UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000053384
Receipt number R000060930
Scientific Title Evaluation of the usefulness and safety of a novel traction clip in endoscopic submucosal dissection (ESD).
Date of disclosure of the study information 2024/01/18
Last modified on 2024/01/18 12:42:39

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Basic information

Public title

Evaluation of the Utility and Safety of a Novel Multipoint Traction Clip in Endoscopic Submucosal Dissection (ESD)

Acronym

Verification of the usefulness and safety of multi-point traction clips

Scientific Title

Evaluation of the usefulness and safety of a novel traction clip in endoscopic submucosal dissection (ESD).

Scientific Title:Acronym

Verification of usefulness and safety of new traction clips

Region

Japan


Condition

Condition

gastrointestinal neoplasms

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Endoscopic submucosal dissection (ESD) is a widely used treatment for gastrointestinal cancer. In recent years, the use of traction devices instead of clips has emerged as a treatment technique, reducing the difficulty of the procedure. However, existing traction devices can only provide traction at a single point, and their traction effect may be insufficient for large lesions. In this study, we developed a new traction device using orthodontic rubber and medical sutures, and will examine its usefulness and safety.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Time to apply new instruments and completion rate

Key secondary outcomes

Treatment time, batch resection rate, amount of local fluid used, and frequency of incidentalities (treatment-related bleeding, post-treatment hemorrhage, perforation)


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

100 years-old >

Gender

Male and Female

Key inclusion criteria

Patients who will be eligible for insurance coverage of endoscopic submucosal dissection between March 1 and December 31, 2022, and who have been fully informed about their participation in the study, and who have given their free and voluntary consent to be treated with the new device based on their full understanding of the study.

Key exclusion criteria

Exclusion criteria include suspected disseminated intravascular coagulation syndrome, severe heart failure, active thromboembolism at the time of study entry, severe respiratory failure, pregnancy or women of childbearing potential, and other subjects deemed unsuitable by the study investigator (subinvestigator).

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Takuma
Middle name
Last name Okamura

Organization

Nagasaki Harbor Medical Center

Division name

gastroenterology

Zip code

850-8555

Address

6-39 Shinchi-cho, Nagasaki City, Nagasaki

TEL

0958223251

Email

taku.okamu1002@gmail.com


Public contact

Name of contact person

1st name Takuma
Middle name
Last name Okamura

Organization

Nagasaki Harbor Medical Center

Division name

gastroenterology

Zip code

850-8555

Address

6-39 Shinchi-cho, Nagasaki City, Nagasaki

TEL

0958223251

Homepage URL


Email

taku.okamu1002@gmail.com


Sponsor or person

Institute

Nagasaki Harbor Medical Center

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nagasaki Minato Medical Center Research and Development Center

Address

6-39 Shinchi-cho, Nagasaki City, Nagasaki

Tel

0958223251

Email

kenkyu@ncho.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

2024 Year 01 Month 18 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

20

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

2022 Year 02 Month 01 Day

Date of IRB

2022 Year 06 Month 21 Day

Anticipated trial start date

2022 Year 03 Month 01 Day

Last follow-up date

2023 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

We have developed a new traction device made of orthodontic rubber and medical sutures, and will examine its usefulness and safety. The new traction device is characterized by its ability to provide traction at three points, unlike conventional traction devices. Phantom experiments have confirmed that the new traction device has more traction force than the conventional device, which makes the treatment procedure easier. The main objective of this study was to evaluate the safety and efficacy of ESD using the new traction device in real clinical practice. The key clinical outcomes will be evaluated: time to apply and complete use of the novel device, treatment time, en bloc resection rate, local fluid use, and frequency of complications (treatment-related bleeding, posterior hemorrhage, and perforation).
Eligible patients will be those for whom endoscopic submucosal dissection will be covered by insurance between March 1 and December 31, 2022, and who, after receiving a full explanation of their participation in the study and with full understanding, have given their free and voluntary consent to be treated using the new device. The above information will be obtained based on the electronic medical record.


Management information

Registered date

2024 Year 01 Month 18 Day

Last modified on

2024 Year 01 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000060930