Panomics Relationships in the Epidemiology of Cancer Through In Silico Expression (PRECISE)

Study Overview
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Brief Summary
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PRECISE is a study to discover new detection, prognosis and treatment biomarkers for cancer. This is a prospective, multi-center, observational study designed to collect de-identified biospecimens and clinical data from a large cohort of participants from clinical research networks in the United States. In this study, the investigators propose creating a large-scale normalized panomics dataset specifically designed for deep learning-based in silico analysis for biomarker discovery.

Detailed Description
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This study will enroll all subjects who are eligible and willing to participate with a goal of enrolling at least 10,000 in several categories: (i) Patients with Family History of Cancer, (ii) Patients with Clinical and Environmental Risk Factors for Cancer, and (iii) Patients with a Suspected or Confirmed Diagnosis of Cancer.

Official Title
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Panomics Relationships in the Epidemiology of Cancer Through In Silico Expression (PRECISE)

Conditions
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Cancer, Patients With Clinical and Environmental Risk Factors for Cancer, Patients With a Suspected or Confirmed Diagnosis of Cancer

Intervention / Treatment
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* Other: Patients with CA or suspected risk of CA or a family Hx


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with Family History of Cancer Ages 18 or older Either of the following: Patients with two or more first, second or third degree blood relatives on the same side of the family diagnosed with cancer Patients with one or more first, second or third degree blood relative with male breast cancer Patients with a first, second, or third degree blood relative with a known BRCA1 or BRCA2 mutation Patients with a first, second, or third degree blood relative who has had colorectal or endometrial cancer diagnosed before age 50 years Patients with first degree relatives with a known deleterious APC, MEN1, MUTYH, PTEN, RET, STK11, TP53, or VHL gene mutation Patients of Ashkenazi Jewish descent with one or more first degree relatives or two or more second degree relatives with breast, ovarian or colorectal cancer The patient has signed the appropriate Institutional Review Board approved Informed Consent Form Patients with Clinical & Environmental Risk Factors for Cancer Either of the following: Women 21 or older Men 50-75 Men 75-85, with a history of smoking At least one guideline recommended cancer screening test documented in the medical record, if indicated for age and gender (eg, pap smear, mammography, low dose chest CT and/or colonoscopy) The patient has signed the appropriate Institutional Review Board approved Informed Consent Form Cancer Patients Ages 18 or older Either of the following: New diagnosis of histologically confirmed cancer (any stage I-IV, as well as carcinoma in situ (CIS)), across multiple solid tumor types with no prior systemic cancer therapy and scheduled for surgical resection or non-surgical management Or, subjects with a high suspicion for cancer diagnosis by clinical and radiological assessment, but without preceding histologic diagnosis, are eligible, if they have not received prior systemic cancer therapy and are scheduled for surgery Has or will have a medically obtained pathological tumor specimen from core needle or surgical biopsy and/or surgical resection within 4 weeks (28 days) of study blood draw and pre-treatment The patient has signed the appropriate Institutional Review Board approved Informed Consent Form Exclusion Criteria: 1. Blood or blood product transfusion in the preceding 2 months 2. Cognitive impairment as determined by clinical history 3. Pregnant women (by self-report of pregnancy status) 4. Inability to speak English 5. Previous diagnosis of cancer except: non-melanomatous skin cancer 6. Poor health status or unfit to tolerate blood draw

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Family History of CA<br>Hereditary cancer genetic screening based on risk factors | Other: Patients with CA or suspected risk of CA or a family Hx<br>* Patients with Family History of Cancer, (ii) Patients with Clinical and Environmental Risk Factors for Cancer, (iii) Patients with a Suspected or Confirmed Diagnosis of Cancer.<br>|
| Risk Factors for CA<br>No dx of CA | Other: Patients with CA or suspected risk of CA or a family Hx<br>* Patients with Family History of Cancer, (ii) Patients with Clinical and Environmental Risk Factors for Cancer, (iii) Patients with a Suspected or Confirmed Diagnosis of Cancer.<br>|
| Suspected or Confirmed Diagnosis of CA<br>Suspected or confirmed diagnosis of cancer | Other: Patients with CA or suspected risk of CA or a family Hx<br>* Patients with Family History of Cancer, (ii) Patients with Clinical and Environmental Risk Factors for Cancer, (iii) Patients with a Suspected or Confirmed Diagnosis of Cancer.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Panomics Relationships in the Epidemiology of Cancer through In Silico Expression (PRECISE) | Establish and maintain a unique repository of blood, tissue, other biological samples and their associated data (survey data, medical records data, cancer registry data, and other related data) collected from thousands of patients 18 years of age or older who have cancer or are at risk of developing cancer. Discover and validate new detection, prognosis and treatment biomarkers for cancer | 5 years | 
| Panomics Relationships in the Epidemiology of Cancer through In Silico Expression (PRECISE) | ● Determine candidate genes and markers underlying cancer and response to treatment. | 5 years | 
| Panomics Relationships in the Epidemiology of Cancer through In Silico Expression (PRECISE) | ● Discover and validate new detection, prognosis and treatment biomarkers for cancer | 5 years |