UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000052773
Receipt number R000060218
Scientific Title Hemostatic procedures in gastric endoscopic submucosal exfoliation (ESD)
Date of disclosure of the study information 2023/11/13
Last modified on 2023/11/12 13:47:13

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Hemostatic procedures in gastric endoscopic submucosal exfoliation (ESD)

Acronym

Hemostatic procedures in gastric endoscopic submucosal exfoliation (ESD)

Scientific Title

Hemostatic procedures in gastric endoscopic submucosal exfoliation (ESD)

Scientific Title:Acronym

Hemostatic procedures in gastric endoscopic submucosal exfoliation (ESD)

Region

Japan


Condition

Condition

All patients who underwent gastric ESD at our department during the eligible period

Classification by specialty

Gastroenterology Adult

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Postprocedure bleeding requires emergency endoscopic treatment and sometimes surgery. The synthetic self-assembling peptide (PureStat) is an absorbent hemostatic agent used to reduce the number of cauterizations with hemostatic forceps. It is thought to be effective in preventing posterior hemorrhage and promoting wound healing, but there have been few reports to date. In this study, we will examine the effects of hemostatic procedures using coagulation hemostats and the effects of adding PureStat to prevent posterior hemorrhage and promote wound healing after ESD.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary endpoint is the frequency of posterior hemorrhage.
Secondary endpoints are the number of coagulation hemostasis at second-look endoscopy and the size of the ulcer base of the posttreatment ulcer at 1 and 2 months after ESD.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Factorial

Randomization

Non-randomized

Randomization unit


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

Device,equipment Maneuver

Interventions/Control_1

In the first half of the period, the effectiveness of the conventional hemostatic method using hemostatic forceps (number of coagulation hemostasis and size of ulcer base of post-treatment ulcer 1 and 2 months after ESD) will be examined, and in the second half of the period, the conventional hemostatic method will be combined with Purestat to compare its effectiveness with that of the conventional hemostatic method.

Interventions/Control_2

In the first half of the period, the effectiveness of the conventional hemostatic method using hemostatic forceps (number of coagulation hemostasis and size of ulcer base of post-treatment ulcer 1 and 2 months after ESD) will be examined, and in the second half of the period, the conventional hemostatic method will be combined with Purestat to compare its effectiveness with that of the conventional hemostatic method.

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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

All patients who underwent gastric ESD in our department from September 2023 (after Ethics Committee approval) to April 2024 will be included.

Key exclusion criteria

Patients who did not give consent for clinical research.

Target sample size

80


Research contact person

Name of lead principal investigator

1st name Shinji
Middle name
Last name Nagata

Organization

Department of Gastroenterology, Hiroshima City North Medical Center Asa Citizens Hospital, Hiroshima, Japan

Division name

Department of Gastroenterology

Zip code

731-0293

Address

1-2-1 Kameyamaminami Asakita-ku, Hiroshima-shi

TEL

082-815-5211

Email

s-nagata@asa-hosp.city.hiroshima.jp


Public contact

Name of contact person

1st name Naoki
Middle name
Last name Aaayama

Organization

Department of Gastroenterology, Hiroshima City North Medical Center Asa Citizens Hospital, Hiroshima

Division name

Department of Gastroenterology

Zip code

731-0293

Address

1-2-1 Kameyamaminami Asakita-ku, Hiroshima-shi

TEL

082-815-5211

Homepage URL


Email

asayama0502@hiroshima-u.ac.jp


Sponsor or person

Institute

Hiroshima City North Medical Center Asa Citizens Hospital

Institute

Department

Personal name



Funding Source

Organization

Hiroshima City North Medical Center Asa Citizens Hospital

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hiroshima City North Medical Center Asa Citizens Hospital

Address

1-2-1 Kameyamaminami Asakita-ku, Hiroshima-shi

Tel

082-815-5211

Email

asayama0502@hiroshima-u.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

2023 Year 11 Month 13 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

2023 Year 08 Month 09 Day

Date of IRB

2023 Year 08 Month 09 Day

Anticipated trial start date

2023 Year 09 Month 01 Day

Last follow-up date

2024 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2023 Year 11 Month 12 Day

Last modified on

2023 Year 11 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000060218


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name