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PCLE for the Diagnosis of Gastric Intestinal Metaplasia, Intraepithelial Neoplasia, and Carcinoma

Probe-based Confocal Laser Endomicroscopy for the Diagnosis of Gastric Intestinal Metaplasia,Intraepithelial Neoplasia,and Carcinoma:A Multicenter,Randomized,Controlled Trial

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02515721
Acronym
PCLE
Enrollment
242
Registered
2015-08-05
Start date
2014-07-31
Completion date
Unknown
Last updated
2015-08-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diagnostic Yield of Gastric Neoplasia

Brief summary

Early detection of gastric intestinal metaplasia (GIM) intraepithelial neoplasia (IN), and gastric cancer are essential to improve patients' outcomes. This study aims to compare the diagnostic yield of GIM, IN and early gastric cancer (EGC) by iScan combined probe-based confocal laser endomicroscopy (pCLE) and iScan alone.

Interventions

DEVICEpCLE-TB

Patients will receive white-light endoscopic imaging, followed by probe-based Confocal Laser Endomicroscopy scanning on suspected lesions and 5 standardized locations. Then targeted Biopsies will be performed on locations with intestinal metaplasia, intraepithelial neoplasia, and carcinoma.

DEVICEvirtual chromoendoscopy-TB

Patients will receive virtual chromoendoscopy using iScan. Standard biopsies will be performed on all suspected lesions and standardized loctaions.

Sponsors

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
CollaboratorOTHER
Tongji Hospital
CollaboratorOTHER
Zhejiang University
CollaboratorOTHER
Shandong University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* aged between 18 and 80; * patients with previous pathologic diagnosis of atrophic gastritis, gastric intestinal metaplasia, and low-grade intraepithelial neoplasia; * agree to give written informed consent.

Exclusion criteria

* Patients with gastrectomy, acute GI bleeding, and known gastric neoplasia; * Patients under conditions unsuitable for performing CLE including coagulopathy (prothrombin time \<50% of control, partial thromboplastin time \>50 s), impaired renal function (creatinine level \>1.2 mg/dL), pregnancy or breastfeeding, and known allergy to fluorescein sodium; * Inability to provide informed consent

Design outcomes

Primary

MeasureTime frame
the diagnostic yield of intestinal metaplasia, intraepithelial neoplasia, and gastric cancer12 months

Secondary

MeasureTime frame
the biopsy number needed for diagnosis12 months

Countries

China

Contacts

Primary ContactLi Yanqing, PhD, MD
liyanqing@sdu.edu.cn053182169385
Backup ContactLi Zhen, PhD, MD
lizhenh@hotmail.com18560086106

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 26, 2026