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 type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 600 (estimated) |
| Sponsor | Fondazione IRCCS Policlinico San Matteo di Pavia Academic / other |
| Locations | 1 site (Pavia, Pavia) |
| Status | Recruiting |
| Started | November 17, 2023 |
| Main results expected | December 31, 2025 |
| Study ends | December 31, 2026 |
| Registry record updated | February 5, 2026 |
| Trial ID | NCT07388459 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
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Fondazione IRCCS Policlinico San Matteo, SC Medicina Generale 1
Pavia, Pavia, Italy Recruiting
Study contacts
- Study coordinator: Emanuela Miceli, MD
- Email: e.miceli@smatteo.pv.it
- Phone: +390382503545
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Prevalence and possible role of non-H. pylori Helicobacter species in gastric conditions and cancers
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Investigating the link between atrophic gastritis and gastric cancer risk
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Observational study on gastric precancerous conditions
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.