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Table 2 Clinical trials of EVs for development of diagnostic biomarkers

From: Recent advances in conventional and unconventional vesicular secretion pathways in the tumor microenvironment

Cancer type

Title of the trial

State

Number of participants

ClinicalTrials.gov Identifier

Thyroid cancer

Anaplastic thyroid cancer and follicular thyroid cancer-derived exosomal analysis via treatment of lovastatin and vildagliptin and pilot prognostic study via urine exosomal biological markers in thyroid cancer patients

Completed

22

NCT02862470

[182]

Lung cancer

Serum exosomal long noncoding RNAs as potential biomarkers for lung cancer diagnosis

Completed

1000

NCT03830619

Pancreatic cancer

Diagnostic accuracy of circulating tumor cells (CTCs) and onco-exosome quantification in the diagnosis of pancreatic cancer—PANC-CTC

Completed

52

NCT03032913

Acquisition of portal venous circulating tumor cells and exosomes from patients with pancreatic cancer by endoscopic ultrasound: a prospective study

Ongoing

Estimated 30

NCT03821909

Prostate cancer

Clinical validation of a urinary exosome gene signature in men presenting for suspicion of prostate cancer

Completed

2000

NCT02702856 [183]

Clinical evaluation of ExoDx™ prostate (IntelliScore) in men presenting for initial prostate biopsy

Completed

120

NCT04720599

Rectal cancer

Exosomal as correlative biomarker in clinical outcomes in patients undergoing neoadjuvant chemoradiation therapy for rectal cancer

Ongoing

Estimated 30

NCT03874559

A prospective, observational, multicenter study on biomarkers for predicting the efficacy and toxicities of neoadjuvant chemoradiotherapy for locally advanced rectal cancer based on tissue and plasma exosome RNA

Ongoing

Estimated 250

NCT04227886

Gastric cancer

Circulating exosomes as potential prognostic and predictive biomarkers in advanced gastric cancer patients: a prospective observational study (“EXO-PPP Study”)

Ongoing

Estimated 80

NCT01779583

Ovarian cancer

Non-coding RNA in the exosome of the epithelia ovarian cancer

Ongoing

Estimated 160

NCT03738319

Bladder cancer

A study of circulating exosome proteomics in gallbladder carcinoma patients

Ongoing

Estimated 50

NCT03581435

Cholangiocarcinoma

Exosomes-derived ncRNAs as biomarkers in cholangiocarcinoma patients

Ongoing

Estimated 80

NCT03102268