NCT07605312

Brief Summary

Upper digestive tract cancers are often preceded by pre-malignant lesions, but there is limited evidence regarding optimal risk prediction models and screening strategies for disease progression and cancer development. This prospective multicenter cohort study aims to establish a longitudinal database integrating clinical information, endoscopic findings, pathology, genetics, epigenetics, and gastrointestinal microbiota data from subjects undergoing upper digestive tract endoscopy. The study will develop explainable artificial intelligence (AI)-based risk prediction models to identify factors associated with disease progression, treatment response, and cancer development. Participants will be followed longitudinally to evaluate changes in lesion severity and clinical outcomes.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
10,000

participants targeted

Target at P75+ for all trials

Timeline
49mo left

Started May 2026

Longer than P75 for all trials

Status
not yet recruiting

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

May 17, 2026

Completed
1 day until next milestone

Study Start

First participant enrolled

May 18, 2026

Completed
4 days until next milestone

First Posted

Study publicly available on registry

May 22, 2026

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 18, 2030

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 18, 2030

Last Updated

May 22, 2026

Status Verified

May 1, 2026

Enrollment Period

4 years

First QC Date

May 17, 2026

Last Update Submit

May 17, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Upper digestive tract cancer development

    "From enrollment to the end of follow-up at 10 years"

Secondary Outcomes (5)

  • Progression in pre-malignant lesions

    From enrollment to the end of follow-up at 10 years

  • Recurrent colon polyps

    From enrollment to the end of follow-up at 10 years

  • Other cancer development

    From enrollment to the end of follow-up at 10 years

  • Metabolic and cardiovascular disease

    From enrollment to the end of follow-up at 10 years

  • Response to medication in gastro-esophageal reflux and dyspepsia population

    From enrollment to the end of follow-up at 10 years

Eligibility Criteria

Age40 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

* Patients with a history of surgery involving the esophagus, stomach, or duodenum. * Patients with gastric deformity secondary to severe gastric inflammation. * Patients unable to undergo regular follow-up upper gastrointestinal endoscopy every 1-3 years. * Patients with severe comorbidities that preclude follow-up upper gastrointestinal endoscopy or with an estimated life expectancy of less than 10 years.

You may qualify if:

  • Patients undergoing upper gastrointestinal endoscopy.
  • Patients with at least one of the following conditions or indications:
  • Previous or current Helicobacter pylori infection (confirmed by serology, histopathology, urea breath test, rapid urease test, or stool antigen test);
  • Dyspeptic symptoms;
  • Gastroesophageal reflux disease;
  • History of oral, oropharyngeal, or hypopharyngeal squamous cell carcinoma;
  • Barrett's esophagus;
  • Gastric premalignant lesions (intestinal metaplasia or atrophic gastritis);
  • Gastric subepithelial lesions.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Biospecimen

Retention: SAMPLES WITH DNA

Upper GI Endoscopic biopsy or resected samples Blood

MeSH Terms

Conditions

Stomach NeoplasmsGastritis, AtrophicEsophageal Neoplasms

Condition Hierarchy (Ancestors)

Gastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesStomach DiseasesGastritisGastroenteritisHead and Neck NeoplasmsEsophageal Diseases

Central Study Contacts

Jyh-Ming Liou, MD, PhD

CONTACT

Tzu-Chan Hong, MD, PhD

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
10 Years
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 17, 2026

First Posted

May 22, 2026

Study Start

May 18, 2026

Primary Completion (Estimated)

May 18, 2030

Study Completion (Estimated)

May 18, 2030

Last Updated

May 22, 2026

Record last verified: 2026-05