Detection of Barrett’s Esophagus-High Grade Dysplasia and Esophageal Adenocarcinoma

Overview

About this study

The purpose of this study is the development of a less invasive biomarker test for the detection of esophageal adenocarcinoma (EAC) and high-grade dysplasia in patients with Barrett’s esophagus (BE). Methylated DNA Markers (MDMs) and copy number alterations have been discovered and biologically validated in esophageal brushings and swallowed cell collection devices (CCD). The purpose of this study is to select the final markers that will be included in a biomarker panel to detect HGD/EAC in patients with BE.. Secondly, an independent set of patient samples will be used to train and test an algorithm using the panel of selected biomarkers.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria: 

  • Patient between the ages 18 – 90.
  • Patients with a BE segment ≥ 1cm in maximal extent endoscopically.
  • Histology showing evidence of intestinal metaplasia with or without presence of dysplasia.
  • Undergoing clinically indicated endoscopy.

Exclusion Criteria: 

  • Patients with a prior history of ablation (photodynamic therapy, radiofrequency ablation, cryotherapy, argon plasma coagulation). Patients with a history of endoscopic mucosal resection alone will not be excluded.
  • Patients with a history of esophageal or gastric resection for esophageal or gastric carcinoma.

Subjects with or without known evidence of BE (on history or review of medical records).

  • Pregnant or lactating females.
  • Patients who are unable to consent.
  • Patients with a current history of uninvestigated dysphagia (this does not apply to the brushings only portion of the study).
  • History of eosinophilic esophagitis, achalasia.
  • Patients on oral anticoagulation including Coumadin, and Warfarin, unless discontinued for five days prior to the sponge procedure.
  • Patients on antiplatelet agents including Clopidogrel, unless discontinued for five days prior to the sponge procedure.
  • Patients on oral thrombin inhibitors including Dabigatran and oral factor X an inhibitor such as rivaroxaban, apixaban, and edoxaban, unless discontinued for five days prior to the sponge procedure.
  • Patients with a history of known varices or cirrhosis.
  • Patients with a history of esophageal or gastric resection.
  • Patients with congenital or acquired bleeding diatheses.
  • Patients with a history of esophageal squamous dysplasia.

Note: Other protocol defined Inclusion/Exclusion Criteria may apply.

Eligibility last updated 1/22/2025. Questions regarding updates should be directed to the study team contact.
 

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Scottsdale/Phoenix, Ariz.

Mayo Clinic principal investigator

Prasad Iyer, M.D., M.S.

Contact us for the latest status

Contact information:

Cancer Center Clinical Trials Referral Office

(855) 776-0015

More information

Publications

Publications are currently not available
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CLS-20589263

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