UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061924
Receipt number R000069512
Scientific Title Multicenter Observational Study Evaluating the Feasibility and Safety of Clinical Introduction of Endoscopic Hand Suturing Following Standardized Training
Date of disclosure of the study information 2026/06/30
Last modified on 2026/06/16 05:43:25

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Basic information

Public title

Multicenter Observational Study Evaluating the Feasibility and Safety of Clinical Introduction of Endoscopic Hand Suturing Following Standardized Training

Acronym

EHS-SuTURE Study

Scientific Title

Multicenter Observational Study Evaluating the Feasibility and Safety of Clinical Introduction of Endoscopic Hand Suturing Following Standardized Training

Scientific Title:Acronym

EHS-SuTURE

Region

Japan


Condition

Condition

Early Gastric Cancer

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to evaluate the clinical feasibility and safety of Endoscopic Hand Suturing (EHS) in clinical cases after the implementation of a standardized EHS training system. The primary endpoint is the completion rate of EHS. Secondary endpoints include suturing time, number of stitches, suturing time per stitch, sustained closure rate, post-procedural bleeding rate, complication rate, adverse event rate, and location-specific technical difficulty.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Completion rate of EHS .

Key secondary outcomes

Secondary endpoints are suturing time, number of stitches, suturing time per stitch, sustained closure rate, post-procedural bleeding rate, complication rate, adverse event rate, and location-specific technical difficulty.


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


Not applicable

Gender

Male and Female

Key inclusion criteria

1.Gastric tumor <30 mm in size

2.Scheduled for ESD at the study institution

3.Age >=20 years

4.ECOG performance status 0-1

5.Written informed consent obtained from the patient

Key exclusion criteria

1.Early gastric cancer arising in the remnant stomach after gastrectomy (including remnant gastric cancer and gastric conduit cancer)

2.Tumors adjacent to the cardia or pylorus, or crossing the gastric angle

3.Bleeding tendency defined as platelet count <50000/mm3 or PT-INR >=2 (excluding patients receiving warfarin therapy)

4.Liver cirrhosis classified as Child-Pugh class B or C

5.Chronic renal failure requiring maintenance dialysis

6.Any cases deemed inappropriate for study participation by the investigators

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Taku
Middle name
Last name Morita

Organization

Omuta city hospital

Division name

Division of Gastroenterology

Zip code

8368567

Address

2-19-1 Takarazaka-machi, Omuta, Fukuoka 836-8567, Japan

TEL

+81-944-53-1061

Email

morita_taku@kurume-u.ac.jp


Public contact

Name of contact person

1st name Taku
Middle name
Last name Morita

Organization

Omuta city hospital

Division name

Division of Gastroenterology

Zip code

836-8567

Address

2-19-1 Takarazaka-machi, Omuta, Fukuoka 836-8567, Japan

TEL

+81-944-53-1061

Homepage URL


Email

morita_taku@kurume-u.ac.jp


Sponsor or person

Institute

Omuta city hospital

Institute

Department

Personal name



Funding Source

Organization

Omuta city hospital

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

NTT Medical Center Tokyo (Tokyo), Japanese Red Cross Omori Hospital (Tokyo), Itabashi Chuo Medical Center (Tokyo)

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Omuta city hospital

Address

2-19-1 Takarazaka-machi, Omuta, Fukuoka 836-8567, Japan

Tel

+81-944-53-1061

Email

omuta_yuku@ghp.omuta.fukuoka.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

2026 Year 06 Month 30 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

60

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

No longer recruiting

Date of protocol fixation

2024 Year 03 Month 01 Day

Date of IRB

2024 Year 03 Month 01 Day

Anticipated trial start date

2024 Year 03 Month 01 Day

Last follow-up date

2026 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is a multicenter observational study. Eligible patients are those who are scheduled to undergo ESD for gastric tumors at participating institutions between March 1, 2024 and December 31, 2025, meet the inclusion criteria, and provide written informed consent. Six physicians with fewer than five clinical EHS cases will undergo preclinical training using SuTURE mounted on the G-Master ESD training system. EHS will then be performed for post-ESD mucosal defects after ESD for gastric tumors smaller than 30 mm. The target sample size is 60 patients, with a target of 10 cases per physician.

The primary endpoints are the EHS completion rate and suturing time. Secondary endpoints include suture retention rate, postprocedural bleeding rate, minor postprocedural bleeding rate, number of stitches per ulcer floor area, complication rate, mean bite and pitch, and technical difficulty according to lesion location. Safety endpoints include the incidence, severity, outcome, and causal relationship of adverse events. The clinical information to be collected includes age, sex, height, body weight, medical history, past history, treatment history, laboratory data, endoscopic images, adverse events, EHS completion rate, and suturing time.


Management information

Registered date

2026 Year 06 Month 16 Day

Last modified on

2026 Year 06 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000069512