UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000053415
Receipt number R000060965
Scientific Title Efficacy and Safety of Endoscopic Tumor Resection Applying Pre-Removal Drawstring Suture for Gastrointestinal Tumors
Date of disclosure of the study information 2024/01/23
Last modified on 2024/01/23 14:20:07

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Basic information

Public title

Efficacy and Safety of Endoscopic Tumor Resection Applying Pre-Removal Drawstring Suture for Gastrointestinal Tumors

Acronym

ESR study

Scientific Title

Efficacy and Safety of Endoscopic Tumor Resection Applying Pre-Removal Drawstring Suture for Gastrointestinal Tumors

Scientific Title:Acronym

ESR study

Region

Japan


Condition

Condition

gastrointestinal tumor

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) are widely used in the treatment of gastrointestinal tumors. Although advances in technology and equipment have improved the safety of treatment, there are still challenging cases, and bleeding, perforation, and other complications have been observed. In recent years, the development of a needle holder for use with a flexible endoscope has made it possible to suture endoscopically, and manual suturing of the ulcer bottom after ESD has become possible for the purpose of preventing accidents, and the usefulness of this technique has been reported. In this study, we focused on the use of a width suture and devised a method that has advantages both during and after resection by suturing around the lesion before resection, and we will examine the usefulness and safety of this treatment method.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Treatment Completion Rate

Key secondary outcomes

Treatment time, batch resection rate, local fluid usage, suture retention rate, and frequency of incidentalities


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

For gastrointestinal tumors for which endoscopic submucosal dissection is indicated, we have developed a procedure in which the surrounding area is sutured prior to resection.

Interventions/Control_2


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

Eligible patients must be patients who are eligible for insurance coverage of endoscopic submucosal dissection between May 2023 and May 2024, and who have received a full explanation of their participation in this study, and who have given their free and voluntary consent to the new method of treatment based on full understanding of the patient's needs.

Key exclusion criteria

Exclusion criteria include suspected disseminated intravascular coagulation syndrome, severe heart failure, active thromboembolism at the time of study entry, severe respiratory failure, pregnancy or women of childbearing potential, and other subjects deemed unsuitable by the study investigator (subinvestigator).

Target sample size

15


Research contact person

Name of lead principal investigator

1st name Takuma
Middle name
Last name Okamura

Organization

Nagasaki harbor medical center

Division name

gastroenterology

Zip code

850-8555

Address

6-39 Shinchi-cho, Nagasaki City, Nagasaki

TEL

0958223251

Email

taku.okamu1002@gmail.com


Public contact

Name of contact person

1st name Takuma
Middle name
Last name Okamura

Organization

Nagasaki Harbor Medical Center

Division name

gastroenterology

Zip code

850-8555

Address

6-39 Shinchi-cho, Nagasaki City, Nagasaki

TEL

0958223251

Homepage URL


Email

taku.okamu1002@gmail.com


Sponsor or person

Institute

Nagasaki harbor medical center

Institute

Department

Personal name



Funding Source

Organization

none

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

Nagasaki Minato Medical Center Research and Development Center

Address

6-39 Shinchi-cho, Nagasaki City, Nagasaki

Tel

0958223251

Email

kenkyu@ncho.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

2024 Year 01 Month 23 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

13

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

No longer recruiting

Date of protocol fixation

2023 Year 03 Month 01 Day

Date of IRB

2023 Year 03 Month 30 Day

Anticipated trial start date

2023 Year 05 Month 01 Day

Last follow-up date

2028 Year 05 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2024 Year 01 Month 23 Day

Last modified on

2024 Year 01 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000060965


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name