Ireland
--:--IST
Active, not recruiting Observational

Trans-Oral Sampling as an Alternative Surveillance of Barrett's Esophagus Pilot

NCT07490340 · tracked via the Priya Life Science Netherlands tracker
Phase
Observational
Started
2023-10-20
Last updated
2026-03-24

Condition(s) studied

Barrett EsophagusEsophageal AdenocarcinomaDiagnosis

Investigational drug(s) / intervention(s)

trans oral sampling: endosign

trans oral sampling: endosign: the endosign samples the esophagus by pulling the string on a sponge

Study summary

The study aims to address the increasing incidence of esophageal cancer and Barrett's esophagus (BE) in the Western world by exploring a more efficient surveillance method. Esophageal adenocarcinoma (EAC) has a poor prognosis if diagnosed late, emphasizing the need for early detection strategies. Current surveillance methods, involving regular endoscopies, are burdensome and costly, particularly for low-risk patients. The study investigates the potential of the Endosign, a Trans Oral Sampling (TOS) device, as an alternative to endoscopic surveillance. The objective is to determine if Endosign can provide sufficient quality samples, containing columnar cells and clot preparations at least 5mm in size, thus offering a reliable substitute for endoscopic sampling. The study includes non-dysplastic and dysplastic BE patients undergoing surveillance or treatment and employs a single-center, prospective feasibility approach.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * \- Patients age: ≥ 18 years * BE with a maximal extent of ≥4cm * Willingness to undergo an esophagogastroduodenoscopy with sedation * Cohort 1: Patients referred for endoscopic treatment of HGD or EAC * Cohort 2: Patients with known BE without a diagnosis of HGD or EAC in the previous 18 months, undergoing endoscopic surveillance * Ability to give written, informed consent and understand the responsibilities of participation Exclusion Criteria: * Patients within eight weeks after endoscopy with biopsies and/or ER * History of esophageal or gastric surgery other than Nissen fundoplication * History of esophageal ablation or dilation therapy * Presence of esophageal varices and/or suspected portal hypertension * Dysphagia/ swallowing disorders * Pregnancy * Patients with known or suspected anatomical abnormalities of the esophagus or stomach * Patients taking anti-thrombotic drugs that cannot be temporarily discontinued * Subject has a known history of unresolved drug or alcohol dependency that would limit ability to comprehend or follow instructions related to informed consent, post-treatment instructions, or follow-up guidelines

Primary outcome measure(s)

  • to determine the number of sufficient quality samples obtained through the use of the Endosign, which could potentially serve as a substitute for endoscopic sampling. — 1year
    The amount of samples collected with the Endosign that contain columnar cells and are processed to clot preparations that are at least 5mm in size.

Trial sites (1)

FacilityCityRegionStatus
Amsterdam University Medical Centre, loc. VUmc Amsterdam North Holland
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07490340 on ClinicalTrials.gov ↗ ← All trials in the Netherlands