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Trial registered on ANZCTR
Registration number
ACTRN12620000263998
Ethics application status
Approved
Date submitted
14/02/2020
Date registered
27/02/2020
Date last updated
27/02/2020
Date data sharing statement initially provided
27/02/2020
Date results provided
27/02/2020
Type of registration
Retrospectively registered
Titles & IDs
Public title
Distinguishing Gastroesophageal Reflux Disease and Eosinophilic Esophagitis in Adults: the Role Esopahegal Mucosal Immunoglobulin IG4
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Scientific title
Distinguishing Gastroesophageal Reflux Disease and Eosinophilic Esophagitis in Adults: the Role Esopahegal Mucosal Immunoglobulin IG4
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Secondary ID [1]
300557
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Eosinophilic oesophagitis
316278
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Gastroesophageal reflux disease
316279
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Condition category
Condition code
Oral and Gastrointestinal
314556
314556
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Inflammatory and Immune System
314642
314642
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0
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
IgG4 staining was performed prospectively on retrospective specimens. Thus, the ethics committee approved the study to proceed without requiring patient consent. Medical records were accessed as approved by the ethics committee.
This was a single cross-sectional assessment.
All biopsies with either EoE or GORD will undergo immunohistochemical staining for IgG4 using DAKO Autostainer Plus Staining System. A single pathologist who specializes in gastrointestinal pathology will perform all immunohistochemical staining and interpretation of the slides in a blinded manner.
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Intervention code [1]
316855
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Diagnosis / Prognosis
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
322876
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Distinguishing EoE using IgG4 staining. All biopsies will undergo immunohistochemical staining for IgG4 using DAKO Autostainer Plus Staining System. A single pathologist who specializes in gastrointestinal pathology will perform all immunohistochemical staining and interpretation of the slides in a blinded manner.
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Assessment method [1]
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Timepoint [1]
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1 week post staining by pathologist
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Primary outcome [2]
323059
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Distinguishing GERD using IgG4 staining. All biopsies will undergo immunohistochemical staining for IgG4 using DAKO Autostainer Plus Staining System. A single pathologist who specializes in gastrointestinal pathology will perform all immunohistochemical staining and interpretation of the slides in a blinded manner.
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Assessment method [2]
323059
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Timepoint [2]
323059
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1 week post staining by pathologist
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Secondary outcome [1]
380115
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N/A
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Assessment method [1]
380115
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Timepoint [1]
380115
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N/A
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Eligibility
Key inclusion criteria
GERD:
-18-80 years of age
-typical symptoms of GERD responsive to PPI therapy
-evidence of oesophagitis on endoscopy with supportive oesophageal biopsy specimens --eosinophil count <10/hpf
EoE:
-18-80 years of age, symptoms of oesophageal dysfunction with 'greater than or equal to' 15 eosinophils/hpf
-exclusion of other causes of eosinophilia
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion criteria were history of severe respiratory, cardiovascular, hepatic, haematological and/or renal disease, chronic alcohol abuse, medications that may influence gastrointestinal function and previous gastrointestinal surgery.
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Both
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
11/09/2017
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Date of last participant enrolment
Anticipated
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Actual
31/12/2019
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Date of last data collection
Anticipated
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Actual
31/12/2019
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Sample size
Target
30
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Accrual to date
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Final
60
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
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The Royal Adelaide Hospital - Adelaide
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Recruitment postcode(s) [1]
29342
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5000 - Adelaide
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Royal Adelaide Hospital
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Address [1]
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5E291, RAH, Port Road, Adelaide, 5000, SA, Australia
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Country [1]
304967
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
GI and Pancreatic Researchs Group
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Address
5E291, RAH, Port Road, Adelaide, 5000, SA, Australia
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
305326
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Address [1]
305326
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Country [1]
305326
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
305378
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Royal Adelaide Hospital Research Ethics Committee
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Ethics committee address [1]
305378
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Royal Adelaide Hospital Port Road, Adelaide SA 5000
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Ethics committee country [1]
305378
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Australia
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Date submitted for ethics approval [1]
305378
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Approval date [1]
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10/09/2017
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Ethics approval number [1]
305378
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Summary
Brief summary
Background: Eosinophilic esophagitis (EoE) and gastroesophageal reflux disease (GERD) can be difficult to distinguish as many of their clinical and histological features overlap. Preliminary data suggests a potential association between EoE and immunoglobulin G4 (IgG4), but not GERD. Aim: To examine the role of esophageal mucosal IgG4 staining in differentiating EoE from GERD. Methods: Esophageal biopsy specimens from patients with proven EoE and GERD were evaluated and immunohistochemical staining for IgG4 was performed by an experienced gastrointestinal pathologist blinded from the clinical and endoscopic data. The results on IgG4 staining was then correlated with clinical, endoscopic and histological features.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Stephanie Wong
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Address
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5E291, Royal Adelaide Hospital, Port Road, Adelaide, 5000, SA
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Country
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Australia
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Phone
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+61 8 70742189
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Romina Safaeian
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Address
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5E291, RAH, Port Road, Adelaide, 5000, SA
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Country
100175
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Australia
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Phone
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+61 8 70742189
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Fax
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Email
100175
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[email protected]
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Contact person for scientific queries
Name
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Romina Safaeian
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Address
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5E291, RAH, Port Road, Adelaide, 5000, SA
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Country
100176
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Australia
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Phone
100176
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+61 8 70742189
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Fax
100176
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Email
100176
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF