Augmented Response of Volatile Biomarkers in Assessment of Oesophagogastric Cancer (AROMA 1 / BIORESOURCE)
Augmented Response of Volatile Biomarkers in Assessment of Oesophagogastric Cancer
Imperial College London
648 participants
Feb 28, 2022
INTERVENTIONAL
Conditions
Summary
Cancer of the stomach and oesophagus is among the world's top five cancers. Survival rates are very poor as the disease presents late and early symptoms are non-specific. The study team has developed a non-invasive test for cancers of the stomach and oesophagus based on the detection of volatile organic compounds in exhaled breath. These compounds are known to be produced by both cancers as well as cancer associated bacteria within the gut. The proposed innovation is to improve the accuracy of this test by investigating whether simple metabolic substrates can increase the production of these volatile organic compounds by both the tumour and its associated bacteria.
Eligibility
Inclusion Criteria6
- Aged 18-90years
- Oesophageal/gastric cancer cohort: participants with biopsy proven adenocarcinoma who are treatment naïve
- Control cohort: participants with normal or benign upper gastrointestinal disease determined on: • Endoscopy within 1 year • Planned endoscopy
- Aged 18- 90years
- Oesophageal/gastric cancer cohort: participants with biopsy proven adenocarcinoma who are treatment naïve
- Oesophageal/gastric control cohort: participants with normal or benign upper gastrointestinal disease determined on: • Planned endoscopy
Exclusion Criteria22
- Patients with the following characteristics will not be eligible for inclusion in this study:
- Oesophageal squamous cell carcinoma
- Previous oesophageal and gastric resection
- Received neoadjuvant chemotherapy for oesophageal or gastric cancer
- History of another cancer within three years
- Any form of oesophageal dysplasia (control cohort only)
- Previously diagnosed with Barrett's oesophagus (control cohort only)
- Active infection, on immunosuppressive medications or antibiotic therapy within the last 8 weeks
- Participants with co-morbidities preventing breath collection
- Allergies to any of the constituents of the nutrient drink including glucose, glycerol, iron sulphate, Maltodextrin (Corn, Potato), Xanthan Gum, Potassium Chloride, tyrosine, phenylalanine, and glutamic acid
- Unable or unwilling to provide informed written consent
- Pregnant participants
- Oesophageal squamous cell carcinoma
- Previous oesophageal and gastric resection
- Received neoadjuvant chemotherapy for oesophageal or gastric cancer
- History of another cancer within five years
- Any form of oesophageal dysplasia (oesophageal/gastric control cohorts only)
- Previously diagnosed with Barrett's oesophagus (oesophageal/gastric control cohorts only)
- Active infection, on immunosuppressive medications or antibiotic therapy within the last 8 weeks
- Participants with co-morbidities preventing breath collection
- Unable or unwilling to provide informed written consent
- Pregnant participants
Interventions
For the AROMA 1 study patients will be requested to consume a nutrient drink (approximately 200 ml) that includes natural ingredients found within a typical human diet. Following consumption of the drink, serial breath tests will be performed to determine varying levels of VOC production in breath
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT05412758