UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000028007
Receipt number R000031897
Scientific Title Validity of conservative treatment without urgent endoscopy for colonic diverticular hemorrhage
Date of disclosure of the study information 2017/06/30
Last modified on 2017/06/29 18:19:25

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Basic information

Public title

Validity of conservative treatment without urgent endoscopy for colonic diverticular hemorrhage

Acronym

Validity of conservative treatment for colonic diverticular hemorrhage

Scientific Title

Validity of conservative treatment without urgent endoscopy for colonic diverticular hemorrhage

Scientific Title:Acronym

Validity of conservative treatment for colonic diverticular hemorrhage

Region

Japan


Condition

Condition

colonic diverticular hemorrhage

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To clarify the validity of conservative treatment for non-severe colonic diverticular hemorrhage

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

Rate of spontaneous hemostasis by conservative treatment for colonic diverticular hemorrhage

Key secondary outcomes

1. Clinical backgrounds of patients requiring urgent endoscopy/IVR
2. Rate of rebleeding after conservative treatment
3. Factors related with rebleeding after conservative treatment
4. Comparison of hospitalization costs between conservative treatment and urgent endoscopy.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

In case of controlled hemorrhagic shock, conservative treatment with fasting and fluid administration would be performed, in spite of existence of extravasation with enhanced CT.

Interventions/Control_2

For patients with shock and extravasation on enhanced CT, urgent endoscopy would be performed. However, in case of uncontrolled hemorrhagic shock after initial treatment with fluid resuscitation, interventional radiology would be considered for hemostasis.

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

15 years-old <=

Age-upper limit

100 years-old >=

Gender

Male and Female

Key inclusion criteria

1)Emergency outpatient who required hospital admission for the treatment of frequent hematochezia.
2)Patients with a diagnoses of colonic diverticulum by lower gastrointestinal endoscopy or abdominal CT.
3)Other possible sources of gastrointestinal bleeding were ruled out by upper and lower gastrointestinal endoscopy and abdominal CT.
4)Patients who provided written informed consents for this study by themselves.

Key exclusion criteria

1)Other possible sources of gastrointestinal bleeding was found by endoscopic examination.
2)Colonoscopy was not performed within 2 weeks after admission.
3)Patient who was judged as inappropriate for this study.

Target sample size

200


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Keita Sasajima

Organization

Saitama Red Cross Hospital

Division name

Digestive internal medicine

Zip code


Address

1-5 Shintoshin, Chuo-ku, Saitama-city, Saitama pref, 330-8853 Japan

TEL

048-852-1111

Email

digestive@saitama-med.jrc.or.jp


Public contact

Name of contact person

1st name
Middle name
Last name Hirosato Doi

Organization

Saitama Red Cross Hospital

Division name

Digestive internal medicine

Zip code


Address

1-5 Shintoshin, Chuo-ku, Saitama-city, Saitama pref, 330-8853 Japan

TEL

048-852-1111

Homepage URL


Email

digestive@saitama-med.jrc.or.jp


Sponsor or person

Institute

Saitama Red Cross Hospital

Institute

Department

Personal name



Funding Source

Organization

Self funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



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 06 Month 30 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 01 Month 01 Day

Date of IRB


Anticipated trial start date

2017 Year 01 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 06 Month 29 Day

Last modified on

2017 Year 06 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031897


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name