UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000059777
Receipt number R000068352
Scientific Title A Prospective Study to Evaluate the Applicability of Endoscopic Submucosal Dissection Assisted by a Novel Anchor Ring-Shaped Thread Counter-Traction Method
Date of disclosure of the study information 2025/11/15
Last modified on 2025/11/14 13:09:02

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Basic information

Public title

Feasibility of Endoscopic Submucosal Dissection Using a Novel Anchor Ring-Shaped Thread Counter-Traction Method

Acronym

Novel Anchor Ring-Shaped Thread Counter-Traction ESD

Scientific Title

A Prospective Study to Evaluate the Applicability of Endoscopic Submucosal Dissection Assisted by a Novel Anchor Ring-Shaped Thread Counter-Traction Method

Scientific Title:Acronym

Anchor Ring-Shaped Thread Counter-Traction ESD Study

Region

Japan


Condition

Condition

Early malignant tumors of the upper gastrointestinal tract (esophagus, stomach, and duodenum)

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to clarify the applicability of a novel anchor ring-shaped thread counter-traction method as an adjunctive traction technique for Endoscopic Submucosal Dissection.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Total procedure time (in minutes) from the start of mucosal incision to completion of lesion resection during Endoscopic Submucosal Dissection assisted by the novel anchor ring-shaped thread counter-traction method.

Key secondary outcomes

1. R0 resection rate:The proportion of lesions in which the pathological evaluation confirms tumor-free horizontal and vertical margins.
2. Incidence of intraoperative adverse events:Complications occurring during Endoscopic Submucosal Dissection, including perforation and bleeding.
3. Incidence of postoperative adverse events:Adverse events occurring after the procedure, such as delayed bleeding, fever, or abdominal pain.
4. Association between lesion characteristics and procedure time:The relationship between lesion size or location and the procedure time influenced by the traction method.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Endoscopic Submucosal Dissection assisted by a novel anchor ring-shaped thread counter-traction method. The procedure involves placing an anchoring ring-thread clip on the proximal side of the lesion, advancing a ring-thread clip toward the lesion to provide traction, and performing submucosal dissection under improved visualization until completion of resection.

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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients with early malignant tumors of the upper gastrointestinal tract (esophagus, stomach, or duodenum) scheduled to undergo Endoscopic Submucosal Dissection in which the novel anchor ring-shaped thread counter-traction method will be applied.
2. Patients who provide written informed consent.
3. No restrictions on age or sex.

Key exclusion criteria

1. Patients deemed to be at high risk for endoscopic treatment (Endoscopic Submucosal Dissection) due to poor general condition or other clinical factors.
2. Patients who do not provide informed consent for participation in this study.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Kazuki
Middle name
Last name Niida

Organization

Ehime University Graduate School of Medicine

Division name

Department of Advanced and Innovative Endoscopy

Zip code

791-0295

Address

454 Shitsukawa, Toon City, Ehime, Japan

TEL

0899605308

Email

3naika@m.ehime-u.ac.jp


Public contact

Name of contact person

1st name Kazuki
Middle name
Last name Niida

Organization

Ehime University Graduate School of Medicine

Division name

Department of Advanced and Innovative Endoscopy

Zip code

791-0295

Address

454 Shitsukawa, Toon City, Ehime, Japan

TEL

0899605308

Homepage URL


Email

3naika@m.ehime-u.ac.jp


Sponsor or person

Institute

Ehime University

Institute

Department

Personal name

Kazuki Niida


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

Institutional Review Board,Ehime University Hospital

Address

454 Shitsukawa, Toon, Ehime

Tel

089-960-5172

Email

rinri@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



Other administrative information

Date of disclosure of the study information

2025 Year 11 Month 15 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

2025 Year 10 Month 06 Day

Date of IRB

2025 Year 10 Month 27 Day

Anticipated trial start date

2025 Year 11 Month 15 Day

Last follow-up date

2029 Year 03 Month 31 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 11 Month 14 Day

Last modified on

2025 Year 11 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000068352