AI-based decision support system for cancer care

Development of a Clinical Decision Support System With Artificial Intelligence for Cancer Care

Observational National University Hospital, Singapore · NCT04675138

This study is testing an AI tool that helps doctors make better treatment decisions for patients with stomach and esophagus cancers to improve care, especially in places with fewer resources.

Quick facts

Study typeObservational
Enrollment1000 (estimated)
Ages21 Years and up
SexAll
SponsorNational University Hospital, Singapore Academic / other
Locations9 sites (Leipzig and 8 other locations)
Trial IDNCT04675138 on ClinicalTrials.gov

What this trial studies

This project aims to develop a Clinical Decision Support System (CDSS) that utilizes artificial intelligence to enhance decision-making in the treatment of gastric and esophageal cancers. The system will leverage international guidelines and high-quality evidence to provide case-specific treatment recommendations. It will be evaluated by comparing its recommendations with those from multidisciplinary tumor boards at various tertiary care institutions to assess concordance rates. The goal is to improve cancer care delivery, especially in centers with limited resources.

Who should consider this trial

Good fit: Ideal candidates include patients with primary gastric adenocarcinoma, gastroesophageal junction cancers, or esophageal cancer.

Not a fit: Patients with other types of cancers or those participating in non-standard treatment clinical trials may not benefit from this study.

Why it matters

Potential benefit: If successful, this system could significantly improve treatment decision-making for patients with gastric and esophageal cancers.

How similar studies have performed: Previous studies have shown that Clinical Decision Support Systems can enhance patient safety and diagnostic accuracy, indicating potential success for this approach.

Eligibility criteria

Show full inclusion / exclusion criteria
A. In discovery and internal retrospective validation part:

1. Patients with primary gastric adenocarcinoma including preinvasive carcinoma or
2. Patients with gastroesophageal junction cancers or
3. Patients with oesophageal cancer including adenocarcinoma, squamous cell carcinoma and preinvasive carcinoma subtypes.

B. In prospective validation part:

1. Patients with primary gastric adenocarcinoma including preinvasive carcinoma or
2. Patients with esophageal or gastroesophageal junction adenocarcinoma

Exclusion Criteria:

A. In discovery and internal retrospective validation part:

1. Patients with other primary cancers involving the stomach or oesophagus
2. Patients with other cancer subtypes
3. Patients with concomitant cancers of other organs

B. In prospective validation part:

1. Patients with esophageal squamous cell carcinoma
2. Patients who participate in clinical trials where the treatment modality is not standard of care

Where this trial is running

Leipzig and 8 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Gastric CancerEsophageal CancerEsophagogastric Junction CancerArtificial IntelligenceMultidisciplinary Tumor BoardClinical Decision Support SystemConcordance
Last reviewed 2026-06-09 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.