Status:

COMPLETED

RCT of Gastric ESD With or Without Epineprhine Added Solution

Lead Sponsor:

Chinese University of Hong Kong

Collaborating Sponsors:

Osaka International Cancer Institute

Fukuoka University

Conditions:

Gastric Neoplasm

Early Gastric Cancer

Eligibility:

All Genders

20+ years

Phase:

PHASE3

Brief Summary

This is an international multi-center randomised controlled study comparing outcomes of gastric endoscopic submucosal dissection (ESD) with or without addition of epinephrine in the submucosal injecti...

Detailed Description

Endoscopic submucosal dissection (ESD) is an endoscopic technique aiming to achieve en-bloc resection of mucosal neoplastic lesion in the gastrointestinal tract. It is now considered as the standard o...

Eligibility Criteria

Inclusion

  • Selection criteria: Presence of intramucosal neoplastic lesions in the stomach planning for endoscopic submucosal dissection (Vienna Classification Category 3 and 4 lesion)
  • Target subjects receiving sufficient briefing from the attending physician regarding the content of this study and providing informed consent for participation

Exclusion

  • Recurrent / remnant lesion after previous endoscopic resection
  • Lesions arising from surgical anastomotic site, such as gastrojejunostomy / gastroduodenostomy.
  • Marked electrolyte abnormalities
  • Hemostatic or coagulative abnormalities
  • Patient on anti-coagulant agents, including warfarin and other direct oral anti-coagulants (those on antiplatelet can be included)
  • Failure of vital organ (heart, lungs, liver, or kidneys) function
  • Allergic to components of injection solutions: Epinephrine, hyaluronic acid etc
  • Other cases deemed by the examining physician as unsuitable for safe treatment

Key Trial Info

Start Date :

January 10 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 31 2023

Estimated Enrollment :

800 Patients enrolled

Trial Details

Trial ID

NCT04032119

Start Date

January 10 2020

End Date

January 31 2023

Last Update

May 4 2025

Active Locations (7)

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Page 1 of 2 (7 locations)

1

The Chinese University of Hong Kong

Hong Kong, Hong Kong

2

Ishikawa Prefecture Central Hospital

Ishikawa, Japan

3

Kyoto 2nd Red Cross Hospital

Kyoto, Japan

4

Osaka International Cancer Institute

Osaka, Japan