UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000041265
Receipt number R000047124
Scientific Title Randomized controlled trial on the feasibility and safety of "Underwater endoscopic mucosal resection with injection" versus "conventional endoscopic mucosal resection" for superficial nonampullary duodenal epithelial tumors
Date of disclosure of the study information 2020/08/01
Last modified on 2023/08/29 20:31:30

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Basic information

Public title

Randomized controlled trial on the feasibility and safety of "Underwater endoscopic mucosal resection with injection" versus "conventional endoscopic mucosal resection" for superficial nonampullary duodenal epithelial tumors

Acronym

UEMRI vs CEMR study

Scientific Title

Randomized controlled trial on the feasibility and safety of "Underwater endoscopic mucosal resection with injection" versus "conventional endoscopic mucosal resection" for superficial nonampullary duodenal epithelial tumors

Scientific Title:Acronym

UEMRI vs CEMR study

Region

Japan


Condition

Condition

Superficial nonampullary duodenal epithelial tumor

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To conduct a comparative study on the feasibility and safety of "Underwater endoscopic mucosal resection with injection (UEMRI)" and "conventional endoscopic mucosal resection (CEMR)" for superficial nonampullary duodenal epithelial tumors of 20 mm or less.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

R0 resection rate

Key secondary outcomes

En bloc resection rate
Remnant/recurrence rate at 6 months later after procedure
Procedure time
Total procedure time
Adverse events rate


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Underwater EMR with injection (UEMRI) group; after dotted marking, a small amount of saline is injected to submucosal layer. The lumen is deflated and filled with saline. The floating lesion is grasped and resected with a electrosurgical snare. After confirming that there are no bleeding, perforation and residual lesions, complete closure is performed by endoclips.

Interventions/Control_2

Conventional EMR group; after dotted marking, saline is injected submucosal layer. The lesion is grasped and resected with a electrosurgical snare. After confirming that there are no bleeding, perforation and residual lesions, complete closure is performed by endoclips.

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


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Superficial nonampullary duodenal epithelial tumors with a size between 5 mm to 20 mm.
2) Adenoma or intramucosal cancer

Key exclusion criteria

1) Lesions near the papillae
2) Suspect of submucosal invasive cancer
3) Residual lesions after endoscopic resection
4) Patients related with FAP or Lynch syndrome
5) Patients with hematological abnormality
6) Patients with severe organ failure
7) Patients who have been judged as inappropriate for this study

Target sample size

208


Research contact person

Name of lead principal investigator

1st name Keiichi
Middle name
Last name Hashiguchi

Organization

Nagasaki University Hospital

Division name

Department of Endoscopy

Zip code

852-8501

Address

1-7-1, Sakamoto, Nagasaki 852-8501, Japan.

TEL

095-819-7489

Email

khashiguchi@nagasaki-u.ac.jp


Public contact

Name of contact person

1st name Keiichi
Middle name
Last name Hashiguchi

Organization

Nagasaki Unicersity Hospital

Division name

Department of Endoscopy

Zip code

852-8501

Address

1-7-1, Sakamoto, Nagasaki 852-8501, Japan.

TEL

095-819-7489

Homepage URL


Email

khashiguchi@nagasaki-u.ac.jp


Sponsor or person

Institute

Nagasaki University

Institute

Department

Personal name



Funding Source

Organization

Nagasaki University

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

Nagasaki University Hospital

Address

1-7-1, Sakamoto, Nagasaki 852-8501, Japan.

Tel

095-819-7726

Email

rinshou7726@umin.ac.jp


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

2020 Year 08 Month 01 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

22

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

Terminated

Date of protocol fixation

2020 Year 07 Month 20 Day

Date of IRB

2020 Year 12 Month 22 Day

Anticipated trial start date

2021 Year 01 Month 12 Day

Last follow-up date

2026 Year 11 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2020 Year 07 Month 30 Day

Last modified on

2023 Year 08 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047124


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name