About this trial
The goal of this minimally invasive interventional study is to learn if oncometabolic biomarkers, detected in the exhaled breath and blood can identify early-stage gastro-oesophageal cancer in patient at risk for gastro-oesophageal cancer.
The main questions this study aims to answer:
Are oncometabolites proficient and reproducible enough to function as diagnostic biomarkers? Can these biomarkers identify early-stage gastro-esophageal cancer? Researchers will compare participants with gastro-oesophageal cancer to healthy controls and participants with Barrett's esophagus to detect meaningful differences between the groups.
Participants will provide a breath and blood sample during their routine standard of care visits.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Voluntary written informed consent of the participant or their legally authorized representative has been obtained prior to any breath or blood analysis
>18 years old
Barrett's esophagus or treatment naïve gastro-esophageal cancer stage I to IV
Voluntary healthy controls
Disqualifiers
<18 years old
Active other cancer than gastro-esophageal cancer
Prior cancer treated <3 years ago
Hepatic dysfunction/liver failure (MELT >7)
Trial design
Parallel
Treatments tested in this trial
Breath analysis
Diagnostic testDetection of proteins and volatile organic compounds (oncometabolites) in the exhaled breath
Blood analysis
Diagnostic testDetection of proteins and circulating tumor DNA (oncometabolites) in the peripheral blood
Treatment groups
Trial outcomes
Primary outcomes
Identification of the concentrations of oncometabolites
Identify the concentrations of cancer-related metabolites (oncometabolites) in the exhaled breath and blood compared to healthy controls
Secondary outcomes
Assessment of incidence of early-stage cancer
Distinguish early-stage gastro-oesophageal cancer from Barrett's esophagus and healthy controls based on sensitivity, specificity and accuracy of the oncometabolite concentration
Assessment of incidence of therapy response
Predict and assess therapy response prior to surgery, based on sensitivity, specificity and accuracy of the oncometabolite concentration
Assessment of percentage change of therapy response
Assess changes in the concentrations of the oncometabolites related to treatment.
Assessment of incidence of recurrence
Predict and assess recurrence, based on sensitivity, specificity and accuracy of the oncometabolite concentration
Sponsors and contacts
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KU Leuven
Lead sponsor
Universitaire Ziekenhuizen KU Leuven
Sponsor institution