Unique ID issued by UMIN | UMIN000040641 |
---|---|
Receipt number | R000046386 |
Scientific Title | Vonoprazan or Proton-pump inhibitor for gastric endoscopic submucosal dissection in patients under antithrombotic therapy: a randomized prospective multicenter study |
Date of disclosure of the study information | 2020/06/03 |
Last modified on | 2024/06/05 13:57:18 |
Vonoprazan or Proton-pump inhibitor for gastric endoscopic submucosal dissection in patients under antithrombotic therapy: a randomized prospective multicenter study
V-POINT study
Vonoprazan or Proton-pump inhibitor for gastric endoscopic submucosal dissection in patients under antithrombotic therapy: a randomized prospective multicenter study
V-POINT study
Japan |
gastric epithelial neoplasms
Gastroenterology |
Malignancy
NO
The aim of this study is to prospectively assess the superiority of vonoprazan over classical proton pump inhibitors regarding the risk of delayed bleeding after gastric endoscopic submucosal dissection in patients under antithrombotic therapy.
Efficacy
Incidence of bleeding within 8 weeks after ESD.
1. Frequency of GERD-like symptoms after ESD.
2. Frequency of pain after ESD.
3. Healing of the ulcer at 8 weeks after ESD.
4. Adverse events related to ESD.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
NO
Institution is considered as a block.
YES
Central registration
2
Treatment
Medicine |
Patients will be randomly allocated to either VPZ or PPI group. In the PPI group, esomeprazole 20mg will be administered orally from the day before ESD to 54 days after ESD.
VPZ 20mg will be administered orally from the day before ESD to 54 days after ESD.
20 | years-old | <= |
Not applicable |
Male and Female
1. Gastric adenoma or early gastric cancer.
condition of early gastric cancer:
1) 2cm or smaller cT1a, well diff. UL0
2) larger than 2cm, cT1a, well diff.UL0
3) 3cm or smaller, cT1a, well diff. UL1
4) 2cm or smaller, cT1a, undiff. UL0
2. age 20 or older
3. PS=0,1,2
4. Laboratory data:
Hb 9g/dl or larger
Plt 100,000/mm3 or larger
AST, ALT 100 1U/l or less
PT-INR 80% or larger
5. Could be followed up for 56 days after ESD.
6. Those who gave written consent.
1. Those with simultaneous esophageal or duodenal endoscopic treatment.
2. Endoscopic treatment for upper digestive tract within 31 days before ESD.
3. Women with pregnancy,
4. Psychological disorders.
5. Presence of active infectious diseases.
6. Impossible to answer to F-Scale or VAS.
7. Allergy to VPZ or EPZ.
124
1st name | Kazuhiro |
Middle name | |
Last name | Furukawa |
Nagoya University
Department of Gastroenterology & Hepatology, Nagoya University Graduate School of Medicine
466-8550
65 Tsurumai-cho, Showa-ku, Nagoya, Japan
+81-52-744-2164
kazufuru@med.nagoya-u.ac.jp
1st name | Naomi |
Middle name | |
Last name | Kakushima |
Nagoya University
Department of Gastroenterology & Hepatology, Nagoya University Graduate School of Medicine
466-8550
65 Tsurumai-cho, Showa-ku, Nagoya, Japan
+81-52-744-2164
n.kakushima@gmail.com
Nagoya University
No funding source.
Self funding
Nagoya University Graduate School of Medicine, IRB
65 Tsurumai-cho, Showa-ku, Nagoya, Japan
+81-052-744-2973
ethics@med.nagoya-u.ac.jp
NO
山下病院(愛知県)、名鉄病院(愛知県)、刈谷豊田総合病院(愛知県)、江南厚生病院(愛知県)、半田市立半田病院(愛知県)、名古屋第一赤十字病院(愛知県)、市立四日市病院(三重県)、静岡県立静岡がんセンター(静岡県)、石川県立中央病院(石川県)
2020 | Year | 06 | Month | 03 | Day |
Unpublished
125
Completed
2020 | Year | 06 | Month | 03 | Day |
2020 | Year | 08 | Month | 27 | Day |
2020 | Year | 09 | Month | 16 | Day |
2024 | Year | 03 | Month | 31 | Day |
2020 | Year | 06 | Month | 03 | Day |
2024 | Year | 06 | Month | 05 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000046386