Clinical Performance of Medical Device Software "Lipidica 1.0" for Processing Data Generated by Lipidomic Analysis in Pancreatic Cancer Screening

Last updated: July 29, 2025
Sponsor: Lipidica, a.s.
Overall Status: Active - Recruiting

Phase

N/A

Condition

Pancreatitis

Birth Defects

Pancreatic Cancer

Treatment

laboratory examination

endoscopic ultrasonography

magnetic resonance

Clinical Study ID

NCT06549725
Lipidica_01-2024
  • Ages > 18
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

Software "Lipidica" is intended to be used for processing data generated by the in-house in vitro diagnostic medical device for lipidomic testing for the purpose of screening Pancreatic cancer (PaC) in the population at high risk of this cancer due to familial risk, selected gene mutations or hereditary pancreatic diseases.

The primary objective is to verify that the investigational IVDSW can discriminate between results of patients with Pancreatic cancer and persons without Pancreatic cancer but at higher risk of this cancer disease due to their predispositions.

Participants will:

  • come to baseline and end of study visit for blood sampling and medical imaging

  • some participant will undertake one more visit depending on their results on baseline

Eligibility Criteria

Inclusion

Inclusion Criteria Arm1:

  • Age ≥ 18 years

  • Signed informed consent

  • Histologically confirmed diagnosis of resectable PaC

Exclusion Criteria Arm 1:

  • History of any other cancer disease

  • Present incurable malignancy

  • Unfit for radical curative resection of the tumor

  • Vegan or vegetarian diet

Inclusion Criteria Arm2:

  • Age ≥ 18 years

  • Signed informed consent

  • High risk of PaC due to the presence of one of the following risk factors:

  1. Family history of PaC (≥ 2 first-degree or second-degree relatives with PaC in the same family line)

  2. Confirmed germline mutation of STK11 (LKB1) regardless of family history

  3. Confirmed germline mutation of CDKN2A leading to the alteration of p16 regardless of family history

  4. Confirmed germline mutation of APC, ATM, BRCA1, BRCA2, MLH1, MSH2, MSH6, PMS2, EPCAM, PALB2 or TP53 AND ≥ 1 first-degree or second-degree relative with PaC

  5. Present hereditary pancreatitis (recurrent acute pancreatitis or chronic pancreatitis and confirmed germline mutation of PRSS1)

  • Age:

  1. Person with a family history of PaC: > 50 years or 10 years before the diagnosis of PaC in the youngest family member (whichever comes first)

  2. Person with STK11 mutation: > 35 years or 10 years before the diagnosis of PaC in the youngest family member (whichever comes first)

  3. Person with CDKN2A mutation: > 40 years or 10 years before the diagnosis of PaC in the youngest family member (whichever comes first)

  4. Person with APC, ATM, BRCA1, BRCA2, MLH1, MSH2, MSH6, PMS2, EPCAM, PALB2 or TP53 mutation: > 45 years or 10 years before the diagnosis of PaC in the youngest family member (whichever comes first)

  5. Person with hereditary pancreatitis: > 40 years or 20 years after the 1st attack (whichever comes first)

Exclusion Criteria Arm 2:

  • Pregnancy of planning to conceive in the next 12 months

  • History of any cancer disease

  • Present incurable malignancy

  • Inability to undergo planned medical imaging or blood sampling

  • Vegan or vegetarian diet

Study Design

Total Participants: 419
Treatment Group(s): 5
Primary Treatment: laboratory examination
Phase:
Study Start date:
September 10, 2024
Estimated Completion Date:
September 26, 2027

Study Description

Pancreatic cancer (PaC) is one of the cancer diseases with the worst prognosis, as mortality almost equals the incidence. In the Czech Republic, the incidence of pancreatic ductal adenocarcinoma (PDAC) has had a clear upward trend since the late 1970s, and in 2018, 21.9 new cases per 100,000 persons were reported.

PDAC is associated with a poor prognosis for several reasons. Due to the usual asymptomatic course or occurrence of only non-specific symptoms, it is usually detected in an advanced stage. Moreover, the diagnosis by standard methods can be difficult in the early stages, and investigators lack sensitive and specific tumor markers. The disease forms distant metastases rapidly, which creates a very short time interval for effective curative interventions. So far, PaC screening possibilities in the Czech Republic are limited to several academic research screening cohorts.

Five-year survival, regardless of clinical stage, is 7-9%. The resectable disease is detected in 10% of patients with a 5-year survival of 42%. Locally advanced unresectable disease is found in about 30% of patients with a 5-year survival of 12%, and metastatic disease is diagnosed in about 60% of patients with a 5-year survival of only approx. 3%.

PaC screening is not suitable for an unselected population. By contrast, it is vital for individuals with a high risk of developing this disease due to family history and/or genetic predispositions. Early diagnosis resulted in more curative resections and longer survival in this population thanks to the screening programs. First economic evaluations described the possible cost-effectiveness of screening high-risk individuals.

Changes in plasma lipid concentrations were reported in various cancer types (bladder, breast, colorectal, gastric, liver, kidney, lung, oesophageal, ovarian, prostate, thyroid, and pancreas). The altered plasma lipid profile may originate not only from tumor cells, tumor stroma, and apoptotic cells but also from an immune response.

Previous study robustly proved a specific lipidomic phenotype in patients with PDAC across stages, age, treatments, or the presence of diabetes. Multiple lipid species were significantly downregulated in the plasma of PDAC patients, such as very long-chain monounsaturated sphingomyelins, ceramides and (lyso)phosphatidylcholines. The study showed that lipid profiling can discriminate between patients with PDAC and healthy controls or patients with pancreatitis. This clinical performance study (CPS) follows on from the previous study by Wolrab et al.

Connect with a study center

  • Fakultni nemocnice Brno

    Brno,
    Czechia

    Active - Recruiting

  • Fakultni nemocnice u sv. Anny

    Brno,
    Czechia

    Active - Recruiting

  • Masarykuv onkologicky ustav

    Brno,
    Czechia

    Active - Recruiting

  • Fakultni nemocnice Hradec Kralova

    Hradec Králové,
    Czechia

    Site Not Available

  • Fakultni nemocnice Hradec Kralove

    Hradec Králové,
    Czechia

    Active - Recruiting

  • Nemocnice Jablonec nad Nisou

    Jablonec Nad Nisou,
    Czechia

    Site Not Available

  • Fakultni nemocnice Olomouc

    Olomouc,
    Czechia

    Active - Recruiting

  • Nemocnice Pardubickeho kraje

    Pardubice,
    Czechia

    Active - Recruiting

  • Fakultni nemocnice Plzen

    Plzen,
    Czechia

    Active - Recruiting

  • Ustredni vojenska nemocnice

    Prague,
    Czechia

    Active - Recruiting

  • Fakultni Thomayerova nemocnice

    Praha,
    Czechia

    Active - Recruiting

  • Fakultni nemocnice Bulovka

    Praha,
    Czechia

    Active - Recruiting

  • Fakultni nemocnice Kralovske Vinohrady

    Praha,
    Czechia

    Active - Recruiting

  • Institut klinicke a experimentalni mediciny

    Praha,
    Czechia

    Active - Recruiting

  • Vseobecna fakultni nemocnice

    Praha,
    Czechia

    Active - Recruiting

  • Masarykova nemocnice v Usti nad Labem

    Ústí Nad Labem,
    Czechia

    Active - Recruiting

  • Nemocnice Ceske Budejovice

    České Budějovice,
    Czechia

    Active - Recruiting

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