UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062186
Receipt number R000071006
Scientific Title A multicenter, prospective, randomized controlled trial to evaluate the efficacy and safety of underwater endoscopic submucosal resection with ligation device (U-ESMRL) for rectal neuroendocrine tumors.
Date of disclosure of the study information 2026/07/28
Last modified on 2026/07/01 20:47:47

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Basic information

Public title

The efficacy and safety of Underwater ESMRL for rectal NET

Acronym

The efficacy and safety of Underwater ESMRL for rectal NET (U-ESMRL study)

Scientific Title

A multicenter, prospective, randomized controlled trial to evaluate the efficacy and safety of underwater endoscopic submucosal resection with ligation device (U-ESMRL) for rectal neuroendocrine tumors.

Scientific Title:Acronym

A multicenter, prospective, randomized controlled trial to evaluate the efficacy and safety of underwater endoscopic submucosal resection with ligation device (U-ESMRL) for rectal neuroendocrine tumors. (U-ESMRL study)

Region

Japan


Condition

Condition

Rectal neuroendocrine tumor

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The efficacy and safety of underwater ESMRL for rectal NET

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Sufficient vertical complete(R0) resection (SVR0)

Key secondary outcomes

The clinical complete(R0) resection
The histological complete(R0) resection
Muscle layer resection
Vertical margin distance
Tumor depth
Adverse event
Procedure time


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Active

Stratification

YES

Dynamic allocation


Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Underwater ESMRL

Interventions/Control_2

Conventional ESMRL with injection

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


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) Patients who are 18 years of age or older at the time of obtaining consent
(2) A person for whom the patient's written consent has been obtained
(3) histologic or endoscopic diagnosis of rectal NET
(4) Lesions located at the rectal Ra or Rb
(5) Tumor size less than or equal to 10mm

Key exclusion criteria

(1) Tumor invasion into the muscularis propria
(2) Lymph nodes or distant metastasis
(3) Patients who are deemed unsuitable as research subjects by the principal investigator or sub-researcher

Target sample size

116


Research contact person

Name of lead principal investigator

1st name Hideaki
Middle name
Last name Kinugasa

Organization

Okayama university hospital

Division name

Gastroenterology

Zip code

7008558

Address

2-5-1 Shikata-cho, Kita-ku, Okayama

TEL

0862357219

Email

hkinugasa14@okayama-u.ac.jp


Public contact

Name of contact person

1st name Takashi
Middle name
Last name Yamamoto

Organization

Okayama university hospital

Division name

Gastroenterology

Zip code

7008558

Address

2-5-1 Shikata-cho, Kita-ku, Okayama

TEL

0862357219

Homepage URL


Email

pqm79e6u@s.okayama-u.ac.jp


Sponsor or person

Institute

Okayama university

Institute

Department

Personal name



Funding Source

Organization

Okayama university

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Okayama university hospital

Address

2-5-1 Shikata-cho, kita-ku, Okayama

Tel

0862357219

Email

pqm79e6u@s.okayama-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

岡山大学病院(岡山県)、岡山済生会総合病院(岡山県)、岡山市立市民病院(岡山県)、岡山赤十字病院(岡山県)、岡山労災病院(岡山県)、岡山協立病院(岡山県)、倉敷中央病院(岡山県)、津山中央病院(岡山県)、広島市民病院(広島県)、福山市民病院(広島県)、岩国医療センター(山口県)、姫路赤十字病院(兵庫県)、香川県立中央病院(香川県)、三豊総合病院(香川県)、住友別子病院(愛媛県)、一宮西病院(愛知県)


Other administrative information

Date of disclosure of the study information

2026 Year 07 Month 28 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

2026 Year 07 Month 28 Day

Date of IRB


Anticipated trial start date

2026 Year 07 Month 28 Day

Last follow-up date

2030 Year 12 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

2026 Year 07 Month 09 Day

Last modified on

2026 Year 07 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071006