About this trial
A prospective outcomes study in patients with and esophageal cancer (EAC) and Barrett's esophagus (BE) associated neoplasia being evaluated for endoscopic eradication therapy (EET).
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Patients with Barrett's related neoplasia and dysplasia. Patients with esophageal cancer
Disqualifiers
Patients with squamous cell carcinoma
Trial population
Formation of a multi-site prospective database of patients with BE associated neoplasia referred for consideration for EET and EAC. Women and minorities will be included as they are found to have BE, BE related dysplasia, and EAC. It is well recognized that the majority of patients diagnosed with BE are white males. However, we will actively seek to include all women and minorities with a diagnosis of BE associated neoplasia for the study.
Trial design
Cohort
Prospective
Treatments tested in this trial
Endoscopic eradication therapies (EET)
Procedure/SurgeryEndoscopic eradication therapies (EET) includes endoscopic mucosal resection (EMR), which describes the process by which the area most likely to harbor highest grade of dysplasia/neoplasia is removed; radiofrequency ablation (RFA), which describes the process by which Barrett's segments are removed via burning/ablation; and cryotherapy.
Esophagectomy
Procedure/SurgeryThe esophagus is surgically removed
Chemotherapy
DrugChemical substances are used to treat cancer
Radiation
RadiationCancer cells are destroyed by radiation therapy.
Treatment groups
Trial outcomes
Primary outcomes
Overall improvement of patient outcomes in patients treated with endoscopic eradication therapy (EET).
A systematic, prospective collection of data from a large cohort of patients with BE and EAC undergoing EET will provide useful data in effort to improve overall patient outcomes.
Secondary outcomes
Long-term effectiveness or durability of EET in BE related neoplasia.
To report on long-term effectiveness or durability of EET in BE related neoplasia.
Quality of life (QOL) in patients undergoing endoscopic eradication therapies for Barrett's associated neoplasia
To assess quality of life (QOL) using the Promise GERD HRQL (Health Related Quality of Life) questionnaire in patients undergoing endoscopic eradication therapies for Barrett's associated neoplasia
Recurrence rate of neoplasia
To report on the recurrence rate of neoplasia (defined as number of patients with established eradicated neoplasia post-EET who are found to have recurrent intestinal metaplasia on subsequent surveillance biopsies)
Recurrence rate of intestinal metaplasia
To report on the recurrence rate intestinal metaplasia (defined as number of patients with established eradicated intestinal metaplasia and/or neoplasia post-EET who are found to have recurrent intestinal metaplasia on subsequent surveillance biopsies).
Sponsors and contacts
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University of Colorado, Denver
Lead sponsor
Northwestern University
Collaborator
University of California, Los Angeles
Collaborator
H. Lee Moffitt Cancer Center and Research Institute
Collaborator
California Pacific Medical Center
Collaborator