About this trial
This is a longitudinal cohort study to assess the impact of repeated sampling of an oral microbiome signature for Barrett's esophagus (BE). Potential participants will be identified through chart review of patients who have had an endoscopy in the past three years.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Scheduled for an upper endoscopy or had upper endoscopy within past three years
Eighteen years of age or older
Capable of producing a saliva sample
Able to give informed consent
Disqualifiers
History of head and neck cancer or esophageal squamous cell or gastric cancer
History of esophageal or gastric surgery
Scheduled to undergo colonoscopy on the day of initial saliva collection
Scheduled only for Endoscopic retrograde cholangiopancreatography (ERCP) or Endoscopy ultrasound (EUS) without accompanying standard upper endoscopy on the day of initial saliva collection
Trial population
Enrollment will continue until a total of 250 subjects complete all three saliva specimen collections: * 50 BE patients * 200 controls The investigators anticipate that approximately 10% of subjects will not complete all three specimen collections and will be excluded from the primary outcome analyses. Thus, the investigators expect to enroll \~275 subjects to have 250 with three saliva specimen collections. There is no cap on enrollment per study site. The anticipated duration of enrollment is 2 years (24 months).
Trial design
Cohort
Prospective
Treatments tested in this trial
Sample collection
Other interventionCollection of saliva sample
Treatment groups
Trial outcomes
Primary outcomes
Performance characteristics of a microbiome-based classifier with repeated sampling
Using a classifier developed from 16S rRNA gene sequencing data, the investigators will calculate the area under the receiver operating curve (AUROC) and associated 95% confidence interval for a classifier with three repeated measures per subject.
Intra-class correlation coefficients (ICC) by BE status
This will be measured to determine the degree of consistency of a microbiome-based classifier for each individual's salivary microbiome assessments (three total per subject).
Sponsors and contacts
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Columbia University
Lead sponsor
University of Michigan
Collaborator
National Cancer Institute (NCI)
Collaborator