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Contact Information:

Sameera Sharma
ViSON@imperial.ac.uk


Prof George Hanna
g.hanna@imperial.ac.uk


Study Location:

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Be Part of Research - Trial Details - VISON; Version 1.0

VISON; Version 1.0

Medical Conditions

Malignant neoplasms of digestive organs


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Oesophageal squamous cell cancer (OSCC) is a cancer that grows in the food pipe and affects up to 2,000 people in the UK every year. Most patients are diagnosed when the cancer has spread to other body parts (advanced stage). As a result, the five-year survival is less than 20%. In comparison, when diagnosed early, nearly three out of four patients survive more than five years, indicating that early diagnosis improves survival.

There are numerous challenges in detecting OSCC early. Firstly, symptoms of early cancer are non-specific and there is no intermediate triage test to guide future investigation. Secondly, an oesophagogastroduodenoscopy (OGD) and biopsy is the reference diagnostic test; however, it is an invasive and uncomfortable investigation with associated complications. Lastly, according to the NICE guidelines, OGD is only offered to people with high suspicion of cancer. Collectively, these factors result in diagnostic delays.

Our solution is to develop a non-invasive breath test for detection of OSCC. The breath test is based on detection of volatile organic compounds (VOCs) in exhaled breath.

The ViSON study will be a multi-centre case-control study with prospective data collection. The aim is to identify breath VOCs that serve as biomarkers for OSCC and develop a breath test. Once developed and validated, the test will be offered by GPs as a triage test to patients with non-specific symptoms. Patients who test positive will be referred for an urgent endoscopy whereas those who test negative have a low risk of cancer and can be reassured.

The breath test will offer a simple, quick, and non-invasive solution to early detection of OSCC and improve overall survival.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

01 Dec 2023 30 Nov 2026

Observational

Observational type: Case-controlled study;



You can take part if:



You may not be able to take part if:


Participants with the following characteristics will not be eligible for inclusion in the study:   • Received some form of treatment (chemotherapy, radiotherapy, immunotherapy, endoscopic treatment, or surgery) for OSCC, • History of another cancer in the last five years • Non-squamous cell oesophageal cancer • Barrett's oesophagus (with or without dysplasia) • Previous oesophageal or gastric resection • Unable to provide a breath sample • Unable to provide written consent or lack capacity.


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Bradford Royal Infirmary
    Duckworth Lane
    Bradford
    West Yorkshire
    BD9 6RJ
  • Castle Hill Hospital
    Castle Road
    Cottingham
    North Humberside
    HU16 5JQ
  • Luton & Dunstable Hospital
    Lewsey Road
    Luton
    Bedfordshire
    LU4 0DZ
  • Norfolk & Norwich University Hospital
    Colney Lane
    colney
    Norwich
    Norfolk
    NR4 7UY
  • Churchill Hospital
    Churchill Hospital
    old Road
    headington
    Oxford
    Oxfordshire
    OX3 7LE
  • Derriford Hospital
    Derriford Road
    crownhill
    Plymouth
    Devon
    PL6 8DH
  • Clatterbridge Cancer Centre -wirral
    Clatterbridge Site
    clatterbridge Road
    Wirral
    Merseyside
    CH63 4JY
  • Leicester Royal Infirmary
    Infirmary Square
    Leicester
    Leicestershire
    LE1 5WW
  • The Royal Victoria Infirmary
    Queen Victoria Road
    Newcastle Upon Tyne
    Tyne And Wear
    NE1 4LP
  • Hammersmith Hospital
    Du Cane Road
    London
    Greater London
    W12 0HS
  • St Mary's Hospital (hq)
    Praed Street
    London
    Greater London
    W2 1NY
  • Charing Cross Hospital
    Fulham Palace Road
    London
    Greater London
    W6 8RF
  • Nottingham University Hospitals NHS Trust - Queen's Medical Centre Campus
    Nottingham University Hospital
    derby Road
    Nottingham
    Nottinghamshire
    NG7 2UH
  • Royal Derby Hospital
    Uttoxeter Road
    Derby
    Derbyshire
    DE22 3NE
  • Hull Royal Infirmary
    Anlaby Road
    Hull
    North Humberside
    HU3 2JZ
  • Queen Alexandra Hospital
    Southwick Hill Road
    cosham
    Portsmouth
    Hampshire
    PO6 3LY
  • Royal Liverpool University Hospital
    Prescot Street
    Liverpool
    Merseyside
    L7 8XP
  • Cumberland Infirmary
    Newtown Road
    Carlisle
    Cumbria
    CA2 7HY
  • The Maidstone Hospital
    Hermitage Lane
    Maidstone
    Kent
    ME16 9QQ
  • University Hospital Of Wales
    Heath Park
    Cardiff
    South Glamorgan
    CF14 4XW
  • Raigmore Hospital
    Old Perth Rd
    Inverness
    IV2 3UJ
  • Mount Vernon Cancer Centre
    Rickmansworth Road
    Northwood
    Middlesex
    HA6 2RN
  • Velindre NHS Trust
    Unit 2
    charnwood Court
    heol Billingsley
    Cardiff
    CF15 7QZ

Sameera Sharma
ViSON@imperial.ac.uk


Prof George Hanna
g.hanna@imperial.ac.uk



The study is sponsored by Imperial College of Science, Technology and Medicine and funded by NIHR Academy .




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for Trial ID: CPMS 59207

Last updated 26 August 2025

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