- Data Presented at ACG 2018 Presidential Plenary Session Underscores the Value of Using WATS3D to Ensure Accurate Risk Stratification of BE Patients to Reduce Esophageal Cancer Deaths -
SUFFERN, CA, UNITED STATES - Oct 8, 2018 - SUFFERN, N.Y., Oct. 08, 2018 (GLOBE NEWSWIRE) -- CDx Diagnostics, an innovator in computer-synthesized, three dimensional tissue analysis for the early detection and surveillance of Barretts esophagus, today announced new data for WATS3D, or Wide Area Transepithelial Sampling with 3D Tissue Analysis, demonstrating the clinical significance of crypt dysplasia as an important risk factor for progression to high-grade esophageal dysplasia or esophageal cancer. Dr. Nicholas Shaheen, Chief, Division of Gastroenterology & Hepatology University of North Carolina at Chapel Hill is presenting the data today in a Presidential Plenary session at ACG 2018, the annual meeting of the American College of Gastroenterology, taking place October 5 -10 in Philadelphia.
Detecting still harmless, but pre-cancerous dysplasia can prevent the development of esophageal adenocarcinoma, the most rapidly growing cancer in the U.S., and one of the most fatal. Accurately identifying which chronic heartburn patients who develop Barretts esophagus have also progressed to dysplasia can have an important impact on patient care.
The clinical significance of dysplasia involving crypt cells has not been well understood due to limitations in detecting crypt dysplasia by conventional biopsies, said Dr. Nicholas Shaheen. The data reported today suggest that samples obtained and analyzed with WATS3D allow detection of this condition. Most importantly, the data also suggest that crypt dysplasia is something we should wish to detect, because it has a higher risk of progression to high-grade dysplasia or esophageal cancer compared to non-dysplastic Barretts. Together, the data suggest that WATS3D provides information that forceps biopsy cannot.
Barretts esophagus (BE) occurs when the normal epithelial lining of the esophagus is replaced by goblet cells that are typically found in the lower gastrointestinal tract. Patients with BE have an increased risk of developing esophageal adenocarcinoma (EAC), a cancer that attacks 17,000 people in the United States each year - of which 16,000 will die from1. Given this risk, it is recommended that patients with BE undergo periodic surveillance endoscopy to monitor for pre-cancerous changes to the esophageal lining.
While non-dysplastic BE (NDBE), low- or high-grade dysplasia (LGD or HGD, respectively) can be diagnosed using standard biopsy criteria, morphologic changes that fell between NDBE and LGD were traditionally classified as indefinite for dysplasia and often grouped with NDBE due to the inability to distinguish dysplasia involving crypt cells (which are located below the epithelial cells) from esophagitis resulting from uncontrolled reflux. Due in part to the inability to accurately diagnose crypt dysplasia (CD), its clinical significance has not been well understood. The study results presented today are the first to show that WATS3D enables accurate diagnosis of CD as a distinct histology; they also show that CD is a risk factor for HGD and EAC and that progression rates from NDBE and LGD to HGD/EAC detected with WATS3D are similar to those obtained using traditional forceps biopsies.
Robert D. Odze M.D., FRCPc, Professor of Pathology, Harvard Medical School commented, What has been under appreciated by clinicians is how incredibly effective the WATS3D computer-assisted analysis and neural network program is at helping pathologists detect dysplasia and, most notably, its earliest form, termed crypt dysplasia. The WATS 3D technology allows pathologists to put into focus atypical lesions that would otherwise be considered indefinite. The results of this study prove, for the first time, that early dysplastic lesions are clearly important to detect because of their now established increased risk of neoplastic progression. Thus, computer-assisted pathologic detection of these lesions will undoubtedly improve patient care.
The study reported at ACG 2018 followed 4,512 patients who had two WATS3D assessments six months apart. Patient-years (pt-yrs) were calculated by multiplying the mean period of follow-up by the number of patients with each type of histology. Of 4,512 patients, 4,049 with NDBE at baseline were followed for an average of 1.4 years between WATS3D assessments (5,736 pt-yrs) and 380 with NDBE at baseline were followed for an average of 1.25 years between assessments (475 pt-yrs). An additional 83 patients had LGD at baseline WATS3D and were followed for a mean of 1.25 years (103.7 pt-yrs). Key findings from the study include:
· 19 of the NDBE patients followed for 1.4 years experienced progression to HGD/EAC, for a rate of 0.33%/pt-yr.
· 10 of the NDBE patients followed for 1.25 years experienced progression to HGD/EAC, for a rate of 2.1%/pt-yr.
· 8 of the LGD patients experienced progression to HGD/EAC, for a rate of 7.7%/pt-yr.
· The overall rate of progression from WATS3D-determined CD to LGD/HGD/EAC was 9.9%/pt-yr, which is comparable to the rate of progression from biopsy-confirmed LGD.
· Results show that a finding of NDBE or LGD on WATS3D predicts progression to HGD/EAC at rates that are comparable to or higher than the reported risk of progression when these histologies are determined by biopsy.
· For patients with BE, CD or LGD at baseline, the trend for progression to HGD/EAC was statistically significant.
These results highlight the clinical benefits that WATS3D provides with respect to accurate surveillance of esophageal changes in patients with BE, said Mark Rutenberg, Founder and CEO of CDx Diagnostics. We believe these data highlight how WATS3D provides physicians and patients with accurate and critical information that can inform the management of BE and help preempt esophageal cancer. The fact that WATS3D accurately differentiates CD from reflux esophagitis, which is not feasible with forceps biopsy analyses, adds to its already compelling value proposition and advances our ability to achieve our vision of preventing unnecessary cancer deaths.
About CDx Diagnostics
CDx Diagnostics mission is to provide clinicians with easily implemented, cost effective, tools to preempt cancer through enhanced detection of precancerous change. This is accomplished by a proprietary diagnostic platform that synthesizes computer imaging, artificial intelligence, molecular biology and three-dimensional cytopathology to detect precancerous change earlier and more reliably than prior methods. CDx tests require only a few minutes of practice time, are highly cost effective, widely reimbursed, and address a recognized critical gap in the current diagnostic standard of care that results in thousands of otherwise unnecessary cancer deaths each year. Routine clinical use of CDx testing in the oral cavity and esophagus has prevented thousands of cancers, and application of the CDx diagnostic platform to prevent cancers of the throat, bile duct, liver, pancreas, stomach, and colon is currently in progress.
About WATS3D
CDx Diagnostics WATS3D addresses the major inadequacies inherent in current random forceps biopsy testing of the esophagus. In just a few minutes, endoscopists can easily obtain a wide area, full-thickness transepithelial tissue sample for computer-assisted 3D laboratory analysis. In large multicenter clinical trials, WATS3D has been found to significantly increase the detection rate of both Barretts esophagus and esophageal dysplasia. The high sensitivity and inter-observer agreement of WATS3D is due to the larger tissue area sampled, and the proprietary 3-Dimensionial computer imaging system that is based on an algorithm developed as part of the U.S. Strategic Defense Initiative missile defense program. To learn more about WATS3D, visit www.wats3d.com.