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Trial Title: ctDNA Detection of MRD in Predicting Postoperative Recurrence in Biliary Tract Cancers:A Multicenter Prospective Trial

NCT ID: NCT05743959

Condition: Biliary Tract Cancer

Conditions: Official terms:
Biliary Tract Neoplasms
Recurrence

Conditions: Keywords:
Cholangiocarcinoma
ctDNA
Minimal Residual Disease (MRD)

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Procedure
Intervention name: No intervention
Description: No intervention
Arm group label: Patients with stage I-III biliary tract cancers

Summary: A substantial proporation of patients with biliary tract malignancies still experience disease recurrence after curative resection. ctDNA-based minimal residual disease (MRD) method has been widely used to monitor postoperative recurrence in solid cancers, but few studies have been reported in biliary tract cancers. The present clinical trial aims to elucidate the correlation between the postoperative ctDNA status and the prognosis of patients with biliary tract cancers, and evaluate whether ctDNA could better predict patients' recurrence and guide clinical practice.

Criteria for eligibility:

Study pop:
Patients with stage I-III biliary duct cancer eligible for curative surgical resection

Sampling method: Probability Sample
Criteria:
Inclusion Criteria: 1. Male or female ≥ 18 years of age on the day of signing informed consent. 2. Clinically diagnosed as BTC before surgery and confirmed by pathology after surgery. 3. Stage I-III tumor according to the UICC/AJCC TNM staging system (8th edition in 2017), meeting the indications for radical surgery and are planned to undergo radical treatment. Those who do not undergo radical surgery will be excluded. 4. Patients must have a performance status of ≤1 on the ECOG Performance Scale. 5. Patients must have survival of > 6 months after surgery 6. Serological tumor indicators (CEA, CA19-9) and imaging data ( CT and/or MRI, PET-CT) were complete. 7. Blood biochemical indicators meet surgical standards 8. Written informed consent must be obtained from patient or patient's legal representative and ability for patient to comply with the requirements of the study. Exclusion Criteria: 1. Patients with recurrent biliary tract tumors 2. Patients with hepatobiliary mixed tumors 3. Patients with malignant tumors of other organs that have not been cured before. 4. History of organ transplant or allogeneic stem cell transplant 5. Patients with severe infections that are active or poorly controlled clinically 6. patients who are cognitively impaired or with known psychiatric disorders, and/or substance abuse 7. pregnant or lactating women 8. Failed to sign informed consent 9. Other conditions that researchers judged inappropriate for inclusion

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Locations:

Facility:
Name: The First Affiliated Hospital with NanJing Medical University

Address:
City: Nanjing
Zip: 210029
Country: China

Status: Recruiting

Contact:
Last name: Xiangcheng Li, PhD

Phone: +8618951999088
Email: drlixc@163.com

Contact backup:
Last name: Xiaofeng Chen, PhD

Phone: +8613585172066
Email: 13585172066@126.com

Start date: May 1, 2022

Completion date: December 30, 2025

Lead sponsor:
Agency: The First Affiliated Hospital with Nanjing Medical University
Agency class: Other

Source: The First Affiliated Hospital with Nanjing Medical University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05743959

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