The CCANED-CIPHER Study: Early Cancer Detection and Treatment Response Monitoring Using AI-Based Platelet and Immune Cell Transcriptomic Profiling

Javier Toledo

Status: Enrolling

Conditions: Glioblastoma (GBM); Brest Cancer; Pancreatic Cancer, Adult; Prostate Cancers; Liver Carcinoma; Lung Cancer (NSCLC); Ovarian Cancer; Colorectal Cancer

Treatments: Other: DiNanoTrack: Therapeutic Response Monitoring Blood Test; Diagnostic Test: DiNanoQ: A multi-cancer early detection (MCED) blood test

Study type: Observational

Funder types: Industry

Identifiers

NCT06717295

CCANED-CIPHER

Details and patient eligibility

About

The purpose of the CCANED-CIPHER study is to develop and validate an AI-based blood test for early cancer detection and to monitor treatment effectiveness in cancer patients. This two-phase, multi-center observational study aims to identify specific transcriptomic biomarkers in platelets and immune cells that distinguish cancer patients from healthy individuals and correlate with treatment outcomes. By analysing blood samples using artificial intelligence, the study seeks to create a safe, non-invasive method to enhance cancer diagnosis and monitor treatment responses over time.

Full description

The CCANED-CIPHER study aims to revolutionise cancer diagnostics and treatment monitoring by developing and evaluating an AI-based early cancer detection tool that profiles RNA biomarkers from platelets and immune cells in blood samples. This non-invasive approach leverages liquid biopsy methods to enhance early cancer detection and provide insights into therapeutic responses.

Phase 1 (Common Cancer Early Detection [CCANED]): Early Cancer Detection

Objective:

To identify specific platelet-derived RNA biomarkers that can distinguish individuals with common cancers from healthy controls using AI-driven transcriptomic analysis.

Methodology:

• Enrol 3,500 patients with confirmed diagnoses of various common cancers and 1,500 cancer-free controls matched by age and sex.
• Obtain a single blood sample from each participant at baseline.

Laboratory Analysis:

• Platelet Isolation from blood samples.
• RNA Sequencing and transcriptomic profiling to identify RNA expression patterns.

Data Analysis:

• Use machine learning algorithms to analyse RNA data and identify biomarkers indicative of cancer presence.
• Assess sensitivity and specificity of the diagnostic tool, and evaluate its ability to differentiate between cancer types.

Expected Outcomes:

• Identification of reliable RNA biomarkers for early cancer detection.
• Validation of the AI-based diagnostic tool's accuracy and feasibility in a clinical setting.

Phase 2 ( Cancer Immuno-Profiling of Hematologic and Extracellular RNA [CIPHER]): Therapeutic Response Monitoring

Objective:

To evaluate how RNA biomarkers from immune cells and platelets correlate with therapeutic responses, providing insights into treatment efficacy and potential relapse.

Methodology:

• Enrol 1,000 cancer patients diagnosed with HCC or NSCLC across stages I to IV.
• Baseline: Collect blood samples before therapy initiation.
• Follow-Up: Additional samples at 6 weeks and 6 months post-therapy initiation.

Laboratory Analysis:

• Isolation of Immune Cells and Platelets from blood samples.
• Analysis of RNA expression changes over time.

Data Analysis:

• Evaluate associations between RNA biomarkers and clinical treatment responses.
• Develop models integrating platelet and immune cell RNA profiles to predict outcomes.

Expected Outcomes:

• Identification of biomarkers that correlate with treatment responses and progression-free survival.
• Development of predictive models for relapse and drug resistance.

Significance of the Study

The CCANED-CIPHER study addresses critical needs in oncology by providing:

• A blood test that reduces the need for invasive tissue biopsies.
• Potential for identifying cancers at an earlier, more treatable stage.
• Tailored treatment strategies based on individual biomarker profiles.
• Enhanced ability to monitor treatment effectiveness and adjust therapies accordingly.
• Early detection of relapse or drug resistance, enabling prompt clinical interventions.

Expected Impact and Future Applications: The identification of specific RNA biomarkers from platelets and immune cells has the potential to transform current practices in oncology, offering a more efficient, accurate and patient-friendly approach to cancer care.

Enrollment: 6,000 estimated patients

Sex: All

Ages: 40 to 75 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Phase 1 (Common Cancer Early Detection - CCANED)

Inclusion Criteria:

• Age: Adults aged 40 years or older.
• Confirmed diagnosis of one of the following common cancers: Non-Small Cell Lung Cancer (NSCLC), Glioblastoma Multiforme (GBM), Colorectal Cancer, Hepatocellular Carcinoma (HCC), Breast Cancer, Prostate Cancer, Ovarian Cancer, Pancreatic Cancer.

Exclusion Criteria:

• Currently pregnant.
• Presence of any active infectious diseases.
• Use of anticoagulant or antiplatelet drugs within the past 2 weeks.
• Any medical or psychological conditions that may affect the participant's ability to comply with study procedures.

Phase 2 ( Cancer Immuno-Profiling of Hematologic and Extracellular RNA - CIPHER)

Inclusion Criteria:

• Adults aged 40 years or older.
• Confirmed diagnosis of: Hepatocellular Carcinoma (HCC), Non-Small Cell Lung Cancer (NSCLC)
• Willingness to provide blood samples at the specified intervals (baseline, 6 weeks, and 6 months post-therapy initiation).

Exclusion Criteria:

• Presence of another malignancy unless it has been in remission for at least 5 years.
• Significant uncontrolled co-morbid conditions that may interfere with study participation or outcomes.

Trial design

6,000 participants in 3 patient groups

Cancer Patients (Phase 1)

Description:

This arm will include 3,500 individuals with confirmed diagnoses of common cancers such as Non-Small Cell Lung Cancer (NSCLC), Glioblastoma Multiforme (GBM), Colorectal Cancer, Hepatocellular Carcinoma (HCC), Breast Cancer, Prostate Cancer, Ovarian Cancer, and Pancreatic Cancer.

Treatment:

Diagnostic Test: DiNanoQ: A multi-cancer early detection (MCED) blood test

Healthy Individuals

Description:

This arm will consist of 1,500 age- and sex-matched cancer-free individuals serving as controls.

Treatment:

Diagnostic Test: DiNanoQ: A multi-cancer early detection (MCED) blood test

Cancer Patients Undergoing Treatment

Description:

This cohort will include 1,000 patients diagnosed with Hepatocellular Carcinoma (HCC) or Non-Small Cell Lung Cancer (NSCLC) across stages I to IV who are about to commence standard cancer therapy.

Treatment:

Diagnostic Test: DiNanoQ: A multi-cancer early detection (MCED) blood test

Other: DiNanoTrack: Therapeutic Response Monitoring Blood Test