Pepsinogen II and Helicobacter Pylori Test in Gastric Cancer

NCT ID: NCT06301464

Last Updated: 2024-11-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Total Enrollment

24000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2003-03-01

Study Completion Date

2025-12-31

Brief Summary

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The aim of this study to validate the role of pepsinogens in gastric cancer screening.

Detailed Description

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Serum pepsinogens (PGs) are the biomarkers for gastric cancer (GC), especially atrophic gastritis which is a precursor of intestinal type GC and severe gastric inflammation which is an indicator for diffuse type GC in young age. So, test for serum PGs can be used to identify high risk patients for GC. The aim of this study is to validate the role of PGs in GC screening.

Sera and the data from esophagogastroduodenoscopy and questionnaires are collected from study subjects, and PGs and anti-H. pylori (HP) antibody are measured. Area under the curve and receiver operating characteristic curve are calculated to identify the optimal cutoff values for PGs.

To validate the usefulness of PGs to predict risk of GC, the subjects are divided into two groups based on each cut-off value for each PG value. Adjusted odds ratios (ORs) and 95% CIs are calculated using multivariate logistic regression. Risk stratification is conducted by combining each PG value and anti-HP antibody in GC subtype.

Conditions

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Gastric Cancer

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Patients with gastric neoplasms

Patients with gastric neoplasms

No interventions assigned to this group

Normal control

Normal control without gastric neoplasms

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Who undergoes serum pepsinogens and anti-H. pylori antibody tests, and esophagogastroduodenoscopy during a health-screening examination at Seoul National University Hospital Gangnam center (SNUHGC) or Seoul National University Bundang Hospital (SNUBH)

Exclusion Criteria

* Who do not receive serum pepsinogens or anti-H. pylori antibody studies
* Who do not receive esophagogastroduodenoscopy within 3 months before or after the date of serum pepsinogens and anti-H. pylori antibody tests
* Subjects with recent proton-pump inhibitor therapy 1 month prior to enrollment
* Subjects with prior history of gastrectomy
* Subjects with upper gastrointestinal neoplasms other than gastric adenoma/adenocarcinoma
* Subjects who do not agree to participate in the study or withdraw his/her consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Seoul National University Bundang Hospital

OTHER

Sponsor Role lead

Responsible Party

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Nayoung Kim

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nayoung Kim, M.D., Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Bundang Hospital

Locations

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Seoul National University Bundang Hospital

Seongnam-si, Gyeonggi-do, South Korea

Site Status

Countries

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South Korea

Other Identifiers

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B-2003-603-103

Identifier Type: -

Identifier Source: org_study_id