Actively Recruiting

Age: 18Years +
All Genders
Healthy Volunteers
ID07266363

SYNERGY Study: Early Detection Through Integrated Evaluation of Cell-Free and Exosomal microRNAs for Biomarker-Guided Screening of Esophageal Squamous Cell Carcinoma

Led by City of Hope Medical Center · Updated on 2025-12-05

600

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Esophageal squamous cell carcinoma (ESCC) is a deadly form of cancer often diagnosed late, leading to poor outcomes. Current screening methods like upper endoscopy are invasive and depend on the operator, limiting early detection. This research aims to develop a non-invasive blood test that combines cell-free and exosomal microRNAs to detect ESCC at an early, potentially curable stage. The SYNERGY study includes discovery, training, and validation phases to build a precise diagnostic model with high sensitivity and specificity. Participants in this multicenter study provide preoperative plasma or serum samples for analysis. The study uses several advanced laboratory techniques including small RNA sequencing, RT-qPCR quantification, and PCR-based validation to identify and confirm microRNA patterns linked to ESCC. Control groups without malignant disease are also included to improve the accuracy of the biomarker model. During the study, participants undergo blood sample collection for microRNA analysis without receiving treatment interventions. Researchers will assess the test's sensitivity and specificity approximately one year after study completion. The study also measures the area under the curve (AUC) to evaluate diagnostic performance. Participants may be healthy volunteers or patients with ESCC, and their samples contribute to building a reliable, minimally invasive screening test.

CONDITIONS

Brief Title

Integrated Cf-miRNA and Exosomal miRNA Signature for Early Detection of Esophageal Squamous Cell Carcinoma

Who Can Participate

Age: 18Years +
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults age 18 to 90 years
  • Histologically confirmed esophageal squamous cell carcinoma
  • No prior systemic therapy before sample collection
  • For control groups: absence of malignant disease
Not Eligible

You will not qualify if you...

  • Lack of informed consent
  • Inadequate sample volume or RNA quality
  • Prior cancer within 5 years (except localized cancers)
  • Active systemic inflammation that may alter circulating RNA profiles

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - Up to 1 year

Participants provide blood samples for identification and quantification of cell-free and exosomal microRNAs using sequencing and PCR-based assays to detect esophageal squamous cell carcinoma.

1 to 3 visits depending on cohort assignment

Long-term Monitoring

Duration - Up to 1 year

Participants are observed to assess biomarker performance over time for early detection of esophageal squamous cell carcinoma.

Periodic follow-up visits as scheduled

Trial Site Locations

Total: 1 location

1

City of Hope Medical Center

Monrovia, California, United States, 91016

Actively Recruiting

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Research Team

A

Ajay Goel, PhD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

6

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Published Research Related To This Trial

ESCCPred: a machine learning model for diagnostic prediction of early esophageal squamous cell carcinoma using autoantibody profiles.

Tiandong Li, Guiying Sun, Hua Ye...

https://pubmed.ncbi.nlm.nih.gov/38956246

A microRNA-based liquid biopsy signature for the early detection of esophageal squamous cell carcinoma: a retrospective, prospective and multicenter study.

Jinsei Miyoshi, Zhongxu Zhu, Aiping Luo...

https://pubmed.ncbi.nlm.nih.gov/35148754

Development a glycosylated extracellular vesicle-derived miRNA Signature for early detection of esophageal squamous cell carcinoma.

Jianlin Chen, Yue Zheng, Zhen Wang...

https://pubmed.ncbi.nlm.nih.gov/39849483

Early Diagnostic Markers for Esophageal Squamous Cell Carcinoma: Copy Number Alteration Gene Identification and cfDNA Detection.

Jiamin Chen, Xi Liu, Zhihua Zhang...

https://pubmed.ncbi.nlm.nih.gov/39182610

Development and validation of predictive models combining cell-Free DNA motifs and protein biomarkers for early detection of esophageal squamous cell carcinoma and precancerous lesion.

Liu Ma, Lizhou Dou, Yong Liu...

https://pubmed.ncbi.nlm.nih.gov/41088482