Evidence map›Paper›PMID 35299273›Full record

Trial reportEndoscopy2022

Detection of Barrett's neoplasia with a near-infrared fluorescent heterodimeric peptide.

Jing Chen, Yang Jiang, Tse-Shao Chang, Joel H Rubenstein, Richard S Kwon, Erik J Wamsteker, Anoop Prabhu, Lili Zhao, Henry D Appelman, Scott R Owens and 4 more

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
5.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Tissue-seeking dyes for in vivo applications.Smart molecules : open access · 2024
    Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Flexible fiber cholangioscope for detection of near-infrared fluorescence.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2023
    Article
  10. Review
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Jing ChenDivision of Gastroenterology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0001-8863-2843
Yang JiangDepartment of Bioengineering, University of Washington, Seattle, Washington, USA.
Tse-Shao ChangDepartment of Mechanical Engineering, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0003-1787-8744
Joel H RubensteinDivision of Gastroenterology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Richard S KwonDivision of Gastroenterology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Erik J WamstekerDivision of Gastroenterology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Anoop PrabhuDivision of Gastroenterology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Lili ZhaoDepartment of Biostatistics, University of Michigan, Ann Arbor, Michigan, USA.
Henry D AppelmanDepartment of Pathology, University of Michigan, Ann Arbor, Michigan, USA.
Scott R OwensDepartment of Pathology, University of Michigan, Ann Arbor, Michigan, USA.
David G BeerDepartment of Surgery, Section of Thoracic Surgery, University of Michigan, Ann Arbor, Michigan, USA.
D Kim TurgeonDivision of Gastroenterology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Eric J SeibelDepartment of Mechanical Engineering, University of Washington, Seattle, Washington, USA.
Thomas D WangDivision of Gastroenterology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0001-9182-9620
University of Michigan · USUniversity of Washington · US

Funding

Validation & Pathology CoreU54CA163059 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI RUBENSTEIN, JOEL H, WANG, THOMAS D · 2011 to 2022
$12.1M
NCI NIH HHS U54 CA163059
6 · The paper itself

Abstract

backgroundEsophageal adenocarcinoma (EAC) is a molecularly heterogeneous disease with poor prognosis that is rising rapidly in incidence. We aimed to demonstrate specific binding by a peptide heterodimer to Barrett's neoplasia in human subjects.

methodsPeptide monomers specific for EGFR and ErbB2 were arranged in a heterodimer configuration and labeled with IRDye800. This near-infrared (NIR) contrast agent was topically administered to patients with Barrett's esophagus (BE) undergoing either endoscopic therapy or surveillance. Fluorescence images were collected using a flexible fiber accessory passed through the instrument channel of an upper gastrointestinal endoscope. Fluorescence images were collected from 31 BE patients. A deep learning model was used to segment the target (T) and background (B) regions.

resultsThe mean target-to-background (T/B) ratio was significantly greater for high grade dysplasia (HGD) and EAC versus BE, low grade dysplasia (LGD), and squamous epithelium. At a T/B ratio of 1.5, sensitivity and specificity of 94.1 % and 92.6 %, respectively, were achieved for the detection of Barrett's neoplasia with an area under the curve of 0.95. No adverse events attributed to the heterodimer were found. EGFR and ErbB2 expression were validated in the resected specimens.

conclusionsThis "first-in-human" clinical study demonstrates the feasibility of detection of early Barrett's neoplasia using a NIR-labeled peptide heterodimer.

Indexed as

Barrett EsophagusEsophageal NeoplasmsPrecancerous ConditionsAdenocarcinomaHumansHyperplasiaPeptidesPeptides

Identifiers

PMID35299273
PMCPMC9718637
OpenAlexW4220666936

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.