UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000018266
Receipt number R000021142
Scientific Title A randomized controlled trial comparing conventional ESD versus ESD with dental floss-clip traction for gastric epithelial neoplasia (CONNECT-G trial)
Date of disclosure of the study information 2015/07/10
Last modified on 2018/01/10 12:19:08

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Basic information

Public title

A randomized controlled trial comparing conventional ESD versus ESD with dental floss-clip traction for gastric epithelial neoplasia (CONNECT-G trial)

Acronym

A randomized controlled trial comparing conventional ESD versus ESD with dental floss-clip traction for gastric epithelial neoplasia (CONNECT-G trial)

Scientific Title

A randomized controlled trial comparing conventional ESD versus ESD with dental floss-clip traction for gastric epithelial neoplasia (CONNECT-G trial)

Scientific Title:Acronym

A randomized controlled trial comparing conventional ESD versus ESD with dental floss-clip traction for gastric epithelial neoplasia (CONNECT-G trial)

Region

Japan


Condition

Condition

Gastric epithelial neoplasia

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To comfirm the superiority of dental floss-clip ESD to conventional ESD in terms of procedure time for patients with gastric epithelial neoplasia.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

ESD procedure time

Key secondary outcomes

ESD procedure time according to the proficiency of the operator (trainee or expert), the location of the lesion, the presence of ulcer findings and tumor size; self completion rate of ESD among beginners; procedure time of hemostasis; times of hemostasis; damage of specimen caused by dental floss-clip traction; en bloc resection rate; complete en bloc resection rate; serious adverse events


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

A: Conventional ESD group

Interventions/Control_2

B: Dental floss-clip ESD group

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) Histologically proven gastric adenoma or cancer, which is within the absolute or expanded indication of ESD according to Japanese gastric cancer treatment guideline 2014.
2) ESD for one lesion.
3) No gastrectomy and no reconstructive surgery of gastric tube for esophageal cancer.
4) Aged 20 years old or more.
5) ECOG performance status of 0, 1 or 2.
6) The possibility of stenosis after ESD is low. All of the following conditions must be fulfilled:
i) Predicted line of mucosal incision is not on the EG junction.
ii) Predicted line of mucosal incision is not on the pylorus.
7) Adequate organ functions and all of the following conditions within 56 days at registration must be fulfilled:
i) Hb is no less than 9.0 g/dl,
ii)Plt is no less than 100,000 /mm3.
8) Follow up for 30 days after ESD.
9) Written informed consent.

Key exclusion criteria

1) Impossible to suspend anticoagulant or antiplatelet medications except low-dose aspirin.
2) Infectious disease with systemic therapy indicated.
3) Women during pregnancy or breast-feeding.
4) Severe psychiatric disease.
5) Systemic steroids medication.
6) History of myocardial infarction within 6 months or unstable angina pectoris within 3 weeks.
7) Severe respiratory disease requiring continuous oxygen therapy.
8) Uncontrollable hypertension.
9) Uncontrollable diabetes millutus or administration of insulin.

Target sample size

640


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kohei Takizawa

Organization

Shizuoka Cancer Center

Division name

Division of Endoscopy

Zip code


Address

1007 Shimonagakubo, Nagaizumi-cho, Sunto-Gun, Shizuoka 411-8777, JAPAN

TEL

055-989-5222

Email

k.takizawa@scchr.jp


Public contact

Name of contact person

1st name
Middle name
Last name Masao Yoshida

Organization

Shizuoka Cancer Center

Division name

Division of Endoscopy

Zip code


Address

1007 Shimonagakubo, Nagaizumi-cho, Sunto-Gun, Shizuoka 411-8777, JAPAN

TEL

055-989-5222

Homepage URL


Email

ma.yoshida@scchr.jp


Sponsor or person

Institute

Shizuoka Cancer Center

Institute

Department

Personal name



Funding Source

Organization

Shizuoka Cancer Center

Organization

Division

Category of Funding Organization

Local Government

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

大阪府立病院機構大阪府立成人病センター(大阪府)
岡山大学医学部(岡山県)
がん研究会有明病院(東京都)
北里大学医学部(神奈川県)
埼玉医科大学国際医療センター(埼玉県)
国立病院機構四国がんセンター(愛媛県)
静岡県立静岡がんセンター(静岡県)
仙台オープン病院(宮城県)
国立がん研究センター東病院(千葉県)
国立がん研究センター中央病院(東京都)
東京大学医学部(東京都)
斗南病院(北海道)
福島県立医科大学(福島県)
由利組合総合病院(秋田県)
横浜市立大学附属市民総合医療センター(神奈川県)


Other administrative information

Date of disclosure of the study information

2015 Year 07 Month 10 Day


Related information

URL releasing protocol


Publication of results

Published


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

Completed

Date of protocol fixation

2015 Year 07 Month 02 Day

Date of IRB


Anticipated trial start date

2015 Year 07 Month 21 Day

Last follow-up date

2016 Year 09 Month 04 Day

Date of closure to data entry

2016 Year 09 Month 11 Day

Date trial data considered complete


Date analysis concluded

2016 Year 09 Month 30 Day


Other

Other related information



Management information

Registered date

2015 Year 07 Month 10 Day

Last modified on

2018 Year 01 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000021142