Last reviewed · How we verify

NCT02106910

Non-Endoscopic Surveillance for Barrett's Esophagus Following Ablative Therapy

Completed NA Results posted Last updated 20 November 2020
What this trial tests

NA trial testing Cytosponge in Barrett's Esophagus in 138 participants. Completed in 14 August 2018.

Timeline
27 October 2014
Primary endpoint
7 August 2018
14 August 2018

Quick facts

Lead sponsorUniversity of North Carolina, Chapel Hill
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposediagnostic
Enrollment138
Start date27 October 2014
Primary completion7 August 2018
Estimated completion14 August 2018
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of North Carolina, Chapel Hill

Who can join

Adults 18 to 80, any sex, with Barrett's Esophagus. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Cytosponge Acceptability by Number of Participants Primary · 7 days after Baseline

Acceptability will be measured the Impact of Events Scale (IES). This scale was developed to assess the distress associated with a specific life event. Respondents are asked to answer questions to indicate the amount of stress from the event. Scores are calculated with the following scale, (Not at all =0, Rarely =1, Sometimes =3, Often =5). Assessment yields a cumulative score that are calculated from each response, with a total final score ranging from (0-75). High scores represent high test induced distress and lower values represent low distress.

GroupValue95% CI
Participants With Barrett's and no History of Ablation46
Participants With Barrett's After Ablation81
Participants With Barrett's and no History of Ablation2
Participants With Barrett's After Ablation6
Participants With Barrett's and no History of Ablation0
Participants With Barrett's After Ablation1
Participants With Barrett's and no History of Ablation0
Participants With Barrett's After Ablation0
Mean Post Procedure Pain on the Visual Analog Scale Primary · Immediately after Cytosponge removal

The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 100-mm line that represents a continuum between "no pain" and "worst pain." Higher scores are representative of worse pain.

GroupValue95% CI
Participants With Barrett's and no History of Ablation19.1± 17.7
Participants With Barrett's After Ablation17.0± 17.5
Willingness to Repeat Cytosponge by Number of Participants Primary · 7 days after Baseline

Participants were asked if they would be willing to repeat the Cytosponge, yes/no.

GroupValue95% CI
Participants With Barrett's and no History of Ablation44
Participants With Barrett's After Ablation86
Participants With Barrett's and no History of Ablation3
Participants With Barrett's After Ablation2
Mean Procedure Preference Rating Primary · 7 days after Baseline

Participants were asked to rate both procedures (Cytosponge and esophagogastroduodenoscopy (EGD)) to indicate which procedure they preferred on a scale from 0-10. Higher scores represent greater preference.

Cytosponge Rating, On scale of 1-10
GroupValue95% CI
Participants With Barrett's and no History of Ablation7.8± 2.3
Participants With Barrett's After Ablation7.9± 2.0
EGD Rating, On scale of 1-10
GroupValue95% CI
Participants With Barrett's and no History of Ablation9.2± 1.4
Participants With Barrett's After Ablation9.1± 1.5
Cytosponge™ Operating Characteristics Secondary · Baseline

The operating characteristics of the Cytosponge™ technique compared against a gold standard of upper endoscopy with biopsies for endoscopic surveillance was evaluated for sensitivity and specificity in the detection of BE in subjects with current (BE) or history of successful radiofrequency ablation for dysplastic BE. A true positive was considered when both the endoscopic biopsy and the Cytosponge detected the goblet cells characteristic of BE. A false positive was considered when the Cytosponge demonstrated these cells while the biopsies did not. A true negative occurred when neither the bio

Specificity to detect BE
GroupValue95% CI
Participants With Barrett's and no History of Ablation92.00
Participants With Barrett's After Ablation85.00
Sensitivity to detect BE
GroupValue95% CI
Participants With Barrett's and no History of Ablation80.00
Participants With Barrett's After Ablation74.00
Assay Accuracy
GroupValue95% CI
Participants With Barrett's and no History of AblationNA
Participants With Barrett's After Ablation84.00

Adverse events — posted to ClinicalTrials.gov

Time frame: From Baseline until approximately 30 days after completion of biomarker panel, an overall approximate total of 45 days.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Participants With Barrett's and no History of Ablation
Serious: 0/49 (0%)
Deaths: 0/49
Participants With Barrett's After Ablation
Serious: 0/89 (0%)
Deaths: 0/89
Other adverse events (1 terms — click to expand)

ReactionSystemParticipants With Barrett'…Participants With Barrett'…
Sore ThroatGastrointestinal disorders

Data from ClinicalTrials.gov NCT02106910 adverse events section.

Sponsor's own description

Subjects presenting to University of North Carolina at Chapel Hill (UNC) Hospitals for routine endoscopic surveillance examinations for current Barrett's Esophagus (BE) or after successful radiofrequency ablation (RFA) of dysplastic Barrett's Esophagus (BE) will be offered enrollment in the study. After informed consent, and the same day as the endoscopic procedure, the subject will undergo administration of the Cytosponge assay. The patient will then undergo routine endoscopic surveillance, using a standard Seattle biopsy surveillance protocol. The Cytosponge will be placed in fixative and shipped to the Fitzgerald laboratory at the University of Cambridge for processing according to their established protocols. Tissue biopsies will undergo standard processing and Hematoxylin and Eosin (H\&E) staining, with assessment by expert gastrointestinal pathologists at UNC. The primary outcome variables will be sensitivity and specificity of the novel assay, compared against the gold standard of the presence of recurrent BE as detected by upper endoscopy with biopsies. Secondary outcomes include acceptability of the nonendoscopic assay to the patient (assessed by a standardized tool, the Impact of Events Scale, as well as a visual analogue scale), and likelihood of assay positivity as a function of amount of residual disease (as measured by Prague criteria).

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Safety and Acceptability of Esophageal Cytosponge Cell Collection Device in a Pooled Analysis of Data From Individual Patients.
    Januszewicz W, Tan WK, Lehovsky K, Debiram-Beecham I, et al · · 2019 · cited 71× · PMID 30099104 · DOI 10.1016/j.cgh.2018.07.043

Verify or expand the search:

Other trials of Cytosponge

Trials testing the same drug.

Other recruiting trials for Barrett's Esophagus

Currently open trials in the same condition.

Other University of North Carolina, Chapel Hill trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02106910.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing