NCT04511559

Brief Summary

The primary purpose of this trial is to describe the profile of ctDNA methylation in gastric cancer. The second purpose is to demonstrate the correlation between the plasma ctDNA methylation status and the diagnosis and prognosis of patients with early and intermediate stage gastric cancer.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
540

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Oct 2020

Longer than P75 for all trials

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

First Submitted

Initial submission to the registry

August 10, 2020

Completed
3 days until next milestone

First Posted

Study publicly available on registry

August 13, 2020

Completed
2 months until next milestone

Study Start

First participant enrolled

October 1, 2020

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2023

Completed
1.6 years until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2025

Completed
Last Updated

August 13, 2020

Status Verified

August 1, 2020

Enrollment Period

3 years

First QC Date

August 10, 2020

Last Update Submit

August 10, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Analysis ctDNA methylation status and its Correlation to early diagnosis and prognostic evaluation of gastric cancer.

    We will develop the linear model and a threshold value differentiating gastric cancer from control based on the 100 patient training set.

    1-2 years

Study Arms (3)

chronic gastritis

This group will include 80 patients with chronic gastritis and the diagnoses will be based on the British Society of Gastroenterology guidelines.

Diagnostic Test: Circulating Tumor DNA Methylation SequencingDiagnostic Test: tissue DNA Methylation Sequencing

Moderate to severe atrophy/intestinal metaplasia/

This group will include 80 patients with Moderate to severe atrophy/intestinal metaplasia/ and the diagnoses will be based on British Society of Gastroenterology guidelines.

Diagnostic Test: Circulating Tumor DNA Methylation SequencingDiagnostic Test: tissue DNA Methylation Sequencing

gastric cancer

This group will include 380 patients with gastric cancer and the diagnoses will be based on British Society of Gastroenterology guidelines.

Diagnostic Test: Circulating Tumor DNA Methylation SequencingDiagnostic Test: tissue DNA Methylation Sequencing

Interventions

Whole blood collection through venipuncture. DNA methylation levels by deep sequencing.

Moderate to severe atrophy/intestinal metaplasia/chronic gastritisgastric cancer

Isolate DNA from tissue samples from subjects. DNA methylation levels by deep sequencing.

Moderate to severe atrophy/intestinal metaplasia/chronic gastritisgastric cancer

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients who have been referred to the participating study sites for upper GI endoscopy for standard clinical indications.

You may qualify if:

  • The subject is scheduled to undergo an endoscopy because of medical indications.
  • The subject must have personally signed and dated the patient informed consent form indicating that he/she has been informed of all pertinent aspects of the study.
  • The subject must be willing and able to comply with all study procedures.

You may not qualify if:

  • The subject who is unable to undergo gastroscopy.
  • The subject with previous total or partial gastrectomy.
  • The subject has other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may interfere with the interpretation of study results and in the judgment of the investigator would make the subject unsuitable for entry into the study.
  • The subject is unwilling or unable to provide signed informed consent.
  • The subject who is pregnant.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (4)

  • Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018 Nov;68(6):394-424. doi: 10.3322/caac.21492. Epub 2018 Sep 12.

    PMID: 30207593BACKGROUND
  • Diaz LA Jr, Bardelli A. Liquid biopsies: genotyping circulating tumor DNA. J Clin Oncol. 2014 Feb 20;32(6):579-86. doi: 10.1200/JCO.2012.45.2011. Epub 2014 Jan 21.

    PMID: 24449238BACKGROUND
  • Kilgour E, Rothwell DG, Brady G, Dive C. Liquid Biopsy-Based Biomarkers of Treatment Response and Resistance. Cancer Cell. 2020 Apr 13;37(4):485-495. doi: 10.1016/j.ccell.2020.03.012.

    PMID: 32289272BACKGROUND
  • Gao Y, Zhang K, Xi H, Cai A, Wu X, Cui J, Li J, Qiao Z, Wei B, Chen L. Diagnostic and prognostic value of circulating tumor DNA in gastric cancer: a meta-analysis. Oncotarget. 2017 Jan 24;8(4):6330-6340. doi: 10.18632/oncotarget.14064.

    PMID: 28009985BACKGROUND

MeSH Terms

Conditions

Stomach Neoplasms

Condition Hierarchy (Ancestors)

Gastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesStomach Diseases

Central Study Contacts

Ling Dong, M.D. & Ph.D.

CONTACT

Ji-Min Zhu, M.D. & Ph.D.

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 10, 2020

First Posted

August 13, 2020

Study Start

October 1, 2020

Primary Completion

September 30, 2023

Study Completion

May 1, 2025

Last Updated

August 13, 2020

Record last verified: 2020-08