Barrett's oesophagus, dysplasia, aneuploidy or other molecular abnormalities and oesophageal adenocarcinoma Cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients will be recruited from those with Barrett’s oesophagus with or without other alterations (low-grade dysplasia [LGD] or high-grade dysplasia [HGD], any oesophageal or gastric cancer) undergoing endoscopy 2. Patients without Barrett’s oesophagus attending for a clinically indicated endoscopy may be recruited as controls 3. Patients must sign an informed consent form
Exclusion criteria
Exclusion criteria: 1. Patients in whom endoscopy and biopsy is contraindicated 2. Patients who are unable to give informed consent 3. Pregnant women 4. People under the age of 21 years 5. People who are non-English speakers
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Predictive accuracy of in vivo ESS for future cancer risk, particularly in patients undergoing routine endoscopic surveillance who are at low risk of progressing to oesophageal cancer 2. Ability to correlate endoscopy findings with cancer risk using genetic analysis of tissue or fluid samples 3. Predictive accuracy of ex vivo ESS and/or FTIRS for future cancer risk, particularly in patients undergoing routine endoscopic surveillance who are at low risk of progressing to oesophageal cancer 4. Ability of in vivo ESS to target biopsies to areas of dysplasia, aneuploidy or other molecular abnormalities | — |
Secondary
| Measure | Time frame |
|---|---|
| Ability of enhanced endoscopic imaging techniques including iScan to improve dysplasia detection and minimize the need for biopsies during endoscopic surveillance procedures | — |
Countries
United Kingdom