Pilot Study for OCT Guided In Vivo Laser Capture Microdissection for Assessing the Prognosis of Barrett's Esophagus
NCT03830801 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2025-10-22
Summary
The investigators have developed a new technology, termed in-vivo laser capture microdissection (IVLCM), that addresses the limitations of endoscopic biopsy for screening for BE and provides targeted genomic profiling of aberrant tissue for more precise prediction of EAC risk. The device is a tethered capsule endomicroscope (TCE) that implements optical coherence tomography (OCT) to grab 10-mm-resolution, cross-sectional microscopic images of the entire esophagus after the capsule is swallowed. This OCT-based TCE technology is used in unsedated patients to visualize images of BE and dysplastic BE. During the IVLCM procedure, TCE images of abnormal BE tissue are identified in real time and selectively adhered onto the device. When the capsule is removed from the patient, these tissues, targeted based on their abnormal OCT morphology, are sent for genomic analysis. By enabling the precise isolation of aberrant esophageal tissues using a swallowable capsule, this technology has the potential to solve the major problems that currently prohibit adequate BE screening and prevention of Esophageal Adenocarcinoma EAC.
Conditions
- Barrett Esophagus
Interventions
- DEVICE
-
IVLCM tethered capsule
Obtaining biopsies for genomic sequencing of BE for the assessment of EAC risk using IVLCM tethered capsule
Sponsors & Collaborators
-
National Institutes of Health (NIH)
collaborator NIH -
National Institute for Biomedical Imaging and Bioengineering (NIBIB)
collaborator NIH -
Massachusetts General Hospital
lead OTHER
Principal Investigators
-
Gary Tearney, MD., PhD · Massachusetts General Hospital
Study Design
- Allocation
- NA
- Purpose
- DEVICE_FEASIBILITY
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-12-06
- Primary Completion
- 2027-12-31
- Completion
- 2028-12-31
Countries
- United States
Study Locations
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