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Pancreatic CancerNCT07875582

Diagnostic Utility of Protein Biomarkers in Pancreatic Ductal Adenocarcinoma

An observational study of Pancreatic Cancer and Chronic Pancreatitis, run by Grigore T. Popa University of Medicine and Pharmacy at 1 site in Romania.

Recruiting

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

Sites and contacts
Official record
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Trial summary

The goal of this prospective multicenter observational study is to evaluate the diagnostic accuracy of blood-based protein biomarkers for detecting pancreatic ductal adenocarcinoma (PDAC) in adults aged 18 years and older. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Blood-Based Protein Biomarker Assessment
How many people
100 participants
Where
1 siteRomania
Study dates
8 Oct 2026to Dec 2027
Phase
Observational
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

Study population: The study population will consist of patients recruited from two tertiary referral centers in Romania: the Institute of Gastroenterology and Hepatology at Sf. Spiridon County Clinical Emergency Hospital in Iași and Fundeni Clinical Institute in Bucharest. Participants will be prospectively enrolled during routine clinical care in the gastroenterology departments of the participating institutions.

Who may be able to join

  • Adults aged 18 years or older
  • Diagnosis of pancreatic ductal adenocarcinoma (PDAC), chronic pancreatitis, intraductal papillary mucinous neoplasm (IPMN), or mucinous cystic neoplasm (MCN)
  • Histopathological confirmation mandatory for PDAC and optional for benign pancreatic conditions
  • Diagnosis of benign pancreatic conditions confirmed by imaging criteria and/or a minimum clinical follow-up of 12 months
  • Written informed consent

Who cannot join

  • Less than 3 months since resolution of the most recent episode of acute pancreatitis
  • Other active malignancies
  • Severe systemic inflammatory diseases
  • Oncological treatment initiated before blood sample collection, including chemotherapy or surgical resection
  • Refusal to participate

Trial locations and contacts

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

Roxana Grigorovici, medical doctor, PhD student contact

+40752082830

grigorovici.roxana@d.umfiasi.ro

Catalin V Sfarti, medical doctor, professor contact

Romania1 site, 1 recruiting
  • Saint Spiridon Emergency County Hospital

    Iași

    Roxana Grigorovici, +40752082830, grigorovici.roxana@d.umfiasi.ro

    Recruiting

Other trials in Romania

About this study

Official title: Evaluation of the Diagnostic Utility of Protein Biomarkers in Pancreatic Ductal Adenocarcinoma: A Prospective Multicenter Observational Study to Differentiate Pancreatic Cancer From Chronic Pancreatitis and Mucinous Pancreatic Lesions

The goal of this prospective multicenter observational study is to evaluate the diagnostic accuracy of blood-based protein biomarkers for detecting pancreatic ductal adenocarcinoma (PDAC) in adults aged 18 years and older. The study will investigate whether these biomarkers can help distinguish pancreatic cancer from chronic pancreatitis and mucinous pancreatic lesions, including intraductal papillary mucinous neoplasms (IPMNs) and mucinous cystic neoplasms (MCNs).

The main questions it aims to answer are:

Read more

Can blood-based protein biomarkers accurately identify patients with PDAC and distinguish them from patients with chronic pancreatitis or mucinous pancreatic lesions?

Does combining protein biomarkers with CA 19-9 improve diagnostic accuracy compared with using individual biomarkers alone?

Are protein biomarker levels associated with tumor stage, tumor size, or the presence of metastases in patients with PDAC?

Researchers will compare blood levels of protein biomarkers across four groups of patients: those with PDAC, chronic pancreatitis, IPMNs, and MCNs. The biomarkers will include GDF-15, ICAM-1, osteopontin, CXCL10, HGF, Nectin-4, periostin, and VEGF-A.

Participants will:

Provide informed consent before enrollment.

Provide an additional blood sample for protein biomarker measurement, collected alongside routine blood tests and before any oncological or interventional treatment.

Have relevant clinical information, medical history, laboratory results, and imaging findings collected for analysis.

Read the detailed description

Pancreatic ductal adenocarcinoma (PDAC) is an aggressive malignancy frequently diagnosed at advanced stages, when curative treatment options are limited. Early diagnosis remains challenging, particularly when distinguishing PDAC from benign inflammatory conditions, such as chronic pancreatitis, or from mucinous pancreatic lesions with malignant potential. Although carbohydrate antigen 19-9 (CA 19-9) is widely used in clinical practice, its diagnostic performance is limited, especially in early-stage disease and in differentiating malignant from benign pancreatic conditions.

Emerging blood-based protein biomarkers involved in inflammation, tumor progression, cell adhesion, and tissue remodeling may improve the diagnostic evaluation of pancreatic diseases. The combined assessment of multiple biomarkers, particularly alongside CA 19-9, may provide greater diagnostic accuracy than individual markers.

This study is designed as a prospective, multicenter, observational cohort study conducted at two tertiary medical centers in Romania: Institute of Gastroenterology and Hepatology, Saint Spiridon County Clinical Emergency Hospital in Iasi and Fundeni Clinical Institute in Bucharest.

Patients will be enrolled into four diagnostic groups according to their underlying pancreatic condition: PDAC, chronic pancreatitis, intraductal papillary mucinous neoplasms (IPMNs), and mucinous cystic neoplasms (MCNs). For secondary analyses, these groups may be classified into malignant (PDAC), premalignant (IPMN and MCN), and benign inflammatory (chronic pancreatitis) categories.

At enrollment, demographic characteristics, relevant medical history, clinical findings, laboratory parameters, and imaging data will be collected. Disease-related information, including pancreatic lesion characteristics, diagnostic confirmation, and treatment history, will also be recorded.

Blood samples will be collected at both participating centers before the initiation of oncological or interventional treatment. Protein biomarker measurements will be performed centrally at the Immunology Laboratory of Sf. Spiridon County Clinical Emergency Hospital in Iași, using a validated Luminex-based multiplex assay in accordance with the manufacturer's instructions and standardized laboratory procedures.

The investigated protein biomarkers include growth differentiation factor-15 (GDF-15), intercellular adhesion molecule-1 (ICAM-1), osteopontin, C-X-C motif chemokine ligand 10 (CXCL10), hepatocyte growth factor (HGF), Nectin-4, periostin, and vascular endothelial growth factor A (VEGF-A). CA 19-9 and routine laboratory parameters will also be assessed.

Statistical analyses will include descriptive and comparative methods to examine differences in plasma biomarker concentrations across the diagnostic groups. Diagnostic performance will be evaluated using receiver operating characteristic (ROC) curve analysis and related measures of diagnostic accuracy. Multivariable logistic regression will be used to investigate the independent diagnostic contribution of individual biomarkers and their combined performance with CA 19-9.

The study is observational, and all diagnostic and therapeutic decisions will remain part of routine clinical care. No experimental treatments will be administered. Patient information will be coded and handled confidentially in accordance with applicable data protection regulations.

The findings may contribute to the development of more accurate blood-based diagnostic strategies for differentiating pancreatic cancer from benign and potentially premalignant pancreatic diseases.

Being tested
Blood-Based Protein Biomarker Assessment
Keywords
Protein Biomarkers, Diagnostic Biomarkers, Early Detection, GDF-15, Pancreatic Ductal Adenocarcinoma, PDAC, Chronic Pancreatitis, Intraductal Papillary Mucinous Neoplasm (IPMN), Mucinous Cystic Neoplasm (MCN), CA 19-9
Medical subject headings
Pancreatic Neoplasms, Pancreatitis, Chronic

What participants receive

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

  • Blood-Based Protein Biomarker AssessmentDiagnostic test

    Blood samples will be collected for the measurement of circulating protein biomarkers, including GDF-15, ICAM-1, osteopontin, CXCL10, HGF, Nectin-4, periostin, and VEGF-A, using a validated Luminex-based multiplex assay. CA 19-9 levels will also be assessed. Biomarker concentrations will be compared across the four diagnostic groups to evaluate their ability to differentiate pancreatic ductal adenocarcinoma from chronic pancreatitis and mucinous pancreatic lesions.

Study groups in NCT07875582
Study groupRoleWhat they receive
Pancreatic Ductal Adenocarcinoma (PDAC)Adult patients diagnosed with histologically confirmed pancreatic ductal adenocarcinoma (PDAC). Clinical, imaging, and laboratory data will be collected, and blood samples will be obtained for protein biomarker analysis.
Receives: Diagnostic Test: Blood-Based Protein Biomarker Assessment
Chronic PancreatitisAdult patients diagnosed with chronic pancreatitis, including mass-forming chronic pancreatitis. Clinical, imaging, and laboratory data will be collected, and blood samples will be obtained for protein biomarker analysis.
Receives: Diagnostic Test: Blood-Based Protein Biomarker Assessment
Intraductal Papillary Mucinous Neoplasm (IPMN)Adult patients diagnosed with intraductal papillary mucinous neoplasms (IPMNs). Clinical, imaging, and laboratory data will be collected, and blood samples will be obtained for protein biomarker analysis.
Receives: Diagnostic Test: Blood-Based Protein Biomarker Assessment
Mucinous Cystic Neoplasm (MCN)Adult patients diagnosed with mucinous cystic neoplasms (MCNs). Clinical, imaging, and laboratory data will be collected, and blood samples will be obtained for protein biomarker analysis.
Receives: Diagnostic Test: Blood-Based Protein Biomarker Assessment

What is being measured

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

  1. Diagnostic Accuracy of Blood-Based Protein Biomarkers for Pancreatic Ductal Adenocarcinoma

    The diagnostic accuracy of circulating protein biomarkers (GDF-15, ICAM-1, osteopontin, CXCL10, HGF, Nectin-4, periostin, and VEGF-A) for identifying pancreatic ductal adenocarcinoma (PDAC) will be assessed using receiver operating characteristic (ROC) curve analysis. Diagnostic performance will be quantified by the area under the ROC curve (AUC), sensitivity, specificity, and predictive values.

    Measured: At baseline (study enrollment, prior to oncological or interventional treatment)

Secondary outcomes (3)
  1. Differences in Plasma Protein Biomarker Levels Across Pancreatic Disease Groups

    Plasma concentrations of GDF-15, ICAM-1, osteopontin, CXCL10, HGF, Nectin-4, periostin, and VEGF-A will be compared among patients with pancreatic ductal adenocarcinoma, chronic pancreatitis, intraductal papillary mucinous neoplasms (IPMNs), and mucinous cystic neoplasms (MCNs). Differences in biomarker concentrations between the four diagnostic groups will be assessed using appropriate statistical tests.

    Measured: At baseline (study enrollment)

  2. Diagnostic Performance of Combined Protein Biomarkers and CA 19-9

    The diagnostic performance of protein biomarkers combined with CA 19-9 will be compared with that of individual biomarkers. Receiver operating characteristic (ROC) curve analysis will be used to assess the area under the curve (AUC), sensitivity, specificity, and predictive values of combined biomarker models for detecting pancreatic ductal adenocarcinoma.

    Measured: At baseline (study enrollment)

  3. Diagnostic Discrimination Between Pancreatic Ductal Adenocarcinoma and Benign or Mucinous Pancreatic Conditions

    The ability of circulating protein biomarkers to differentiate pancreatic ductal adenocarcinoma from chronic pancreatitis and from mucinous pancreatic lesions (IPMNs and MCNs) will be evaluated. Separate diagnostic comparisons will be performed for PDAC versus chronic pancreatitis and PDAC versus mucinous pancreatic lesions, using ROC curve analysis and diagnostic accuracy measures.

    Measured: At baseline (study enrollment)

Timeline

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

  1. First posted15 Oct 2026
  2. Study start8 Oct 2026
  3. Primary completionOct 2027 (estimated)
  4. Study completionDec 2027 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07875582
Sponsor's protocol ID
826/7.10.2026
Status last verified
Oct 2026
First submitted
8 Oct 2026
Last updated
19 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data (IPD) will not be publicly shared due to patient confidentiality and data protection considerations. The data will be used exclusively for the purposes of the current study, in accordance with the informed consent provided by participants and applicable data protection regulations.

Publications

  • 1. Park W, Chawla A, O'Reilly EM. Pancreatic Cancer: A Review. JAMA. 2021;326(9):851-862. 2. Boyd LNC, et al. Diagnostic accuracy and added value of blood-based protein biomarkers for pancreatic cancer: A meta-analysis of aggregate and individual participant data. eClinicalMedicine. 2023;55:101747. 3. Koopmann J, et al. Serum markers in patients with resectable pancreatic adenocarcinoma: macrophage inhibitory cytokine 1 versus CA19-9. Clin Cancer Res. 2006;12(2):442-446. 4. Kim Y, et al. Development and Multiple Validation of the Protein Multi-marker Panel for Diagnosis of Pancreatic Cancer. Clin Cancer Res. 2021;27(8):2236-2245. 5. Ohtsuka T, et al. International evidence-based Kyoto guidelines for the management of intraductal papillary mucinous neoplasm of the pancreas. Pancreatology. 2024;24(2):255-270.

Questions about this trial

What is this clinical trial studying?

An observational study of Pancreatic Cancer and Chronic Pancreatitis, run by Grigore T. Popa University of Medicine and Pharmacy at 1 site in Romania.

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 5 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 19 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 1 site in Romania. 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?

Contact Roxana Grigorovici, medical doctor, PhD student (+40752082830, grigorovici.roxana@d.umfiasi.ro), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Diagnostic Accuracy of Blood-Based Protein Biomarkers for Pancreatic Ductal Adenocarcinoma (time frame: At baseline (study enrollment, prior to oncological or interventional treatment)). 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 NCT07875582, which also lists 1 linked publication.

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 19 Oct 2026; AzTrials last refreshed its copy on 8 Nov 2026.

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