About this trial
Since much is unknown about factors that lead to progression of the pre-neoplastic lesions and cancer. In addition, there is ongoing debate on the optimal surveillance intervals and techniques. To solve these important clinical questions, the establishment of a registry for a longitudinal study is planned.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Adults >= 18 years of age
Written informed consent obtained
Diagnosed with current or past H. pylori infection,
Histologically proven atrophic gastritis (body and/or antrum of stomach), intestinal metaplasia (complete and incomplete), dysplasia (any grade) and/or gastric cancer (post- treatment)
Disqualifiers
Co-morbid illness that prohibit endoscopic surveillance
Declines for study questionnaire, biobanking of specimens and/or regular review per study protocol
Trial population
Inclusion Criteria 1. Adults \>= 18 years of age 2. Written informed consent obtained 3. Diagnosed with current or past H. pylori infection, 4. Histologically proven atrophic gastritis (body and/or antrum of stomach), intestinal metaplasia (complete and incomplete), dysplasia (any grade) and/or gastric cancer (post-treatment) Exclusion Criteria 1. Co-morbid illness that prohibit endoscopic surveillance 2. Declines for study questionnaire, biobanking of specimens and/or regular review per study protocol
Trial design
Cohort
Prospective
Treatments tested in this trial
Esophagogastroduodenoscopy
Diagnostic testTo set up a prospective study and registry (HAR-P) for patients with H. pylori infection, atrophic gastritis or intestinal metaplasia to evaluate their clinical features and outcomes. The objectives include: 1. Assess the short- and long-term patient outcomes of H. pylori patients 2. Characterize factors involved in the progression or regression of pre-neoplastic lesions, namely atrophic gastritis and intestinal metaplasia 3. Gather information for a better understanding on the efficacy and role of surveillance 4. Potential for the development of new screening/surveillance strategies and tools for better risk stratification of patients 5. Establish a biobank for H. pylori, atrophic gastritis and intestinal metaplasia patients
Treatment groups
Trial outcomes
Primary outcomes
Clinical outcomes of H. pylori patients
Prevalence of H. Pylori, atrophic gastritis, intestinal metaplasia, gastric cancer
Secondary outcomes
Risk factors of gastric pre-cancerous lesions and cancers
Proportion and risk factors for developing gastric pre-cancerous lesions and cancers
Risk factors of atrophic gastirtis
Proportion and risk factors for developing atrophic gastritis
Risk factors of intestinal metaplasia
Proportion and risk factors for developing intestinal metaplasia and progression
Sponsors and contacts
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