Genetic Determinants of Barrett's Esophagus and Esophageal Adenocarcinoma (FBE)
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ClinicalTrials.gov Identifier: NCT00288119 |
Recruitment Status :
Recruiting
First Posted : February 7, 2006
Last Update Posted : May 9, 2024
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Tracking Information | ||||||||||||||||||||||||||||||||||
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First Submitted Date | February 6, 2006 | |||||||||||||||||||||||||||||||||
First Posted Date | February 7, 2006 | |||||||||||||||||||||||||||||||||
Last Update Posted Date | May 9, 2024 | |||||||||||||||||||||||||||||||||
Actual Study Start Date | October 1, 2005 | |||||||||||||||||||||||||||||||||
Estimated Primary Completion Date | July 31, 2028 (Final data collection date for primary outcome measure) | |||||||||||||||||||||||||||||||||
Current Primary Outcome Measures |
Assay of DNA and RNA markers [ Time Frame: 1 week ] The Balloon tip is collected and sent to the PacificDx Laboratory in Irvine California to test for DNA extraction
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Original Primary Outcome Measures | Not Provided | |||||||||||||||||||||||||||||||||
Change History | ||||||||||||||||||||||||||||||||||
Current Secondary Outcome Measures |
Score of tolerability and acceptability [ Time Frame: 1 minute after procedure ] 6 item scale rating scale using scale of 1-10 where 1 is no worries to 10 being severe to rate Tolerability; and a 3 item scale rating the acceptability of Balloon Capsule Device using strongly agree to strongly disagree rating
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Original Secondary Outcome Measures | Not Provided | |||||||||||||||||||||||||||||||||
Current Other Pre-specified Outcome Measures | Not Provided | |||||||||||||||||||||||||||||||||
Original Other Pre-specified Outcome Measures | Not Provided | |||||||||||||||||||||||||||||||||
Descriptive Information | ||||||||||||||||||||||||||||||||||
Brief Title | Genetic Determinants of Barrett's Esophagus and Esophageal Adenocarcinoma | |||||||||||||||||||||||||||||||||
Official Title | Genetic and Environmental Determinants of Barrett's Esophagus and Esophageal Adenocarcinoma | |||||||||||||||||||||||||||||||||
Brief Summary | The overall objectives of this BETRNet Research Center (RC) are:
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Detailed Description | This research will eventually lead to the identification of inherited genetic changes that cause Barrett's esophagus and esophageal cancer. It will help the investigators develop better methods for preventing or identifying esophageal cancer at an early curable stage. The capsule can be swallowed with a few sips water. Once the capsule is advanced to 45-50 cm from the incisors and reaches the stomach the balloon is inflated to a size of 16 mm with 5.5 cc air. It is withdrawn until a tug is felt to locate the gastroesophageal junction (GEJ). The inflated balloon is then pulled back 3 to 5 cm to sample the distal esophagus, then completely deflated to cause inversion of the biospecimen into its protective capsule, and then withdrawn. The balloon is re-inflated outside the patient and the obtained sample is clipped with scissors into a vial and frozen. The collected biospecimen will be stored frozen for later DNA extraction and assay. The vials will be labeled with a coded sample number. In a pilot study of 120 subjects this capsule esophageal sampling was performed with no adverse events reported. Similar esophageal sampling devices have been reported on over 1600 patients with no adverse events. All patients will also undergo standard EGD. Patients with BE or EAC will have standard of care surveillance and diagnostic biopsies. All cases and controls will have research esophageal brushings from the BE/EAC and distal esophagus/gastric cardia, respectively. Cases and controls will also obtain research brushings from the proximal normal squamous esophagus. Research mucosal biopsies will also be obtained from the BE and EAC epithelium as well as normal stomach and duodenum in cases and from the gastric cardia and the distal squamous esophagus as well as normal stomach and duodenum in controls. Biopsies from BE and EAC will be directed by using high definition narrow band imaging. Biospecimens, brushings and biopsies, will be snap frozen at bedside and stored for future research assays. Although we do not anticipate any problems with our non-endoscopic balloon screening, these archived pathology samples and snap frozen samples will be available for assay in case we fail to detect our markers in patients with BE diagnosed at EGD or experience a high false positive rate. Subjects who undergo non-endoscopic sampling of the distal esophagus will be asked questions that rate their discomfort on a Likert scale and also asked questions comparing the non-endoscopic sampling study with an EGD. |
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Study Type | Observational | |||||||||||||||||||||||||||||||||
Study Design | Observational Model: Case-Control Time Perspective: Cross-Sectional |
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Target Follow-Up Duration | Not Provided | |||||||||||||||||||||||||||||||||
Biospecimen | Retention: Samples With DNA Description: Blood Samples from + families with 3 or members diagnosed with BE or ECA will be sent to our NIH approved Biorepository and this repository is designed to help all researchers performing studies on the genetic basis of diseases. Biospecimens, brushings and biopsies, will be obtained via snap frozen at bedside and stored for future research assays at Case Western Reserve Biorepository. Balloon Capsule Device Tips are sent to the University Hospitals Transnational Laboratory in Cleveland. The tips are processed for process of assay of DNA and RNA. |
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Sampling Method | Non-Probability Sample | |||||||||||||||||||||||||||||||||
Study Population | Individuals with Barrett's esophagus or adenocarcenoma of the esophagus whose medical care is at the participating institutions, are referred from outside institutions, or who contact the participating institutions. | |||||||||||||||||||||||||||||||||
Condition |
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Intervention |
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Study Groups/Cohorts |
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Publications * |
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* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline. |
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Recruitment Information | ||||||||||||||||||||||||||||||||||
Recruitment Status | Recruiting | |||||||||||||||||||||||||||||||||
Estimated Enrollment |
2000 | |||||||||||||||||||||||||||||||||
Original Enrollment |
1000 | |||||||||||||||||||||||||||||||||
Estimated Study Completion Date | July 31, 2028 | |||||||||||||||||||||||||||||||||
Estimated Primary Completion Date | July 31, 2028 (Final data collection date for primary outcome measure) | |||||||||||||||||||||||||||||||||
Eligibility Criteria | Eligible cases will be defined as those patients and their family members who meet the following criteria:
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Sex/Gender |
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Ages | 18 Years and older (Adult, Older Adult) | |||||||||||||||||||||||||||||||||
Accepts Healthy Volunteers | Yes | |||||||||||||||||||||||||||||||||
Contacts |
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Listed Location Countries | United States | |||||||||||||||||||||||||||||||||
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Administrative Information | ||||||||||||||||||||||||||||||||||
NCT Number | NCT00288119 | |||||||||||||||||||||||||||||||||
Other Study ID Numbers | R01DK070863( U.S. NIH Grant/Contract ) NIH IK24DK02800 |
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Has Data Monitoring Committee | Yes | |||||||||||||||||||||||||||||||||
U.S. FDA-regulated Product |
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IPD Sharing Statement |
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Current Responsible Party | Case Western Reserve University | |||||||||||||||||||||||||||||||||
Original Responsible Party | Not Provided | |||||||||||||||||||||||||||||||||
Current Study Sponsor | Case Western Reserve University | |||||||||||||||||||||||||||||||||
Original Study Sponsor | National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) | |||||||||||||||||||||||||||||||||
Collaborators |
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Investigators |
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PRS Account | Case Western Reserve University | |||||||||||||||||||||||||||||||||
Verification Date | May 2024 |