INSPIRE: a Multi-Cancer Early Detection Study

NCT ID: NCT06440018

Last Updated: 2025-02-21

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

5350 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-07-20

Study Completion Date

2025-02-28

Brief Summary

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This research constitutes a multi-centric, case-control designed investigation aimed at developing and implementing a blinded validation of a machine learning-powered, multi-cancer early detection model. This is to be achieved through the prospective collection of blood specimens from newly diagnosed cancer patients and individuals devoid of a confirmed cancer diagnosis

Detailed Description

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Cancerous tissues, their adjacent non-cancerous tissues, along with white blood cells (WBCs) and normal tissue samples will be utilized to identify potential methylation candidate markers and investigate variations in methylation patterns among patients diagnosed with distinct cancer types. Building upon previous research and current study, a comprehensive methylation signature panel tailored specifically to cancer patients will be established.

We will prospectively collect blood samples from newly diagnosed cancer patients and non-cancer individuals to analyze and identify specific cancer signals via the detection of cfDNA methylation patterns. Following a rigorous and comprehensive research framework, a machine learning-driven model will be developed and validated through blinded testing in an independent cohort. The study aims to enroll approximately 2,650 cancer patients, with a focus on including early-stage cases to enhance the model's sensitivity in detecting cancers with favorable prognoses. Furthermore, around 2,400 control subjects, matched with cancer patients by age and gender and screened negative for cancer through routine tests, will participate as healthy or benign-condition volunteers in model development. Lastly, samples from an additional 300 patients with other tumors will be gathered to conduct interference testing, ensuring the robustness of the model's performance.

Conditions

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Lung Cancer Gastric Cancer Liver Cancer Colorectal Cancer Pancreatic Cancer Esophageal Cancer Breast Cancer Cervical Cancer Ovarian Cancer Endometrial Cancer Bladder Cancer Prostate Cancer Cholangiocarcinoma

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Case arm

Participants newly diagnosed with cancer, belonging to one of thirteen distinct cancer types.

No interventions assigned to this group

Control arm

Healthy or benign condition participants with no cancer diagnosis subsequent to routine cancer screening tests.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* 40-75 years old
* Clinically and/or pathologically diagnosed cancer
* No prior or undergoing any systemic or local antitumor therapy, including but not limited to surgical resection, radiochemotherapy, endocrinotherapy, targeted therapy, immunotherapy, interventional therapy, etc.
* Able to provide a written informed consent and willing to comply with all part of the protocol procedures


* 40-75 years old
* Without confirmed cancer diagnosis
* Able to provide a written informed consent and willing to comply with all part of the protocol procedures

Exclusion Criteria

* Pregnancy or lactating women
* Known prior or current diagnosis of other types of malignancies comorbidities
* Have participated in an "interventional" clinical trial within the past 30 days and have taken the experimental drug;
* Recipients of organ transplant or prior bone marrow transplant or stem cell transplant
* Recipients of blood transfusion within 30 days prior to screen
* Recipients of therapy in past 14 days prior to screen, including oral or IV antibiotics, glucocorticoid, azacitidine, decitabine, procainamide, hydrazine, arsenic trioxide
* Failure to collect blood on time according to plan
* The blood sample does not meet the requirements


* Pregnancy or lactating women
* No previous history of malignancy in other sites
* Recipients of organ transplant or prior bone marrow transplant or stem cell transplant
* Recipients of blood transfusion within 30 days prior to screen
* Recipients of therapy in the past 14 days prior to screen, including oral or IV antibiotics, glucocorticoid, azacitidine, decitabine, procainamide, hydrazine, arsenic trioxide
* Unsuitable for this trial determined by the researchers
Minimum Eligible Age

40 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fudan University

OTHER

Sponsor Role collaborator

Hubei Cancer Hospital, Huazhong University of Science and Technology

UNKNOWN

Sponsor Role collaborator

China-Japan Friendship Hospital

OTHER

Sponsor Role collaborator

Shaanxi Provincial Cancer Hospital

OTHER

Sponsor Role collaborator

Xuhui Central Hospital, Fudan University

UNKNOWN

Sponsor Role collaborator

Shanghai Electric Power Hospital

UNKNOWN

Sponsor Role collaborator

East Hospital, Tongji University

UNKNOWN

Sponsor Role collaborator

The First Affiliated Hospital of Xi' an Jiaotong University

UNKNOWN

Sponsor Role collaborator

GaoZhou People's Hosipital

UNKNOWN

Sponsor Role collaborator

Anhui Provincial Hospital

OTHER_GOV

Sponsor Role collaborator

Beijing Friendship Hospital

OTHER

Sponsor Role collaborator

Singlera Genomics Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Fudan University

Shanghai, Shnaghai, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Zhixi Su, PHD

Role: CONTACT

+862180113170 ext. 1022

Rui Liu

Role: CONTACT

+862180113170 ext. 1027

Facility Contacts

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Chen Suo, PhD

Role: primary

86-21-54237625

Other Identifiers

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multiple

Identifier Type: -

Identifier Source: org_study_id

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