R10-R19
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Presentation to pediatric gastroenterology for diagnostic evaluation with anticipated blood sampling or direct presentation for clinically indicated endoscopy - Written informed consent obtained from parent(s)/legal guardian(s) and, where applicable, assent from the participant
Exclusion criteria
Exclusion criteria: - History of gastrectomy or other relevant anatomical alterations due to prior surgical interventions - Contraindications to biopsy sampling, including ongoing therapies or coagulation disorders that preclude safe tissue collection - Children in poor general condition or with malignant or severe chronic disease associated with a life expectancy of less than 10 years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The aim of this study is the early and comprehensive characterization of Helicobacter pylori-specific T cell immune responses following initial infection. The central research question is whether CagA-specific CD8? T cell responses are associated with infection status and, in particular, with evidence of spontaneous clearance of H. pylori. To address this, (CagA-specific) CD8? T cell responses in peripheral blood and gastric tissue will be analyzed and compared across patient groups stratified by serology and direct pathogen detection into the following categories: no evidence of infection, recent infection, ongoing infection, and post-elimination status. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary objectives include assessing whether CagA-specific CD8? T cells can already be detected in the human intestine during early phases of infection and whether they are associated with local immunological alterations. In addition, exploratory analyses will investigate whether CagA-positive H. pylori infection is associated with alterations of the intestinal microbiome in pediatric patients. | — |
Countries
Germany
Contacts
Zentrum für Kinder- und Jugendmedizin der Technische Universität München