ClinicalTrials.gg
Not yet recruitingNCT07762950Updated Aug 13, 2026

Blood Biomarkers and Gut Microbiota for Pancreatic Cancer Risk in Chronic Pancreatitis

An observational study in Chronic Pancreatitis and Pancreatic Cancer, sponsored by Changhai Hospital. Not yet recruiting. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-13.

Sponsored by Changhai Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
800
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 41 studies in Pancreatitis, Chronic by Changhai Hospital — 13 open to participants now, 18 under way, none of them phase 3. Pancreatitis, Chronic · Changhai Hospital.

Planned enrollment
11th of 28
800 · median 657
Started
2026
with 2 others
Observational
28 of 41
9 open now
Primary completion
2028-12
later than 13 of 17 live
Registered
41st of 41
by date

Among the 41 studies in Pancreatitis, Chronic by Changhai Hospital, this one is the 11th largest by planned enrollment of the 28 observational ones that give a count, is one of 3 that started in 2026, is one of 28 observational ones, reaches primary completion later than 13 of the 17 other live ones, and was the 41st registered.

Pancreatitis, Chronic

264 studies on the registry are indexed under Pancreatitis, Chronic; 76 are open to participants now.

Browse Pancreatitis, Chronic studies →

Open to participants now

13 of the 41 studies in Pancreatitis, Chronic by Changhai Hospital are open now, in 1 country. Recruiting first, the newest first:

7 more — sign in →

By country, each count listing its studies:

All 13 open studies →

Where they have run

Who these studies take

Of the 49 Pancreatitis, Chronic studies recruiting now, 31 (63%) set no upper age limit and 12 (24%) stop at 75 or younger; 8 take children under 18; 11 take healthy volunteers.

This study: 18 Years and older · all sexes · healthy volunteers too.

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02

Study summary

The goal of this observational study is to learn more about pancreatic cancer risk in people with chronic pancreatitis. Researchers will study blood markers and gut microorganisms, which are bacteria and other microbes living in the intestine.

Researchers will compare healthy participants, participants with chronic pancreatitis, and participants with newly diagnosed pancreatic cancer. The study will examine whether blood markers and gut microorganisms differ among these groups. It will also study how these features change over time and whether they may help identify people with chronic pancreatitis who are at higher risk of pancreatic cancer.

Participants will provide blood and stool samples. Researchers will also collect health information, laboratory test results, and abdominal scan results. Participants with chronic pancreatitis will be followed about every 6 to 12 months. Participants with pancreatic cancer will also be followed according to their routine medical care schedule. Researchers will collect information about their treatment, disease changes, test results, scans, and survival status.

Some participants with chronic pancreatitis or pancreatic cancer may be asked to provide additional blood or stool samples. Their permission will be confirmed before each additional sample is collected. Refusing an additional sample will not affect their routine medical care or continued follow-up in the study.

No treatment will be assigned as part of this study. The findings may help improve future methods for assessing pancreatic cancer risk in people with chronic pancreatitis.

Read the detailed description

Chronic pancreatitis is associated with an increased risk of pancreatic ductal adenocarcinoma, but the biological changes that occur during disease progression remain incompletely understood. Changes in circulating inflammatory and immune-related biomarkers, disruption of the gut microbiota, and the movement of microbial products from the intestine into the bloodstream may reflect interactions among chronic inflammation, gut microbial imbalance, and impaired immune surveillance.

This is a single-center, prospective observational cohort study conducted at Changhai Hospital. The study plans to enroll up to 800 participants, including 200 healthy controls, 300 participants with chronic pancreatitis, and 300 patients with newly diagnosed pancreatic ductal adenocarcinoma. Healthy controls will serve as a reference group. Participants with chronic pancreatitis will form the main longitudinal cohort, and patients with pancreatic ductal adenocarcinoma will serve as the pancreatic cancer comparison cohort.

At baseline, participants will provide peripheral blood and fresh stool samples. Blood samples will be used to measure inflammatory, immune-related, and tumor-associated biomarkers, including CXCL10 (IP-10), GLYR1, TGF-beta, Artemin, and other candidate biomarkers. Markers related to gut barrier dysfunction and the movement of microbial products into the circulation, such as lipopolysaccharide, endotoxin-related measures, and soluble CD14, may also be assessed.

Stool samples will be analyzed using 16S ribosomal RNA gene sequencing, metagenomic sequencing, and related microbiome analysis methods. These analyses will characterize microbial diversity, taxonomic composition, functional pathways, and selected microbial metabolites, including pathways related to short-chain fatty acids and bile acids. Whenever feasible, blood and stool samples collected at the same time point will be analyzed as paired samples to investigate associations between circulating biomarkers and gut microbiota features.

Participants with chronic pancreatitis will generally be followed every 6 to 12 months. Follow-up may occur earlier or more frequently if there are changes in the participant's condition, an acute episode, imaging progression, an important treatment, or another clinical reason for evaluation. Follow-up information will include treatment, changes in disease status, laboratory test results, abdominal imaging findings, and relevant clinical outcomes.

Patients with pancreatic ductal adenocarcinoma will also be followed after enrollment according to their routine clinical care and follow-up schedule. Follow-up will be conducted through review of electronic medical records, outpatient or inpatient visits, and telephone contact when necessary. Information collected will include subsequent treatment, disease progression, recurrence or metastasis, laboratory and imaging results, survival status, and other relevant outcomes. Follow-up will continue until the end of the study, withdrawal from the study, or death.

Biological samples will not be routinely collected at every follow-up visit. Additional blood or stool samples may be collected from selected participants with chronic pancreatitis or pancreatic ductal adenocarcinoma when considered appropriate by the investigators or when participants express a willingness to provide additional samples. Before each additional sample collection, the participant's voluntary agreement will be reconfirmed. Refusal to provide an additional sample will not affect continued information follow-up or routine medical care. No research tissue samples will be collected from patients with pancreatic ductal adenocarcinoma during follow-up, and the study will not require additional imaging examinations, treatment, or invasive tissue sampling solely for research purposes.

Clinical information, laboratory results, abdominal computed tomography or magnetic resonance imaging data, and selected genetic information will also be collected when available. The main analyses will compare blood biomarker concentrations, gut microbiota diversity, microbial composition, and microbial functional features among the three groups. Longitudinal analyses will evaluate changes over time and their associations with clinical outcomes in participants with chronic pancreatitis and pancreatic ductal adenocarcinoma.

Candidate blood biomarkers and microbiota-derived features will be integrated with available immune-related, clinical, imaging, and genetic data. The study will develop and internally evaluate a multimodal model for pancreatic cancer risk stratification in participants with chronic pancreatitis. Model performance will be assessed using measures of discrimination, calibration, sensitivity, specificity, and clinical utility. No study treatment, experimental drug, or experimental medical device will be assigned to participants.

03

Conditions studied

  • Chronic Pancreatitis
  • Pancreatic Cancer

Keywords

  • Pancreatic Ductal Adenocarcinoma
  • Serum Biomarkers
  • Gut Microbiota
  • Microbial Translocation
  • Risk Stratification
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Participants will be selected from healthy volunteers and patients receiving care at Changhai Hospital. The study population will include healthy controls, patients with chronic pancreatitis, and patients with newly diagnosed pancreatic ductal adenocarcinoma. Patients with chronic pancreatitis and pancreatic ductal adenocarcinoma will be identified through outpatient clinics, inpatient wards, and routine clinical evaluation. Healthy volunteers will be recruited as a reference cohort.

Participants will be recruited using a non-probability sampling approach from outpatient clinics, inpatient wards, and healthy volunteer sources at Changhai Hospital.

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

  • Adults aged 18 years or older.
  • Able to understand the study procedures and provide written .
  • Healthy controls: participants without a known history of chronic pancreatitis or pancreatic cancer.
  • Chronic pancreatitis cohort: participants diagnosed with chronic pancreatitis according to clinical guidelines, based on clinical, imaging, and/or genetic information.
  • Pancreatic ductal adenocarcinoma cohort: participants with newly diagnosed pancreatic ductal adenocarcinoma based on clinical, imaging, and/or pathological evaluation.
  • Willing to provide blood samples and relevant clinical information.
  • For participants with chronic pancreatitis, willing to undergo longitudinal follow-up approximately every 6 to 12 months.

Exclusion criteria

Exclusion Criteria:

  • Unable or unwilling to provide written .
  • Unable to provide required clinical information or biological samples.
  • Prior diagnosis of another active malignant tumor, except adequately treated non-melanoma skin cancer or carcinoma in situ, if considered not to affect study participation by the investigator.
  • Current severe acute infection or other serious medical condition that, in the investigator's judgment, may interfere with study participation or interpretation of immune-related analyses.
  • Use of systemic therapy or immunotherapy within a period considered by the investigator.
  • Any condition that, in the investigator's judgment, makes the participant unsuitable for 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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
800 participants (estimated)
Target follow-up
28 Months
Patient registry
Yes
Biospecimen retention
Samples with dna

Groups and cohorts

  • Healthy Controls

    Healthy volunteers without chronic pancreatitis or pancreatic cancer will be enrolled as the reference cohort for comparison with the chronic pancreatitis and pancreatic ductal adenocarcinoma cohorts.

  • Chronic Pancreatitis

    Participants with chronic pancreatitis will be enrolled as the main longitudinal cohort. This cohort will be followed over time to evaluate clinical, imaging, genetic, and immune features associated with pancreatic cancer risk.

  • Pancreatic Ductal Adenocarcinoma

    Participants with newly diagnosed pancreatic ductal adenocarcinoma will be enrolled as the pancreatic cancer cohort for comparison with the healthy control and chronic pancreatitis cohorts.

06

What researchers measure

Primary outcomes

  1. Serum or Plasma CXCL10 (IP-10) Concentration

    CXCL10 (IP-10) concentration will be measured in serum or plasma using a prespecified laboratory assay. Baseline concentrations will be compared among healthy controls, participants with chronic pancreatitis, and participants with newly diagnosed pancreatic ductal adenocarcinoma. Longitudinal within-participant changes will also be evaluated in participants who provide repeat blood samples during follow-up.

    Time frame: Baseline and approximately every 6 to 12 months thereafter, up to 30 months after enrollment

  2. Serum or Plasma GLYR1 Concentration

    GLYR1 concentration will be measured in serum or plasma using a prespecified laboratory assay. Baseline concentrations will be compared among healthy controls, participants with chronic pancreatitis, and participants with newly diagnosed pancreatic ductal adenocarcinoma. Longitudinal within-participant changes will also be evaluated in participants who provide repeat blood samples during follow-up.

    Time frame: Baseline and approximately every 6 to 12 months thereafter, up to 30 months after enrollment

  3. Serum or Plasma TGF-beta Concentration

    TGF-beta concentration will be measured in serum or plasma using a prespecified laboratory assay. Baseline concentrations will be compared among healthy controls, participants with chronic pancreatitis, and participants with newly diagnosed pancreatic ductal adenocarcinoma. Longitudinal within-participant changes will also be evaluated in participants who provide repeat blood samples during follow-up.

    Time frame: Baseline and approximately every 6 to 12 months thereafter, up to 30 months after enrollment

  4. Serum or Plasma Artemin Concentration

    Artemin concentration will be measured in serum or plasma using a prespecified laboratory assay. Baseline concentrations will be compared among healthy controls, participants with chronic pancreatitis, and participants with newly diagnosed pancreatic ductal adenocarcinoma. Longitudinal within-participant changes will also be evaluated in participants who provide repeat blood samples during follow-up.

    Time frame: Baseline and approximately every 6 to 12 months thereafter, up to 30 months after enrollment

  5. Gut Microbiota Shannon Diversity Index

    The Shannon diversity index will be calculated from stool microbiome data generated using 16S ribosomal RNA gene sequencing and/or metagenomic sequencing. Baseline Shannon diversity will be compared among healthy controls, participants with chronic pancreatitis, and participants with newly diagnosed pancreatic ductal adenocarcinoma. Longitudinal within-participant changes will be evaluated in participants who provide repeat stool samples during follow-up.

    Time frame: Baseline and approximately every 6 to 12 months thereafter, up to 30 months after enrollment

  6. Gut Microbiota Simpson Diversity Index

    The Simpson diversity index will be calculated from stool microbiome data generated using 16S ribosomal RNA gene sequencing and/or metagenomic sequencing. Baseline Simpson diversity will be compared among healthy controls, participants with chronic pancreatitis, and participants with newly diagnosed pancreatic ductal adenocarcinoma. Longitudinal within-participant changes will be evaluated in participants who provide repeat stool samples during follow-up.

    Time frame: Baseline and approximately every 6 to 12 months thereafter, up to 30 months after enrollment

Secondary outcomes

  1. Serum Lipopolysaccharide (LPS) Concentration

    Serum lipopolysaccharide (LPS) concentration will be measured using a prespecified laboratory assay as a marker of microbial translocation. Baseline LPS concentrations will be compared among healthy controls, participants with chronic pancreatitis, and participants with newly diagnosed pancreatic ductal adenocarcinoma. Longitudinal within-participant changes will also be evaluated in participants who provide repeat blood samples during follow-up. LPS will be reported using the concentration unit specified by the assay.

    Time frame: Baseline and approximately every 6 to 12 months thereafter, up to 30 months after enrollment

  2. Serum Soluble CD14 (sCD14) Concentration

    Serum soluble CD14 (sCD14) concentration will be measured using a prespecified laboratory assay as a marker associated with microbial translocation and gut-immune interactions. Baseline sCD14 concentrations will be compared among healthy controls, participants with chronic pancreatitis, and participants with newly diagnosed pancreatic ductal adenocarcinoma. Longitudinal within-participant changes will also be evaluated in participants who provide repeat blood samples during follow-up. sCD14 will be reported using the concentration unit specified by the assay.

    Time frame: Baseline and approximately every 6 to 12 months thereafter, up to 30 months after enrollment

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Yes — De-identified individual participant data underlying the main study results may be shared under controlled access. Shared data may include demographic and clinical variables, laboratory results, longitudinal follow-up outcomes, serum biomarker measurements, including CXCL10 (IP-10), GLYR1, TGF-beta, and Artemin, gut microbiota-derived data or processed features, microbial translocation markers, imaging-derived variables or metadata, and selected genetic results. A data dictionary and relevant metadata will be provided when applicable. Data sharing will be limited to information permitted by the ethics approval, informed consent, applicable regulations, and institutional policies.

Supporting information: Study protocol

Time frame: Beginning 12 months after publication of the main study results and available for 5 years.

Access criteria: Researchers with a scientifically sound proposal may submit a data access request to the study investigators or the designated data management platform. Requests will be reviewed for scientific purpose, ethical approval, data security, and consistency with the informed consent and institutional policies. Data will be shared only after approval and, when required, completion of a data use agreement.

No publications or documents are linked to this record.

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

Start is estimated for Aug 2026; primary completion for Dec 2028, 28 months later.

Of 56 non-industry observational studies under Pancreatitis, Chronic, half reached primary completion within 87 months of starting (the median), counting those still running; a quarter within 33 and three quarters within 160. This study's planned 28 months is below that.

Counting every sponsor, half of 58 studies reached it within 63 months; a quarter within 28 and three quarters within 160.

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

Registered
Aug 5, 2026
First posted
Aug 13, 2026
StartEst.
Aug 1, 2026
Primary completionEst.
Dec 31, 2028
CompletionEst.
Dec 31, 2028
Last update
Aug 13, 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 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07762950
Lead sponsor
Changhai Hospital
Responsible party
Zhuan Liao (Professor and Chief Physician, Changhai Hospital) — Principal investigator
First posted
Aug 13, 2026
Start date
Aug 1, 2026 (estimated)
Primary completion
Dec 31, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Aug 13, 2026

Study contacts

Zhuan Liao, PhD
Contact
zhuanleo@126.com
+86-21-31161001
Zhuan Liao, PhD
principal investigator · Changhai Hospital

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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