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Clinical Utility of Methylation-based Prognostic Assay for Barrett's Esophagus

Primary Purpose

Barrett Esophagus, Esophageal Cancer

Status
Active
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Educational materials on validated methylation assay
Sponsored by
Capsulomics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Barrett Esophagus

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Be currently practicing board-certified gastroenterologist practicing in the United States Have practiced (as a board-certified gastroenterologist) for greater than 2 Be English-speaking Have ≥ 50 Barrett's esophagus patients under care annually Have Internet access Have no prior experience with the methylation assay test Provide voluntary informed consent to participate in the study. Exclusion Criteria: Non-practicing gastroenterologists Less than two years of gastroenterology practice Non-English speaking Does not have access to the internet Does not consent to participate in study

Sites / Locations

  • Capsulomics, Inc.

Arms of the Study

Arm 1

Arm 2

Arm Type

No Intervention

Experimental

Arm Label

Control Group

Intervention Group

Arm Description

The control group will receive standard-of-care clinical data for their virtual patient cases. No educational material on the methylation assay will be provided.

The intervention group will receive standard-of-care clinical data for their virtual cases along with educational materials about the methylation assay. This group will then be provided with methylation assay data to be used in addition to clinical data.

Outcomes

Primary Outcome Measures

Clinical performance change in physician behavior.
Change in the overall and the diagnostic and treatment in patient simulations: difference-in-differences regression analysis between the control and the intervention groups' diagnosis and treatment of risk progression in patients with Barrett's esophagus, as measured by the participants' diagnostic and treatment scores. In each category, participants' care recommendations are evaluated, ranging from 0 to a high potential score of up to 10, where higher scores mean increased intensity in surveillance and treatment, to measure the impact of the methylation assay on care decision making.
The impact of methylation assay on physician confidence in clinical care decision-making.
Measure the confidence in care decisions based on patient's methylation test result: Once the intervention group is exposed to the intervention, education materials on the methylation assay (a validated molecular test for risk stratifying patients with Barrett's esophagus), the scores are measured, on a scale of 0 to 10 from round 1 (pre-exposure) to round 2 (post-exposure) and observe how the assay impacts confidence in the physician following evidence-based patient care.

Secondary Outcome Measures

Full Information

First Posted
November 14, 2022
Last Updated
April 26, 2023
Sponsor
Capsulomics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05846971
Brief Title
Clinical Utility of Methylation-based Prognostic Assay for Barrett's Esophagus
Official Title
Clinical Utility of Methylation-based Prognostic Assay for Barrett's Esophagus
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
January 26, 2021 (Actual)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
December 31, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Capsulomics, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Capsulomics has developed a prognostic assay for patients with diagnosed Barrett's esophagus (BE). This study will measure how gastroenterologists make surveillance and treatment management decisions when presented with different clinical and prognostic assay information.
Detailed Description
Capsulomics has developed a prognostic assay for patients with diagnosed Barrett's esophagus (BE). This study will measure how gastroenterologists make surveillance and treatment management decisions for virtual patient cases when presented with different clinical and prognostic assay information. The data from this study will be published in a peer-review scientific journal.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Barrett Esophagus, Esophageal Cancer

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare Provider
Allocation
Randomized
Enrollment
100 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Control Group
Arm Type
No Intervention
Arm Description
The control group will receive standard-of-care clinical data for their virtual patient cases. No educational material on the methylation assay will be provided.
Arm Title
Intervention Group
Arm Type
Experimental
Arm Description
The intervention group will receive standard-of-care clinical data for their virtual cases along with educational materials about the methylation assay. This group will then be provided with methylation assay data to be used in addition to clinical data.
Intervention Type
Other
Intervention Name(s)
Educational materials on validated methylation assay
Intervention Description
Educational materials include overall information on the assay including what the test does, how to use the test and report, and performance metrics on the test.
Primary Outcome Measure Information:
Title
Clinical performance change in physician behavior.
Description
Change in the overall and the diagnostic and treatment in patient simulations: difference-in-differences regression analysis between the control and the intervention groups' diagnosis and treatment of risk progression in patients with Barrett's esophagus, as measured by the participants' diagnostic and treatment scores. In each category, participants' care recommendations are evaluated, ranging from 0 to a high potential score of up to 10, where higher scores mean increased intensity in surveillance and treatment, to measure the impact of the methylation assay on care decision making.
Time Frame
1 year
Title
The impact of methylation assay on physician confidence in clinical care decision-making.
Description
Measure the confidence in care decisions based on patient's methylation test result: Once the intervention group is exposed to the intervention, education materials on the methylation assay (a validated molecular test for risk stratifying patients with Barrett's esophagus), the scores are measured, on a scale of 0 to 10 from round 1 (pre-exposure) to round 2 (post-exposure) and observe how the assay impacts confidence in the physician following evidence-based patient care.
Time Frame
1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Be currently practicing board-certified gastroenterologist practicing in the United States Have practiced (as a board-certified gastroenterologist) for greater than 2 Be English-speaking Have ≥ 50 Barrett's esophagus patients under care annually Have Internet access Have no prior experience with the methylation assay test Provide voluntary informed consent to participate in the study. Exclusion Criteria: Non-practicing gastroenterologists Less than two years of gastroenterology practice Non-English speaking Does not have access to the internet Does not consent to participate in study
Facility Information:
Facility Name
Capsulomics, Inc.
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21215
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Clinical Utility of Methylation-based Prognostic Assay for Barrett's Esophagus

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