PRECEDE: Pancreatic Cancer Early Detection Consortium
Study Details
Study Description
Brief Summary
The purpose of the Pancreatic Cancer Early Detection (PRECEDE) Consortium is to conduct research on multiple aspects of early detection and prevention of pancreatic ductal adenocarcinoma (PDAC) by establishing a multisite cohort of individuals with family history of PDAC and/or individuals carrying pathogenic/likely pathogenic germline variants (PGVs) in genes linked to PDAC risk for longitudinal follow up.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
The main objective of the PRECEDE Consortium is to build a shared resource to drive research in critical areas necessary for early detection and prevention of PDAC.
The PRECEDE Consortium is an observational prospective cohort study, with single or serial biosample collection (every 6-12 months) in defined high-risk groups.
A standardized procedure for collection and processing of human blood for the PRECEDE Consortium will be applied to all blood samples collected as part of the study. Barcoded samples will be stored at the clinical centers, using the specific labels for the PRECEDE study and corresponding data will be entered into the study database.
Clinical data and outcomes will be obtained from institutional databases or clinical records to correlate patient information with laboratory results from biospecimens obtained for research. Patients will be followed by their attending physician and receive the standard follow-up care after the procedure in which biospecimen was obtained. It is the intent that biospecimens will be made available to all consortium investigators.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Cohort 1 Individuals without history of PDAC meeting any of the following criteria: 2+ relatives with PDAC on same side of family where 2 affected are first degree related to each other and at least 1 affected is first degree related to subject; age 50+ or ≤10 years younger than earliest PDAC in family at time of diagnosis. 2 affected first degree relatives with PDAC; age 50+ or 10 years younger than earliest PDAC in family BRCA1, BRCA2, PALB2, ATM, MLH1, MSH2, MSH6, PMS2, EPCAM pathogenic or likely pathogenic variant AND 1 first or second degree relative with PDAC; age 50+ or 10 years younger than earliest PDAC in family Familial Atypical Moles and Malignant Melanoma (FAMMM) with pathogenic or likely pathogenic CDKN2A variant; age 40+ Peutz-Jegher syndrome with STK11 pathogenic or likely pathogenic variant; age 35+ Hereditary pancreatitis with PRSS1 pathogenic or likely pathogenic variant and history of pancreatitis; age 40+ |
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Cohort 2 Individuals without history of PDAC meeting any of the following criteria: ATM, BRCA1, BRCA2, or PALB2 pathogenic or likely pathogenic variant regardless of family history, age 50+ 2+ relatives with PDAC on the same side of family, any degree of relation, not meeting other criteria above; age 50+ or 10 years younger than earliest PDAC in family 1 FDR with PDAC ≤ age 45; age up to 10 years younger than PDAC diagnosis in family member |
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Cohort 3 Individual meeting criteria for Cohorts 1 or 2 EXCEPT age (i.e. too young to qualify for Cohorts 1 or 2) |
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Cohort 4 Individuals without history of PDAC presenting for evaluation who do not meet any criteria for 1-3, 6, or the Cyst Cohort. |
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Cohort 5 Individuals without history of PDAC who are not otherwise engaged in pancreas surveillance at a participating site may be invited to participate in the PRECEDE database and to donate a biosample (e.g. blood, saliva, and/or buccal swab) for discovery studies. This may include relatives of individuals in Cohorts 1-4,6, and the Cyst Cohort. |
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Cohort 6 Individuals with a personal history of PDAC meeting any of the following criteria: Family history includes at least one first degree relative with PDAC, or 2 relatives with PDAC who are first degree related to each other Personal or family history of a pathogenic or likely pathogenic germline variant in ATM, BRCA1, BRCA2, CDKN2A, EPCAM, MLH1, MSH2, MSH6, PALB2,PMS2, PRSS1, STK11 Diagnosed ≤ age 45 |
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Cyst Cohort Individuals with a personal history of a pancreatic cystic neoplasm not meeting any criteria for Cohorts 1-3 or 6 (no known family history of PDAC, no known pathogenic germline variants linked to PDAC risk) |
Outcome Measures
Primary Outcome Measures
- Development of PDAC [Through study completion, an average of 6 years]
Diagnosis of PDAC
Eligibility Criteria
Criteria
Inclusion Criteria:
Individuals from the following groups who present for clinical evaluation and assessment of PDAC risk at any of the participating sites can be offered participation in the PRECEDE database:
Cohort 1
Individuals without history of PDAC meeting any of the following criteria:
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2+ relatives with PDAC on same side of family where 2 affected are first degree related to each other and at least 1 affected is first degree related to subject; age 50+ or ≤10 years younger than earliest PDAC in family at time of diagnosis.
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2 affected first degree relatives with PDAC; age 50+ or 10 years younger than earliest PDAC in family
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BRCA1, BRCA2, PALB2, ATM, MLH1, MSH2, MSH6, PMS2, EPCAM pathogenic or likely pathogenic variant AND 1 first or second degree relative with PDAC; age 50+ or 10 years younger than earliest PDAC in family
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Familial Atypical Moles and Malignant Melanoma (FAMMM) with pathogenic or likely pathogenic CDKN2A variant; age 40+
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Peutz-Jegher syndrome with STK11 pathogenic or likely pathogenic variant; age 35+
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Hereditary pancreatitis with PRSS1 pathogenic or likely pathogenic variant and history of pancreatitis; age 40+
Cohort 2
Individuals without history of PDAC meeting any of the following criteria:
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ATM, BRCA1, BRCA2, or PALB2 pathogenic or likely pathogenic variant regardless of family history, age 50+
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2+ relatives with PDAC on the same side of family, any degree of relation, not meeting other criteria above; age 50+ or 10 years younger than earliest PDAC in family
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1 first degree relative with PDAC ≤ age 45; age up to 10 years younger than PDAC diagnosis in family member
Cohort 3 Individual meeting criteria for Cohorts 1 or 2 EXCEPT age (i.e. too young to qualify for Cohorts 1 or 2)
Cohort 4 Individuals without history of PDAC presenting for evaluation who do not meet any criteria for 1-3, 6, or the Cyst Cohort.
Cohort 5 Individuals without history of PDAC who are not otherwise engaged in pancreas surveillance at a participating site may be invited to participate in the PRECEDE database and to donate a biosample (e.g. blood, saliva, and/or buccal swab) for discovery studies. This may include relatives of individuals in Cohorts 1-4,6, and the Cyst Cohort.
Cohort 6
Individuals with a personal history of PDAC meeting any of the following criteria:
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Family history includes at least one first degree relative with PDAC, or 2 relatives with PDAC who are first degree related to each other
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Personal or family history of a pathogenic or likely pathogenic germline variant in ATM, BRCA1, BRCA2, CDKN2A, EPCAM, MLH1, MSH2, MSH6, PALB2,PMS2, PRSS1, STK11
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Diagnosed ≤ age 45
Cyst Cohort Individuals with a personal history of a pancreatic cystic neoplasm not meeting any criteria for Cohorts 1-3 or 6 (no known family history of PDAC, no known pathogenic germline variants linked to PDAC risk)
Exclusion Criteria:
- Individuals not meeting the criteria above.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | City of Hope | Duarte | California | United States | 91010 |
2 | UC San Diego Moores Cancer Center | La Jolla | California | United States | 92093 |
3 | Cedars-Sinai Medical Center | Los Angeles | California | United States | 90048 |
4 | Yale University | New Haven | Connecticut | United States | 06510 |
5 | Mayo Clinic Jacksonville | Jacksonville | Florida | United States | 32224 |
6 | University of Miami | Miami | Florida | United States | 33136 |
7 | Moffitt Cancer Center | Tampa | Florida | United States | 33612 |
8 | University of Chicago Medicine | Chicago | Illinois | United States | 60637 |
9 | Massachusetts General Hospital | Boston | Massachusetts | United States | 02114 |
10 | Umass Memorial Medical Center | Worcester | Massachusetts | United States | 01655 |
11 | University of Michigan | Ann Arbor | Michigan | United States | 48109 |
12 | University of Nebraska Medical Center | Omaha | Nebraska | United States | 68198 |
13 | New York University Langone Health | New York | New York | United States | 10016 |
14 | Icahn School of Medicine At Mount Sinai | New York | New York | United States | 10029 |
15 | Columbia University Irving Medical Center | New York | New York | United States | 10032 |
16 | University of Rochester Medical Center | Rochester | New York | United States | 14642 |
17 | Oregon Health & Science University | Portland | Oregon | United States | 97239 |
18 | University of Pennsylvania | Philadelphia | Pennsylvania | United States | 19104 |
19 | University of Pittsburgh Medical Center (Upmc) | Pittsburgh | Pennsylvania | United States | 15232 |
20 | MD Anderson Center | Houston | Texas | United States | 77030 |
21 | Huntsman Cancer Institute | Salt Lake City | Utah | United States | 84112 |
22 | Inova Schar Cancer Institute | Fairfax | Virginia | United States | 22031 |
23 | University of Washington | Seattle | Washington | United States | 98195 |
24 | British Columbia Cancer Agency | Vancouver | British Columbia | Canada | |
25 | Uhn Mount Sinai Hospital | Toronto | Ontario | Canada | |
26 | McGill University Health Centre | Montreal | Quebec | Canada | |
27 | Sheba Medical Center | Ramat Gan | Israel | ||
28 | Azienda Ospedaliera Universitaria Integrata Verona | Verona | Italy | ||
29 | Ramón y Cajal University Hospital | Madrid | Spain | ||
30 | University of Liverpool | Liverpool | United Kingdom |
Sponsors and Collaborators
- Arbor Research Collaborative for Health
Investigators
- Study Chair: Diane Simeone, MD, New York University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- PRECEDE