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DNA Methylation Biomarker for Diagnosis of Cholangiocarcinoma in Patients With Bile Duct Stricture (DNA)

Primary Purpose

Cholangiocarcinoma, Biliary Stricture, DNA Methylation

Status
Completed
Phase
Not Applicable
Locations
Thailand
Study Type
Interventional
Intervention
Control
Cholangiocarcinoma
Sponsored by
Mahidol University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Cholangiocarcinoma

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age more than 18 year old
  • Patients had biliary stricture from cholangiocarcinoma and benign stricture

Exclusion Criteria:

  • Pregnancy
  • Patient had other malignancy

Sites / Locations

  • Faculty of medicine, Siriraj hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Active Comparator

Arm Label

Control

Cholangiocarcinoma

Arm Description

Brushed biliary samples from a known case of benign biliary stricture were sent for DNA Methylation Biomarker test and cell cytology

Brushed biliary samples from a known case of cholangiocarcinoma were sent for DNA Methylation Biomarker test and cell cytology

Outcomes

Primary Outcome Measures

The methylation of HOXA1, NEUROG1 were determined in brushed biliary samples from patients with CCAs compared to those of nonmalignant bile duct stricture
Methylation index of biliary brush samples were analyzed.

Secondary Outcome Measures

Sensitivity, specificity of DNA methylation for diagnosis of cholangiocarcinoma
Diagnostic accuracy of methylation index for diagnosis of cholangiocarcinoma was analyzed.
To compared sensitivity, specificity of DNA methylation with routine cytology of biliary brushed samples
Diagnostic accuracy of methylation index was compared to routine brush cytology.

Full Information

First Posted
September 23, 2020
Last Updated
September 23, 2020
Sponsor
Mahidol University
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1. Study Identification

Unique Protocol Identification Number
NCT04568512
Brief Title
DNA Methylation Biomarker for Diagnosis of Cholangiocarcinoma in Patients With Bile Duct Stricture
Acronym
DNA
Official Title
DNA Methylation Biomarker in Biliary Brush Sample for Diagnosis of Cholangiocarcinoma in Patients With Bile Duct Stricture
Study Type
Interventional

2. Study Status

Record Verification Date
September 2020
Overall Recruitment Status
Completed
Study Start Date
January 1, 2016 (Actual)
Primary Completion Date
December 31, 2019 (Actual)
Study Completion Date
December 31, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Mahidol University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
DNA methylation biomarker for diagnosis of cholangiocarcinoma in patients with bile duct stricture has high sensitivity and specificity compared with cytology from the brush specimens
Detailed Description
The methylation of HOXA1, NEUROG1 were used to determine cholangiocarcinoma from brushed biliary samples. However, the sensitivity and specificity of this test for cholangiocarcinoma is still required.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cholangiocarcinoma, Biliary Stricture, DNA Methylation, Brush Cytology

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Non-Randomized
Enrollment
67 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Control
Arm Type
Placebo Comparator
Arm Description
Brushed biliary samples from a known case of benign biliary stricture were sent for DNA Methylation Biomarker test and cell cytology
Arm Title
Cholangiocarcinoma
Arm Type
Active Comparator
Arm Description
Brushed biliary samples from a known case of cholangiocarcinoma were sent for DNA Methylation Biomarker test and cell cytology
Intervention Type
Diagnostic Test
Intervention Name(s)
Control
Intervention Description
Brushed biliary samples from a known case of benign biliary stricture were sent for DNA Methylation Biomarker test and cell cytology
Intervention Type
Diagnostic Test
Intervention Name(s)
Cholangiocarcinoma
Intervention Description
Brushed biliary samples from a known case of cholangiocarcinoma were sent for DNA Methylation Biomarker test and cell cytology
Primary Outcome Measure Information:
Title
The methylation of HOXA1, NEUROG1 were determined in brushed biliary samples from patients with CCAs compared to those of nonmalignant bile duct stricture
Description
Methylation index of biliary brush samples were analyzed.
Time Frame
2 weeks
Secondary Outcome Measure Information:
Title
Sensitivity, specificity of DNA methylation for diagnosis of cholangiocarcinoma
Description
Diagnostic accuracy of methylation index for diagnosis of cholangiocarcinoma was analyzed.
Time Frame
2 weeks
Title
To compared sensitivity, specificity of DNA methylation with routine cytology of biliary brushed samples
Description
Diagnostic accuracy of methylation index was compared to routine brush cytology.
Time Frame
2 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age more than 18 year old Patients had biliary stricture from cholangiocarcinoma and benign stricture Exclusion Criteria: Pregnancy Patient had other malignancy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Varayu Prachayakul
Organizational Affiliation
Mahidol University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Faculty of medicine, Siriraj hospital
City
Bangkok Noi
State/Province
Bangkok
ZIP/Postal Code
10700
Country
Thailand

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
34265285
Citation
Prachayakul V, Rugivarodom M, Nopjaroonsri P, Cheirsilpa K, Chang A, Kamolhan T, Boonyaarunnate T, Thuwajit C, Thuwajit P. Diagnostic power of DNA methylation markers suggestive of cholangiocarcinoma in ERCP-based brush cytology. Gastrointest Endosc. 2022 Jan;95(1):123-130.e1. doi: 10.1016/j.gie.2021.07.005. Epub 2021 Jul 12.
Results Reference
derived

Learn more about this trial

DNA Methylation Biomarker for Diagnosis of Cholangiocarcinoma in Patients With Bile Duct Stricture

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