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CompletedNCT03467529OESOCiTyUpdated Feb 8, 2024

Evaluation of Full-field Coherence Tomography for ex Vivo Staging and Assessment of Superficial Esophageal Squamous Carcinoma: a Pilot Study

An observational study in Esophagus Cancer, sponsored by Nantes University Hospital. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-02-08.

Sponsored by Nantes University Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
20
Ages
18 Years and older
Sex
All
01

Study summary

New tools are needed to 1) diagnose and 2) stage early esophageal squamous cell carcinoma (SCC) in order to improve outcomes of this frequent and lethal cancer.

Optical coherence tomography (OCT) is an optical technique, which can image human tissue ex vivo and in vivo with a resolution around 30µm and with a depth of 1mm. Full-field optical coherence tomography (FFOCT) is a new modality, which allows to image an ex vivo specimen with a cellular resolution and to perform 3D reconstruction. This device has never been tested on esophageal specimens.

Therefore, the aim of this non-interventional research is 1) to determine FFOCT diagnostic criteria for SCC and 2) to figure if FFOCT allows the staging of the depth of invasion in SCC.

To achieve these goals, we will image ex vivo 10 specimens of endoscopic resection of SCC (endoscopic mucosal resection (EMR) and submucosal dissection (ESD)) using an FFOCT device and we will compare the results with histological analysis of these specimens.

Read the detailed description

General study methodology

The study presents the following characteristics:

  • Observational
  • Non interventional imaging study
  • Single-centre
  • Not controlled
  • Prospective Tests and analysis CRF
  • Filled by the investigator
  • Data from the medical file of the patient Imaging
  • As standard of care
  • Before endoscopic resection the lesion will be characterized and pictures will be made using white light endoscopy, magnification techniques and electronic chromoendoscopy
  • Immediately after endoscopic resection, the specimen will be prepared, oriented and scanned using the FFOCT device (CE marking)
  • Imaging movies will be then reviewed by trained readers and compared to movies of healthy patients, findings will be described
  • Imaging movies will be compared to pathology slides

Pathology

  • After scanning the specimen will be sent to pathology for analysis
  • The pathology slides will be scanned to be kept in the study record together with their interpretation

Study schedule

  • Total length of study: 24 months
  • Methodology and regulatory: 6 months
  • Recruitment period: 1 year
  • Recruitment among the patients scheduled for the endoscopic procedure in the operative room
  • One single visit = inclusion the day of the procedure
  • No follow-up required
  • Analyses: 3 months
  • Paper writing: 3 months
02

Conditions studied

  • Esophagus Cancer

Keywords

  • Superficial esophageal cancer
  • Squamous cell cancer
  • Mini invasive imaging
  • Pre therapeutic assessment
  • Optical coherence tomography
03

In context

Esophageal Neoplasms

1,873 studies on the registry are indexed under Esophageal Neoplasms; 501 are open to participants now.

This study's enrollment of 20 is below the median of 200 across 432 observational studies indexed under Esophageal Neoplasms.

Browse Esophageal Neoplasms studies →

Lead sponsor

Nantes University Hospital is the lead sponsor of 839 studies on the registry; 195 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

10 patients will be recruited by the Clinical investigation center by reviewing the scheduled SCC resections each week. All patients scheduled for an endoscopic resection of SCC will be considered for inclusion in the study. The study itself will take place in the department of gastroenterology. Recruitment within one year of inclusion will be possible because our unit is a regional reference center for interventional endoscopy.

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

  • Age of 18 years and more
  • Confirmed diagnosis of SCC based on previous
  • Indication for endoscopic resection
  • Patient who has read the information notice and confirmed its willing to participate

Exclusion criteria

Exclusion Criteria:

  • Pregnancy
  • Any for endoscopic treatment
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
20 participants (actual)
Patient registry
No

Interventions

  • OtherNon interventional study

    Non interventional study

06

What researchers measure

Primary outcomes

  1. Concordance between FFOCT findings and pathology based on the Paris classification of superficial esophageal cancer in pathology

    The principal objective of this study will be reached if: * the tumoral lesion is correctly identified in the specimen in FFOCT images * and/or the normal esophageal mucosa and submucosal and/or normal vessels are correctly identified in the specimen in FFOCT images * in at least 8 specimens.

    Time frame: Immediately after endoscopic resection (Day 0)

07

Study locations

1 site
  • Nantes University Hospital
    Nantes, 44000, France
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2018 to primary completion in Jul 2022, 43 months.

Of 152 non-industry observational studies under Esophageal Neoplasms, half reached primary completion within 81 months of starting (the median), counting those still running; a quarter within 32 and three quarters within 252. This study's 43 months is below that.

Counting every sponsor, half of 174 studies reached it within 60 months; a quarter within 33 and three quarters within 252.

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

Registered
Dec 4, 2017
First posted
Mar 16, 2018
StartActual
Nov 6, 2018
Primary completionActual
Jul 1, 2022
CompletionActual
Jul 1, 2022
Last update
Feb 8, 2024
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 Feb 8, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03467529
Responsible party
Sponsor
First posted
Mar 16, 2018
Start date
Nov 6, 2018
Primary completion
Jul 1, 2022
Completion
Jul 1, 2022
Last update
Feb 8, 2024

Study contacts

Emmanuel Coron, Pr
principal investigator · Nantes University Hospital

Oversight

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

Not currently enrolling

This study is completed, as verified in Feb 2024. You cannot join it, but the record below documents what was studied.

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