Early gastric cancer or adenoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: The indications for ESD for gastric neoplasms such as intramucosal gastric cancer and adenoma; (1) intramucosal papillary, well- or moderately-differentiated tubular adenocarcinoma of any size without ulceration, (2) intramucosal differentiated-type adenocarcinoma of less than 3 cm with an ulcer scar, (3) submucosal invasive cancer limited to 500 micrometer or less in invasion depth and differentiated-type adenocarcinoma of less than 3 cm without an ulcer scar and venous/lymphatic invasion
Exclusion criteria
Exclusion criteria: (1)Patients with malignancy in other organs (2)Patients with having allergy to drugs used for H. pylori eradication (3)Past episode of H. pylori treatment (4)Patients with regularly taking non-steroidal anti-inflammatory drugs (5)Patients with having a past history of esophagectomy or gastrectomy (6)Patients who have determined by the physicians to have any reasons of unqualified
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes of biomarkers related to carcinogenesis are evaluated at baseline and 1-yr after intervention with/without H. pylori eradication Primary endpoint: Change of microsatellite instability | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoint: Changes of promoter hypermethylation of some tumor-related genes | — |
Countries
Japan
Contacts
Hyogo College of Medicine Division of Gastroenterology, Department of Internal Medicine