Unique ID issued by UMIN | UMIN000020850 |
---|---|
Receipt number | R000024062 |
Scientific Title | A prospective exploratory study on the safety of gastric endoscopic submucosal dissection without cessation of warfarin. |
Date of disclosure of the study information | 2016/02/04 |
Last modified on | 2018/02/12 23:31:46 |
A prospective exploratory study on the safety of gastric endoscopic submucosal dissection without cessation of warfarin.
A prospective exploratory study on the safety of gastric endoscopic submucosal dissection without cessation of warfarin.
A prospective exploratory study on the safety of gastric endoscopic submucosal dissection without cessation of warfarin.
A prospective exploratory study on the safety of gastric endoscopic submucosal dissection without cessation of warfarin.
Japan |
The lesion that is indicated in gastric endoscopic submucosal dissection in patients who use warfarin for prevention of thrombosis.
Medicine in general | Gastroenterology | Adult |
Malignancy
NO
To examine the safety of gastric endoscopic submucosal dissection without cessation of warfarin.
Safety
Exploratory
Pragmatic
Phase II
The bleeding rate after gastric endoscopic submucosal dissection from immediately until the 28th day
1.The existence of bleeding requiring hemostatic procedure in second-look gastrointestinal endoscopy (day1).
2.Early bleeding rate after gastric endoscopic submucosal dissection (from immediately after gastric endoscopic submucosal dissection to before the day2 meal starts).
3.Delayed bleeding rate after gastric endoscopic submucosal dissection (after the day2 meal started).
4.Duration of hospitalization.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Medicine |
In patients who use warfarin for prevention of thrombosis, gastric endoscopic submucosal dissection will be done without cessation of warfarin. Protocol treatment period in this study is from the day of gastric endoscopic submucosal dissection (day0) to the 28th day after gastric endoscopic submucosal dissection (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.
(1)The target is the lesion that is indicated in endoscopic submucosal dissection in Japanese classification of gastric carcinoma: 4th Japanese edition 2014.
(2)
a)In patients with non valvular atrial fibrillation, PT-INR has to be confirmed following values in blood collection within 3days before the treatment.
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
b)In patients using warfarin for the prevention of deep vein thrombosis or pulmonary embolism, PT-INR has to be confirmed following values in blood collection within 3days before the treatment.
PT-INR is less than 2.5
c)In patients with artificial heart valve, PT-INR has to be confirmed following values in blood collection within 3days before the treatment.
PT-INR is less than 3.0
(3)Estimated glomerular filtration (eGFR) is confirmed greater than or equal to 30mL/min/1.73m2 within 60 days prior to registration.
(4)After the patient has received a sufficient explanation on participation in this study, informed consent has been obtained by the free will of the patient.
(5)It is possible to follow the course of more than 28 days after treatment.
(6)All the following test data using the latest test values within 60 days prior to registration is met.
1) Hb is 9g/dl or more
2) Plt is 100000/mm3 or more
3) AST, ALT is less than 100IU/L
(1)Women who has a possibility of pregnancy or is during pregnancy
(2)Women who has baby and is nursing
(3)Patients who undergo hemodialysis
(4)To assess the general condition and complications of patients, if the attending physician has determined that it is difficult to entry.
15
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
+81-3-3815-5411
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
+81-3-3815-5411
isaitou-nms@umin.ac.jp
The University of Tokyo Hospital Department of Gastroenterology, Graduate School of Medicine
The clinical research insurance is covered by Grant-in-Aid for Scientific Research- Young Scientists (B) (Principal Investigator: Satoshi Ono, project number: 127100000551).
Japanese Governmental office
NO
2016 | Year | 02 | Month | 04 | Day |
Unpublished
2015 | Year | 12 | Month | 17 | Day |
2016 | Year | 03 | Month | 01 | Day |
2016 | Year | 02 | Month | 02 | Day |
2018 | Year | 02 | Month | 12 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024062