Clinical trial Recruiting at 1 site Observational Ages 18 and up

How autoimmune atrophic gastritis develops and presents over time

Official title: Natural History, Evolution, and Clinical Features of Autoimmune Atrophic Gastritis

Run by Fondazione IRCCS Policlinico San Matteo di Pavia · NCT07388459 · Data updated 2026-11-12

This project will follow adults with autoimmune atrophic gastritis to see how the disease progresses and affects the stomach, nutrient absorption, and overall health.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment600 (estimated)
SponsorFondazione IRCCS Policlinico San Matteo di Pavia
Academic / other
Locations1 site (Pavia, Pavia)
StatusRecruiting
StartedNovember 17, 2023
Main results expectedDecember 31, 2025
Study endsDecember 31, 2026
Registry record updatedFebruary 5, 2026
Trial IDNCT07388459 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (age ≥18) with a confirmed diagnosis of autoimmune atrophic gastritis per the updated Sydney System who can provide written informed consent and attend the participating tertiary outpatient clinic.

Probably not a fit

Patients with uncertain histopathology, active H. pylori infection, long-term proton pump inhibitor use, or atrophic pangastritis are excluded and thus unlikely to benefit from participation.

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

What this trial studies

This single-center observational project at Fondazione IRCCS Policlinico San Matteo in Pavia will enroll adults diagnosed with autoimmune atrophic gastritis using the updated Sydney System and obtain written informed consent. Investigators will collect clinical history, histological and laboratory data (including markers of gastric autoimmunity and evidence of nutrient deficiencies) and document changes over time without giving experimental treatment. Patients with uncertain histopathology, active Helicobacter pylori infection, long-term proton pump inhibitor use, or atrophic pangastritis are excluded. The aim is to characterize the natural history, clinical features, and downstream effects of hypo-achlorhydria, including impacts on microbiota and systemic complications.

Why it matters

Potential benefit: If successful, the findings could improve diagnosis, monitoring, and prevention of complications such as vitamin B12 and iron deficiency in people with autoimmune atrophic gastritis.

How similar studies have gone: Prior research on autoimmune atrophic gastritis is limited and largely cross-sectional, so comprehensive longitudinal natural-history data are sparse.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Male or female, age ≥18 years;
* AAG diagnosis is made according to the updated Sydney System criteria referring to a tertiary outpatient clinic dedicated;
* Signed written informed consent.

Exclusion Criteria:

* Patients with uncertain histopathological findings;
* Patients with persistent or active Helicobacter pylori infection;
* Patients with long-term proton pump inhibitor users and atrophic pangastritis

Where it's running

  • Fondazione IRCCS Policlinico San Matteo, SC Medicina Generale 1
    Pavia, Pavia, Italy
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.