UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000038698
Receipt number R000044119
Scientific Title Esophageal dilation and percutaneous endoscopic gastrostomy: RCT study between intravenous sedation vs general anesthesia
Date of disclosure of the study information 2019/11/27
Last modified on 2019/11/27 16:03:56

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Basic information

Public title

Esophageal dilation and percutaneous endoscopic gastrostomy: RCT study between intravenous sedation vs general anesthesia

Acronym

Esophageal dilation and percutaneous endoscopic gastrostomy: RCT study between intravenous sedation vs general anesthesia

Scientific Title

Esophageal dilation and percutaneous endoscopic gastrostomy: RCT study between intravenous sedation vs general anesthesia

Scientific Title:Acronym

Esophageal dilation and percutaneous endoscopic gastrostomy: RCT study between intravenous sedation vs general anesthesia

Region

Asia(except Japan)


Condition

Condition

esophageal cancer

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Most of esophageal cancer patients have dysphagia and weight loss from tumor obstruction. The NCCN guidelines suggest percutaneous endoscopic gastrostomy (PEG) feeding before neoadjuvant or definitive chemoradiotherapy.1 Previously, general anesthesia is used for most patients who undergo esophageal dilation (with Savary-Gilliard dilators) and percutaneous endoscopic gastrostomy in esophageal cancer. Recently, intravenous sedation with local anesthesia is accepted as another option. In Songklanagarind Hospital, we have performed both techniques up to surgeon preference. However, no study was compared between both techniques. We wanted to determine whether these procedures could be performed with similar results and cost under intravenous sedation with local anesthesia versus general anesthesia.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Total procedure time (from the time patient arrived in the operating room to the time the patient left) and actual procedure time (from endoscopy to wound closure) are recorded. Patients are reevaluated at 24 hours, 2 weeks, and 30 days after the procedure for postoperative complications and outcomes. Length of hospitalization after the procedure is also recorded. These charges are converted to cost and then analyzed. We only calculate the cost for the procedure and not that for total hospitalization. The cost is analyzed from the perspective of the hospital.

Key secondary outcomes

The cost is analyzed from the perspective of the hospital.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is considered as a block.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

GA

Interventions/Control_2

IV

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

99 years-old >=

Gender

Male and Female

Key inclusion criteria

esophageal cancer

Key exclusion criteria

benign disease

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Somkiat
Middle name
Last name Sunpaweravong

Organization

Department of Surgery, Faculty of Medicine, Prince of Sonkla university

Division name

general surgery

Zip code

90110

Address

Hat Yai, Songkhla, Thailand

TEL

66869663780

Email

susomkia@medicine.psu.ac.th


Public contact

Name of contact person

1st name Somkiat
Middle name
Last name Sunpaweravong

Organization

Department of Surgery, Faculty of Medicine, Prince of Sonkla university

Division name

general surgery

Zip code

90110

Address

Hat Yai, Songkhla, Thailand

TEL

66869663780

Homepage URL


Email

susomkia@medicine.psu.ac.th


Sponsor or person

Institute

Faculty of Medicine, Prince of Sonkla university

Institute

Department

Personal name



Funding Source

Organization

Faculty of Medicine, Prince of Sonkla university

Organization

Division

Category of Funding Organization

Government offices of other countries

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Faculty of Medicine, Prince of Sonkla university

Address

Hat Yai, Songkhla, Thailand

Tel

6674455000

Email

medpsu.ec@gmail.com


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

2019 Year 11 Month 27 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


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

Enrolling by invitation

Date of protocol fixation

2019 Year 02 Month 28 Day

Date of IRB

2019 Year 02 Month 28 Day

Anticipated trial start date

2019 Year 02 Month 28 Day

Last follow-up date

2021 Year 01 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

2019 Year 11 Month 27 Day

Last modified on

2019 Year 11 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000044119