Oral bevacizumab-800CW and cetuximab-800CW to detect early esophageal adenocarcinoma
Official title: A Phase 2 Intervention Study: Detection of Early Esophageal Neoplastic Lesions by Quantified Fluorescence Molecular Endoscopy Using Oral and Topical Administration of Bevacizumab-800CW and Cetuximab-800CW
Run by University Medical Center Groningen · NCT05745857 · Data updated 2026-11-12
This trial tests whether drinking two fluorescent tracers before an endoscopy helps doctors find early esophageal adenocarcinoma in people with Barrett's esophagus or suspected dysplasia.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 25 (estimated) |
| Sponsor | University Medical Center Groningen Academic / other |
| Drugs / interventions | bevacizumab, cetuximab, chemotherapy, immunotherapy, radiation |
| Locations | 1 site (Groningen, Provincie Groningen) |
| Status | Recruiting |
| Started | September 15, 2023 |
| Main results expected | May 2026 |
| Study ends | December 2026 |
| Registry record updated | April 13, 2026 |
| Trial ID | NCT05745857 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with Barrett's esophagus (with or without suspected/diagnosed low- or high-grade dysplasia) or superficial (T1) esophageal adenocarcinoma who are scheduled for diagnostic or therapeutic endoscopy and can give informed consent are ideal candidates.
✕Probably not a fit
Patients with submucosal or more invasive esophageal cancer beyond T1, prior bevacizumab or cetuximab treatment, recent chemotherapy or radiation, known antibody allergy, pregnancy or breastfeeding, or inability to provide informed consent are unlikely to benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Researchers will give two fluorescently labeled antibodies (bevacizumab-800CW and cetuximab-800CW) orally before endoscopic surveillance in adults with Barrett's esophagus or suspected superficial esophageal adenocarcinoma. During endoscopy they will use quantitative fluorescence molecular endoscopy (qFME) and MDSFR/SFF spectroscopy to visualize tracer uptake and guide targeted biopsies. The approach aims to eliminate incubation time required with intravenous or topical tracers while maintaining high target-to-background ratios. This single-center phase 2 study at University Medical Center Groningen enrolls patients scheduled for diagnostic or therapeutic endoscopy.
Why it matters
Potential benefit: If successful, oral dual-tracer qFME could help doctors find more early cancers during routine endoscopy, reduce unnecessary biopsies, shorten procedure times, and lower healthcare costs.
How similar studies have gone: Previous studies using qFME with intravenous or topical tracers have shown improved lesion detection compared with white-light endoscopy, but oral dual-tracer administration is a novel approach not yet established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * BE patients without dysplasia and with suspected/diagnosed low-grade dysplasia (LGD), high-grade dysplasia (HGD) or superficial EAC and planned diagnostic and/or therapeutic endoscopy * Written informed consent is obtained Exclusion Criteria: * Patients under the age of eighteen. * Submucosal and invasive EAC, also defined as EAC with tumor, node and metastasis (TNM)-classification other than T1. * Previous radiation therapy for esophageal cancer * Known immunoglobulin allergy * Previous chemotherapy, immunotherapy or related surgery * Prior bevacizumab or cetuximab treatment * Medical or psychiatric conditions that compromise the patient's ability to give informed consent * Pregnancy or breast feeding.
Where it's running
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University Medical Center Groningen
Groningen, Provincie Groningen, Netherlands Recruiting
Study contacts
- Principal investigator: Wouter B. Nagengast, Prof. dr. — University Medical Center Groningen
- Study coordinator: Wouter B Nagengast, Prof. dr.
- Email: w.b.nagengast@umcg.nl
- Phone: +31(0)503615755
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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.