Unique ID issued by UMIN | UMIN000016068 |
---|---|
Receipt number | R000018662 |
Scientific Title | A prospective exploratory study on the safety of polypectomy/EMR of colon without cessation of warfarin |
Date of disclosure of the study information | 2014/12/26 |
Last modified on | 2017/01/19 23:02:27 |
A prospective exploratory study on the safety of polypectomy/EMR of colon without cessation of warfarin
A prospective exploratory study on the safety of polypectomy/EMR of colon without cessation of warfarin
A prospective exploratory study on the safety of polypectomy/EMR of colon without cessation of warfarin
A prospective exploratory study on the safety of polypectomy/EMR of colon without cessation of warfarin
Japan |
colon polyps of patients who have non valvular atrial fibrillation and use warfarin for the prevention of thrombosis
Gastroenterology |
Malignancy
NO
To examine the safety of polypectomy/EMR(Endoscopic Mucosal Resection) of colon without cessation of warfarin.
Safety
Exploratory
Pragmatic
Phase II
The bleeding rate after polypectomy/EMR from immediately to the 28th day after polypectomy/EMR.
1.Early bleeding rate after polypectomy/EMR (from immediately after polypectomy/EMR to before the day2 meal starts)
2. Delayed bleeding rate after polypectomy/EMR (after the day2 meal has started)
3.Bleeding rate after polypectomy/EMR by the the tumor site and the major axis of tumor
4.The rate and number of blood transfusion for the bleeding during the polypectomy/EMR
5.The rate and number of blood transfusion for the bleeding after the polypectomy/EMR
6.PT-INR at the time of bleeding after polypectomy/EMR
7.Complications and the bleeding rate after polypectomy/EMR
8.Length of hospitalization
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Medicine |
In patients who have non valvular atrial fibrillation and use warfarin for prevention of thrombosis, colorectal polypectomy/EMR wil be performed without cessation of warfarin.
Protocol treatment period in this study is from the day of polypectomy/EMR(day0) to the 28th day after polypectomy/EMR(day28). Observation period is from the registration to the protocol to the end of protocol treatment period.
20 | years-old | <= |
Not applicable |
Male and Female
Patients with non valvular atrial fibrillation, and use warfarin for prevention of thrombosis. Patients' PS (Performance Status) is 0-2 of ECOG(Eastern Cooperative Oncology Group), and over 20 years old age. The target is colorectal polyp that is indicated in polypectomy or EMR in Japanese colon polyp practice guidelines 2014.
(1)In blood collection within 3days before the treatment, PT-INR has to be confirmed following values.
Less than 70 years of age:PT-INR is less than 3
70 years of age or older: PT-INR is less than 2.6
(2)CCr is confirmed greater than or equal to 50mL/min(Cockcroft-Gault Equation) at the day before treatment.
(3)After the patient himself has received a sufficient explanation on participation in this study, informed consent has been obtained by the free will of the patient him or herself.
(4)It is possible to follow the course of more than 28 days after treatment.
(5)All the following test data using the latest test values within 30 days prior to registration is met.
a)Hb is 9g/dl or more
b)Plt is 100000/mm3 or more
c)AST, ALT is less than 100IU/L
d)APTT is less than 40sec
(1)CCr is less continuously 50mL/min (Cockcroft-Gault Equation)
(2)Woman who has a possibility of pregnancy or is during pregnancy
(3)Woman who nurses her baby
(4)Patients who undergo hemodialysis
(5)To assess the general condition and complications of patients, if the attending physician has determined that it is difficult to entry.
30
1st name | |
Middle name | |
Last name | Satoshi Ono |
The University of Tokyo Hospital
Department of Gastroenterology, Graduate School of Medicine
7-3-1, Hongo, Bunkyo-ku, Tokyo
03-3815-5411
satoshi-tky@umin.ac.jp
1st name | |
Middle name | |
Last name | Itaru Saito |
The University of Tokyo Hospital
Department of Gastroenterology, Graduate School of Medicine
7-3-1, Hongo, Bunkyo-ku, Tokyo
03-3815-5411
isaitou-nms@umin.ac.jp
The University of Tokyo Hospital Department of Gastroenterology, Graduate School of Medicine
This study will be performed with medical care insurance. The clinical research insurance will be covered by donation (donation number 104-41).
Other
NO
石川県立中央病院(石川県)、茨城県立中央病院(茨城県)、大阪府立急性期・総合医療センター(大阪府)、静岡県立静岡がんセンター(静岡県)、千葉西総合病院(千葉県)、筑波学園病院(茨城県)、新潟県立中央病院(新潟県)、日立総合病院(茨城県)
2014 | Year | 12 | Month | 26 | Day |
Unpublished
Completed
2014 | Year | 10 | Month | 16 | Day |
2014 | Year | 12 | Month | 26 | Day |
2016 | Year | 11 | Month | 30 | Day |
2016 | Year | 11 | Month | 30 | Day |
2016 | Year | 12 | Month | 01 | Day |
2017 | Year | 03 | Month | 01 | Day |
2014 | Year | 12 | Month | 26 | Day |
2017 | Year | 01 | Month | 19 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000018662