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CompletedNCT02332213VOLGACOREUpdated Aug 21, 2018

Volatile Markers in Digestive Cancer

An observational study in Colorectal Cancer, Colorectal Adenoma and Gastric Cancer, sponsored by University of Latvia. Completed at 2 sites in 2 countries. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-08-21.

Sponsored by University of Latvia · Observational

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
2,022
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 13 studies in Colorectal Neoplasms with a site in Latvia — 1 open to participants now, 2 under way, 1 of them phase 3. Colorectal Neoplasms · Latvia.

Started
2014
the only one that year
Observational
3 of 13
1 open now
Registered
8th of 13
by date
Lead sponsor
3 of 13
University of Latvia

Among the 13 studies in Colorectal Neoplasms with a site in Latvia, this one is the only one that started in 2014, is one of 3 observational ones, and was the 8th registered.

Colorectal Neoplasms

6,544 studies on the registry are indexed under Colorectal Neoplasms; 1,666 are open to participants now.

Browse Colorectal Neoplasms studies →

Open to participants now

1 of the 13 studies in Colorectal Neoplasms with a site in Latvia is open now. Recruiting first, the newest first:

A study can be open while its sites in Latvia have not opened yet or have stopped. Only those recruiting at a site in Latvia →

Who these studies take

Of the 1,184 Colorectal Neoplasms studies recruiting now, 767 (65%) set no upper age limit and 264 (22%) stop at 75 or younger; 48 take children under 18; 124 take healthy volunteers.

This study: 18 Years and older · all sexes · healthy volunteers too.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 13 studies in Colorectal Neoplasms with a site in Latvia, or all of them as a file.
02

Study summary

The study is aimed to determine the potential of volatile marker testing for identification of gastrointestinal cancers (in particular - colorectal and gastric cancers), the related precancerous lesions in the stomach and colon.

The study will be addressing the role of confounding factors, including lifestyle factors, diet, smoking as well as addressing the potential role of microbiota in the composition of exhaled volatile markers.

Read the detailed description

Patients with established disease (cancer, precancerous lesions) as well as patients investigated for the lesions and having been documented lack of the lesions will be enrolled to the study at clinical sites in Europe (Latvia, Lithuania). In addition, group of persons from general population at average risk for developing the target disease will be also enrolled.

Testing of volatile markers will be conducted by one of two methods: 1) gas chromatography coupled to mass spectroscopy (GS-MS) and 2) nanosensor technology.

Volunteers (including patients with established disease) will be enrolled prior the removal of the target lesion (e.g. surgery for cancer or polypectomy in the case of a polyp).

The study will be conducted by utilizing the experience of institutions in the European Union and Israel.

03

Conditions studied

  • Colorectal Cancer
  • Colorectal Adenoma
  • Gastric Cancer
  • Peptic Ulcer Disease
  • Atrophic Gastritis
  • Intestinal Metaplasia
  • H.Pylori Infection
  • Normal Control
  • Average-risk General Population

Keywords

  • Volatile organic compounds
  • Nanosensor technology
  • GC-MS
  • Breath-testing
  • Digestive cancer
  • Precancerous lesions
  • Colorectal cancer
  • Adenoma
  • Gastric cancer
  • Atrophic gastritis
  • OLGIM
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Cancer patients (Group 1 and 5) will be predominantly enrolled at the time scheduled for surgery, however also patients undergoing diagnostic procedures (endoscopy) will be eligible

Patients without malignant disease but defined colorectal (Groups 2-4) status will be predominantly enrolled prior colonoscopy in out-patient settings. Sampling starting from 1 week after colonoscopy will be allowed if the lesions will not get removed during the index endoscopy

Patients without malignant disease but defined gastric mucosal status (Groups 6-8) status will be predominantly enrolled prior upper endoscopy in out-patient settings. Sampling starting from 2 days after upper endoscopy will be allowed if the lesions will not get removed during the index endoscopy

Average cancer risk subjects (Group 9) will get enrolled by inviting individuals predominantly selected from the lists of general practitioners.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients with verifies colorectal cancer (Group 1)
  • Patients with verified gastric cancer (Group 5)
  • Patients undergoing colonoscopy due to clinical indications (group 2-4)
  • Patients undergoing upper endoscopy due to clinical indications (Group 6-8)
  • Average-risk population group aged 40-64 at inclusion without alarm symptoms (Group 9)
  • Motivation to participate in the study
  • Physical status allowing volatile marker sampling and other procedures within the protocol
  • Signed consent

Exclusion criteria

Exclusion Criteria:

  • Known other active cancer
  • Ventilation problems, airway obstruction
  • Unwillingness or inability to co-operate
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
2,022 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • 1. Colorectal cancer

    Patients with histologically confirmed colorectal cancer (adenocarcinoma)

    Procedure: Breath sampling for volatile marker detection · Procedure: Colonoscopy with biopsies or lesion removal when required · Procedure: Plasma/serum sampling · Procedure: Faecal sample acquisition · Procedure: Histological evaluation of the surgery material

  • 2. Colorectal high-risk lesions

    Patients without colorectal adenocarcinoma, but carrying high-risk adenomatous polyps being described by one of the following: 1) size≥1 cm; 2) high-grade dysplasia; 3) villous component. Prior to removal of the lesions.

    Procedure: Breath sampling for volatile marker detection · Procedure: Colonoscopy with biopsies or lesion removal when required · Procedure: Plasma/serum sampling · Procedure: Faecal sample acquisition

  • 3. Colorectal low-risk adenoma

    Patients without colorectal adenocarcinoma and without colorectal high-risk lesions as described under Group 2 criteria

    Procedure: Breath sampling for volatile marker detection · Procedure: Colonoscopy with biopsies or lesion removal when required · Procedure: Plasma/serum sampling · Procedure: Faecal sample acquisition

  • 4. Group of control (colorectal)

    Patients having undergone colonoscopy without an evidence for colorectal lesions fulfilling Group 1 or Group 2 or Group 3 criteria. Prior to removal of the lesions.

    Procedure: Breath sampling for volatile marker detection · Procedure: Colonoscopy with biopsies or lesion removal when required · Procedure: Plasma/serum sampling · Procedure: Faecal sample acquisition

  • 5. Gastric cancer

    Patients with histologically confirmed gastric cancer (adenocarcinoma)

    Procedure: Breath sampling for volatile marker detection · Procedure: Upper endoscopy with biopsies · Procedure: Plasma/serum sampling · Procedure: Faecal sample acquisition · Procedure: Histological evaluation of the surgery material

  • 6. Gastric dysplasia

    Patients without gastric adenocarcinoma but with histologically confirmed dysplasia (either high- or low-grade) of the stomach

    Procedure: Breath sampling for volatile marker detection · Procedure: Upper endoscopy with biopsies · Procedure: Plasma/serum sampling · Procedure: Faecal sample acquisition

  • 7. High-risk gastric lesions

    Patients graded Stage III-IV according to OLGIM (Operative Link of Gastric Intestinal Metaplasia Assessment) staging system, but excluding those with dysplasia (Group 5)

    Procedure: Breath sampling for volatile marker detection · Procedure: Upper endoscopy with biopsies · Procedure: Plasma/serum sampling · Procedure: Faecal sample acquisition

  • 8. Normal and low-risk gastric lesions

    Staged 0-III according to OLGIM. Dysplasia should be excluded

    Procedure: Breath sampling for volatile marker detection · Procedure: Upper endoscopy with biopsies · Procedure: Plasma/serum sampling · Procedure: Faecal sample acquisition

  • 9. Average risk population

    Average risk population of both genders aged 40-64 at the time of inclusion lacking alarm symptoms for gastrointestinal cancer.

    Procedure: Breath sampling for volatile marker detection · Procedure: Plasma/serum sampling · Procedure: Faecal sample acquisition

Interventions

  • ProcedureBreath sampling for volatile marker detection

    Acquisition of two exhaled breath samples of alveolar air to be analysed by GCMS and nanosensor technology

  • ProcedureUpper endoscopy with biopsies

    Upper endoscopy with proper biopsy work-up will be used for identification and stratification of gastric lesions as well as acquisition of biopsies for microbiota testing

  • ProcedureColonoscopy with biopsies or lesion removal when required

    Colonoscopy with proper biopsy or polypectomy material work-up will be used for identification and stratification of colorectal lesions as well as acquisition of biopsies for microbiota testing

  • ProcedurePlasma/serum sampling

    Plasma/serum sampling will be used to obtain information for group stratification, e.g. H.pylori status determination

  • ProcedureFaecal sample acquisition

    Faecal samples will be obtained for faecal occult blood testing as well as microbiota analysis

  • ProcedureHistological evaluation of the surgery material

    The material obtained during surgery (stomach or colorectal) will be used for confirmation of the diagnosis in cancer groups. Surgery itself will be performed according to the clinical indications, and will not be extended (i.e. cannot be considered a study intervention)

06

What researchers measure

Primary outcomes

  1. Performance of nanoarray sensor testing to detect target lesions

    Sensitivity, specificity, overall accuracy of nanoarray sensor testing for VOCs to detect the target lesions in the blinded analysis

    Time frame: At the time of breath sampling

  2. VOCs differentiating the study groups

    List of VOCs assayed by GC-MS with statistical difference between the study groups

    Time frame: At the time of breath sampling

Secondary outcomes

  1. Identification of characteristic VOC pattern in risk age groups

    List of characteristic VOCs in general population at risk for developing gastrointestinal cancer, including analysis of confounding factors, e.g. dietary habits, smoking, and profession.

    Time frame: At the time of sampling

  2. VOC pattern changes following treatment

    Significant change in VOC content before and following treatment (surgery, medical therapy, combined)

    Time frame: At baseline and every 6 months within 3 year period

  3. Groups of gastrointestinal microbiota correlating to VOCs

    List of gastrointestinal microbiota groups (phylum/genus level) with positive correlation to particular VOCs

    Time frame: At the time of sampling

Other outcomes

  1. VOC pattern changes following intervention to microbiota

    Significant change in VOC content before and following intervention upon microbiome (antibiotic intake, colon cleansing)

    Time frame: At baseline and following the intervention (1 week, 1 month)

  2. Gastric microbiome changes following intervention to microbiota

    Significant change in gastric microbiome (phyla, genera) before and following intervention upon microbiome (antibiotic intake)

    Time frame: At baseline and 3 years after intervention

  3. Gastrointestinal microbiome in cancer patients

    Significant differences in the composition of gastric and colonic microbiome (phyla, genera) in cancer patients, patients with precancerous lesions and controls

    Time frame: At the time of sampling

07

Study locations

2 sites
  • University of Latvia
    Riga, LV 1586, Latvia
  • Lithuanian University of Health Sciences
    Kaunas, LT 44307, Lithuania
08

References and documents

Publications

  • Haick H, Broza YY, Mochalski P, Ruzsanyi V, Amann A. Assessment, origin, and implementation of breath volatile cancer markers. Chem Soc Rev. 2014 Mar 7;43(5):1423-49. doi: 10.1039/c3cs60329f. Epub 2013 Dec 4. PubMed 24305596 ↗
  • Xu ZQ, Broza YY, Ionsecu R, Tisch U, Ding L, Liu H, Song Q, Pan YY, Xiong FX, Gu KS, Sun GP, Chen ZD, Leja M, Haick H. A nanomaterial-based breath test for distinguishing gastric cancer from benign gastric conditions. Br J Cancer. 2013 Mar 5;108(4):941-50. doi: 10.1038/bjc.2013.44. PubMed 23462808 ↗
  • Amal H, Leja M, Broza YY, Tisch U, Funka K, Liepniece-Karele I, Skapars R, Xu ZQ, Liu H, Haick H. Geographical variation in the exhaled volatile organic compounds. J Breath Res. 2013 Dec;7(4):047102. doi: 10.1088/1752-7155/7/4/047102. Epub 2013 Nov 1. PubMed 24184568 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jan 2014, a primary completion of Jun 2017 and a completion of Jun 2017. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 30, 2014
First posted
Jan 6, 2015
Start
Jan 2014
Primary completionActual
Jun 30, 2017
CompletionActual
Jun 30, 2017
Last update
Aug 21, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 21, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02332213
Lead sponsor
University of Latvia
Collaborators
Technion, Israel Institute of Technology, Lithuanian University of Health Sciences, Karolinska Institutet, German Cancer Research Center, Digestive Diseases Centre GASTRO, Riga East Clinical University Hospital, Academic Histology Laboratory (Latvia), JLM Innovation GmbH (Germany)
Responsible party
Sponsor
First posted
Jan 6, 2015
Start date
Jan 2014
Primary completion
Jun 30, 2017
Completion
Jun 30, 2017
Last update
Aug 21, 2018

Study contacts

Hossam Haick, Ph.D.
principal investigator · Technion, Israel Institute for Technology (Israel)

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2018. You cannot join it, but the record below documents what was studied.

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