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EsophaCap for the Detection of Early Esophageal Carcinoma

NCT ID: NCT04214119Sponsor: Johns Hopkins UniversityLast updated: 2025-12-16

Summary

This study is to identify potential biomarkers for the early detection of Barrett's Esophagus, esophageal carcinoma (both adenocarcinoma and squamous cell carcinoma), and gastric cancer via sponge cytology.

Detailed description

This study is to identify potential biomarkers for the early detection of Barrett's Esophagus, esophageal carcinoma (both adenocarcinoma and squamous cell carcinoma). Esophageal and gastric cytology will be collected via sponge capsule. Candidate genes will be tested with DNA isolated from these samples in order to identify optimal biomarkers to differentiate between Barrett's esophagus and esophageal/gastric cancer versus normal esophageal/gastric tissue.

Arms & interventions

Outcome measures

Primary

  • Difference in methylation of gene markers to discriminate Barrett's esophagus from non-pathological esophageal squamous and gastric cardia tissue.

    Using DNA methylation, we plan on identifying, from a pool of highly selected marker candidates, the best biomarkers that are aberrantly methylated in Barrett's esophagus versus control in order to differentiate between subjects who have Barrett's esophagus and those who do not have Barrett's esophagus. This is measure using methylation index and the calculated probability score from different methylation index values.

    Time frame: 1 day

  • Difference in methylation of gene markers to discriminate esophageal carcinoma from non-pathological esophageal squamous and gastric cardia tissue.

    Using DNA methylation, we plan on identifying, from a pool of highly selected marker candidates, the best biomarkers that are aberrantly methylated in esophageal cancer versus control in order to differentiate between subjects who have esophageal cancer and those who do not. This is measure using methylation index and the calculated probability score from different methylation index values.

    Time frame: 1 day

  • Difference in methylation of gene markers to discriminate gastric cancer from non-pathological esophageal squamous and gastric cardia tissue.

    Using DNA methylation, we plan on identifying, from a pool of highly selected marker candidates, the best biomarkers that are aberrantly methylated in gastric cancer versus control in order to differentiate between subjects who have gastric cancer and those who do not. This is measure using methylation index and the calculated probability score from different methylation index values.

    Time frame: 1 day

Secondary

  • Sensitivity of candidate biomarker p16

    Time frame: 1 day

  • Sensitivity of candidate biomarker NELL1

    Time frame: 1 day

  • Sensitivity of candidate biomarker AKAP12

    Time frame: 1 day

  • Sensitivity of candidate biomarker TAC1

    Time frame: 1 day

  • Sensitivity of candidate biomarker HPP1

    Time frame: 1 day

  • Specificity of candidate biomarker p16

    Time frame: 1 day

  • Specificity of candidate biomarker NELL1

    Time frame: 1 day

  • Specificity of candidate biomarker AKAP12

    Time frame: 1 day

  • Specificity of candidate biomarker TAC1

    Time frame: 1 day

  • Specificity of candidate biomarker HPP1

    Time frame: 1 day

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: Yes
Inclusion Criteria: * Undergoing esophagogastroduodenoscopy at Johns Hopkins Hospital from 1/2016 to 12/2025 * Age greater than 18 years * Patients must be able to swallow a capsule Exclusion Criteria: * Patients in either arm with extra-esophageal malignancies including head and neck and gastric cancer * Patients who have undergone esophagectomy * Patients who have undergone radiation to the chest * Patients who are younger than 18 * Patients with esophageal stents * Patients with esophageal strictures disabling passage of the capsule

Study locations (2)

Bayview Medical Center

Baltimore, Maryland, 21205

Recruiting
Stephen J Meltzer, M.D. · Contact

Johns Hopkins Hospital

Baltimore, Maryland, 21205

Recruiting
Stephen Meltzer, M.D. · Contact
EsophaCap for the Detection of Early Esophageal Carcinoma | Cancerify