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RecruitingNCT07253948Updated Nov 28, 2025

Distribution Characteristics of Helicobacter Pylori

An observational study in Helicobacter Pylori and Early Gastric Cancer, sponsored by Jilin University. Recruiting at 1 site in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-11-28.

Sponsored by Jilin University · Observational

From the registry’s dates

  • Primary completion was expected by Dec 2025, 10 months ago, but the record still lists the study as recruiting.
  • Started Oct 2025; still recruiting 1 year later.

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Study type
Observational
Model
Ecologic or community
Time perspective
Retrospective
Enrollment
231
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 1,183 studies in Stomach Neoplasms with a site in China — 480 open to participants now, 556 under way, 50 of them phase 3. Stomach Neoplasms · China.

Planned enrollment
181st of 303
231 · median 300
Started
2025
with 117 others
Observational
303 of 1,183
132 open now
Primary completion
2025-12
later than 179 of 555 live
Registered
1,060th of 1,183
by date

Among the 1,183 studies in Stomach Neoplasms with a site in China, this one is the 181st largest by planned enrollment of the 303 observational ones that give a count, is one of 118 that started in 2025, is one of 303 observational ones, reaches primary completion later than 179 of the 555 other live ones, and was the 1,060th registered.

Stomach Neoplasms

3,401 studies on the registry are indexed under Stomach Neoplasms; 993 are open to participants now.

Browse Stomach Neoplasms studies →

Open to participants now

480 of the 1,183 studies in Stomach Neoplasms with a site in China are open now. Recruiting first, the newest first:

475 more — sign in →

All 480 open studies →

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

Who these studies take

Of the 704 Stomach Neoplasms studies recruiting now, 376 (53%) set no upper age limit and 194 (28%) stop at 75 or younger; 28 take children under 18; 69 take healthy volunteers.

This study: 18 Years to 80 Years · all sexes · no healthy volunteers.

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02

Study summary

This study aimed to analyze the distribution characteristics of Helicobacter pylori(H. pylori) in varying stages of atrophic gastritis and early gastric cancer using immunohistochemical staining, with the goal of providing guidance for the early screening of gastric cancer.

A retrospective analysis was conducted on gastric biopsy cases that underwent H. pylori immunohistochemical staining at our center from March 1, 2023, to August 15, 2025. Cases were classified into non-atrophic and atrophic groups based on the presence or absence of gastric atrophy. All cases were further divided into non-open and open atrophy groups and additionally into early gastric cancer and non-cancer groups. The distribution of H. pylori across subgroups was compared, and multivariate analyses were performed to identify risk factors associated with the development of early gastric cancer.

Read the detailed description

A retrospective analysis was performed on cases that underwent gastric H. pylori immunohistochemical staining at our center from March 1, 2023, to August 15, 2025.

Immunohistochemical results were reviewed independently by two experienced pathologists, with disagreements resolved by a third. After applying inclusion and exclusion criteria, cases were classified according to the Kimura-Takemoto classification : First, patients were categorized into non-atrophic and atrophic groups based on the presence of atrophy. Second, all cases were further divided into non-open and open atrophy groups. Open atrophy was defined as a degree of O1 or greater (endoscopic atrophic border extending beyond the cardia). All cases were additionally categorized into early gastric cancer and non-cancer groups depending on whether early gastric cancer lesions were present or had previously been identified. Early gastric cancer was defined based on endoscopic submucosal dissection (ESD) indications: (i) UL0 cT1a differentiated-type carcinomas; (ii) UL1 cT1a differentiated-type carcinomas with a long diameter ≤3 cm; or (iii) UL0 cT1a undifferentiated-type carcinomas with a long diameter ≤2 cm. Immunohistochemical staining was performed using an anti-H. pylori antibody (Beijing Zhongshan Golden Bridge Biotechnology Co., Ltd, Beijing, China). Positive results were graded as mild (1+): occasional bacteria or colonization in \<1/3 of the specimen length; moderate (2+): colonization exceeding 1/3 but \<2/3 of the specimen, or continuous but sparse distribution on the epithelial surface; and severe (3+): clusters of H. pylori distributed across the full length of the specimen. The gastric body and antrum were assessed separately, and distribution patterns were classified as gastric antrum > gastric body, gastric antrum = gastric body, or gastric body > gastric antrum. The distribution of H. pylori across subgroups was compared, and multivariate analyses were performed to identify risk factors associated with the development of early gastric cancer.

03

Conditions studied

  • Helicobacter Pylori
  • Early Gastric Cancer

Keywords

  • Helicobacter pylori
  • Immunohistochemical staining
  • Atrophic gastritis
  • Early gastric cancer screening
04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Cases that underwent gastric H. pylori immunohistochemical staining at our center from March 1, 2023, to August 15, 2025.

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 18-80 years
  • received H. pylori immunohistochemical testing at our center and tested positive.

Exclusion criteria

Exclusion Criteria:

  • not collected from both the greater and lesser curvatures of the gastric antrum and body
  • history of stomach surgery
  • suspected gastritis under endoscopy
  • liver cirrhosis
  • severe comorbidities such as advanced cancer or renal failure
  • advanced gastric cancer or gastric lymphoma
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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Observational model
Ecologic or community
Time perspective
Retrospective
Enrollment
231 participants (estimated)
Patient registry
No

Groups and cohorts

  • received H. pylori immunohistochemical testing at our center and tested positive

    Diagnostic Test: immunohistochemical testing

Interventions

  • Diagnostic testimmunohistochemical testing

    Immunohistochemical results were reviewed independently by two experienced pathologists, with disagreements resolved by a third. Immunohistochemical staining was performed using an anti-H. pylori antibody (Beijing Zhongshan Golden Bridge Biotechnology Co., Ltd, Beijing, China). Positive results were graded as mild (1+): occasional bacteria or colonization in \<1/3 of the specimen length; moderate (2+): colonization exceeding 1/3 but \<2/3 of the specimen, or continuous but sparse distribution on the epithelial surface; and severe (3+): clusters of H. pylori distributed across the full length of the specimen. The gastric body and antrum were assessed separately, and distribution patterns were classified as gastric antrum \> gastric body, gastric antrum = gastric body, or gastric body \> gastric antrum. The distribution of H. pylori across subgroups was compared, and multivariate analyses were performed to identify risk factors associated with the development of early gastric cancer.

06

What researchers measure

Primary outcomes

  1. The status of Helicobacter pylori(H. pylori)

    The status of H. pylori included negative and positive status. Positve results were graded as mild (1+): occasional bacteria or colonization in \<1/3 of the specimen length; moderate (2+): colonization exceeding 1/3 but \<2/3 of the specimen, or continuous but sparse distribution on the epithelial surface; and severe (3+): clusters of H. pylori distributed across the full length of the specimen. The gastric body and antrum were assessed separately.

    Time frame: one week after the endoscopic submucosal dissection (ESD)

Secondary outcomes

  1. the percentage of H. pylori positive status of gastric antrum in early gastric cancer

    the percentage of H. pylori positive status of gastric antrum in early gastric cancer was assessed

    Time frame: one year after the endoscopic submucosal dissection (ESD)

Other outcomes

  1. the percentage of H. pylori positive status of gastric body in early gastric cancer

    the percentage of H. pylori positive status of gastric body in early gastric cancer was assessed

    Time frame: one year after the endoscopic submucosal dissection (ESD)

  2. the percentage of H. pylori positive status of gastric antrum in gastritis

    the percentage of H. pylori positive status of gastric antrum in gastritis was assessed

    Time frame: one year after the endoscopic submucosal dissection (ESD)

  3. the percentage of H. pylori positive status of gastric body in gastritis

    the percentage of H. pylori positive status of gastric body in gastritis was assessed

    Time frame: one year after the endoscopic submucosal dissection (ESD)

07

Study locations

1 of 1 sites recruiting
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 reached

Started Oct 2025 (actual). Primary completion is estimated for Dec 2025, 2 months after the start.

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

Registered
Nov 13, 2025
First posted
Nov 28, 2025
StartActual
Oct 22, 2025
Primary completionEst.
Dec 31, 2025
CompletionEst.
Dec 31, 2025
Last update
Nov 28, 2025
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 Nov 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07253948
Lead sponsor
Jilin University
Responsible party
Dong Yang (Principal Investigator, Jilin University) — Principal investigator
First posted
Nov 28, 2025
Start date
Oct 22, 2025
Primary completion
Dec 31, 2025 (estimated)
Completion
Dec 31, 2025 (estimated)
Last update
Nov 28, 2025

Study contacts

Dong Yang, Doctor
Contact
714488468@qq.com
86-18844097668
Hong Xu, Professor
Contact
x_hong@jlu.edu.cn
0431-88782821

Oversight

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

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