Blood test for early cancer detection in hereditary cancer patients
Official title: CfDNA in Hereditary And High-risk Malignancies (CHARM) 2: Evaluating the Performance of a cfDNA Blood Test for Early Cancer Detection
Run by University Health Network, Toronto · NCT06726642 · Data updated 2026-11-12
This study is testing a new blood test to see if it can help find early tumors in people with hereditary cancer syndromes better than the usual methods.
Quick facts
| Study type | Observational |
|---|---|
| Ages | Any age to 90 Years |
| Sex | All |
| Enrollment | 1000 (estimated) |
| Sponsor | University Health Network, Toronto Academic / other |
| Locations | 8 sites (Vancouver, British Columbia and 7 other locations) |
| Status | Recruiting |
| Started | April 19, 2024 |
| Main results expected | December 2029 |
| Study ends | December 2031 |
| Registry record updated | October 8, 2026 |
| Trial ID | NCT06726642 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include individuals with confirmed hereditary cancer syndromes such as BRCA1, BRCA2, Lynch Syndrome, and others.
✕Probably not a fit
Patients with a personal history of cancer diagnosed and treated within the last three years may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to evaluate the effectiveness of a new blood test that detects early tumors in patients with hereditary cancer syndromes. It will compare cancer detection rates between those using the new test and those receiving standard care, while also assessing the impact on cancer stage, patient outcomes, and quality of life. The study involves a multi-center approach across Canada, utilizing questionnaires and interviews to gather patient feedback on the test's integration into routine care. The goal is to enhance cancer screening methods for high-risk individuals through less invasive techniques.
Why it matters
Potential benefit: If successful, this study could lead to earlier cancer detection and improved outcomes for patients with hereditary cancer syndromes.
How similar studies have gone: Previous studies have shown promise in using cfDNA profiling for cancer surveillance, indicating potential success for this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with a confirmed diagnosis of hereditary breast and ovarian cancer (HBOC), Lynch Syndrome (LS), Neurofibromatosis type I (NF1), Li-Fraumeni Syndrome (LFS), PALB2, and Hereditary Diffuse Gastric Cancer (HDGC), (i.e., patients with an identified pathogenic variant in the respective cancer predisposition gene, or patients with uninformative genetic testing but with a family history suggestive of the cancer predisposition syndrome). * Patients must be receiving standard-of-care clinical assessment for cancer by a managing physician under a provincial screening program or cancer surveillance protocol. * All patients must have signed and dated an informed consent form for this study. Exclusion Criteria: * Patients must not have a personal history of cancer diagnosed and treated within 3 years prior to the expected first sample collection date for this study. If a patient has a personal history of cancer, treatment must have been completed successfully at least 3 years prior to first study sample collection. * Patients diagnosed more than 3 years prior to the expected first sample collection date, but never been treated for the cancer. * Patients undergoing investigations for a clinical suspicion of cancer. * Patients who are not able to comply with the protocol (i.e., tri-annual blood sample collection if randomized into the experimental cohort).
Where it's running
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BC Cancer Agency
Vancouver, British Columbia, Canada Recruiting -
Newfoundland and Labrador Health Services (previously Eastern Health)
St. John's, Newfoundland and Labrador, Canada Recruiting -
IWK Health Centre
Halifax, Nova Scotia, Canada Recruiting -
The Hospital for Sick Children
Toronto, Ontario, Canada Recruiting -
Sinai Health System
Toronto, Ontario, Canada Recruiting -
University Health Network
Toronto, Ontario, Canada Recruiting
Show 2 more locations
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Jewish General Hospital
Montreal, Quebec, Canada Recruiting -
Women's College Hospital
Toronto, Ontario, Canada Not yet recruiting
Study contacts
- Principal investigator: Raymond Kim, MD — Princess Margaret Cancer Centre
- Study coordinator: Julia Sobotka, MSc
- Email: charm@uhn.ca
- Phone: 416-409-1387
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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EHR-based approach to boost HBOC genetic testing in at-risk women
A new EHR tool-based program tests whether computer prompts and real patient resources can help more women with family histories of breast or ovarian cancer get HBOC genetic testing.
-
Hereditary cancer screening offered during obstetrical carrier screening
This project will test offering hereditary cancer genetic testing to pregnant and preconception patients who are already getting obstetrical carrier screening to see if they want it and can complete testing alongside routine prenatal care.
-
Understanding the immune response in Lynch syndrome patients
This study is trying to see if certain antibodies in the immune system can help spot early signs of cancer in people with Lynch syndrome.
-
Bringing genetic testing for hereditary breast and colon cancer into community health centers
This project tests whether a mainstream genetic testing approach versus an enhanced usual-care approach increases genetic testing among adults at risk for hereditary breast or colon cancer seen in urban community health centers.
-
Using a chatbot to improve genetic risk assessment for hereditary cancer
This study is testing if a chatbot can help more patients at risk for hereditary cancer get recommended for genetic testing compared to regular care in a gynecology clinic.
-
Understanding Li-Fraumeni Syndrome and TP53 Variants
This study is trying to understand cancer risks in people with Li-Fraumeni Syndrome or TP53 gene changes to help improve prevention and treatment options.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.