The Early Registry

Study Overview

Study Title: Evaluation of Upper Gastrointestinal Tract Surveillance in Individuals with Lynch Syndrome (EARLY)
DRKS-ID: DRKS00031932
Trial Short Title: EARLY

Trial Population:
This study includes male and female patients with a confirmed (likely-) pathogenic germline variant in MLH1, MHS2, MSH6, PMS2, or EPCAM.

Study Design:

  • Multicenter, prospective, non-intervention, open cohort, registry

Endpoints:

  • Primary Endpoint: 10-year cumulative incidence of upper GI tract neoplasms
  • Secondary Endpoints: detailed analysis of adenomas, autoimmune gastritis, cancer stages, mortality rates, and synchronous cancers.

Participation

Subject Number:
The study expects to screen around 10,000 patients, with approximately 5,000 assigned to the trial and 4,000 analyzed upon completion.

Inclusion Criteria:

  • Age 18 or older
  • Signed informed consent
  • Confirmed diagnosis of a pathogenic germline variant in MLH1, MHS2, MSH6, PMS2, or EPCAM

Exclusion Criteria:

  • Lack of legal capacity to understand the trial
  • History of duodenal or gastric surgery.

Study Steps:

  • Screening: Obtain informed consent from participants and verify eligibility based on inclusion/exclusion criteria
  • Follow-Up: Collect comprehensive health data, including medical history, family history, results from upper endoscopies (EGDs), and relevant medication records.

Time Schedule:

  • Planned Start Date: September 1, 2024
  • Planned End Date: August 31, 2034





For more information about the EARLY study, please contact:

National Center for Hereditary Tumor Diseases (NZeT)
University Hospital Bonn
Venusberg-Campus 1, 53127 Bonn
Email: nzet@ukbonn.de