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Helicobacter PyloriNCT07253948

Distribution Characteristics of Helicobacter Pylori

An observational study of Helicobacter Pylori and Early Gastric Cancer, run by Jilin University at 1 site in China.

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Sites and contacts
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Trial summary

This study aimed to analyze the distribution characteristics of Helicobacter pylori(H. pylori) in varying stages of atrophic gastritis and early gastric cancer using immunohistochemical staining, with the goal of providing guidance for the early screening of gastric cancer. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Helicobacter Pylori, Early Gastric Cancer
What is being tested?
immunohistochemical testing
How many people
231 participants
Where
1 siteChina
Study dates
22 Oct 2025to 31 Dec 2025
Phase
Observational

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Cases that underwent gastric H. pylori immunohistochemical staining at our center from March 1, 2023, to August 15, 2025.

Who may be able to join

  • age 18-80 years
  • received H. pylori immunohistochemical testing at our center and tested positive.

Who cannot join

  • biopsies not collected from both the greater and lesser curvatures of the gastric antrum and body
  • history of stomach surgery
  • suspected autoimmune gastritis under endoscopy
  • liver cirrhosis
  • severe comorbidities such as advanced cancer or renal failure
  • advanced gastric cancer or gastric lymphoma

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Dong Yang, Doctor contact

86-18844097668

714488468@qq.com

Hong Xu, Professor contact

0431-88782821

x_hong@jlu.edu.cn

China1 site, 1 recruiting
  • the First Hospital of Jilin University

    Changchun, Jilin, 130021

    Hong Xu, Professor, yd18243052038@163.com

    Dong Yang, Master, 714488468@qq.com

    Recruiting

Other trials in China

About this study

Official title: Distribution Characteristics of Helicobacter Pylori in Different Gastritis and Early Gastric Cancer States Using Immunohistochemical Staining

This study aimed to analyze the distribution characteristics of Helicobacter pylori(H. pylori) in varying stages of atrophic gastritis and early gastric cancer using immunohistochemical staining, with the goal of providing guidance for the early screening of gastric cancer.

A retrospective analysis was conducted on gastric biopsy cases that underwent H. pylori immunohistochemical staining at our center from March 1, 2023, to August 15, 2025. Cases were classified into non-atrophic and atrophic groups based on the presence or absence of gastric atrophy. All cases were further divided into non-open and open atrophy groups and additionally into early gastric cancer and non-cancer groups. The distribution of H. pylori across subgroups was compared, and multivariate analyses were performed to identify risk factors associated with the development of early gastric cancer.

Read the detailed description

A retrospective analysis was performed on cases that underwent gastric H. pylori immunohistochemical staining at our center from March 1, 2023, to August 15, 2025.

Immunohistochemical results were reviewed independently by two experienced pathologists, with disagreements resolved by a third. After applying inclusion and exclusion criteria, cases were classified according to the Kimura-Takemoto classification : First, patients were categorized into non-atrophic and atrophic groups based on the presence of atrophy. Second, all cases were further divided into non-open and open atrophy groups. Open atrophy was defined as a degree of O1 or greater (endoscopic atrophic border extending beyond the cardia). All cases were additionally categorized into early gastric cancer and non-cancer groups depending on whether early gastric cancer lesions were present or had previously been identified. Early gastric cancer was defined based on endoscopic submucosal dissection (ESD) indications: (i) UL0 cT1a differentiated-type carcinomas; (ii) UL1 cT1a differentiated-type carcinomas with a long diameter ≤3 cm; or (iii) UL0 cT1a undifferentiated-type carcinomas with a long diameter ≤2 cm. Immunohistochemical staining was performed using an anti-H. pylori antibody (Beijing Zhongshan Golden Bridge Biotechnology Co., Ltd, Beijing, China). Positive results were graded as mild (1+): occasional bacteria or colonization in <1/3 of the specimen length; moderate (2+): colonization exceeding 1/3 but <2/3 of the specimen, or continuous but sparse distribution on the epithelial surface; and severe (3+): clusters of H. pylori distributed across the full length of the specimen. The gastric body and antrum were assessed separately, and distribution patterns were classified as gastric antrum > gastric body, gastric antrum = gastric body, or gastric body > gastric antrum. The distribution of H. pylori across subgroups was compared, and multivariate analyses were performed to identify risk factors associated with the development of early gastric cancer.

Being tested
immunohistochemical testing
Keywords
Helicobacter pylori, Immunohistochemical staining, Atrophic gastritis, Early gastric cancer screening
Medical subject headings
Stomach Neoplasms, Gastritis, Atrophic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • immunohistochemical testingDiagnostic test

    Immunohistochemical results were reviewed independently by two experienced pathologists, with disagreements resolved by a third. Immunohistochemical staining was performed using an anti-H. pylori antibody (Beijing Zhongshan Golden Bridge Biotechnology Co., Ltd, Beijing, China). Positive results were graded as mild (1+): occasional bacteria or colonization in <1/3 of the specimen length; moderate (2+): colonization exceeding 1/3 but <2/3 of the specimen, or continuous but sparse distribution on the epithelial surface; and severe (3+): clusters of H. pylori distributed across the full length of the specimen. The gastric body and antrum were assessed separately, and distribution patterns were classified as gastric antrum > gastric body, gastric antrum = gastric body, or gastric body > gastric antrum. The distribution of H. pylori across subgroups was compared, and multivariate analyses were performed to identify risk factors associated with the development of early gastric cancer.

Study groups in NCT07253948
Study groupRoleWhat they receive
received H. pylori immunohistochemical testing at our center and tested positiveNot described
Receives: Diagnostic Test: immunohistochemical testing

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The status of Helicobacter pylori(H. pylori)

    The status of H. pylori included negative and positive status. Positve results were graded as mild (1+): occasional bacteria or colonization in <1/3 of the specimen length; moderate (2+): colonization exceeding 1/3 but <2/3 of the specimen, or continuous but sparse distribution on the epithelial surface; and severe (3+): clusters of H. pylori distributed across the full length of the specimen. The gastric body and antrum were assessed separately.

    Measured: one week after the endoscopic submucosal dissection (ESD)

Secondary outcomes (1)
  1. the percentage of H. pylori positive status of gastric antrum in early gastric cancer

    the percentage of H. pylori positive status of gastric antrum in early gastric cancer was assessed

    Measured: one year after the endoscopic submucosal dissection (ESD)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Nov 2025
  2. Study start22 Oct 2025
  3. Primary completion31 Dec 2025 (estimated)
  4. Study completion31 Dec 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Ecologic or community
Time perspective
Retrospective
Enrolment
231 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07253948
Sponsor's protocol ID
130029
Status last verified
Nov 2025
First submitted
13 Nov 2025
Last updated
28 Nov 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

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