UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057849
Receipt number R000066028
Scientific Title Feasibility of the "Clip with Line Pulley Securing (CLiPS)" Technique for Closure After Colorectal ESD: A Prospective Study
Date of disclosure of the study information 2025/05/13
Last modified on 2025/05/13 08:26:48

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Feasibility of the "Clip with Line Pulley Securing (CLiPS)" Technique for Closure After Colorectal ESD: A Prospective Study

Acronym

C-CLiPS Study

Scientific Title

Feasibility of the "Clip with Line Pulley Securing (CLiPS)" Technique for Closure After Colorectal ESD: A Prospective Study

Scientific Title:Acronym

C-CLiPS Study

Region

Japan


Condition

Condition

Colorectal Tumor

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the effectiveness and safety of the CLiPS technique for post colorectal ESD defect closure.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Complete Closure rate

Key secondary outcomes

1. Evaluation of the Closure Technique (Time required for defect closure,Types and number of devices used, Procedure-related adverse events)
2. Incidence of Post-closure Adverse Events (Delayed bleeding, Delayed perforation, Other complications)
3. Closure Integrity (Maintenance of defect closure at 2 days post-procedure)


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Post-colorectal ESD defects is approximated by the CLiPS technique, which involves pulling the mucosa together with a clip-line and securing with an endoloop.

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


Not applicable

Gender

Male and Female

Key inclusion criteria

Inclusion Criteria
Age over 20 years at registration.
ECOG Performance Status of 0 or 1.
Lesion size between 20-50 mm.
The most recent blood test within 30 days prior to registration meets all of the following criteria (no blood transfusion within 14 days prior to the test used for registration)
Hemoglobin over 9 g/dL
Platelet count above 100,000
AST/ALT below 100
Serum creatinine below 2.0 mg/dL
Able to be followed for 28 days after treatment.
Written informed consent has been obtained.

Key exclusion criteria

Exclusion Criteria
History of endoscopic treatment for lower gastrointestinal lesions within 28 days prior to enrollment.
Planned endoscopic treatment for the lower gastrointestinal tract within 28 days after the procedure.
Planned treatment of multiple lesions at the same time.
Presence of active inflammatory bowel disease (ulcerative colitis or Crohn's disease).
History of radiation therapy to the planned ESD area.
Women who are possibly pregnant, currently pregnant, or breastfeeding.
Presence of psychiatric conditions that impair understanding of the study.
History of myocardial infarction or unstable angina within the past 3 months.
Presence of a coagulation disorder (regardless of antithrombotic medication use).
Active bacterial or fungal infection (defined as fever over 38.5 degrees with supporting radiologic or microbiological evidence).
Presence of respiratory disease requiring continuous oxygen therapy.
Uncontrolled hypertension.
Any other condition deemed inappropriate for study participation by the investigator.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Hiroshi
Middle name
Last name Yamazaki

Organization

NTT Medical Center Tokyo

Division name

Gastrointestinal Endoscopy

Zip code

141-0022

Address

5-9-22Higashi Gotanda, Shinagawa, Tokyo

TEL

03-3448-6111

Email

hiroyama90@hotmail.com


Public contact

Name of contact person

1st name Hiroshi
Middle name
Last name Yamazaki

Organization

NTT Medical Center Tokyo

Division name

Gastrointestinal Endoscopy

Zip code

141-0022

Address

5-9-22Higashi Gotanda, Shinagawa, Tokyo

TEL

03-3448-6111

Homepage URL


Email

hiroyama90@hotmail.com


Sponsor or person

Institute

NTT Medical Center Tokyo

Institute

Department

Personal name

Hiroshi Yamazaki


Funding Source

Organization

self funding

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

NTT Medical Center Tokyo

Address

5-9-22Higashi Gotanda, Shinagawa, Tokyo

Tel

03-3448-6111

Email

hiroyama90@hotmail.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

Tokyo


Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 05 Month 13 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

Preinitiation

Date of protocol fixation

2025 Year 05 Month 12 Day

Date of IRB


Anticipated trial start date

2025 Year 05 Month 15 Day

Last follow-up date

2026 Year 05 Month 15 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 05 Month 13 Day

Last modified on

2025 Year 05 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066028