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TerminatedNCT01585103Updated Jun 13, 2022Results posted

Cytosponge Protocol IRB 11-006429

An interventional study of Cytosponge in Eosinophilic Esophagitis, sponsored by Mayo Clinic. Terminated at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2022-06-13.

Sponsored by Mayo Clinic · Not applicable, Interventional, and Diagnostic

Why this study was terminated
Device was recalled by company
Phase
Not applicable
Study type
Interventional
Enrollment
86
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
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Study summary

This study is being done to collect data on the potential use of the cytosponge as non-invasive tool in evaluating patients with eosinophilic esophagitis.

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Conditions studied

  • Eosinophilic Esophagitis
03

In context

Esophagitis

322 studies on the registry are indexed under Esophagitis; 37 are open to participants now.

This study's enrollment of 86 is above the median of 66 across 215 interventional studies indexed under Esophagitis.

Browse Esophagitis studies →

Lead sponsor

Mayo Clinic is the lead sponsor of 3,218 studies on the registry; 670 are open to participants now.

Of its 445 completed or terminated interventional studies of FDA-regulated products, 313 (70%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adult patients between the ages of 18 and 65 with eosinophilic esophagitis including lactating or pregnant women undergoing clinically indicated endoscopy and esophageal biopsy.

Exclusion criteria

Exclusion Criteria:

  • Patients for whom clinically indicated endoscopy is not safe. Patients who have small caliber esophagus, an esophageal stricture that will not permit passage of the gelatin capsule or are unable to swallow the capsule.
  • Vulnerable populations, such as those with diminished mental acuity, will be excluded.
  • Patients with known Lidocaine/Acetylcysteine allergies
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
86 participants (actual)

Study arms

  • Experimental
    Cytosponge/ brushing

    Subjects with eosinophilic esophagitis undergoing clinically indicated endoscopy and biopsy either for initial diagnosis or for monitoring the activity of their disease will be asked to swallow the cytosponge two hours prior to endoscopy.

    Device: Cytosponge

Interventions

  • DeviceCytosponge

    An ingestible gelatin capsule containing a compressed mesh attached to a string. The capsule is swallowed and once in the stomach, the gelatin dissolves and a spherical mesh of 3 cm diameter is released. The mesh is withdrawn through the mouth by the attached string and a cytologic specimen is collected.

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What researchers measure

Primary outcomes

  1. Percent Specificity of the Cytosponge

    Percent specificity of Cytosponge ability to detect Eosinophilic Esophagitis when compared to upper endoscopy and biopsies/swab testing. Cytology specimens will be reviewed by one pathologist who will read them blindly without knowledge of the results of the biopsy specimens. To calculate specificity: 100% the number of true negatives divided by the sum of the number of true negatives plus the number of false positives.

    Time frame: Baseline

  2. Percent Sensitivity of the Cytosponge

    Percent sensitivity of Cytosponge ability to detect Eosinophilic Esophagitis when compared to upper endoscopy and biopsies/swab testing. Cytology specimens will be reviewed by one pathologist who will read them blindly without knowledge of the results of the biopsy specimens. To calculate sensitivity: 100% the number of true positives divided by the sum of the number of true positives plus the number of false negatives

    Time frame: Baseline

07

Results

Posted May 18, 2022
Limitations and caveats
Received a medical device recall for the Cytosponge cell collection device from the manufacturer and study was terminated.

Participant flow

Participant flow — Overall Study
MilestoneCytosponge/ Brushing
Started86
Completed80
Not completed6
Withdrew: Unable to swallow cytosponge6

Outcome measures

PrimaryPercent Specificity of the Cytosponge

Percent specificity of Cytosponge ability to detect Eosinophilic Esophagitis when compared to upper endoscopy and biopsies/swab testing. Cytology specimens will be reviewed by one pathologist who will read them blindly without knowledge of the results of the biopsy specimens. To calculate specificity: 100% the number of true negatives divided by the sum of the number of true negatives plus the number of false positives.

Time frame:
Baseline
Reported as:
Number · percentage of samples
Percent Specificity of the Cytosponge
percentage of samplesCytosponge/ Brushing
Percent Specificity of the Cytosponge86
PrimaryPercent Sensitivity of the Cytosponge

Percent sensitivity of Cytosponge ability to detect Eosinophilic Esophagitis when compared to upper endoscopy and biopsies/swab testing. Cytology specimens will be reviewed by one pathologist who will read them blindly without knowledge of the results of the biopsy specimens. To calculate sensitivity: 100% the number of true positives divided by the sum of the number of true positives plus the number of false negatives

Time frame:
Baseline
Reported as:
Number · percentage of samples
Percent Sensitivity of the Cytosponge
percentage of samplesCytosponge/ Brushing
Percent Sensitivity of the Cytosponge75

Adverse events

Collected over Adverse events were collected from baseline to after upper endoscopy for a total of approximately 3 hours on all participants.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cytosponge/ Brushing0/86 (0%)0/86 (0%)2/86 (2.3%)
Most frequent other events
Most frequent other events
EventCytosponge/ Brushing
Mucosal TearGastrointestinal disorders2/86

Baseline characteristics

Age, Continuous
Age, Continuous(years)Cytosponge/ Brushing
Median42 (18 to 69)
Sex: Female, Male
Sex: Female, Male(Participants)Cytosponge/ Brushing
Female30
Male56
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Cytosponge/ Brushing
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White86
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Cytosponge/ Brushing
United States86
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Study locations

1 site
  • Mayo Clinic in Rochester
    Rochester, Minnesota 55905, United States
09

References and documents

Publications

  • Katzka DA, Smyrk TC, Alexander JA, Geno DM, Beitia RA, Chang AO, Shaheen NJ, Fitzgerald RC, Dellon ES. Accuracy and Safety of the Cytosponge for Assessing Histologic Activity in Eosinophilic Esophagitis: A Two-Center Study. Am J Gastroenterol. 2017 Oct;112(10):1538-1544. doi: 10.1038/ajg.2017.244. Epub 2017 Aug 15. Erratum In: Am J Gastroenterol. 2018 Feb;113(2):310. doi: 10.1038/ajg.2017.474. PubMed 28809387 ↗
  • Katzka DA, Geno DM, Ravi A, Smyrk TC, Lao-Sirieix P, Miremadi A, Debiram I, O'Donovan M, Kita H, Kephart GM, Kryzer LA, Camilleri M, Alexander JA, Fitzgerald RC. Accuracy, safety, and tolerability of tissue collection by Cytosponge vs endoscopy for evaluation of eosinophilic esophagitis. Clin Gastroenterol Hepatol. 2015 Jan;13(1):77-83.e2. doi: 10.1016/j.cgh.2014.06.026. Epub 2014 Jul 3. Erratum In: Clin Gastroenterol Hepatol. 2015 Aug;13(8):1552. Miramedi, Ahmed [corrected to Miremadi, Ahmed]. PubMed 24997328 ↗

Study documents

  • Study protocol · Nov 24, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 13, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01585103
Lead sponsor
Mayo Clinic
Collaborators
University of Cambridge
Responsible party
Jeffrey A Alexander (Prinicipal Investigator, Mayo Clinic) — Principal investigator
First posted
Apr 25, 2012
Start date
Dec 2012
Primary completion
Jun 7, 2016
Completion
Jun 7, 2016
Results posted
May 18, 2022
Last update
Jun 13, 2022

Study contacts

Jeffrey Alexander, MD
principal investigator · Mayo Clinic

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Jun 2022. You cannot join it, but the record below documents what was studied.

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