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HyperglycemiaEDINCT04662879

Early Detection Initiative for Pancreatic Cancer

A study testing Enriching New-onset Diabetes for Pancreatic Cancer (ENDPAC) score and Abdominal imaging in people with Hyperglycemia and Diabetes Mellitus, run by Pancreatic Cancer Action Network at 2 sites in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The Early Detection Initiative for Pancreatic Cancer is a multi-center prospective study to determine if algorithm-based screening in patients with glycemically defined new onset hyperglycemia and diabetes has the potential for earlier detection of pancreatic ductal adenocarcinoma. Read more about this study

Who is it for?
Ages 50 to 85 years
What is being tested?
Enriching New-onset Diabetes for Pancreatic Cancer (ENDPAC) score and Abdominal imaging
Could I receive a placebo?
No, everyone receives an active treatment
How many people
8,869 participants
Where
2 sitesUnited States
Study dates
14 Oct 2021to Jan 2028
Phase
Interventional
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 50 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient must have given institutional consent for minimal risk studies.
  • Patient must be ≥50 and ≤85 years of age at the time of diagnosis [index date Parameters of Diabetes Mellitus (PDM)].
  • Patient must have index weight and left-window weight values available in electronic medical record (EMR).
  • Patient must have hyperglycemia and/or diabetes as one of the following (all glycemic parameters, except for HbA1c, must be measured in an outpatient setting):
  • Glycated hemoglobin (HbA1c) ≥ 6.5%
  • OR
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  • Any (2) PDMs on consecutive (≤90 days between PDMs) or simultaneous testing:
  • Fasting Blood Glucose (FBG) ≥126 mg/dl
  • Glycated hemoglobin (HbA1c) ≥ 6.5%
  • Random Blood Glucose (RBG) ≥200 mg/dl
  • 2 hour Post Glucose (PG) ≥ 200mg (11.1 mmol/L) during oral glucose tolerance test (OGTT)
  • OR
  • Any one (1) PDM present followed by an anti- diabetes medication ≤90 days after the index PDM date
  • Patient must have ≥1 glycemic parameter measured in the past 91-548 days prior to the index PDM date (Left Window) without meeting inclusion criteria A, B, or C.
  • For Intervention Sites, patients must meet inclusion criteria A, B, or C ≤90 days prior to enrollment.

Who cannot join

  • Patient has declined institutional consent for minimal risk studies.
  • Patient must not have any known past history of hyperglycemia and/or diabetes as defined by inclusion criteria A, B, or C
  • Transient diabetes (e.g. gestational and steroid-induced) is not an exclusion.
  • Patient must not be on ongoing active treatment for cancer, and/or carry a current diagnosis of any cancer (except non-melanoma skin cancer). Non-invasive cancer of any organ (carcinoma-in-situ/high grade dysplasia) is not an exclusion.
  • Ongoing work up for suspicion of pancreatic cancer is not an exclusion.
  • Patient must not have had a definitive diagnosis of pancreatic cancer prior to index PDM date.
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  • Patient must not be on any anti-diabetes medications prior to index PDM date.
  • Patient must not be on chronic or acute use of steroid medications ≤90 days prior to the index PDM date.
  • Allowed: Nasal, topical steroids, oral budesonide, ophthalmic
  • Patient must not have had an intra-articular steroid injection ≤ 7 days prior to the index PDM date.
  • Patient must have values available in the EMR to calculate the ENDPAC score.

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Baylor College of Medicine

    Houston, Texas, 77030

  • Kaiser Permanente Southern California, Kaiser Permanente Research

    Pasadena, California, 91101

Other trials in United States

About this study

Official title: A Prospective Study of Algorithm-based Screening in Patients With Glycemically Defined New Onset Diabetes to Evaluate Risk for and Earlier Detection of Pancreatic Ductal Adenocarcinoma; Early Detection Initiative (EDI) for Pancreatic Cancer

The Early Detection Initiative for Pancreatic Cancer is a multi-center prospective study to determine if algorithm-based screening in patients with glycemically defined new onset hyperglycemia and diabetes has the potential for earlier detection of pancreatic ductal adenocarcinoma.

Read the detailed description

The Early Detection Initiative (EDI), is designed to prospectively evaluate the performance characteristics of the Enriching New-onset Diabetes for Pancreatic Cancer (ENDPAC) model to enrich glycemically defined new-onset diabetes for pancreatic cancer. The study will also determine if elevated ENDPAC score occurs at a clinically meaningful lead time (>/= 4 months) before pancreatic cancer diagnosis.

Eligible patients are identified and enrolled based on a first-time elevation in fasting blood glucose parameters or glycated hemoglobin (HbA1c) to the level indicating glycemically defined new-onset diabetes as derived from records in their EMR. At sites performing the Intervention component of the study, all enrolled participants will have the Enriching New-onset Diabetes for Pancreatic Cancer (ENDPAC) score calculated using age, body weight and glucose or glycated hemoglobin values in their EMR. Patients with high ENDPAC score (>0) are approached for informed consent to participate in up to two imaging studies by computerized tomography (CT) scan or magnetic resonance imaging (MRI). In addition to imaging, participants will be asked to complete a study questionnaire. At sites that do not perform the Intervention component of the study, participants will be identified, enrolled, and followed by EMR data only. All enrolled participants are followed for development of PDAC.

This study is performed at locations with broad (institutional) consent for use of patient EMR information for research studies. Passive follow-up by EMR will occur for a minimum of three years following enrollment, until the planned study cutoff date January 31, 2028. Any patient that has declined participation in EMR-based research at the institution is not included in the study.

Being tested
Enriching New-onset Diabetes for Pancreatic Cancer (ENDPAC) score, Abdominal imaging
Keywords
New Onset Diabetes, Hyperglycemia, Diabetes Mellitus, Pancreatic Ductal Adenocarcinoma, ENDPAC score, Weight loss, Glycemically defined new onset diabetes
Medical subject headings
Hyperglycemia, Diabetes Mellitus, Weight Loss

What participants receive

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

  • Enriching New-onset Diabetes for Pancreatic Cancer (ENDPAC) scoreOther

    ENDPAC is a model to risk-stratify patients with new onset diabetes and hyperglycemia for PDAC. Score is calculated using i) age, ii) change, over past year, in body weight and iii) change, over past year, in glucose/HbA1c values obtained from the electronic medical record.

  • Abdominal imagingOther

    Using computerized tomography (CT) scan or magnetic resonance imaging (MRI), if CT scan is contra-indicated, patients with a high ENDPAC score (>0) are approached for informed consent to participate in the imaging intervention. Imaging (CT scan) is performed at up to two time points, study baseline and approximately 3-9 months following the first imaging study.

Study groups in NCT04662879
Study groupRoleWhat they receive
Intervention Arm (Site)ExperimentalTwo interventions are performed: 1. Have Enriching New-onset Diabetes for Pancreatic Cancer (ENDPAC) score calculated, and if Score is >0, 2. Have abdominal imaging performed.
Receives: Other: Enriching New-onset Diabetes for Pancreatic Cancer (ENDPAC) score; Other: Abdominal imaging
Observation Arm (Site)No interventionPassive follow-up by electronic medical record for study endpoints of pancreatic cancer diagnosis.

What is being measured

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

  1. Validate the ENDPAC model

    Prospectively validate the ENDPAC model.

    Measured: Baseline and approximately every six months for a minimum of three years until the study cutoff date 31Jan2028

  2. Quantify potentially clinically meaningful lead time for earlier detection of PDAC

    Measure the duration from G-NOD to date of clinical diagnosis of PDAC.

    Measured: Baseline and approximately every six months for a minimum of three years until the study cutoff date 31Jan2028

Secondary outcomes (4)
  1. Evaluate the risk of PDAC in G-NOD

    Estimate the risk of PDAC in G-NOD in the average risk population including potentially clinically meaningful lead time for earlier detection of PDAC.

    Measured: Baseline and approximately every six months for a minimum of three years until the study cutoff date 31Jan2028

  2. Proportion of incidental findings on imaging

    Evaluate, on imaging at the time of G-NOD, the proportion with incidental findings including those that require clinical work-up.

    Measured: Baseline and imaging follow-up visit, up to 9 months

  3. Risk of PDAC by subgroups

    Estimate the risk of PDAC in the study population by racial and ethnic groups.

    Measured: Baseline and approximately every six months for a minimum of three years until the study cutoff date 31Jan2028

  4. Reasons consent for intervention was declined

    Evaluate the reasons invited participants decline consent for imaging intervention.

    Measured: Baseline and imaging follow-up visit, up to 9 months

Timeline

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

  1. First posted10 Dec 2020
  2. Study start14 Oct 2021
  3. Primary completionJan 2028 (estimated)
  4. Study completionJan 2028 (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 N/A
Primary purpose
Screening
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Post-enrollment consent
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
8,869 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04662879
Sponsor's protocol ID
466
Other IDs
STU25020081, ONC-15162
Acronym
EDI
Status last verified
Sep 2026
First submitted
20 Nov 2020
Last updated
8 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Chari ST, Wu B, Lopez C, Lustigova E, Chen Q, Van Den Eeden SK, Leimpeter AD, Fisher W, Wood A, Alexander AS, Valenta J, Vege SS, Carlson EE, Rabe KG, Hart PA, Qian L, Zhao YQ, Yosuf N, Matrisian L, Kenner B, Rinaudo JA, Maitra A, Feng Z. Risk of Pancreatic Cancer in Glycemically Defined New-Onset Diabetes: A Prospective Cohort Study. Gastroenterology. 2026 Jan;170(1):106-117. doi: 10.1053/j.gastro.2025.06.025. Epub 2025 Jul 7.

    PubMed 40633624
  • Sharma A, Kandlakunta H, Nagpal SJS, Feng Z, Hoos W, Petersen GM, Chari ST. Model to Determine Risk of Pancreatic Cancer in Patients With New-Onset Diabetes. Gastroenterology. 2018 Sep;155(3):730-739.e3. doi: 10.1053/j.gastro.2018.05.023. Epub 2018 Jun 11.

    PubMed 29775599
  • Sharma A, Smyrk TC, Levy MJ, Topazian MA, Chari ST. Fasting Blood Glucose Levels Provide Estimate of Duration and Progression of Pancreatic Cancer Before Diagnosis. Gastroenterology. 2018 Aug;155(2):490-500.e2. doi: 10.1053/j.gastro.2018.04.025. Epub 2018 Apr 30.

    PubMed 29723506
  • Chari ST, Leibson CL, Rabe KG, Ransom J, de Andrade M, Petersen GM. Probability of pancreatic cancer following diabetes: a population-based study. Gastroenterology. 2005 Aug;129(2):504-11. doi: 10.1016/j.gastro.2005.05.007.

    PubMed 16083707
  • Khan S, Safarudin RF, Kupec JT. Validation of the ENDPAC model: Identifying new-onset diabetics at risk of pancreatic cancer. Pancreatology. 2021 Apr;21(3):550-555. doi: 10.1016/j.pan.2021.02.001. Epub 2021 Feb 8.

    PubMed 33583686
  • Chen W, Butler RK, Lustigova E, Chari ST, Wu BU. Validation of the Enriching New-Onset Diabetes for Pancreatic Cancer Model in a Diverse and Integrated Healthcare Setting. Dig Dis Sci. 2021 Jan;66(1):78-87. doi: 10.1007/s10620-020-06139-z. Epub 2020 Feb 28.

    PubMed 32112260
  • Chari ST, Feng Z, Wu B, Fisher W, Kambadakone A, Zhao YQ, Maitra A, Kenner B, Matrisian LM. Heuriskance: a novel paradigm for systematic earlier detection of sporadic pancreatic cancer. J Natl Cancer Inst. 2026 Aug 1;118(8):1353-1363. doi: 10.1093/jnci/djaf291.

    PubMed 41063387
  • Chari ST, Maitra A, Matrisian LM, Shrader EE, Wu BU, Kambadakone A, Zhao YQ, Kenner B, Rinaudo JAS, Srivastava S, Huang Y, Feng Z; Early Detection Initiative Consortium. Early Detection Initiative: A randomized controlled trial of algorithm-based screening in patients with new onset hyperglycemia and diabetes for early detection of pancreatic ductal adenocarcinoma. Contemp Clin Trials. 2022 Feb;113:106659. doi: 10.1016/j.cct.2021.106659. Epub 2021 Dec 23.

    PubMed 34954100

Questions about this trial

What is this clinical trial studying?

A study testing Enriching New-onset Diabetes for Pancreatic Cancer (ENDPAC) score and Abdominal imaging in people with Hyperglycemia and Diabetes Mellitus, run by Pancreatic Cancer Action Network at 2 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 15 inclusion and 11 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: under way, not looking for participants, as of the sponsor's last update on 8 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 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.

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?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Validate the ENDPAC model (time frame: Baseline and approximately every six months for a minimum of three years until the study cutoff date 31Jan2028). The study lists 2 primary outcomes in all. 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 NCT04662879, which also lists 8 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 8 Sep 2026.

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