UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000021843
Receipt number R000025082
Scientific Title A novel endoscopic submucosal dissection technique for proton pump inhibitor-refractory gastroesophageal reflux disease
Date of disclosure of the study information 2016/04/09
Last modified on 2022/04/14 11:17:57

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Basic information

Public title

A novel endoscopic submucosal dissection technique for proton pump inhibitor-refractory gastroesophageal reflux disease

Acronym

ESD for GERD

Scientific Title

A novel endoscopic submucosal dissection technique for proton pump inhibitor-refractory gastroesophageal reflux disease

Scientific Title:Acronym

ESD for GERD

Region

Japan


Condition

Condition

gastroesophageal reflux disease

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We devised an endoscopic fundoplication procedure using endoscopic submucosal dissection (ESD) for the treatment of GERD (ESD-G). The aim of this study was to clarify
the effect and safety of ESD-G.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

The primary endpoint was the improvement in
the rate of heartburn experienced by the patients following ESD-G.

Key secondary outcomes

The secondary endpoints were comparisons of the frequency scale for the symptoms
of GERD (FSSG), before and 6 months after the procedure, oral medication dose, LA classification of the endoscopic findings, and esophageal 24-h pH monitoring. The safety of ESD-G was also assessed.


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

encoscopic submucosal dissection

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

80 years-old >

Gender

Male and Female

Key inclusion criteria

1. Males or females aged 20 years or older
2. Patients complaining of symptoms of gastroesophageal reflux disease on an inquiry sheet despite receiving PPI therapy for 8 weeks or more
3. Those with reflux esophagitis involving <3/4 of the circumference on endoscopy
4. Those in whom intra-esophageal pressure measurement and 24-hour esophageal pH monitoring were performed before surgery, and endoscopy, intra-esophageal pressure testing, and 24-hour esophageal pH monitoring are possible 1 month after surgery
5. Those from whom written informed consent regarding this procedure was obtained

Key exclusion criteria

1. Patients aged 19 years or younger
2. Those with reflux esophagitis involving more than 3/4 of the circumference on endoscopy
3. Those with a history of portal hypertension or esophageal varices
4. Those who have undergone gastric or esophageal surgery
5. Those with esophagostenosis or dysphagia

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Kazuhide
Middle name
Last name Higuchi

Organization

Osaka Medical College

Division name

Second Department of Internal Medicine

Zip code

569-8686

Address

2-7 Daigaku-machi, Takatsuki, Osaka 569-8686, Japan

TEL

072-683-1221

Email

higuchi@osaka-med.ac.jp


Public contact

Name of contact person

1st name Toshihisa
Middle name
Last name Takeuchi

Organization

Osaka Medical College

Division name

Endoscopy Center

Zip code

569-8686

Address

2-7 Daigaku-machi, Takatsuki, Osaka 569-8686, Japan

TEL

072-683-1221

Homepage URL


Email

in2097@osaka-med.ac.jp


Sponsor or person

Institute

Osaka Medical College

Institute

Department

Personal name



Funding Source

Organization

Osaka Medical College

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

Osaka Medical College

Address

2-7 Daigaku-machi, Takatsuki, Osaka 569-8686, Japan

Tel

072-683-1221

Email

rinri@osaka-med.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

2016 Year 04 Month 09 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://bmcgastroenterol.biomedcentral.com/track/pdf/10.1186/s12876-021-02022-x.pdf

Number of participants that the trial has enrolled

35

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

2016 Year 03 Month 07 Day

Date of IRB

2016 Year 03 Month 07 Day

Anticipated trial start date

2016 Year 04 Month 15 Day

Last follow-up date

2022 Year 03 Month 06 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 04 Month 09 Day

Last modified on

2022 Year 04 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000025082


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name