Pancreatic Cancer Screen Test in Japan Using the Enzeavour Blood Assay
Official title: Pancreatic Cancer Screening Using Single-Molecule Enzyme Activity-Based Liquid Biopsy, Enzeavour: A Single-Arm Interventional Feasibility Study Protocol in Japan
Run by Cosomil, Inc. · NCT07605819 · Data updated 2026-11-12
This nationwide screening study in Japan tests the Enzeavour Pancreatic Cancer blood test in about 10,000 asymptomatic adults to see if it can help detect pancreatic cancer early.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 20 Years and up |
| Sex | All |
| Enrollment | 10000 (estimated) |
| Sponsor | Cosomil, Inc. Industry-sponsored |
| Locations | 69 sites (Nagakute, Aichi-ken and 68 other locations) |
| Status | Recruiting |
| Started | February 4, 2026 |
| Main results expected | December 31, 2027 |
| Study ends | December 31, 2028 |
| Registry record updated | October 27, 2026 |
| Trial ID | NCT07605819 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are asymptomatic adults undergoing routine health checks or population cancer screening at participating facilities who consent to the test.
✕Probably not a fit
Some participants with a positive Enzeavour score may not have cancer, and others may not benefit if cancer is not detected within the 12-month follow-up.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a nationwide, multicenter, prospective, single-arm feasibility study in Japan. It evaluates the Enzeavour Pancreatic Cancer assay as part of routine health checkups and cancer screening. Adults without symptoms will be screened, and those with an Enzeavour Score above 0.369 will undergo further diagnostic work-up as clinically indicated. The study will follow participants for 12 months to estimate how often pancreatic cancer is detected and how often a positive test correctly predicts cancer. Real-world data from this design will inform planning for future trials.
Why it matters
Potential benefit: If successful, the test could enable earlier detection of pancreatic cancer in a screening population.
How similar studies have gone: Previous studies in similar blood-based screening approaches have shown signal generation but require further validation in population-level screening.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Asymptomatic adults attending participating facilities for routine health checkups, organized cancer screening, or both * Able to understand the study procedures and provide written informed consent before enrollment Exclusion Criteria: * Documented clinical history of pancreatic cancer * Considered unable or unwilling to undergo any required diagnostic imaging modality (MRCP, EUS, or contrast-enhanced CT) after a positive index test result * Any medical, psychological, or social condition that, in the opinion of the principal investigator at each participating site, makes participation inappropriate or compromises study integrity
Where it's running
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Aichi Medical University Hospital
Nagakute, Aichi-ken, Japan Recruiting -
Chunichi Hospital
Nagoya, Aichi-ken, Japan Recruiting -
Nagoya University Hospital
Nagoya, Aichi-ken, Japan Recruiting -
Chiba University Hospital
Chiba, Chiba, Japan Recruiting -
Fukuoka University Hospital
Fukuoka, Fukuoka, Japan Recruiting -
Wellness Tenjin
Fukuoka, Fukuoka, Japan Recruiting
Show 44 more locations
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Matsunami General Hospital
Kasamatsuchō, Gifu, Japan Recruiting -
Hiroshima University Hospital
Hiroshima, Hiroshima, Japan Recruiting -
JA Onomichi General Hospital
Onomichi, Hiroshima, Japan Recruiting -
Obihiro Kosei Hospital
Obihiro, Hokkaido, Japan Recruiting -
Keijinkai Maruyama Clinic
Sapporo, Hokkaido, Japan Recruiting -
NTT East Sapporo Hospital
Sapporo, Hokkaido, Japan Recruiting -
Teine Keijinkai Hospital
Sapporo, Hokkaido, Japan Recruiting -
Tonan Hospital
Sapporo, Hokkaido, Japan Recruiting -
Hotel Okura Kobe Clinic
Kobe, Hyōgo, Japan Recruiting -
Kobe University Hospital
Kobe, Hyōgo, Japan Recruiting -
Sano Hospital
Kobe, Hyōgo, Japan Recruiting -
Ibaraki Medical Center
Mito, Ibaraki, Japan Recruiting -
Mito Kyodo General Hospital
Mito, Ibaraki, Japan Recruiting -
Kagawa University Hospital
Kita-gun Miki-cho, Kagawa-ken, Japan Recruiting -
KKR Takamatsu Hospital
Takamatsu, Kagawa-ken, Japan Recruiting -
JA Health Management Center Atsugi
Atsugi, Kanagawa, Japan Recruiting -
Isehara Kyodo Hospital
Isehara, Kanagawa, Japan Recruiting -
St. Marianna University School of Medicine Hospital
Kawasaki, Kanagawa, Japan Recruiting -
JA Health Management Center Sagamihara
Sagamihara, Kanagawa, Japan Recruiting -
Kitasato University Hospital
Sagamihara, Kanagawa, Japan Recruiting -
Yokohama City University Medical Center
Yokohama, Kanagawa, Japan Recruiting -
Yokohama Rosai Hospital
Yokohama, Kanagawa, Japan Recruiting -
Clinic Green House
Kochi, Kochi, Japan Recruiting -
Japanese RedCross Society Kochi Red Cross Hospital
Kochi, Kochi, Japan Recruiting -
Kochi Kenshin Clinic
Kochi, Kochi, Japan Recruiting -
Kyoto Industrial Health Association
Kyoto, Kyoto, Japan Recruiting -
Kyoto University Hospital
Kyoto, Kyoto, Japan Recruiting -
Mitsubishi Kyoto Hospital
Kyoto, Kyoto, Japan Recruiting -
Matsusaka Chuo General Hospital
Matsusaka, Mie-ken, Japan Recruiting -
Matsusaka Medical Association
Matsusaka, Mie-ken, Japan Recruiting -
Mie Healthcare center
Tsu, Mie-ken, Japan Recruiting -
Mie University Hospital
Tsu, Mie-ken, Japan Recruiting -
Iida Municipal Hospital
Iida, Nagano, Japan Recruiting -
Oita University Hospital
Yufu, Oita Prefecture, Japan Recruiting -
Junpukai Health Maintenance Center Kurashiki
Kurashiki, Okayama-ken, Japan Recruiting -
Kawasaki Medical School General Medical Center
Kurashiki, Okayama-ken, Japan Recruiting -
Junpukai Health Maintenance Center Daianji
Okayama, Okayama-ken, Japan Recruiting -
Junpukai Health Maintenance Center
Okayama, Okayama-ken, Japan Recruiting -
Nakagami General Chibana Clinic
Okinawa, Okinawa, Japan Recruiting -
Nakagami Hospital
Okinawa, Okinawa, Japan Recruiting -
Okinawa Health Promotion Foundation
Shimajiri-gun Haebaru-cho, Okinawa, Japan Recruiting -
Medical Research Institute KITANO HOSPITAL,PIIF Tazuke-Kofukai
Osaka, Osaka, Japan Recruiting -
NEO Healthcare GI Endoscopy Clinic Honmachi
Osaka, Osaka, Japan Recruiting -
Tane Clinic
Osaka, Osaka, Japan Recruiting
+19 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Principal investigator: Keiji Hanada, MD, Ph.D. — JA Onomichi General Hospital
- Study coordinator: Yu Kagami, Ph.D.
- Email: f-study@cosomil.com
- Phone: +81-3-6823-2260
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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.