Validation of DNA Methylation Markers for Universal and Site-specific Guided Cancer Detection, VANGUARD Study

Validation of DNA Methylation Markers for the Universal and Site-Specific Guided Cancer Detection (the VANGUARD Study)

This study explores the potential value of a new blood test approach for early detection of cancer.

PRIMARY OBJECTIVES:

I. Validate candidate universal and site-specific MDMs in DNA extracted from formalin-fixed paraffin embedded primary tumor and control specimens.

II. Test MDM-based models for detection of multi-cancers using a non-invasive biological medium, specifically blood.

III. Assess feasibility for detection of cancers using urine samples to assay MDMs, RNA or protein in cell free or extra-cellular vesicles; patients may be the same or unique individuals from Aim 1 and 2.

OUTLINE: This is an observational study.

Patients undergo blood, urine, and/or residual tissue sample collection and have their medical records reviewed on study.

Inclusion Criteria:

• Aim 1 Tissue

  • Cases:

    • Patient has a biopsy confirmed diagnosis of target histology
    • Tissue samples from synchronous or metachronous primary cancers may be used as long as they are clearly of a different target organ.
    • Tumors from patients with an underlying genetic disorder pre-disposing to cancer may be included as long as they are stratified from those without

  • Controls:

    • Patient does not have the diagnosis of target histology

• Aim 2 Blood

  • Cases:

    • Patient has a biopsy confirmed diagnosis of target histology or radiographic criteria that are unequivocal for diagnosis (example, meets radiographic criteria for hepatocellular carcinoma)

  • Controls:

    • Patient does not have a documented diagnosis of cancer within 1 year following blood collections

• Aim 3 Urine

  • Cases:

    • Patient has a biopsy confirmed diagnosis of target histology or radiographic criteria that are unequivocal for diagnosis (example, meets radiographic criteria for hepatocellular carcinoma)

  • Controls:

    • Patient does not have a diagnosis of the target histology

Exclusion Criteria:

• Aim 1 Tissue

  • Cases and Controls:

    • Patient has had any transplants prior to tissue collection
    • Patient has received chemotherapy class drugs within 5 years prior to tissue collection

  • Cases:

    • Patient has had radiation to the current target lesion prior to tissue collection
    • Patient has multi-centric/multi-focal breast cancer with differing genetic profiles (ER/HER2/PR status differ; if multiple masses are present and not all are tested then exclude patient)
    • Patient has bilateral breast cancer/Ductal carcinoma in situ (DCIS)

• Aim 2 Blood

  • Controls:

    • Patient has known cancer prior to current sample acquisition (not including basal cell or squamous cell skin cancers) (if patient has not been seen or if information is not available, the patient is still eligible)

  • Cases:

    • Patient has known cancer outside of the target cancer 5 years prior to blood collection (not including basal cell or squamous cell skin cancers)
    • Patient has received chemotherapy class drugs in the 5 years prior to blood collection
    • Patient has had any prior radiation therapy to the target lesion prior to blood collection
    • Patient has had an intervention to completely remove current target pathology
    • The current target pathology is a recurrence
    • Patient has had a biopsy to the target organ and/or lesion within 3 days before blood collection

• Aim 3 Urine

  • Patient has known cancer outside of the target cancer 5 years prior to urine collection (not including basal cell or squamous cell skin cancers)

  • Patient has received chemotherapy class drugs in the 5 years prior to urine collection

  • Patient has had any prior radiation therapy to the target lesion prior to urine collection

  • Patient has had a biopsy to the target organ and/or lesion within 3 days before urine collection

  • The current target pathology is a recurrence

  • Patient has chronic indwelling urinary catheter

  • Patient has had a urinary tract infection within the 14 days prior to sample collection

  • If patient does not have a primary bladder, ureter or urethral cancer, patient has a history of bladder ureter, or urethral cancer

  • Cases:

    • Patient has had an intervention to completely remove current target pathology
    • The current target pathology is a recurrence