AzTrials
AzTrials

Pancreas CancerPhase 3CAPS5NCT02000089

The Cancer of the Pancreas Screening-5 CAPS5)Study

A Phase 3 study testing Secretin, MRI and Tumor marker gene test with CA19-9 in people with Pancreas Cancer and Peutz-Jeghers Syndrome (PJS), run by Johns Hopkins University at 9 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Johns Hopkins clinical research office quality assurance group will monitor and audit this study at Johns Hopkins. The Sub Investigator at each site will be responsible for internal monitoring at their site. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Secretin, MRI and Tumor marker gene test with CA19-9
Could I receive a placebo?
No, everyone receives an active treatment
How many people
9,000 participants
Where
9 sitesUnited States
Study dates
6 Jan 2014to Jun 2029
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Hereditary Pancreatitis or
  • Peutz-Jeghers Syndrome or
  • Strong family history of pancreas cancer on one side of the family tree or
  • Confirmed germline mutation carrier (BRCA2, FAMMM (CDKN2A/p16), PALB2, BRCA1, ATM, HNPCC, Lynch Syndrome (hMLH1, hMSH2, PMS2, hMSH6, EpCAM) PRSS1, PRSS2, R122H, N291l, SPINK1, CFTR
  • Endoscopic evaluation of pancreas scheduled

Who cannot join

  • Medical comorbidities or coagulopathy that contraindicate endoscopy
  • Prior surgery that prevent optimal endoscopic ultrasound such as partial or complete gastrectomy with Bilroth or Roux-en-Y anastomosis
  • Stricture or obstruction in the upper GI tract that does not allow passage of the echoendoscope
  • Poor performance status
  • Inability to provide informed consent
  • Pregnancy.

Trial locations and contacts

9 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Hilary Cosby, RN contact

hcosby1@jhmi.edu

9 sites in 1 country

United States9 sites, 9 recruiting
  • University of Michigan

    Ann Arbor, Michigan, 48109

    Sarah Volk, 734-998-1274, stomanic@med.umich.edu

    Elena Stoffel, MD

    Recruiting
  • Johns Hopkins Hospital

    Baltimore, Maryland, 21287

    Hilary Cosby, RN, CGRN, 410-502-2893, hcosby1@jhmi.edu

    Michael Goggins, MD

    Recruiting
  • Dana Farber Cancer Center, Harvard University

    Boston, Massachusetts, 02215

    Isabelle Flaherty, 617-582-7938, Isabelle_flaherty@dfci.harvard.edu

    Ethan Provost, 617-632-4788, ethan_provost@dfci.harvard.edu

    Recruiting
  • Case Comprehensive Cancer Center, Case Western Medical Reserve

    Cleveland, Ohio, 44106

    Barbara Heaton, 216-844-7314, Barbara.Heaton@UHhospitals.org

    Wendy Brock, RN, 216-844-3853, wendy.Brock@UHhospitals.org

    Recruiting
  • Yale University

    New Haven, Connecticut, 06520

    Scott Merenda, BSN, 203-785-7019, scott.merenda@yale.edu

    James Farrell, MD

    Recruiting
  • NYU Langone Medical Center

    New York, New York, 10016

    Emil Agarunov, emil.agarunov@nyulangone.org

    Tamas Gonda, MD

    Recruiting
  • Columbia University Medical Center

    New York, New York, 10032

    Katharine Godfrey, kb3217@cumc.columbia.edu

    Fay Kastrinos, MD

    Recruiting
  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

    Daniel Clay, 215-360-0905, Daniel.Clay@Pennmedicine.upenn.edu

    Sara Karley, sara.karley@pennmedicine.upenn.edu

    Recruiting
  • University of Pittsburgh

    Pittsburgh, Pennsylvania, 15213

    Christine Decapite, decapitec@upmc.edu

    Sara Booz, boozs@upmc.edu

    Recruiting

Other trials in United States

About this study

Johns Hopkins clinical research office quality assurance group will monitor and audit this study at Johns Hopkins. The Sub Investigator at each site will be responsible for internal monitoring at their site.

Read the detailed description

The Sub Investigator at each site will be responsible for internal monitoring at their site. The site sub Investigator and study team will report any serious adverse events to Principal Investigator and annually report adverse events.

Being tested
Secretin, MRI, Tumor marker gene test with CA19-9
Keywords
familial pancreas cancer, (Peutz-Jeghers Syndrome) PJS, Breast cancer (BRCA) 2, Partner and Locator of BRCA2 (PALB2), Familial Atypical Multiple Mole- Melanoma (FAMMM), p16, CDKN2A, Breast Cancer (BRCA)1, (hereditary non-polyposis colorectal cancer or Lynch syndrome) HNPCC, Lynch Syndrome, hereditary pancreatitis, Protease Serine (PRSS), Chymotrypsin C (CTRC), Ataxia Telangiectasia Mutated(ATM)
Medical subject headings
Pancreatic Neoplasms, Peutz-Jeghers Syndrome, Colorectal Neoplasms, Hereditary Nonpolyposis, Breast Neoplasms, Dysplastic Nevus Syndrome, Hereditary pancreatitis, Hereditary Sensory and Autonomic Neuropathies

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SecretinDrug

    Also called ChiRhoStim

    inject Secretin to stimulate pancreatic digestive fluid, which is collected in duodenum near ampulla via endoscope suction port. This fluid will be assessed for biomarkers.

  • MRIDiagnostic test

    Also called MRCP

    MRI abdomen with contrast (MRCP) will be clinically indicated for abnormal novel CA-19-9 lab results.

  • Tumor marker gene test with CA19-9Other

    A tumor marker gene test that will be used to stratify individuals into one of several circulating tumor marker reference ranges for CA19-9. The variants in the genes FUT3 and FUT2 affect the levels of CA19-9.

Study groups in NCT02000089
Study groupRoleWhat they receive
Familial pancreas cancer relativesActive comparatorHigh Risk Group 2 (familial pancreatic cancer relatives): 1. > 55 years old or 10 years younger than the age of youngest relative with pancreatic cancer, and 2. come from a family with 2 or more members with a history of pancreatic cancer (2 of which have a first-degree relationship consistent with familial pancreatic cancer), and 3. have a first-degree relationship with at least one of the relatives with pancreatic cancer. If there are 2 or more affected blood relatives, at least 1 must be a first-degree relative of the individual being screened
Receives: Drug: Secretin; Diagnostic Test: MRI; Other: Tumor marker gene test with CA19-9
Group 1 germline mutation carrierActive comparatorHigh Risk Group 3 (Group 1 germline mutation carriers with an associated with an estimated lifetime risk of pancreatic cancer of ~10% or higher): a. > 50 years old or 10 years younger than the age of the youngest relative affected, if pancreatic cancer is in family, and b. The Patient is a carrier of a confirmed BRCA2, ATM or PALB2 mutation, regardless of family history of pancreatic cancer. b.> Individual is a carrier of a confirmed FAMMM (p16/CDKN2A) mutation, age 40 years or older, regardless of family history of pancreas cancer.
Receives: Drug: Secretin; Diagnostic Test: MRI; Other: Tumor marker gene test with CA19-9
Group 2 germline mutation carrierActive comparatorHigh Risk Group 4 (Group 2 germline mutation carriers with an associated with an estimated lifetime risk of pancreatic cancer of ~5%): 1. > 50 years old or 10 years younger than the age of the youngest relative with pancreatic cancer, and 2. The patient is a carrier of a confirmed BRCA1 or HNPCC (hereditary non-polyposis colorectal cancer or Lynch syndrome, hMLH1, hMSH2, PMS1, hMSH6, EpCAM) gene mutation, and there is > 1 pancreatic cancer in the family, one of whom is a first- or second-degree relative of the subject to be screened.
Receives: Drug: Secretin; Diagnostic Test: MRI; Other: Tumor marker gene test with CA19-9
Hereditary pancreatitisActive comparatorHigh risk group 5 (hereditary pancreatitis) with confirmed gene mutations that predispose to chronic pancreatitis, such as PRSS1, PRSS2, CTRC) and age 50 years or older (these patients have an estimated lifetime risk for pancreatic cancer of 40%) or twenty-years since their first attack of pancreatitis, whichever age is younger.
Receives: Drug: Secretin; Diagnostic Test: MRI; Other: Tumor marker gene test with CA19-9
Peutz-Jeghers SyndromeActive comparator1. At least 30 years old, and 2. at least 2 of 3 criteria diagnostic of Peutz-Jeghers syndrome (characteristic intestinal hamartomatous polyps, mucocutaneous melanin deposition, or family history of Peutz-Jeghers syndrome), or, 3. known STK11 gene mutation carrier
Receives: Drug: Secretin; Diagnostic Test: MRI; Other: Tumor marker gene test with CA19-9
Negative controlActive comparator1. are undergoing routine EGD or Colonoscopy; or Endoscopic Ultrasound (EUS) and/or Endoscopic Retrograde Cholangiopancreatography (ERCP) for non-pancreatic indications as part of their standard medical care, and 2. have no clinical or radiologic suspicion of pancreatic disease (chronic pancreatitis or pancreatic cancer)
Receives: Drug: Secretin
Chronic PancreatitisActive comparator1. are undergoing EUS and/or ERCP for evaluation and/or treatment of suspected or proven chronic pancreatitis as part of their standard medical care, and, 2. have no clinical or radiologic suspicion of pancreatic cancer
Receives: Drug: Secretin
Pancreas cancerActive comparatora. are undergoing EUS and/or ERCP for evaluation and/or treatment of suspected or proven pancreatic ductal adenocarcinoma (based on clinical and radiologic evidence)
Receives: Drug: Secretin
Pancreas cyst, IPMN evaluationActive comparatorare undergoing EUS and/or ERCP for evaluation and/or treatment of suspected or proven pancreatic cancer precursor, intraductal papillary mucinous neoplasm (based on clinical presentation and radiologic or prior EUS or radiologic evidence of a dilated main pancreatic duct and/or pancreatic cystic lesion communicating with the pancreatic ductal system).
Receives: Drug: Secretin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Evaluate pancreatic juice for early cancer markers.

    Aim #1: To evaluate pancreatic fluid mutations and circulating pancreatic epithelial cells as accurate markers of neoplasia by comparing their prevalence in cases with sporadic pancreatic neoplasia to healthy and disease controls.

    Measured: 10 years

Secondary outcomes (1)
  1. Compare pancreas juice with pancreas cyst fluid

    Aim #2: To compare the prevalence of pancreatic fluid mutations and circulating pancreatic epithelial cells among a prospective cohort of individuals with sporadic pancreatic cysts undergoing pancreatic surveillance.

    Measured: 10 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Dec 2013 (estimated)
  2. Study start6 Jan 2014
  3. Primary completionDec 2028 (estimated)
  4. Study completionJun 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Diagnosis
Allocation
Non-randomised
Intervention model
Single group
Model description
Evaluation of the effect of diagnostic tests for pancreatic cancer
Masking
None (open label)
Enrolment
9,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02000089
Sponsor's protocol ID
NA_00087754
Other IDs
1U01CA210170-01, R01CA176828
Acronym
CAPS5
Status last verified
Oct 2026
First submitted
26 Nov 2013
Last updated
22 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Kumar S, Saumoy M, Oh A, Schneider Y, Brand RE, Chak A, Ginsberg GG, Kochman ML, Canto MI, Goggins MG, Hur C, Kastrinos F, Katona BW, Rustgi AK. Threshold Analysis of the Cost-effectiveness of Endoscopic Ultrasound in Patients at High Risk for Pancreatic Ductal Adenocarcinoma. Pancreas. 2021 Jul 1;50(6):807-814. doi: 10.1097/MPA.0000000000001835.

    PubMed 34149034
  • Kohi S, Macgregor-Das A, Dbouk M, Yoshida T, Chuidian M, Abe T, Borges M, Lennon AM, Shin EJ, Canto MI, Goggins M. Alterations in the Duodenal Fluid Microbiome of Patients With Pancreatic Cancer. Clin Gastroenterol Hepatol. 2022 Feb;20(2):e196-e227. doi: 10.1016/j.cgh.2020.11.006. Epub 2020 Nov 5.

    PubMed 33161160
  • Abe T, Koi C, Kohi S, Song KB, Tamura K, Macgregor-Das A, Kitaoka N, Chuidian M, Ford M, Dbouk M, Borges M, He J, Burkhart R, Wolfgang CL, Klein AP, Eshleman JR, Hruban RH, Canto MI, Goggins M. Gene Variants That Affect Levels of Circulating Tumor Markers Increase Identification of Patients With Pancreatic Cancer. Clin Gastroenterol Hepatol. 2020 May;18(5):1161-1169.e5. doi: 10.1016/j.cgh.2019.10.036. Epub 2019 Oct 30.

    PubMed 31676359
  • Canto MI, Kerdsirichairat T, Yeo CJ, Hruban RH, Shin EJ, Almario JA, Blackford A, Ford M, Klein AP, Javed AA, Lennon AM, Zaheer A, Kamel IR, Fishman EK, Burkhart R, He J, Makary M, Weiss MJ, Schulick RD, Goggins MG, Wolfgang CL. Surgical Outcomes After Pancreatic Resection of Screening-Detected Lesions in Individuals at High Risk for Developing Pancreatic Cancer. J Gastrointest Surg. 2020 May;24(5):1101-1110. doi: 10.1007/s11605-019-04230-z. Epub 2019 Jun 13.

    PubMed 31197699

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Secretin, MRI and Tumor marker gene test with CA19-9 in people with Pancreas Cancer and Peutz-Jeghers Syndrome (PJS), run by Johns Hopkins University at 9 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 22 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Hilary Cosby, RN (hcosby1@jhmi.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Evaluate pancreatic juice for early cancer markers. (time frame: 10 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02000089, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Oct 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in