Status:

UNKNOWN

Endoesophageal Cryotherapy For Ablating Barrett's Esophagus and Early Stage Esophageal Cancer

Lead Sponsor:

Walter Reed Army Medical Center

Collaborating Sponsors:

CSA Medical, Inc.

Conditions:

Barrett's Esophagus

Eligibility:

All Genders

18-85 years

Phase:

PHASE4

Brief Summary

In this prospective single center study, up to 25 patients with Barrett's esophagus with LGD or no dysplasia (Group 1), 25 patients with HGD/IMCA (Group 2), 25 patients with esophageal carcinoma confi...

Detailed Description

Baseline evaluation will include the following ( all are considered standard of care except # 8 ): 1. Informed consent. 2. Evaluation of inclusion/exclusion criteria 3. Demographics- date of birth, a...

Eligibility Criteria

Inclusion

  • \*\* You must be eligible for care within the Department of Defense (DEERS eligible) to be enrolled into this protocol \*\*
  • Per Groups 1,2,3,4 (above)
  • Specifically:
  • Diagnosis of specialized intestinal metaplasia (Barrett's esophagus) with either low grade, indeterminate or no dysplasia (Group 1)
  • high grade or intramucosal cancer and deemed inoperable based on co-morbid conditions such as severe heart, lung, kidney or liver disease; or refusal of surgical intervention; CT scan and EUS demonstrating no evidence of trans-mural tumor or lymph node involvement; pathology review of esophageal biopsies by 2 independent reviewers to include 1 from the Walter Reed Army Medical Center Pathology Department; presentation at tumor board (Group 2)
  • T1smN0 or T2NO adenocarcinoma arising in Barrett's esophagus and all criteria as for group 2 (Group 3)
  • diagnosis of severe squamous dysplasia and all criteria as for group 2 (Group 4)

Exclusion

  • Not eligible for care within the Department of Defense medical system
  • Age less than 18 years or greater then 85 years (at time of entry)
  • Co-morbid illness expected to cause death within 6 months
  • Pregnancy (as determined by urine HCG)
  • Medically unfit or other contraindications to tolerate upper endoscopy
  • Inability to tolerate therapy with a proton pump inhibitor
  • Refusal or inability to give consent

Key Trial Info

Start Date :

March 1 2007

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 1 2012

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT00628784

Start Date

March 1 2007

End Date

March 1 2012

Last Update

July 24 2008

Active Locations (1)

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1

Walter Reed Army Medical Center

Washington D.C., District of Columbia, United States, 20307