NCT03046745

Brief Summary

This study is a multi-center, prospective cohort study which are planned to enroll the 2,500 patients who diagnosed the primary gastric cancer and 5,000 healthy normal cohort participants for 5 years. All participants who enrolled in this registry, the participants were questioned by the gastric cancer survey and the serum and tissue of these participants were analyzed. The main aim of this study is

  1. 1.To evaluate the optimal interval of endoscopic screening for early detection of gastric cancer and risk factors in Korean.
  2. 2.To evaluate the diagnostic validity of serum biomarker (combining pepsinogen, H pylori IgG Antibody, and TFF3) as a screening test for detection of GC in Korean.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
9,000

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Aug 2016

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2016

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

February 5, 2017

Completed
3 days until next milestone

First Posted

Study publicly available on registry

February 8, 2017

Completed
4.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2021

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2022

Completed
Last Updated

May 19, 2020

Status Verified

May 1, 2020

Enrollment Period

4.7 years

First QC Date

February 5, 2017

Last Update Submit

May 17, 2020

Conditions

Keywords

Gastric cancer, endoscopy, pepsinogen, TFF3, biomarker

Outcome Measures

Primary Outcomes (1)

  • Prediction of risk factors for gastric cancer and definition of optimal endoscopic screening interval

    Up to 5 years

Secondary Outcomes (9)

  • The diagnostic validity of serum biomarker (serum pepsinogen and TFF3) for detection of gastric cancer

    up to 5 years

  • Analysis of proportion of each treatment of gastric cancer and 5 year survival

    up to 10 years

  • Analysis of quality of life questionnaire after early gastric cancer between endoscopic treatment group and surgery group

    up to 6 years

  • the incidence of gastric cancer development in control group

    up to 20 years

  • the incidence of metachronous gastric neoplasm after endoscopic treatment or surgery

    up to 10 years

  • +4 more secondary outcomes

Study Arms (2)

Gastric cancer group

The patients aged more than 18 years who were diagnosed primary gastric adenocarcinoma.

Control group

The participants aged more than 40 years without previous history of gastric cancer.

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

This cohort study is designed to enroll the patients who are diagnosed gastric cancer and healthy control participants by multicenter-prospective registry. From now on, we are willing to enroll about 2,500 gastric cancer patients and about 5,000 control group for 5 years.

You may qualify if:

  • The patients who were diagnosed of primary gastric adenocarcinoma and drew up agreement for understanding and enrollment of this study.

You may not qualify if:

  • Being treated (surgery, endoscopic resection and chemoradiation) after the diagnosis of gastric cancer; metastatic gastric cancer; refusal to participation of this study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Seong Woo Jeon

Daegu, South Korea

RECRUITING

Related Publications (10)

  • Lim SH, Kwon JW, Kim N, Kim GH, Kang JM, Park MJ, Yim JY, Kim HU, Baik GH, Seo GS, Shin JE, Joo YE, Kim JS, Jung HC. Prevalence and risk factors of Helicobacter pylori infection in Korea: nationwide multicenter study over 13 years. BMC Gastroenterol. 2013 Jun 24;13:104. doi: 10.1186/1471-230X-13-104.

  • Forman D, Newell DG, Fullerton F, Yarnell JW, Stacey AR, Wald N, Sitas F. Association between infection with Helicobacter pylori and risk of gastric cancer: evidence from a prospective investigation. BMJ. 1991 Jun 1;302(6788):1302-5. doi: 10.1136/bmj.302.6788.1302.

  • Parsonnet J, Friedman GD, Vandersteen DP, Chang Y, Vogelman JH, Orentreich N, Sibley RK. Helicobacter pylori infection and the risk of gastric carcinoma. N Engl J Med. 1991 Oct 17;325(16):1127-31. doi: 10.1056/NEJM199110173251603.

  • Helicobacter and Cancer Collaborative Group. Gastric cancer and Helicobacter pylori: a combined analysis of 12 case control studies nested within prospective cohorts. Gut. 2001 Sep;49(3):347-53. doi: 10.1136/gut.49.3.347.

  • Lee YC, Chiang TH, Chou CK, Tu YK, Liao WC, Wu MS, Graham DY. Association Between Helicobacter pylori Eradication and Gastric Cancer Incidence: A Systematic Review and Meta-analysis. Gastroenterology. 2016 May;150(5):1113-1124.e5. doi: 10.1053/j.gastro.2016.01.028. Epub 2016 Feb 2.

  • Dhillon PK, Farrow DC, Vaughan TL, Chow WH, Risch HA, Gammon MD, Mayne ST, Stanford JL, Schoenberg JB, Ahsan H, Dubrow R, West AB, Rotterdam H, Blot WJ, Fraumeni JF Jr. Family history of cancer and risk of esophageal and gastric cancers in the United States. Int J Cancer. 2001 Jul 1;93(1):148-52. doi: 10.1002/ijc.1294.

  • Minami Y, Tateno H. Associations between cigarette smoking and the risk of four leading cancers in Miyagi Prefecture, Japan: a multi-site case-control study. Cancer Sci. 2003 Jun;94(6):540-7. doi: 10.1111/j.1349-7006.2003.tb01480.x.

  • Iijima K, Koike T, Abe Y, Ara N, Uno K, Imatani A, Ohara S, Shimosegawa T. Alteration of correlation between serum pepsinogen concentrations and gastric acid secretion after H. pylori eradication. J Gastroenterol. 2009;44(8):819-25. doi: 10.1007/s00535-009-0066-2. Epub 2009 May 14.

  • Nam SY, Jeon SW, Kwon JG, Chung YJ, Kwon YH, Lee SH, Lee JY, Yang CH, Jo J. Association of Soy Foods With Gastric Cancer Considering Helicobacter pylori: A Multi-Center Case-Control Study. J Gastric Cancer. 2024 Oct;24(4):436-450. doi: 10.5230/jgc.2024.24.e39.

  • Lee HS, Jeon SW, Nomura S, Seto Y, Kwon YH, Nam SY, Ishibashi Y, Ohtsu H, Ohmoto Y, Yang HM. Screening Biomarker as an Alternative to Endoscopy for the Detection of Early Gastric Cancer: The Combination of Serum Trefoil Factor Family 3 and Pepsinogen. Gastroenterol Res Pract. 2018 May 9;2018:1024074. doi: 10.1155/2018/1024074. eCollection 2018.

Biospecimen

Retention: SAMPLES WITHOUT DNA

Serum: pepsinogen I and II, Helicobacter pylori IgG Antibody, serum TFF3 Gastric mucosal specimen: tumor and normal mucosa

MeSH Terms

Conditions

Stomach Neoplasms

Condition Hierarchy (Ancestors)

Gastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesStomach Diseases

Study Officials

  • Seong Woo Jeon, Professor

    Gastric Cancer Center, Kyungpook National University Medical Center

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Seong Woo Jeon, Professor

CONTACT

Yong Hwan Kwon, Doctor

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

February 5, 2017

First Posted

February 8, 2017

Study Start

August 1, 2016

Primary Completion

April 1, 2021

Study Completion

April 1, 2022

Last Updated

May 19, 2020

Record last verified: 2020-05

Locations