Developing a blood test to diagnose pancreatic exocrine insufficiency

The Development of a Metabolomic Test to Diagnose and Quantify Pancreatic Exocrine Insufficiency (The DETECTION Study)

Not applicable Interventional University Hospital Birmingham NHS Foundation Trust · NCT05980221

This study is trying to create a simple blood test to help diagnose pancreatic exocrine insufficiency in patients with pancreatic cancer so they can get the right treatment faster.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment150 (estimated)
Ages16 Years and up
SexAll
SponsorUniversity Hospital Birmingham NHS Foundation Trust Academic / other
Locations1 site (Birmingham)
Trial IDNCT05980221 on ClinicalTrials.gov

What this trial studies

This study focuses on creating a metabolomic test to diagnose and quantify pancreatic exocrine insufficiency (PEI), a condition common in patients with pancreatic cancer. By analyzing blood samples from patients and healthy controls before and after a standardized meal, researchers aim to identify specific metabolic profiles that indicate PEI. The goal is to develop a quick, accurate, and patient-friendly blood test that can guide treatment with pancreatic enzyme replacement therapy (PERT). This approach addresses the limitations of current diagnostic methods, which are often inaccurate and time-consuming.

Who should consider this trial

Good fit: Ideal candidates include patients with pancreatic cancer, cystic fibrosis, or chronic pancreatitis who are experiencing symptoms of PEI and can tolerate an oral diet.

Not a fit: Patients with other gastrointestinal conditions, recent GI surgery, or a prognosis of less than two months may not benefit from this study.

Why it matters

Potential benefit: If successful, this test could lead to more accurate diagnoses of PEI, allowing for timely and effective treatment that improves patient quality of life.

How similar studies have performed: While the use of metabolomics in diagnosing PEI is a novel approach, similar studies have shown promise in utilizing metabolic profiling for other conditions.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria: (for main pancreatic cancer cohort)

* PDAC
* PEI (as defined by breath test)
* Tolerating oral diet Inclusion Criteria: (for CF cohort)
* CF
* PEI (as defined by breath test)
* Tolerating oral diet Inclusion Criteria: (for CP cohort)
* CP
* PEI (as defined by breath test)
* Tolerating oral diet

Exclusion Criteria (all arms):

* No other GI conditions
* For each arm no evidence of the other arm conditions
* For health controls, no history of CP, CF or pancreatic cancer
* No GI surgery (except pancreatic resection in the pancreatic cancer cohort)
* Unable to consent
* Unable to travel to UHB for testing
* Prognosis \< 2months
* Performance status 2+

Where this trial is running

Birmingham

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Pancreatic Exocrine Insufficiencyexocrine insufficiencypancreatic cancermetabolomicsmetaboliteschronic pancreatitiscystic fibrosis
Last reviewed 2026-06-14 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.