ClinicalTrials.gg
RecruitingNCT05463796Updated Aug 17, 2026

InAdvance: Surveillance, Prevention, and Interception in a Population at Risk for Cancer

An observational study in Cancer Risk, Cancer Predisposition Syndrome and Hereditary Cancer Prediction, sponsored by Dana-Farber Cancer Institute. Recruiting at 1 site in United States. Per ClinicalTrials.gov, last updated 2026-08-17.

Sponsored by Dana-Farber Cancer Institute · Observational

From the registry’s dates

  • Started Apr 2023; still recruiting 3 years 6 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
5,000
Sex
All
01

Study summary

This research study is creating a way to collect and store specimens and information from participants who may be at an increased risk of developing cancer, or has been diagnosed with an early phase of a cancer or a family member who has a family member with a precursor condition for cancer.

  • The objective of this study is to identify exposures as well as clinical, molecular, and pathological changes that can be used to predict early development of cancer, malignant transformation, and risks of progression to symptomatic cancer that can ultimately be fatal.
  • The ultimate goal is to identify novel markers of early detection and risk stratification to drive potential therapeutic approaches to intercept progression to cancer.
Read the detailed description

The objective of this protocol is to obtain clinical information and facilitate the collection and distribution of specimens obtained during the course of clinical care or research participation.

  • Blood, buccal swabs, urine or tissue or other body fluids (including stool) may be specifically acquired for research in order to perform molecular and other types of analyses for research purposes.
  • These materials will be collected from all eligible participants who have a precursor lesion or an increased risk of cancer

It is expected that about 5,000 people will take part in this research study.

02

Conditions studied

  • Cancer Risk
  • Cancer Predisposition Syndrome
  • Hereditary Cancer Prediction
  • Childhood Cancer Survivors
  • Adult Cancer Survivors
  • IARC Carcinogens
  • Smoking History
  • Lung Cancer
  • Ductal/Lobular Carcinoma
  • Barrett Esophagus
  • Pancreatic Precursor Lesions
  • Colonic Dysplasia/Adenomata
  • Non-Alcoholic Fatty Liver Disease
  • Non Alcoholic Steatohepatitis
  • Cirrhosis
  • High Grade Prostatic Epithelial Neoplasia
  • High-grade Bladder Urothelial Dysplasia/Carcinoma in Situ
  • Adenomatous Hyperplasia
  • High-risk Oral Precancerous Diseases
  • Melanocytic Lesion, Adult
  • Hematologic Malignancy
  • Lung; Node
  • Serous Tubal Intraepithelial Carcinoma
  • Endometrial Intraepithelial Neoplasia
  • Cervical and Endocervical Carcinoma in Situ
  • Vulvar Intraepithelial Neoplasia
  • Nephrogenic Rests
  • Benign Bone Lesions With Risk of Malignant Degeneration
  • Giant Cell Tumor
  • Osteochondroma
  • Spitz Nevus

Keywords

  • Hereditary Risk for Cancer
  • Childhood cancer survivors
  • Adult cancer survivors
  • Precursor Lesions
03

In context

Lung Neoplasms

5,422 studies on the registry are indexed under Lung Neoplasms; 1,346 are open to participants now.

This study's planned enrollment of 5,000 is above the median of 200 across 1,434 observational studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Dana-Farber Cancer Institute is the lead sponsor of 834 studies on the registry; 122 are open to participants now.

Of its 114 completed or terminated interventional studies of FDA-regulated products, 78 (68%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Participants to be included in this study include the following (note that this list is not comprehensive but gives examples of precursor conditions for each organ type Hereditary risk for cancer, Exposed High Risk, Precursor Lesions, FAMILY MEMBERS

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participants to be included in this study include the following (note that this list is not comprehensive but gives examples of precursor conditions for each organ type):

    1-Hereditary risk for cancer including

    • Carriers of known or previously unrecognized pathogenic germline variants of cancer predisposing genes
    • Individuals with personal or family history suggestive of elevated cancer risk (this may include individuals who have negative genetic testing results or have not elected to undergo testing)
    • Individuals with a clinically based diagnosis of a Cancer Predisposition Syndrome (examples, neurofibromatosis, Fanconi Anemia, Ataxia-Telangiectasia)
    • Hereditary Cancer Prediction Model-based elevated cancer risk
    • Others at risk for specific cancers by virtue of exposure, obesity, gender, race and ethnicity, HPV exposure (for H\&N cancer for example), etc.
  • Exposed High Risk including

    • Childhood cancer survivors with treatment exposures associated with increased risk of cancer
    • Adult cancer survivors with treatment exposures associated with increased risk of cancer
    • Documented high level exposure to group 1 IARC carcinogens
    • Thoracic: individuals at risk for lung cancer including but not exclusive of the following criteria: Age >50, Smoking history of >15 pack years, First-degree relative history of lung cancer or
    • alcoholic liver disease (NAFL), non-alcoholic steatohepatitis (NASH), cirrhosis
  • Precursor Lesions including

    • Breast: ductal/lobular carcinoma in situ (CIS) and atypical hyperplasia
    • GI: Barrett's esophagus, Pancreatic precursor lesions, colonic dysplasia/adenomata, nonalcoholic fatty liver (NAFL), nonalcoholic steatohepatitis (NASH), cirrhosis
    • GU: High grade prostatic epithelial neoplasia, and high-grade bladder urothelial dysplasia/carcinoma in situ,
    • Lung: Adenomatous hyperplasia
    • H\&N: high-risk oral precancerous diseases
    • Skin: Class II melanocytic lesions. Squamous dysplasia
    • Heme : CHIP, CCUS, ICUS, MGUS, SMM, SWM, MBL (spell these out), Low grade lymphomas
    • Thoracic: Lung nodules detected on screening CT that prompt further follow-up
    • GYN: STIC lesion (serous tubal intraepithelial carcinoma), Endometrial intraepithelial neoplasia, Cervical and endocervical carcinoma in situ, vulvar intraepithelial neoplasia
    • Pediatric histologic diagnoses sometimes associated with development of malignancy: Nephrogenic rests, benign bone lesions with risk of malignant degeneration (Giant cell tumor, osteochondroma), Spitz nevus, and others.
  • FAMILY MEMBERS or healthy individuals

Exclusion criteria

Exclusion Criteria:

There are no exclusion criteria for the study.

Note: Patients with prior cancer history are allowed to participate. Patients with prior history of cancer or non- localized cancers (such as skin cancer or localized prostate cancer) are allowed to be enrolled. Patients enrolled in clinical trials or receiving therapy for precursor diseases are NOT excluded from this study.

Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
5,000 participants (estimated)
Target follow-up
20 Years
Patient registry
Yes
Biospecimen retention
Samples with dna

Groups and cohorts

  • HEREDITARY RISK

    Participants will also be asked to complete an intake survey that will include questions about demographics, medical history and family history data. Tissue samples will be collected during a routine visit. Participants will be asked to donate any of the following tissue types: * Blood * Buccal swab (saliva) or mouthwash * Urine * Stool * Biopsy or surgical tissue (i.e., bone marrow) * Bodily fluids * Other tissues

    Other: Samples

  • EXPOSED HIGH RISK

    Participants will also be asked to complete an intake survey that will include questions about demographics, medical history and family history data. Tissue samples will be collected during a routine visit. Participants will be asked to donate any of the following tissue types: * Blood * Buccal swab (saliva) or mouthwash * Urine * Stool * Biopsy or surgical tissue (i.e., bone marrow) * Bodily fluids * Other tissues

    Other: Samples

  • PRECURSOR LESIONS

    Participants will also be asked to complete an intake survey that will include questions about demographics, medical history and family history data. Tissue samples will be collected during a routine visit. Participants will be asked to donate any of the following tissue types: * Blood * Buccal swab (saliva) or mouthwash * Urine * Stool * Biopsy or surgical tissue (i.e., bone marrow) * Bodily fluids * Other tissues

    Other: Samples

  • FAMILY MEMBERS

    These family members will be identified by the patients participating in the study. Blood, buccal cells, or saliva or oral rinses will be collected in one of three ways from family members of patients (i) at the time of consent; (ii) via a mailed blood kit or saliva kit; or (iii) at a separate appointment scheduled by the consented participant

    Other: Samples

Interventions

  • OtherSamples

    Tissue samples will be collected during a routine visit. Participants will be asked to donate any of the following tissue types: Blood, Buccal swab (saliva) or mouthwash, Urine, Stool, Biopsy or surgical tissue (i.e., bone marrow),Bodily fluids, Other tissues

06

What researchers measure

Primary outcomes

  1. Identify exposures as well as clinical, molecular, and pathological changes that can be used to predict early development of cancer, malignant transformation, and risks of progression to symptomatic cancer that can ultimately be fatal.

    The InAdvance Study will screen participants for precancerous conditions and cancer through blood tests and tissue biopsies. These biologic samples will be screened for precancerous conditions through routine clinical methods, as well as using novel research level technology. This could include germline testing, whole genome and whole exome sequencing. The participants will be followed serially to track their disease progression. Participants will fill out general health questionnaires, and we will match their answers to the timepoint of their sample submission and follow changes to their answers.

    Time frame: 5 years

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Kauffman TL, O'Donnell EK, Marinac CR, Babic A, Adams K, Beckwith JB, Berman TA, Brantley KD, Chowdhury D, Crompton BD, Diller LR, Elias KM, Feltmate CM, Florez N, Garber JE, Ghobrial I, Hanna GJ, Hormoz S, Kamihara J, LeBoeuf NR, Mittendorf EA, Partridge AH, Rodriguez NJ, Sands J, Thapa B, Weeks LD, Woo SB, Yurgelun MB, Parmigiani G, Rebbeck TR, Syngal S. A Longitudinal Comprehensive Biospecimen and Clinical Data Repository for Cancer Early Detection: The InAdvance Study. Cancer Epidemiol Biomarkers Prev. 2026 Jul 1;35(7):1076-1087. doi: 10.1158/1055-9965.EPI-25-1684. PubMed 42059770 ↗
  • O'Donnell EK, Kauffman TL, Asnis S, Kelly VA, Matthews E, Kartsounis M, Dharaneeswaran H, Beckwith JB, Bennett C, Marto M, Parmigiani G, Rebbeck TR, Ghobrial IM, Syngal S, Marinac CR. Diagnostic Outcomes among Patients with Positive Multi-Cancer Early Detection Test Results. Cancer Res Commun. 2026 Mar 1;6(3):511-515. doi: 10.1158/2767-9764.CRC-25-0723. PubMed 41721625 ↗

Individual participant data

Plan to share: Yes — The Dana-Farber / Harvard Cancer Center encourages and supports the responsible and ethical sharing of data from clinical trials. De-identified participant data from the final research dataset used in the published manuscript may only be shared under the terms of a Data Use Agreement. Requests may be directed to Sponsor Investigator or designee. The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research.

Supporting information: Study protocol, Statistical analysis plan

Time frame: Data can be shared no earlier than 1 year following the date of publication

Access criteria: Contact the Belfer Office for Dana-Farber Innovations (BODFI) at innovation@dfci.harvard.edu

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2023 (actual). Primary completion is estimated for Mar 2030, 83 months after the start.

Of 591 non-industry observational studies under Lung Neoplasms, half reached primary completion within 65 months of starting (the median), counting those still running; a quarter within 25 and three quarters within 162. This study's planned 83 months is above that.

Counting every sponsor, half of 681 studies reached it within 57 months; a quarter within 25 and three quarters within 135.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 24, 2022
First posted
Jul 19, 2022
StartActual
Apr 25, 2023
Primary completionEst.
Mar 25, 2030
CompletionEst.
Mar 25, 2031
Last update
Aug 17, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05463796
Responsible party
Sapna Syngal, MD, MPH (Principal Investigator, Dana-Farber Cancer Institute) — Principal investigator
First posted
Jul 19, 2022
Start date
Apr 25, 2023
Primary completion
Mar 25, 2030 (estimated)
Completion
Mar 25, 2031 (estimated)
Last update
Aug 17, 2026

Study contacts

Jenna Beckwith, MPH
Contact
inadvancestudy@dfci.harvard.edu
857-215-1892
Tia Kauffman, MPH
Contact
Sapna Syngal, MD
principal investigator · Dana-Farber Cancer Institute

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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