AI Prediction of Gastric Cancer Response to Neoadjuvant Chemotherapy
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ClinicalTrials.gov Identifier: NCT06035250 |
Recruitment Status :
Recruiting
First Posted : September 13, 2023
Last Update Posted : September 28, 2023
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Tracking Information | |||||||||||||||||
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First Submitted Date | August 13, 2023 | ||||||||||||||||
First Posted Date | September 13, 2023 | ||||||||||||||||
Last Update Posted Date | September 28, 2023 | ||||||||||||||||
Actual Study Start Date | September 10, 2023 | ||||||||||||||||
Estimated Primary Completion Date | August 31, 2024 (Final data collection date for primary outcome measure) | ||||||||||||||||
Current Primary Outcome Measures |
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Original Primary Outcome Measures | Same as current | ||||||||||||||||
Change History | |||||||||||||||||
Current Secondary Outcome Measures |
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Original Secondary Outcome Measures | Same as current | ||||||||||||||||
Current Other Pre-specified Outcome Measures | Not Provided | ||||||||||||||||
Original Other Pre-specified Outcome Measures | Not Provided | ||||||||||||||||
Descriptive Information | |||||||||||||||||
Brief Title | AI Prediction of Gastric Cancer Response to Neoadjuvant Chemotherapy | ||||||||||||||||
Official Title | Deep Learning-Based Prediction of Gastric Cancer Response to Neoadjuvant Chemotherapy | ||||||||||||||||
Brief Summary | This study seeks to develop a deep-learning-based intelligent predictive model for the efficacy of neoadjuvant chemotherapy in gastric cancer patients. By utilizing the patients' CT imaging data, biopsy pathology images, and clinical information, the intelligent model will predict the post-neoadjuvant chemotherapy efficacy and prognosis, offering assistance in personalized treatment decisions for gastric cancer patients. | ||||||||||||||||
Detailed Description | This study seeks to develop a deep learning model to predict the outcomes of neoadjuvant chemotherapy in patients with gastric cancer. Leveraging participants' CT scans, biopsy pathology images, and clinical profiles, this model aims to forecast the effectiveness of post-neoadjuvant chemotherapy and the subsequent prognosis, thereby aiding in individualized treatment choices for these participants. Data Collection: The investigators will gather data from 1,800 retrospective cases and 200 prospective cases from multiple hospitals. The retrospective data will be divided into training and testing sets to train and validate the model, respectively. The model's performance will subsequently be evaluated using the prospective dataset. Clinical Information: This encompasses the participant's gender, age, tumor markers, staging, type, specific treatment plans, pre and post-treatment lab results, etc. Imaging Data: CT imaging data taken within one month prior to the neoadjuvant chemotherapy, with at least the venous phase CT imaging included. Pathology Data: Pathology images from a gastric tumor biopsy stained with Hematoxylin and Eosin (HE) taken within one month prior to treatment. TRG Grading: Based on the pathology report of the surgical samples using the Ryan TRG grading system. Prognostic Endpoints: The recorded endpoints are a 3-year progression-free survival (PFS) and a 5-year overall survival (OS). All deaths due to non-disease factors are excluded from the prognosis analysis. |
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Study Type | Observational | ||||||||||||||||
Study Design | Observational Model: Cohort Time Perspective: Prospective |
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Target Follow-Up Duration | Not Provided | ||||||||||||||||
Biospecimen | Retention: Samples With DNA Description: The biospecimens consist of gastric tumor biopsy samples, collected from each patient prior to the initiation of neoadjuvant chemotherapy. These specimens undergo HE (Hematoxylin and Eosin) staining for pathology imaging.
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Sampling Method | Non-Probability Sample | ||||||||||||||||
Study Population | The study population comprises gastric cancer patients from various hospitals. Participants are individuals diagnosed with advanced gastric cancer and are currently undergoing neoadjuvant chemotherapy treatments. Selection is based on criteria such as age, specific diagnosis, past treatment history, and the clarity of their medical images and pathology images. | ||||||||||||||||
Condition |
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Intervention | Drug: Neoadjuvant Chemotherapy
Participants in this group are diagnosed with gastric cancer and are scheduled to undergo neoadjuvant chemotherapy as a part of their treatment regimen. The specific chemotherapy drugs, dosages, and schedules will be determined according to established clinical guidelines and the participant's specific condition.
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Study Groups/Cohorts | Gastric Cancer Patients Undergoing Neoadjuvant Chemotherapy
This group comprises participants diagnosed with advanced gastric cancer. The participants will be treated with standard neoadjuvant chemotherapy regimens recommended by clinical guidelines. Treatment details, including the generic name of the drugs, dosage form, dosage, frequency, and duration, will be recorded according to the specific regimen.
Intervention: Drug: Neoadjuvant Chemotherapy
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Publications * | Not Provided | ||||||||||||||||
* 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 |
200 | ||||||||||||||||
Original Estimated Enrollment | Same as current | ||||||||||||||||
Estimated Study Completion Date | December 31, 2029 | ||||||||||||||||
Estimated Primary Completion Date | August 31, 2024 (Final data collection date for primary outcome measure) | ||||||||||||||||
Eligibility Criteria | Inclusion Criteria:
Exclusion Criteria:
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Sex/Gender |
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Ages | 18 Years and older (Adult, Older Adult) | ||||||||||||||||
Accepts Healthy Volunteers | No | ||||||||||||||||
Contacts |
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Listed Location Countries | China, Italy | ||||||||||||||||
Removed Location Countries | |||||||||||||||||
Administrative Information | |||||||||||||||||
NCT Number | NCT06035250 | ||||||||||||||||
Other Study ID Numbers | CASMI004 | ||||||||||||||||
Has Data Monitoring Committee | Yes | ||||||||||||||||
U.S. FDA-regulated Product |
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IPD Sharing Statement |
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Current Responsible Party | Di Dong, Institute of Automation, Chinese Academy of Sciences | ||||||||||||||||
Original Responsible Party | Same as current | ||||||||||||||||
Current Study Sponsor | Chinese Academy of Sciences | ||||||||||||||||
Original Study Sponsor | Same as current | ||||||||||||||||
Collaborators |
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Investigators |
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PRS Account | Chinese Academy of Sciences | ||||||||||||||||
Verification Date | September 2023 |