NCT04253106

Brief Summary

Activating somatic mutations and methylation profiles identified by liquid biopsies could identify CDH1 and CTNNA1 pathogenic variants carriers with invasive diffuse gastric cancer undetectable by upper G-I endoscopy.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
16

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Nov 2020

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

First Submitted

Initial submission to the registry

January 31, 2020

Completed
5 days until next milestone

First Posted

Study publicly available on registry

February 5, 2020

Completed
10 months until next milestone

Study Start

First participant enrolled

November 26, 2020

Completed
3.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 10, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 10, 2024

Completed
Last Updated

September 23, 2024

Status Verified

September 1, 2024

Enrollment Period

3.4 years

First QC Date

January 31, 2020

Last Update Submit

September 20, 2024

Conditions

Keywords

gastrectomysomatic mutationsendoscopybiopsiesmethylation profil

Outcome Measures

Primary Outcomes (1)

  • Number of subjects in whom somatic mutations or methylation profiles are detected.

    Over two years of surveillance

Secondary Outcomes (1)

  • Replicability of observations over successive endoscopies. Correlation between blood and gastric fluid.

    Over two years of surveillance

Study Arms (2)

Unaffected carriers of constitutional mutations

EXPERIMENTAL

Patients with CDH1 or CTNNA1 germline pathogenic variant. No history of diffuse gastric cancer.

Genetic: Liquid biopsies (blood, gastric fluid).

All patients with FOGD

ACTIVE COMPARATOR

without observation of macroscopic lesions paired with cases (age and sex)

Genetic: Liquid biopsies (blood, gastric fluid).

Interventions

Next generation sequencing of a panel of diffuse gastric cancer genes, methylation analysis. Samples collected during routine screening endoscopy.

All patients with FOGDUnaffected carriers of constitutional mutations

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Case:
  • Patient ≥ 18 years old
  • CDH1 or CTNNA1 germline pathogenic variant.
  • No history of diffuse gastric cancer.
  • French social security.
  • Ability to understand and willingness to sign a written informed consent document.
  • Volunteers:
  • Patients ≥ 18 years old
  • Patients with no oncological history
  • Patients with macroscopically normal oeso-gastroduodenal fibroscopy
  • French social security.
  • Ability to understand and willingness to sign a written informed consent

You may not qualify if:

  • Patients with cancer being treated
  • Patients with metastatic cancer
  • Medical contraindication to general anesthesia or FOGD (bleeding disorder, pregnant women )
  • Patients under guardianship or curator

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hopital Pitié Salpetrière

Paris, Paris, 75013, France

Location

MeSH Terms

Conditions

Stomach Neoplasms

Interventions

Liquid BiopsyBlood Specimen Collection

Condition Hierarchy (Ancestors)

Gastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesStomach Diseases

Intervention Hierarchy (Ancestors)

BiopsyCytodiagnosisCytological TechniquesClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisSpecimen HandlingInvestigative TechniquesPuncturesSurgical Procedures, Operative

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
PARALLEL
Model Details: Multicentric, prospective non-randomized study prognostic aim. Control group planned to have standard values.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 31, 2020

First Posted

February 5, 2020

Study Start

November 26, 2020

Primary Completion

April 10, 2024

Study Completion

April 10, 2024

Last Updated

September 23, 2024

Record last verified: 2024-09

Data Sharing

IPD Sharing
Will share

The procedures carried out with the French data privacy authority (CNIL, Commission nationale de l\'informatique et des libertés) do not provide for the transmission of the database, nor do the information and consent documents signed by the patients. Consultation by the editorial board or interested researchers of individual participant data that underlie the results reported in the article after deidentification may nevertheless be considered, subject to prior determination of the terms and conditions of such consultation and in respect for compliance with the applicable regulations.

Shared Documents
STUDY PROTOCOL, ICF
Time Frame
Beginning 3 months and ending 3 years following article publication. Requests out of these time frame can also be submitted to the sponsor.
Access Criteria
Researchers who provide a methodologically sound proposal.

Locations