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Use of Pyrvinium to Reverse Stomach Precancerous Conditions
Sponsor: National University Hospital, Singapore
Summary
This study is carried out to find out if a drug called pyrvinium is able to convert pre-cancerous tissue in the stomach back to healthy tissue, to lower the chances of stomach cancer. Pyrvinium is a drug that has been used for a long time to treat pinworms in children and its anti-cancer properties are currently under investigation. Tests in animals have shown that pyrvinium made unhealthy tissue healthier and stopped some cells from growing in a bad way. Based on preclinical studies, the investigators hypothesise that the proportion of samples with pre-cancerous tissue in the stomach would decrease by 50% after exposure to pyrvinium at the 6-week timepoint, with anticipated durability of the response at the one-year follow-up.
Official title: Pyrvinium for Reversal of Precancerous Metaplasia and Dysplasia in the Stomach
Key Details
Gender
All
Age Range
21 Years - Any
Study Type
INTERVENTIONAL
Enrollment
50
Start Date
2025-08
Completion Date
2029-12
Last Updated
2025-01-17
Healthy Volunteers
No
Conditions
Interventions
Placebo
Participants will receive placebo by mouth once each day for a total of 14 days.
Pyrvinium
Participants will receive pyrvinium (2 mg/kg/day) by mouth once each day for a total of 14 days.
Blood biomarkers analyses
Up to 20ml of blood will be drawn from each participant at each study visit, with a total of 4 study visits for molecular analyses.
Oesophagogastroduodenoscopy (OGD) and biopsy
Study participant will undergo OGD with collection of gastric mucosal biopsies at the baseline visit to ascertain IM status and for molecular analyses. Study participant will undergo follow-up gastroscopy with collection of gastric mucosal biopsies at day 7 of treatment, 6 weeks post-treatment and 1 year post-treatment to assess if endpoint is reached and for molecular analyses. Gastric juice samples will be collected during each OGD.
Gastric juice, saliva and stool collection and analyses
Gastric juice will be taken, and gastric pH will be measured at each research endoscopy. Saliva and stool will also be obtained from participants at research endoscopy for microbiome studies at the following timepoints: baseline, 6 weeks post-treatment, and 1 year post-treatment.
Locations (1)
National University Hospital
Singapore, Singapore