Clinical trial Recruiting at 1 site Interventional Ages 18 and up

AI-assisted endoscopic ultrasound to grade how deep early esophageal cancer has grown

Official title: AI-assisted Endoscopic Ultrasound Grading of Early Esophageal Cancer Invasion Depth: A Multicenter, Prospective, Randomized Cohort Study

Run by Fujian Provincial Hospital · NCT07251114 · Data updated 2026-11-12

This study will test whether an AI tool used during endoscopic ultrasound can more accurately determine how deep early esophageal cancer has grown to help guide treatment decisions.

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Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment200 (estimated)
SponsorFujian Provincial Hospital
Academic / other
Drugs / interventionschemotherapy
Locations5 sites (Fuzhou, Fujian and 4 other locations)
StatusRecruiting
StartedNovember 20, 2025
Main results expectedOctober 31, 2027
Study endsDecember 31, 2028
Registry record updatedNovember 26, 2025
Trial IDNCT07251114 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults over 18 with suspected or confirmed early esophageal squamous cell carcinoma or related precancerous lesions who have endoscopic and detailed pathological records and agree to participate are the intended candidates.

Probably not a fit

Patients who have had prior esophageal cancer surgery, prior radiotherapy or chemotherapy for esophageal cancer, those with missing key data, or those with more advanced disease are unlikely to benefit from this intervention.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This multicenter, prospective, randomized cohort study compares an AI-assisted endoscopic ultrasound (EUS) approach with conventional EUS interpretation for grading invasion depth in early esophageal squamous cell carcinoma. Approximately 200 eligible patients will be centrally randomized into an AI group or a conventional group, with about 100 patients per arm. The main outcome is grading accuracy of invasion depth compared with pathological results, with additional focus on pathological consistency and implications for preoperative T staging. Allocation is centrally randomized and labeled as A or B for operating physicians, and procedures occur at three participating hospitals in Fujian Province.

Why it matters

Potential benefit: If successful, this approach could provide more accurate preoperative staging, helping patients receive the most appropriate treatment and potentially avoiding unnecessary procedures.

How similar studies have gone: Preliminary AI work in endoscopic imaging has shown promise, but applying AI specifically to EUS invasion-depth grading is relatively novel and still needs validation.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Satisfy ①⑧⑨ and one of the following conditions simultaneously: ②③④⑤⑥⑦ ① Age over 18 years old, ② Esophageal ulcer, ③ low-grade intraepithelial neoplasia, ④ high-grade intraepithelial neoplasia, ⑤ patients with esophageal squamous cell carcinoma, ⑥ white patches of esophageal mucosa, ⑦ esophageal polyps, ⑧ with endoscopic examination records and detailed pathological records, ⑨ agree to participate in the study;

Exclusion Criteria:

* ① Patients who have undergone esophageal cancer surgery, ② those with a history of radiotherapy and chemotherapy for esophageal cancer, ③ patients with missing data.

Where it's running

  • Fujian provincial hospital
    Fuzhou, Fujian, China
    Recruiting
  • Affiliated Hospital of Putian University
    Putian, Fujian, China
    Not yet recruiting
  • Putian First Hospital
    Putian, Fujian, China
    Not yet recruiting
  • Putian Hospital of Traditional Chinese Medicine
    Putian, Fujian, China
    Not yet recruiting
  • Xianyou County General Hospital
    Putian, Fujian, China
    Not yet recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.