UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056081
Receipt number R000064082
Scientific Title A multicenter observational prospective study to evaluate the efficacy of a thin therapeutic endoscope in per-oral endoscopic myotomy (POEM)
Date of disclosure of the study information 2024/11/06
Last modified on 2024/11/06 22:04:20

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Basic information

Public title

A multicenter observational prospective study to evaluate the efficacy of a thin therapeutic endoscope in per-oral endoscopic myotomy (POEM)

Acronym

Study to evaluate the efficacy of thin therapeutic endoscope in POEM

Scientific Title

A multicenter observational prospective study to evaluate the efficacy of a thin therapeutic endoscope in per-oral endoscopic myotomy (POEM)

Scientific Title:Acronym

Study to evaluate the efficacy of thin therapeutic endoscope in POEM

Region

Japan


Condition

Condition

Esophageal achalasia and related disorders

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the usefulness of treatment with a thin therapeutic endoscope in cases of esophageal motility disorders (esophageal achalasia and related disorders) diagnosed as indications for peroral endoscopic myotomy (POEM).

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Procedural success rate of POEM performed with a thin therapeutic endoscope

Key secondary outcomes

Procedure time, submucosal tunnel creation time, muscle layer incision time, number of clips required for entry closure, postoperative pain, postoperative inflammation, perioperative adverse event incidence, symptom improvement rate (using Eckardt score), incidence of gastroesophageal reflux disease after POEM, difference in treatment outcome between the normal therapeutic endoscopy treatment group


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

18 years-old <=

Age-upper limit

95 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Patients diagnosed with esophageal achalasia and related diseases by high resolution manometry (HRM), esophagography, or esophagogastroduodenoscopy.
2. Patients must be at least 18 years old and less than 95 years old at the time of consent.
3. Patients must have a performance status (ECOG) of 0, 1, or 2.
4. Patients may or may not have received prior treatment for esophageal achalasia.
5. Patients must be able to follow their progress from 49 to 98 days after treatment.
6. Patients whose participation in the study has been fully explained and whose written consent has been obtained from the study subjects themselves.

Key exclusion criteria

1. Cases in which general anesthesia is difficult to administer
2. Patients with infectious diseases requiring systemic treatment
3. Patients who are pregnant, may become pregnant, or are breastfeeding.
4. patients with psychosis, psychiatric symptoms, or dementia that would make participation in the study difficult
5. patients with respiratory disease requiring continuous oxygen administration
6. patients with uncontrolled hypertension
7. Patients with uncontrolled diabetes mellitus. 8.
8. Other cases that the investigator deems inappropriate

Target sample size

150


Research contact person

Name of lead principal investigator

1st name Yoichi
Middle name
Last name Hiasa

Organization

Ehime University Graduate School of Medicine

Division name

Department of Gastroenterology and Metabology

Zip code

791-0295

Address

454 Shitsukawa, Toon, Ehime, Japan

TEL

089-960-5308

Email

hiasa@m.ehime-u.ac.jp


Public contact

Name of contact person

1st name Hideomi
Middle name
Last name Tomida

Organization

Ehime University Graduate School of Medicine

Division name

Department of Gastroenterology and Metabology

Zip code

791-0295

Address

454 Shitsukawa, Toon, Ehime, Japan

TEL

089-960-5308

Homepage URL


Email

hideomi.tomida.epch@hotmail.com


Sponsor or person

Institute

Ehime University

Institute

Department

Personal name

Yoichi Hiasa


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

Ehime University Hospital Clinical Research Ethics Review Committee

Address

454 Shitsukawa, Toon, Ehime, Japan

Tel

089-960-5172

Email

cttc@m.ehime-u.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

自治医科大学附属病院、昭和大学江東豊洲病院、慶應義塾大学病院、信州大学医学部附属病院、愛知医科大学病院、大阪公立大学医学部附属病院、鳥取大学医学部附属病院、愛媛大学医学部附属病院


Other administrative information

Date of disclosure of the study information

2024 Year 11 Month 06 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

Open public recruiting

Date of protocol fixation

2024 Year 09 Month 13 Day

Date of IRB

2024 Year 09 Month 20 Day

Anticipated trial start date

2024 Year 09 Month 21 Day

Last follow-up date

2027 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

To evaluate the usefulness of using a thin therapeutic endoscopic procedure in cases of esophageal motility disorders (esophageal achalasia and related disorders) diagnosed as an indication for peroral endoscopic myotomy (POEM).
Primary endpoint: success rate of POEM procedures
Secondary endpoint: operative time, submucosal tunnel creation time, muscle layer incision time, number of clips required for entry closure, postoperative pain, postoperative inflammation, perioperative adverse event rate, symptom improvement rate (Eckardt score), incidence of gastroesophageal reflux disease after POEM, and difference in outcomes between the standard therapeutic endoscope treatment groups.


Management information

Registered date

2024 Year 11 Month 06 Day

Last modified on

2024 Year 11 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064082