About this trial
Oesophagogastric cancer (cancer of the gullet and stomach) is the fifth most common cancer in England and Wales with 16,000 new cases diagnosed every year. Survival rates are poor with only 15% surviving beyond 5 years. There is also increasing research to understand the cancer biology and factors allowing cancers to progress. It is likely there is a relationship between the cancer-specific microbiome, cells related to inflammation, which promotes cancer progression. The BIORESOURCE 1 study has established a comprehensive resource of matched samples from patients with oesophageal and gastric cancer. This longitudinal study aims to obtain further matched biosamples in the follow-up period after cancer surgery to find biomarkers that may predict treatment response, recurrence and/or long term prognosis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged 18-90 years at the time of initial recruitment
Gastric/oesophageal adenocarcinoma cohort (biopsy proven adenocarcinoma) recruited into BIORESOURCE 1
Disqualifiers
Oesophageal squamous cell carcinoma
Previous oesophageal and gastric resection
History of another cancer within five years. If a new other cancer type is diagnosed within the sampling time frame, no further samples will be taken.
Participants with co-morbidities preventing breath collection
Trial population
Patients seen in a hospital (secondary or tertiary level care) setting
Trial design
Case-only
Prospective
Treatments tested in this trial
Biosample collection
Other interventionCollection of saliva, urine, blood, breath and quality of life questionnaires.
Treatment groups
Trial outcomes
Primary outcomes
Salivary microbial biomarkers to predict treatment response and long-term prognosis
Changes in the presence and/or abundance of bacteria over a 2 year period, measured primarily within saliva.
Secondary outcomes
Breath volatile organic compound profile alterations of oesophagogastric cancer pre- and post- treatment
Changes in the VOC profile using gas chromatography mass spectrometry.
Quality of life measure up to 2 years following cancer surgery using validated questionnaires
Assessment in the longitudinal changes of quality of life measures using validated questionnaires.
Sponsors and contacts
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Imperial College London
Lead sponsor
Cancer Research UK
Collaborator