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.