Status:

RECRUITING

A Study Comparing the Effectiveness of EndoRotor Versus Radiofrequency in Treating Barrett's Esophagus

Lead Sponsor:

University Hospital, Angers

Conditions:

Barrett Esophagus

Dysplasia

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Barrett Esophagus is a common pathology, with an estimated prevalence of 1.6% at risk of progression to precancerous mucosa (low to high grade dysplasia). The incidence of adenocarcinoma on BE is 0.5%...

Eligibility Criteria

Inclusion

  • Adult patients presenting Barrett's esophagus of a size between 2 cm and 6 cm in the height of the longest tonguea with low to high grade dysplasia that is histologically proven or with a superficial non-invasive adenocarcinoma that has been resected a The total height of the BE is evaluated according to the Prague classification, with the height of the circumferential segment between 0 cm (non-circumferential segment) and 6 cm (segment shaped like a full sleeve for 6 cm), referred to as C0 to C6, and the height of the longest tongue between 2 cm and 6 cm (M2- M6).
  • Patients must have signed the consent form in order to participate in the study
  • Patients are pre-included (signature of consent) before the histological confirmation of dysplasiab and/or superficial non-invasive adenocarcinoma that allows the patient to be included in the study.

Exclusion

  • Individuals over 85 years old
  • Women who are pregnant, breastfeeding or in labour
  • Individuals in detention through judicial or administrative decision
  • Individuals who are the subject of psychiatric treatment under duress
  • Individuals who are subjects of legal protection measures
  • Individuals who are in no state to give their consent
  • Individuals who do not understand French or do not know how to read
  • Individuals who are not part of a social security program or benefit from such a scheme
  • Those with active peptic and/or radiation-induced or complicated esophagitis at the time of treatment
  • Presence of a visible lesion that is suspected to be esophageal cancer confirmed by biopsies
  • Anterior resection of invasive adenocarcinoma using endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD) with invasion of the lateral and/or deep margin, adenocarcinoma of poorly differentiated characteristics or sub-mucosal invasion \> 500µm (pT1b)
  • All preliminary ablation treatments or dilation for esophageal stenosis
  • Significant esophageal stenosis: cannot be passed with a standard gastroscope
  • Presence of esophageal varices or portal hypertension
  • Anticoagulant treatment that cannot be stopped before the intervention (excluding 100 mg maximum per day of aspirin in single-drug treatment) or any haemostasis problems that cannot be corrected
  • Having a contraindication regarding anaesthesia
  • Patients incapable of taking proton pump inhibitors (PPIs) orally.

Key Trial Info

Start Date :

March 25 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2027

Estimated Enrollment :

140 Patients enrolled

Trial Details

Trial ID

NCT04867590

Start Date

March 25 2022

End Date

May 1 2027

Last Update

April 9 2024

Active Locations (12)

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Page 1 of 3 (12 locations)

1

University Hospital of Brest

Brest, France

2

University Hospital of Tours

Chambray-lès-Tours, France

3

University Hospital of Lille

Lille, France

4

University Hospital of Limoges

Limoges, France