UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000026865
Receipt number R000029250
Scientific Title A randomized controlled trial which aim at establishment of standard diagnosis and treatment for colonic diverticular bleeding
Date of disclosure of the study information 2017/04/10
Last modified on 2018/02/22 12:14:40

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Basic information

Public title

A randomized controlled trial which aim at establishment of standard diagnosis and treatment for colonic diverticular bleeding

Acronym

A randomized controlled trial for standard diagnosis and treatment for colonic diverticular bleeding (eCT-DivBleed)

Scientific Title

A randomized controlled trial which aim at establishment of standard diagnosis and treatment for colonic diverticular bleeding

Scientific Title:Acronym

A randomized controlled trial for standard diagnosis and treatment for colonic diverticular bleeding (eCT-DivBleed)

Region

Japan


Condition

Condition

Colonic diverticular bleeding

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare the efficacy and safety of urgent colonoscopy performed with or without a prior contrast-enhanced CT examination in patients with colonic diverticular bleeding whose chief complaint is hematochezia without accompanying abdominal pain.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Identification rate of colonic diverticular bleeding points.

Key secondary outcomes

Success rate of endoscopic hemostasis, time from last hematochezia to hemostasis, hemostatic rate classified by time from last hematochezia to colonoscopy, completion rate of colonoscopy, observed rate of extravasation of contrast medium on CT, hospitalization period, re-bleeding rate, additional colonoscopy rate and consequential hemostasis rate, rate of interventional radiology treatment required and consequential hemostasis rate, additional surgery rate and consequential hemostasis rate, incidence rate of adverse event, final diagnosis for cause of hematochezia.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver Other

Interventions/Control_1

Urgent colonoscopy with a prior contrast-enhanced CT examination

Interventions/Control_2

Urgent colonoscopy alone

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

85 years-old >

Gender

Male and Female

Key inclusion criteria

1) Patients who visited the study institution with hematochezia without accompanying abdominal pain within 24 hours after the last hematochezia, and whose colon diverticula were confirmed by non-contrast-enhanced CT examinations. (*Confirmation by a non-contrast-enhanced CT examination is not required, if existence of diverticula can be confirmed by a past image examination.)
2) 20-84 years old patients at time of acquisition of informed consent.
3) Patients who provided written consents for this study by themselves.

Key exclusion criteria

1) Patients with hemorrhagic shock accompanying severe disturbance of consciousness at the time of visit.
2) Patients who do not improve from hemorrhagic shock even after infusion or transfusion.
3) Patients with confirmed melena.
4) Patients who have renal insufficiency and are determined to be inappropriate for use of contrast medium.
5) Patients taking antidiabetes drug of biguanide type.
6) Patients who are diagnosed as inflammatory bowel disease.
7) Patients with suspected hemorrhoidal bleeding.
8) Patients with performance status of grade2 or more.
9) Patients with contrast medium allergies.
10) Patients who are pregnant, or who are possibly pregnant.
11) Patients who have participated in this study in the past.
12) Patients who the principal investigator or other investigators decided not suitable for participation in this study.

Target sample size

240


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Toshio Uraoka

Organization

National Hospital Organization Tokyo Medical Center

Division name

Department of Gastroenterology

Zip code


Address

2-5-1 Higashigaoka, Meguro-ku, Tokyo, 152-8901, JAPAN

TEL

03-3411-0111

Email

turaoka@ntmc-hosp.jp


Public contact

Name of contact person

1st name
Middle name
Last name Toshio Uraoka

Organization

National Hospital Organization Tokyo Medical Center

Division name

Department of Gastroenterolog

Zip code


Address

2-5-1 Higashigaoka, Meguro-ku, Tokyo, 152-8901, JAPAN

TEL

03-3411-0111

Homepage URL


Email

turaoka@ntmc-hosp.jp


Sponsor or person

Institute

National Hospital Organization Tokyo Medical Center

Institute

Department

Personal name



Funding Source

Organization

National Hospital Organization

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2017 Year 04 Month 10 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2017 Year 04 Month 01 Day

Date of IRB


Anticipated trial start date

2017 Year 04 Month 10 Day

Last follow-up date

2019 Year 08 Month 10 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 04 Month 05 Day

Last modified on

2018 Year 02 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029250


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name