Clinical trial Recruiting at 1 site Observational Ages 18 and up

Cell-free tsRNA signature to detect early liver cancer

Official title: Project for Multi-Omics-Based Early Detection of Hepatocellular Carcinoma (PROMETHEA Study)

Run by City of Hope Medical Center · NCT07265271 · Data updated 2026-11-12

This project will test whether a blood test that measures cell-free tsRNAs can detect early-stage hepatocellular carcinoma using samples from people with confirmed HCC.

More Hepatocellular Carcinoma (HCC) trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment600 (estimated)
SponsorCity of Hope Medical Center
Academic / other
Drugs / interventionschemotherapy
Locations1 site (Duarte, California)
StatusRecruiting
StartedJanuary 15, 2025
Main results expectedJune 18, 2028
Study endsJune 18, 2028
Registry record updatedJuly 1, 2026
Trial IDNCT07265271 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with histologically confirmed hepatocellular carcinoma who have not yet received curative-intent treatment and can provide a pre-treatment blood sample and informed consent.

Probably not a fit

People without HCC, those unable to give informed consent, or patients who have already started curative-intent therapy prior to blood collection are unlikely to benefit from this protocol.

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 collects pre-treatment blood samples from patients with histologically confirmed hepatocellular carcinoma at City of Hope to develop a liquid biopsy based on cell-free tsRNAs. Investigators will use small RNA sequencing to identify candidate cf-tsRNA markers and then validate selected signatures with RT-qPCR. The work aims to produce a sensitive, noninvasive assay to improve detection of early-stage HCC where current markers like AFP have limited sensitivity. Findings will be compared to clinical staging and standard diagnostic work-ups to see how well the cf-tsRNA signature distinguishes early disease.

Why it matters

Potential benefit: If successful, this could enable earlier, noninvasive detection of HCC so more patients can receive curative treatment and have better survival chances.

How similar studies have gone: Related liquid-biopsy approaches using cfDNA and circulating small RNAs (like miRNAs) have shown promise for liver cancer, but cf-tsRNA-based diagnostics are relatively novel and supported mainly by early-stage data.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adults aged 18 to 100 years.
* A histologically confirmed diagnosis of hepatocellular carcinoma.
* A clinically diagnosed as chronic liver disease, including chronic hepatitis or liver cirrhosis, without evidence of hepatocellular carcinoma.
* Healthy volunteers without known liver disease or malignancy.
* Received standard diagnostic and staging procedures as per local guidelines
* Availability of blood or other biospecimens.
* Ability to provide written informed consent.

Exclusion Criteria:

* Lack of or inability to provide informed consent
* History of other active malignancies within the past 5 years
* Previous liver transplantation
* Severe systemic infection or inflammatory disease at the time of enrollment
* Inadequate sample quality or quantity

Where it's running

  • City of Hope Medical Center
    Duarte, California, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.