EsophaCap for the Detection of Early Esophageal Carcinoma

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorJohns Hopkins University

About this trial

This study is to identify potential biomarkers for the early detection of Barrett's Esophagus, esophageal carcinoma (both adenocarcinoma and squamous cell carcinoma), and gastric cancer via sponge cytology.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Undergoing esophagogastroduodenoscopy at Johns Hopkins Hospital from 1/2016 to 12/2025

Age greater than 18 years

Patients must be able to swallow a capsule

Disqualifiers

Patients in either arm with extra-esophageal malignancies including head and neck and gastric cancer

Patients who have undergone esophagectomy

Patients who have undergone radiation to the chest

Patients who are younger than 18

Trial population

Patients scheduled for clinically indicated upper endoscopy will be approached to participate in this study.

Trial design

Design model

Case-control

Time perspective

Cross-sectional

Treatments tested in this trial

Not listed

Trial groups

2,500 Participants
are grouped into 4 trial groups
Group A: Control
Group B: Barrett's esophagus
Group C: Esophageal carcinoma
Group D: Gastric cancer

Trial outcomes

Primary outcomes

1

Difference in methylation of gene markers to discriminate Barrett's esophagus from non-pathological esophageal squamous and gastric cardia tissue.

Using DNA methylation, we plan on identifying, from a pool of highly selected marker candidates, the best biomarkers that are aberrantly methylated in Barrett's esophagus versus control in order to differentiate between subjects who have Barrett's esophagus and those who do not have Barrett's esophagus. This is measure using methylation index and the calculated probability score from different methylation index values.

Time frame
1 day
2

Difference in methylation of gene markers to discriminate esophageal carcinoma from non-pathological esophageal squamous and gastric cardia tissue.

Using DNA methylation, we plan on identifying, from a pool of highly selected marker candidates, the best biomarkers that are aberrantly methylated in esophageal cancer versus control in order to differentiate between subjects who have esophageal cancer and those who do not. This is measure using methylation index and the calculated probability score from different methylation index values.

Time frame
1 day
3

Difference in methylation of gene markers to discriminate gastric cancer from non-pathological esophageal squamous and gastric cardia tissue.

Using DNA methylation, we plan on identifying, from a pool of highly selected marker candidates, the best biomarkers that are aberrantly methylated in gastric cancer versus control in order to differentiate between subjects who have gastric cancer and those who do not. This is measure using methylation index and the calculated probability score from different methylation index values.

Time frame
1 day

Secondary outcomes

1

Sensitivity of candidate biomarker p16

Sensitivity of each candidate biomarker will be calculated by measuring the area under receiver operating characteristic curve generated from methylation index data.

Time frame
1 day
2

Sensitivity of candidate biomarker NELL1

Sensitivity of each candidate biomarker will be calculated by measuring the area under receiver operating characteristic curve generated from methylation index data.

Time frame
1 day
3

Sensitivity of candidate biomarker AKAP12

Sensitivity of each candidate biomarker will be calculated by measuring the area under receiver operating characteristic curve generated from methylation index data.

Time frame
1 day
4

Sensitivity of candidate biomarker TAC1

Sensitivity of each candidate biomarker will be calculated by measuring the area under receiver operating characteristic curve generated from methylation index data.

Time frame
1 day

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Johns Hopkins University

Lead sponsor

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator