- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04522752
Long-term Endoscopic Follow-up of Benign Epithelial Gastric Polyps (LEFBEGP)
May 5, 2022 updated by: First Affiliated Hospital Xi'an Jiaotong University
Long-term Endoscopic Follow-up of Benign Epithelial Gastric Polyps: a Multicenter Prospective Large Sample Cohort Study
Benign epithelial gastric polyps are benign raised lesions that originate from the gastric mucosa or submucosa and protrude from the gastric cavity with a wide base or a pedicle.The diagnosis and treatment of benign epithelial gastric polyps are currently controversial.
There is still a lack of clinical research evidence especially for the malignant tendency and related treatments of gastric polyps.
Many doctors have ambiguous understanding of benign epithelial gastric polyps and their endoscopic management is still in a"one size fits all"mode in China, which greatly wastes medical resources and increases the medical risks of patients, So it is imminent to formulate management practices for the diagnosis and treatment of gastric polyps.
Therefore, a full understanding of the clinical characteristics, endoscopic characteristics and long-term follow-up trends of benign epithelial gastric polyps is of great significance for clinicians to formulate reasonable treatment and follow-up plans.
This study is a prospective, large-sample observational cohort study.
It is planned to include 200 patients with biopsy confirmed benign epithelial gastric polyps participating in this study from September 10, 2020 to December 31, 2021 and followed up for 18 months.
The main research endpoint is the correlation between size and pathological type of benign epithelial gastric polyps and polyps development.
The secondary research endpoint is the correlation between type of benign epithelial gastric polyps and Helicobacter pylori infection.
The research results will help provide long-term follow-up data for benign epithelial gastric polyps of different pathological types, thereby providing first-hand evidence-based medical data for formulating gastric polyp management guidelines, helping to efficiently screen high-risk groups and guiding their examination, treatment and long-term follow-up to achieve early detection and early treatment of gastric cancer, thereby reducing the mortality rate.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Observational
Enrollment (Anticipated)
200
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Hongxia Li, M.D.
- Phone Number: 0086-029-85323920
- Email: hongxia1105@126.com
Study Contact Backup
- Name: Yun Feng, M.D.
- Phone Number: 0086-029-85323920
- Email: fengyun891120@163.com
Study Locations
-
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Shaanxi
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Xi'an, Shaanxi, China, 710061
- Recruiting
- First affliated hospital of Xi'an Jiaotong University
-
Contact:
- Hongxia Li, M.D.
- Phone Number: 0086-029-85323920
- Email: hongxia1105@126.com
-
Contact:
- Yun Feng, M.D.
- Phone Number: 0086-029-85323920
- Email: fengyun891120@163.com
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Principal Investigator:
- Hongxia Li, M.D.
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Sub-Investigator:
- Shuixiang He, M.D.
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Sub-Investigator:
- Shuying Wang, M.D.
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Sub-Investigator:
- Mudan Ren, M.D.
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Sub-Investigator:
- Yun Feng, M.D.
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Sub-Investigator:
- Yan Zhao, Ph.D.
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 70 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
The subjects of this study are 18 to 70 years old patients who underwent gastroscopy from September 10, 2020 to December 31, 2021 and were confirmed by biopsy to be benign epithelial gastric polyps patients.
At the same time, there are no exclusion criteria for the research objects.
Description
Inclusion Criteria:
- After gastroscopy, gastric polyps are found and pathological biopsy is obtained.
All polyps undergo endoscopic clamp biopsy, requiring at least one piece of tissue from each polyp to be submitted for examination.
Exclusion Criteria:
- Submucosal raised lesions.
- Gastrointestinal bleeding.
- Concomitant with gastric malignant tumor disease or previous gastric surgery for any reason.
- Benign polyps with a diameter greater than 1cm, regardless of the pathological type.
- The patient also has other serious diseases that affect the evaluation of this study, such as severe liver disease, heart disease, kidney disease, malignant tumors and alcoholism.
- The patient cannot express his main complaint correctly, such as mental illness, severe neurosis, and cannot cooperate with the trial.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Gastric Polyp
The included subjects were patients with benign epithelial gastric polyps confirmed by gastroscopy and biopsy pathology.
The size and pathology type of polyps were identified.
Gastroscopy and biopsy were followed up six, twelve and eighteen months later to observe the relationship between the size, pathology types of polyps and the development of gastric polyps.
Other factors including the relationship between helicobacter pylori infection and polyp type were also observed.
|
All subjects will undergo gastroscopy and biopsy to determine the size and pathological type of benign epithelial gastric polyps.The correlation between polyp size and type and polyp development was observed at 6 months, 12 months and 18 months after inclusion.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Correlation between size and pathological type of benign epithelial gastric polyp and polyp development.
Time Frame: The planned observation period of this study is 18 months.
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Gastroscopy and pathological examination were performed at 6, 12, and 18 months after inclusion to observe the correlation between size and pathological type of benign epithelial gastric polyps and polyp development.
|
The planned observation period of this study is 18 months.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Correlation between helicobacter pylori infection and pathological type of benign epithelial gastric polyp.
Time Frame: The planned observation period of this study is 18 months.
|
To investigate the infection status of the subjects with Helicobacter pylori and analyze its correlation with the pathological types of benign epithelial gastric polyps.
|
The planned observation period of this study is 18 months.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Hongxia Li, M.D., First Affiliated Hospital Xi'an Jiaotong University
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Schmitz JM, Stolte M. Gastric polyps as precancerous lesions. Gastrointest Endosc Clin N Am. 1997 Jan;7(1):29-46.
- Dinis-Ribeiro M, Areia M, de Vries AC, Marcos-Pinto R, Monteiro-Soares M, O'Connor A, Pereira C, Pimentel-Nunes P, Correia R, Ensari A, Dumonceau JM, Machado JC, Macedo G, Malfertheiner P, Matysiak-Budnik T, Megraud F, Miki K, O'Morain C, Peek RM, Ponchon T, Ristimaki A, Rembacken B, Carneiro F, Kuipers EJ; European Society of Gastrointestinal Endoscopy; European Helicobacter Study Group; European Society of Pathology; Sociedade Portuguesa de Endoscopia Digestiva. Management of precancerous conditions and lesions in the stomach (MAPS): guideline from the European Society of Gastrointestinal Endoscopy (ESGE), European Helicobacter Study Group (EHSG), European Society of Pathology (ESP), and the Sociedade Portuguesa de Endoscopia Digestiva (SPED). Endoscopy. 2012 Jan;44(1):74-94. doi: 10.1055/s-0031-1291491. Epub 2011 Dec 23.
- Jalving M, Koornstra JJ, Wesseling J, Boezen HM, DE Jong S, Kleibeuker JH. Increased risk of fundic gland polyps during long-term proton pump inhibitor therapy. Aliment Pharmacol Ther. 2006 Nov 1;24(9):1341-8. doi: 10.1111/j.1365-2036.2006.03127.x.
- Genta RM, Schuler CM, Robiou CI, Lash RH. No association between gastric fundic gland polyps and gastrointestinal neoplasia in a study of over 100,000 patients. Clin Gastroenterol Hepatol. 2009 Aug;7(8):849-54. doi: 10.1016/j.cgh.2009.05.015. Epub 2009 May 22.
- Tran-Duy A, Spaetgens B, Hoes AW, de Wit NJ, Stehouwer CD. Use of Proton Pump Inhibitors and Risks of Fundic Gland Polyps and Gastric Cancer: Systematic Review and Meta-analysis. Clin Gastroenterol Hepatol. 2016 Dec;14(12):1706-1719.e5. doi: 10.1016/j.cgh.2016.05.018. Epub 2016 May 20.
- Hirota WK, Zuckerman MJ, Adler DG, Davila RE, Egan J, Leighton JA, Qureshi WA, Rajan E, Fanelli R, Wheeler-Harbaugh J, Baron TH, Faigel DO; Standards of Practice Committee, American Society for Gastrointestinal Endoscopy. ASGE guideline: the role of endoscopy in the surveillance of premalignant conditions of the upper GI tract. Gastrointest Endosc. 2006 Apr;63(4):570-80. doi: 10.1016/j.gie.2006.02.004. No abstract available.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
September 30, 2020
Primary Completion (Actual)
September 30, 2021
Study Completion (Anticipated)
September 10, 2023
Study Registration Dates
First Submitted
August 19, 2020
First Submitted That Met QC Criteria
August 20, 2020
First Posted (Actual)
August 21, 2020
Study Record Updates
Last Update Posted (Actual)
May 9, 2022
Last Update Submitted That Met QC Criteria
May 5, 2022
Last Verified
August 1, 2021
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Neoplasms, Glandular and Epithelial
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Gastrointestinal Diseases
- Stomach Diseases
- Pathological Conditions, Anatomical
- Adenoma
- Stomach Neoplasms
- Polyps
- Adenomatous Polyps
Other Study ID Numbers
- XJTU1AF-CRF-2018-016
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Yes
IPD Plan Description
We plan to share individual participant data with relevant industry researchers.
IPD Sharing Time Frame
The data will be open and shared by December 2022 for three years.
IPD Sharing Access Criteria
Registered and certified medical researchers.
IPD Sharing Supporting Information Type
- Study Protocol
- Statistical Analysis Plan (SAP)
- Informed Consent Form (ICF)
- Clinical Study Report (CSR)
- Analytic Code
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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