Which biopsy method best spots early esophageal cancer?
NCT ID NCT05530343
First seen Jul 01, 2026 · Last updated Jul 02, 2026 · Updated 1 time
Summary
This trial compares two ways to sample tissue in people with Barrett's esophagus, a condition that raises the risk of esophageal cancer. The standard method takes four small tissue samples every 2 centimeters, while the newer method uses a brush to collect cells over a wider area. The study aims to see which approach better detects precancerous changes or early cancer. About 2,300 participants will undergo both methods during endoscopy, with the order randomly assigned.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If one method proves superior, it could become the new standard for detecting early esophageal cancer, potentially saving lives through earlier treatment.
- What could go wrong
- The trial compares two already accepted methods, so the difference may be small. Results depend on confirmation biopsies, and the benefit may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 2,298 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2022
- Expected to finish
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Jun 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 89 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Surveillance Population * Undergoing surveillance endoscopy for a diagnosis of non-dysplastic Barrett's esophagus (NDBE, based on last endoscopic procedure; patients with prior history of low-grade dysplasia/indefinite for dysplasia with NDBE at last endoscopy can be included) * Barrett's esophagus (BE) length of at least M1 * English and Spanish speaking * Able to comprehend and complete the consent form * Age18-89 years * Life-expectancy of at least 2 years Screening Population * Undergoing endoscopy for screening of BE * BE length of at least M1 * English and Spanish speaking * Able to comprehend and complete the consent form * Age 18-89 years * Expected life-expectancy of at least 2 years Physicians -All participating sites will include physicians who are trained in the use of WATS3D and certified by the site PI. All endoscopists will need to complete a minimum of three cases to be eligible to participate in the study. Exclusion Criteria: Surveillance Population * BE patients undergoing surveillance or evaluation for endoscopic eradication therapy (EET) for prior diagnosis of BE related dysplasia or esophageal adenocarcinoma (EAC) * Active erosive esophagitis with LA Grade B or higher * Esophageal varices * Prior history of EET * Prior history of esophageal or gastric surgery, except for uncomplicated fundoplication * Pregnancy Screening Population * BE patients undergoing surveillance or evaluation for EET for prior diagnosis for BE-related dysplasia or EAC * Active erosive esophagitis with LA Grade B or higher * Esophageal varices * Prior history of esophageal or gastric surgery, except for uncomplicated fundoplication * Pregnancy
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Get notified about this study
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
14 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Arizona Centers of Digestive Health
RECRUITINGGilbert, Arizona, 85295, United States
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Connecticut Clinical Research Institute
RECRUITINGBristol, Connecticut, 06010, United States
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Gastrointestinal Associates, PC
RECRUITINGKnoxville, Tennessee, 37909, United States
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Geisinger Medical Center
RECRUITINGDanville, Pennsylvania, 17822, United States
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Kaiser Permanente
RECRUITINGOakland, California, 94611, United States
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Long Island Jewish Medical Center
RECRUITINGNew Hyde Park, New York, 11040, United States
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Mayo Clinic
RECRUITINGRochester, Minnesota, 55905, United States
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Northwestern University
RECRUITINGChicago, Illinois, 60611, United States
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Suncoast Endoscopy of Sarasota
RECRUITINGSarasota, Florida, 34239, United States
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UCLA / Jonsson Comprehensive Cancer Center
RECRUITINGLos Angeles, California, 90024, United States
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University of Colorado Anschutz Medical Campus
RECRUITINGAurora, Colorado, 80045, United States
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University of North Carolina at Chapel Hill
RECRUITINGChapel Hill, North Carolina, 27599, United States
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University of Rochester
RECRUITINGRochester, New York, 14642, United States
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Weill Cornell Medicine
RECRUITINGNew York, New York, 10065, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Swallowable capsule and lab test take on endoscopy for esophageal cancer screening
- What do patients really want when facing oesophageal cancer surgery?
- Can a direct hit to tumors make immunotherapy work better?
- Can a new drug boost immunotherapy against Hard-to-Treat stomach cancer?
- Can a Pre-Surgery checklist predict who will still have reflux after fundoplication?
- New acid blocker may offer stronger reflux control for Barrett's esophagus