Surveillance of Pancreatic Health After Diabetes Diagnosis

NCT ID: NCT06803771

Last Updated: 2025-08-29

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

Clinical Phase

NA

Total Enrollment

15000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-21

Study Completion Date

2029-02-28

Brief Summary

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The goal of this interventional study is to evaluate if the novel diagnostic blood test, called Avantect can early detect pancreatic cancer in patients diagnosed with type 2 diabetes within the last 6 months.

Participants will:

* attend 3 study visits over 12 months time
* provide a blood sample at each study visit
* complete an anxiety questionnaire at each visit.

Detailed Description

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Pancreatic cancer (PC) is one of the most lethal common cancers (five-year survival 5-7%). In more than 80% of patients the disease has spread before it is detected, ruling out potentially curative treatment options. Early detection offers the possibility of surgery leading to significantly improved overall survival.

There is currently no accepted screening test for pancreatic cancer. The Aventect test is designed to detect clues, or biomarkers for the presence or absence of pancreatic cancer signals in blood. The SAFE-D study will evaluate if the Avantect test can detect pancreatic cancer at an earlier more treatable stage.

People older than 50 years who have recently been diagnosed with type II diabetes have up to ten times higher-than-average risk of having pancreatic cancer without knowing.

The study will recruit up to 15,000 participants aged 50-84 years old diagnosed with type II diabetes within the last 6 months from GP practices over 3 years.

Participants will be randomly assigned to either the active intervention arm or the control arm for comparison. Intervention arm samples will be run on the Avantect test as soon as possible. If a pancreatic biomarker is detected the participants will be informed and offered a standard of care diagnostic imaging scan (MRI or CT) to rule out pancreatic cancer. Control arm samples will be stored for potential future Avantect testing or future research. All participants will be followed remotely via cancer and mortality registry searches for 3 years from consent to assess any cancer diagnosed during this time.

Conditions

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Diabetes Mellitus Pancreatic Cancer, Adult

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be blindly randomised in 1:1 ratio to either the intervention arm or the control arm.
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Intervention Arm

Participants in the intervention Arm will have their blood samples tested on the Avantect test within prioritised timeframe. The "detected" Avantect test results will be shared with the participants and their General Practitioners (GPs) to allow for further MRI or CT investigations by the local clinical team.

Group Type EXPERIMENTAL

Avantect Pancreatic Cancer Test

Intervention Type DEVICE

Avantect test

Control Arm (Standard of Care [SoC] arm)

Control arm participants will have their blood samples collected but they will not be tested on the Avantect test. Participants will receive the current standard of care for diabetes management. Blood samples will be used for potential future Avantect testing and/ or future research.

Group Type PLACEBO_COMPARATOR

Avantect Pancreatic Cancer Test

Intervention Type DEVICE

Avantect test

Interventions

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Avantect Pancreatic Cancer Test

Avantect test

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* 50 - 84 years of age at the time of enrolment (within year of birth, not month of birth)
* Haemoglobin A1c (HbA1c) ≥ 48 or 6.5% and/or confirmed type II DM diagnosed within the last 180 days (+20 days flexibility allowance)
* Willing to provide up to 30 mL of blood for each study visit
* Willing and eligible to undergo MRI scan (or CT scan if MRI is contraindicated)
* Understands the study process and is willing to take part in the study and sign the informed consent form

Exclusion Criteria

* Prior type I or type II DM diagnosis \> 6 months
* A history of pancreatic cancer, pancreatic neuroendocrine tumour (pNET) or Pancreatitis
* Under investigation for pancreatic cancer / pancreatic cyst
* Any known pancreatic surgery (not including ERCP), or other major surgery requiring anaesthesia within 3 months
* Any invasive solid or haematological cancer in the past 3 years, including cancer recurrence after treatment in the last 3 years
* Current chronic or acute oral or systemic steroid use within 3 months of initial HbA1c or diabetes diagnosis (estimate rather than accurate)
* Blood transfusion within 1 month
* Solid organ transplant recipient
* Currently pregnant
* Needing dialysis
Minimum Eligible Age

50 Years

Maximum Eligible Age

84 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ClearNote Health

INDUSTRY

Sponsor Role collaborator

University Hospital Southampton NHS Foundation Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Brockwood Medical Practice

Brockham, Surrey, United Kingdom

Site Status RECRUITING

Integrated Care Partnership/ The Old Cottage Hospital

Epsom, Surrey, United Kingdom

Site Status RECRUITING

Warlingham Green Medical Practice

Warlingham, Surrey, United Kingdom

Site Status RECRUITING

Bournemouth Research Hub

Bournemouth, , United Kingdom

Site Status RECRUITING

Willesden Medical Centre

London, , United Kingdom

Site Status RECRUITING

South Westminster Centre

London, , United Kingdom

Site Status RECRUITING

The Cuckoo Lane Practice

London, , United Kingdom

Site Status RECRUITING

King's Mill Hospital (Sherwood Forest) Research Van

Nottingham, , United Kingdom

Site Status RECRUITING

Portsmouth Research Hub

Portsmouth, , United Kingdom

Site Status RECRUITING

Pembroke Centre (Hillingdon)

Ruislip, , United Kingdom

Site Status RECRUITING

Southampton Research Hub (Shirley Research Hub)

Southampton, , United Kingdom

Site Status RECRUITING

Moorgreen Hospital

Southampton, , United Kingdom

Site Status RECRUITING

Civic Centre

Uxbridge, , United Kingdom

Site Status RECRUITING

Weymouth Research Hub

Weymouth, , United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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SAFE-D Trial Manager

Role: CONTACT

+442381205154

Facility Contacts

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Anson-Wisniewska

Role: primary

02380215154

Anson-Wisniewska

Role: primary

02380215154

Anson-Wisniewska

Role: primary

02380215154

Anson-Wisniewska

Role: primary

02380215154

Anson-Wisniewska

Role: primary

02380215154

Anson-Wisniewska

Role: primary

02380215154

Anson-Wisniewska

Role: primary

02380215154

Anson-Wisniewska

Role: primary

02380215154

Anson-Wisniewska

Role: primary

02380215154

Anson-Wisniewska

Role: primary

02380215154

Anson-Wisniewska

Role: primary

02380215154

Anson-Wisniewska

Role: primary

02380215154

Anson-Wisniewska

Role: primary

02380215154

Anson-Wisniewska

Role: primary

02380215154

Related Links

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Other Identifiers

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RHMGSU0292

Identifier Type: -

Identifier Source: org_study_id

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