UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061928
Receipt number R000070861
Scientific Title Evaluation of procedural efficiency and bleeding control during colorectal endoscopic submucosal dissection using Flow-Assisted Coagulation (FAC) and HYBRIDknifeflex: a prospective feasibility study
Date of disclosure of the study information 2026/06/16
Last modified on 2026/06/16 14:55:48

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Basic information

Public title

Evaluation of procedural efficiency and bleeding control during colorectal endoscopic submucosal dissection using Flow-Assisted Coagulation (FAC) and HYBRIDknifeflex: a prospective feasibility study

Acronym

FAC-HYBRID Colorectal Study

Scientific Title

Evaluation of procedural efficiency and bleeding control during colorectal endoscopic submucosal dissection using Flow-Assisted Coagulation (FAC) and HYBRIDknifeflex: a prospective feasibility study

Scientific Title:Acronym

FAC-HYBRID Colorectal Study

Region

Japan


Condition

Condition

Colorectal adenoma, early colorectal cancer, or lesions suspected of early colorectal cancer indicated for endoscopic submucosal dissection (ESD)

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

This study prospectively evaluates the procedural efficiency, hemostatic efficacy, and safety of submucosal dissection (ESD) using Flow-Assisted Coagulation (FAC) and the HYBRIDknifeflex in a water-immersed setting.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

* Resection time

Key secondary outcomes

* Bleeding duration
* Complete en bloc resection rate
* Total procedure time
* Cumulative bleeding time
* Number of FAC procedures
* FAC-only hemostasis success rate
* Number of hemostatic forceps uses
* Number of device exchanges to hemostatic forceps
* Dissection speed
* CO2 usage time
* Saline consumption
* Safety outcomes


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

Colorectal endoscopic submucosal dissection performed using Flow-Assisted Coagulation (FAC) and HYBRIDknifeflex under a gas-free immersion system

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

100 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Patients who provide written informed consent.
2. Patients aged 20 to 100 years.
3. Patients with colorectal adenoma, early colorectal cancer, or lesions suspected of early colorectal cancer that are indicated for endoscopic submucosal dissection (ESD).
4. Patients scheduled to undergo inpatient colorectal ESD.

Key exclusion criteria

1. Patients for whom surgical resection is considered more appropriate.
2. Patients with severe coagulation disorders.
3. Pregnant women or women who may be pregnant.
4. Patients with poor general condition that makes endoscopic treatment unsafe.
5. Patients judged unsuitable for study participation by the investigators.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Tatsuma
Middle name
Last name Nomura

Organization

Suzuka General Hospital

Division name

Gastroenterology

Zip code

5138630

Address

Department of Gastroenterology, Suzuka General Hospital, 1275-53, Yamanohana, Yasuduka, suzuka, Mie

TEL

8159-382-1311

Email

m06076tn@icloud.com


Public contact

Name of contact person

1st name Tatsuma
Middle name
Last name Nomura

Organization

Suzuka General Hospital

Division name

Department of Gastroenterology

Zip code

5138630

Address

Suzuka General Hospital, 1275-53, Yamanohana, Yasuduka, suzuka, Mie

TEL

0593821311

Homepage URL


Email

m06076tn@icloud.com


Sponsor or person

Institute

Suzuka General Hospital

Institute

Department

Personal name



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

Institutional Review Board Office, Suzuka Central General Hospital

Address

Suzuka General Hospital, 1275-53, Yamanohana, Yasuzuka, suzuka, Mie, Japan

Tel

+81-5-9382-1311

Email

m06076tn@icloud.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



Institutions

Institutions

鈴鹿中央総合病院


Other administrative information

Date of disclosure of the study information

2026 Year 06 Month 16 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

2026 Year 06 Month 04 Day

Date of IRB

2026 Year 06 Month 04 Day

Anticipated trial start date

2026 Year 06 Month 16 Day

Last follow-up date

2027 Year 10 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



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=R000070861