The purpose of the CCANED-CIPHER study is to develop and validate an AI-based blood test for early cancer detection and to monitor treatment effectiveness in cancer patients. This two-phase, multi-center observational study aims to identify specific transcriptomic biomarkers in platelets and immune cells that distinguish cancer patients from healthy individuals and correlate with treatment outcomes. By analysing blood samples using artificial intelligence, the study seeks to create a safe, non-invasive method to enhance cancer diagnosis and monitor treatment responses over time.
The CCANED-CIPHER study aims to revolutionise cancer diagnostics and treatment monitoring by developing and evaluating an AI-based early cancer detection tool that profiles RNA biomarkers from platelets and immune cells in blood samples. This non-invasive approach leverages liquid biopsy methods to enhance early cancer detection and provide insights into therapeutic responses. Phase 1 (Common Cancer Early Detection \[CCANED\]): Early Cancer Detection Objective: To identify specific platelet-derived RNA biomarkers that can distinguish individuals with common cancers from healthy controls using AI-driven transcriptomic analysis. Methodology: * Enrol 3,500 patients with confirmed diagnoses of various common cancers and 1,500 cancer-free controls matched by age and sex. * Obtain a single blood sample from each participant at baseline. Laboratory Analysis: * Platelet Isolation from blood samples. * RNA Sequencing and transcriptomic profiling to identify RNA expression patterns. Data Analysis: * Use machine learning algorithms to analyse RNA data and identify biomarkers indicative of cancer presence. * Assess sensitivity and specificity of the diagnostic tool, and evaluate its ability to differentiate between cancer types. Expected Outcomes: * Identification of reliable RNA biomarkers for early cancer detection. * Validation of the AI-based diagnostic tool's accuracy and feasibility in a clinical setting. Phase 2 ( Cancer Immuno-Profiling of Hematologic and Extracellular RNA \[CIPHER\]): Therapeutic Response Monitoring Objective: To evaluate how RNA biomarkers from immune cells and platelets correlate with therapeutic responses, providing insights into treatment efficacy and potential relapse. Methodology: * Enrol 1,000 cancer patients diagnosed with HCC or NSCLC across stages I to IV. * Baseline: Collect blood samples before therapy initiation. * Follow-Up: Additional samples at 6 weeks and 6 months post-therapy initiation. Laboratory Analysis: * Isolation of Immune Cells and Platelets from blood samples. * Analysis of RNA expression changes over time. Data Analysis: * Evaluate associations between RNA biomarkers and clinical treatment responses. * Develop models integrating platelet and immune cell RNA profiles to predict outcomes. Expected Outcomes: * Identification of biomarkers that correlate with treatment responses and progression-free survival. * Development of predictive models for relapse and drug resistance. Significance of the Study The CCANED-CIPHER study addresses critical needs in oncology by providing: * A blood test that reduces the need for invasive tissue biopsies. * Potential for identifying cancers at an earlier, more treatable stage. * Tailored treatment strategies based on individual biomarker profiles. * Enhanced ability to monitor treatment effectiveness and adjust therapies accordingly. * Early detection of relapse or drug resistance, enabling prompt clinical interventions. Expected Impact and Future Applications: The identification of specific RNA biomarkers from platelets and immune cells has the potential to transform current practices in oncology, offering a more efficient, accurate and patient-friendly approach to cancer care.
Procedure: Participants will undergo a single blood draw at baseline. Sample Analysis: Platelet Isolation: Platelets will be extracted from the collected blood samples. RNA Analysis: RNA from the isolated platelets will be extracted and analyzed using AI-based transcriptomic profiling to identify biomarkers associated with cancer.
Procedures: Blood Sample Collection: Participants will have blood samples drawn at three time points: Baseline: Before therapy initiation. 6 Weeks Post-Therapy Initiation: To monitor early treatment response. 6 Months Post-Therapy Initiation: To assess longer-term therapeutic outcomes. Sample Analysis: Platelet and Immune Cell Isolation: Platelets: Extracted from each blood sample to continue monitoring RNA profiles. Immune Cells: Separated from the blood samples to analyse immune response to therapy. RNA Analysis: Platelet RNA: Analysed to observe changes in transcriptomic profiles over time using AI-based tools. Immune Cell RNA: Examined to assess transcriptomic changes associated with therapeutic responses. Data Correlation: Therapeutic Response Assessment: RNA profiles from platelets and immune cells will be correlated with clinical outcomes to identify biomarkers predictive of treatment efficacy, progression-free survival, relapse, and drug resistance.
Rosario, Argentina