RecruitingPhase 3NCT02000089

The Cancer of the Pancreas Screening-5 CAPS5)Study


Sponsor

Johns Hopkins University

Enrollment

9,000 participants

Start Date

Jan 6, 2014

Study Type

INTERVENTIONAL

Conditions

Summary

Johns Hopkins clinical research office quality assurance group will monitor and audit this study at Johns Hopkins. The Sub Investigator at each site will be responsible for internal monitoring at their site.


Eligibility

Min Age: 18 Years

Inclusion Criteria5

  • Hereditary Pancreatitis or
  • Peutz-Jeghers Syndrome or
  • Strong family history of pancreas cancer on one side of the family tree or
  • Confirmed germline mutation carrier (BRCA2, FAMMM (CDKN2A/p16), PALB2, BRCA1, ATM, HNPCC, Lynch Syndrome (hMLH1, hMSH2, PMS2, hMSH6, EpCAM) PRSS1, PRSS2, R122H, N291l, SPINK1, CFTR
  • Endoscopic evaluation of pancreas scheduled

Exclusion Criteria6

  • Medical comorbidities or coagulopathy that contraindicate endoscopy
  • Prior surgery that prevent optimal endoscopic ultrasound such as partial or complete gastrectomy with Bilroth or Roux-en-Y anastomosis
  • Stricture or obstruction in the upper GI tract that does not allow passage of the echoendoscope
  • Poor performance status
  • Inability to provide informed consent
  • Pregnancy.

Interventions

DRUGSecretin

inject Secretin to stimulate pancreatic digestive fluid, which is collected in duodenum near ampulla via endoscope suction port. This fluid will be assessed for biomarkers.

DIAGNOSTIC_TESTMRI

MRI abdomen with contrast (MRCP) will be clinically indicated for abnormal novel CA-19-9 lab results.

OTHERTumor marker gene test with CA19-9

A tumor marker gene test that will be used to stratify individuals into one of several circulating tumor marker reference ranges for CA19-9. The variants in the genes FUT3 and FUT2 affect the levels of CA19-9.


Locations(9)

Yale University

New Haven, Connecticut, United States

Johns Hopkins Hospital

Baltimore, Maryland, United States

Dana Farber Cancer Center, Harvard University

Boston, Massachusetts, United States

University of Michigan

Ann Arbor, Michigan, United States

NYU Langone Medical Center

New York, New York, United States

Columbia University Medical Center

New York, New York, United States

Case Comprehensive Cancer Center, Case Western Medical Reserve

Cleveland, Ohio, United States

University of Pennsylvania

Philadelphia, Pennsylvania, United States

University of Pittsburgh

Pittsburgh, Pennsylvania, United States

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NCT02000089


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