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. 2023 Dec 13;73(4):639–648. doi: 10.1136/gutjnl-2023-331074

Table 2.

Discrimination of patients with early stage pancreatic cancer, healthy controls and patients with chronic pancreatitis by protein and cfDNA markers when added to CA19-9 in the testing set

Biomarker No. cases No. controls AUC
(95% CI)
P value Sensitivity at designated specificities
≥90% ≥95% ≥98%
Local PDAC versus healthy controls
CA19-9 84 82 0.88 (0.83 to 0.94) Reference 67% 67% 63%
+ TIMP1 84 82 0.92 (0.88 to 0.96) 0.06 80% 75% 63%
+ LRG1 84 82 0.92 (0.88 to 0.96) 0.02 77% 77% 68%
+ cfDNA KRAS mutation 84 82 0.88 (0.83 to 0.94) 0.39 67% 67% 63%
+ 2-loci cfDNA methylation panel* 84 82 0.89 (0.83 to 0.94) 0.56 67% 67% 63%
+ 9-loci cfDNA methylation panel† 84 82 0.92 (0.88 to 0.96) 0.02 76% 70% 65%
Local PDAC versus chronic pancreatitis
CA19-9 84 48 0.85 (0.78 to 0.91) Reference 67% 63% 52%
+ TIMP1 84 48 0.84 (0.78 to 0.91) 0.88 67% 55% 48%
+ LRG1 84 48 0.85 (0.79 to 0.91) 0.51 68% 60% 57%
+ cfDNA KRAS mutation 84 48 0.85 (0.78 to 0.91) 1.00 67% 63% 52%
+ 2-loci cfDNA methylation panel* 84 48 0.86 (0.79 to 0.92) 0.19 68% 62% 55%
+ 9-loci cfDNA methylation panel† 84 48 0.86 (0.80 to 0.92) 0.35 67% 56% 54%

*2-loci cfDNA methylation panel that includes two exocrine pancreas loci encompassing 17 CpG sites.

†9-loci cfDNA methylation panel that includes nine exocrine pancreas loci encompassing 61 CpG sites.

AUC, area under the receiver operating characteristic curve; cfDNA, cell-free DNA; PDAC, pancreatic ductal adenocarcinoma.