Biopsy Technique for Endoscopic Surveillance of Hereditary Diffuse Gastric Cancer
NCT03950908 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 48
Last updated 2019-05-20
Summary
Germline mutation in e-cadherin gene (CDH1) is found in approximately 25% to 30% of individuals fulfilling the clinical criteria for hereditary diffuse gastric cancer (HDGC). Prophylactic gastrectomy is the mainstay of the management of cases with pathogenetic CDH1 mutation. However, some individuals refuse gastrectomy and prefer to delay it for medical or psychosocial reasons. For these patients as well as for those in which a pathogenetic mutation is not found, endoscopic surveillance is recommended. The suggested endoscopic protocol involves targeted as well as 30 random biopsies, which is tedious and time-consuming . In order to save time, two specimens can be taken during a single passage of the biopsy forceps ("double-bite" technique). The aim of this study was to determine the adequacy and utility of the "double-bite" technique in patients undergoing surveillance for HDGC as compared to the standard "single-bite technique".
Conditions
- Hereditary Diffuse Gastric Cancer
Interventions
- OTHER
-
Single bite biopsy technique
During biopsy collection one specimen will be retrieved during a single passage of the biopsy forceps.
- OTHER
-
Double bite biopsy technique
During biopsy collection two specimens will be retrieved during a single passage of the biopsy forceps.
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Massimiliano di Pietro, MD · MRC Cancer Unit.University of Cambridge.
Study Design
- Allocation
- RANDOMIZED
- Purpose
- DIAGNOSTIC
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-10-12
- Primary Completion
- 2018-12-13
- Completion
- 2018-12-13
Countries
- United Kingdom
Study Locations
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