UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000054745
Receipt number R000062560
Scientific Title In post-pyloric placement of feeding tube,Enteral Access System (EAS) guided placement versus fluoroscopic placement:a randomized single center trial
Date of disclosure of the study information 2024/08/01
Last modified on 2024/12/24 11:00:06

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Basic information

Public title

Evaluation of the usefulness of Enteral Access System (EAS) for post-pyloric feeding tube placement

Acronym

Evaluation of the usefulness of Enteral Access System (EAS) for post-pyloric feeding tube placement

Scientific Title

In post-pyloric placement of feeding tube,Enteral Access System (EAS) guided placement versus fluoroscopic placement:a randomized single center trial

Scientific Title:Acronym

In post-pyloric placement of feeding tube,Enteral Access System (EAS) guided placement versus fluoroscopic placement:a randomized single center trial

Region

Japan


Condition

Condition

A hospitalized patient with intestinal intolerance in our ICU
Age at registration is 16 years or older
Written consent for participation in the study has been obtained from the research subjects

Classification by specialty

Emergency medicine Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The Enteric Access System (EAS) allows real-time confirmation of the position of the distal end of a gastric tube, making it potentially useful for successful post-pyloric placement. Reports on the effectiveness of EAS-guided post-pyloric tube placement are sporadic. Compared to methods using endoscopy or fluoroscopy, the EAS method is believed to be advantageous as it can be performed at the bedside without the need for patient transport, and is considered less invasive. This study aims to compare the success rates and time to successful placement between the EAS method and the conventional fluoroscopy-guided insertion method, evaluating the usefulness of the EAS method.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The success rate of post-pyloric placement within 20 minutes

Key secondary outcomes

Time to successful post-pyloric placement
Rate of complications
Radiation exposure time
Healthcare economic considerations


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking

YES

Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment Maneuver

Interventions/Control_1

Fluoroscopy-guided group:

Patients are transferred from the ICU to the operating room for the procedure.
Time elapsed from insertion of the enteral feeding tube until confirmation of correct tube placement is measured.
Time taken for patient transfer between the ICU and the operating room is also measured.
Fluoroscopy exposure time (X-ray) is measured.

Interventions/Control_2

EAS group:

Conducted at the ICU bedside.
Uses CORTRAK2, marketed by Terumo Corporation.
Measures the time from insertion of the enteral feeding tube until confirmation of correct tube position on the monitor.
Success is confirmed if post-pyloric placement is verified by X-ray after insertion.

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

16 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

A hospitalized patient with intestinal intolerance in our ICU
Age at registration is 16 years or older
Written consent for participation in the study has been obtained from the research subjects

Key exclusion criteria

Patients under 16 years of age.
Patients for whom warnings, contraindications, and prohibitions regarding the medical device (CORTRAK2) used in the EAS method apply.
Patients with a history of head and neck or upper gastrointestinal surgery.
Patients suspected of having esophageal hiatus hernia based on prior imaging studies, making gastric tube insertion difficult.

*Other patients deemed unsuitable for safe implementation of this study by the principal investigator or attending physician.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name osamu
Middle name
Last name umegaki

Organization

Osaka Medical and Pharmaceutical University

Division name

Intensive Care Unit (ICU)

Zip code

569-8686

Address

2-7 daigaku,takatuki,osaka,japan

TEL

072-683-1221

Email

osamu.umegaki@ompu.ac.jp


Public contact

Name of contact person

1st name sho
Middle name
Last name tomihata

Organization

Osaka Medical and Pharmaceutical University

Division name

Intensive Care Unit (ICU)

Zip code

569-8686

Address

2-7 daigaku,takatuki,osaka,japan

TEL

072-683-1221

Homepage URL


Email

sho.tomihata@ompu.ac.jp


Sponsor or person

Institute

Osaka Medical and Pharmaceutical University

Institute

Department

Personal name



Funding Source

Organization

Osaka Medical and Pharmaceutical University

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

Osaka Medical and Pharmaceutical University

Address

2-7 daigaku,takatuki,osaka,japan

Tel

072-683-1221

Email

rco000@ompu.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

2024 Year 08 Month 01 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

2024 Year 05 Month 12 Day

Date of IRB

2024 Year 10 Month 01 Day

Anticipated trial start date

2024 Year 10 Month 01 Day

Last follow-up date

2029 Year 03 Month 31 Day

Date of closure to data entry

2029 Year 03 Month 31 Day

Date trial data considered complete


Date analysis concluded

2027 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2024 Year 06 Month 24 Day

Last modified on

2024 Year 12 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062560