the subjects after consent. The Exai oncRNA blood test will be run on the blood samples.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years
* Able and willing to provide informed consent
* Able and willing to have 35-40 mL of whole blood drawn

Exclusion Criteria

* Age \<18 years
* Prior history of cancer, except for non-melanoma skin cancer
* Prior history of receipt of any blood products within 30 days of enrollment
* Receipt of any cancer therapy, e.g., surgical, radiation, or medical including neoadjuvant treatment, prior to study enrollment
* Prior history of receipt of any non-cancer system immune modulation therapy within the last 60 days (ex: monoclonal antibodies)
* Prior history of organ transplantation
* Current or prior pregnancy within the last 12 months
* Unable or unwilling to provide informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Exai Bio Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lee Schwartzberg, MD

Role: PRINCIPAL_INVESTIGATOR

Exai Bio Inc.

Locations

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Exai Bio Inc.

Palo Alto, California, United States

Site Status RECRUITING

Renown Health

Reno, Nevada, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Clinical Operations Team

Role: CONTACT

650-204-0423

Facility Contacts

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Clinical Operations Team

Role: primary

650-204-0423

Renown Office of Clinical Research

Role: primary

775-982-3646

References

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Fish L, Zhang S, Yu JX, Culbertson B, Zhou AY, Goga A, Goodarzi H. Cancer cells exploit an orphan RNA to drive metastatic progression. Nat Med. 2018 Nov;24(11):1743-1751. doi: 10.1038/s41591-018-0230-4. Epub 2018 Nov 5.

Reference Type BACKGROUND
PMID: 30397354 (View on PubMed)

Related Links

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https://www.nature.com/articles/s41591-018-0230-4

circulating oncRNAs present a novel avenue for cancer fingerprinting using liquid biopsies

Other Identifiers

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CP-23001

Identifier Type: -

Identifier Source: org_study_id

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