- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01369316
Circumferential Submucosal Incision Endoscopic Mucosal Resection Versus Conventional Endoscopic Mucosal Resection of Colonic Polyps (CSIEMR)
June 28, 2023 updated by: Professor Michael Bourke
Circumferential Submucosal Incision Endoscopic Mucosal Resection Versus Conventional Endoscopic Resection for the Removal of Large Laterally Spreading Tumours and Sessile Polyps of the Colon
That Circumferential Submucosal Incision Endoscopic Mucosal Resection (CSI-EMR) will be at least as safe but more effective than conventional EMR for injection assisted EMR of large laterally spreading tumour and sessile polyps of the colon.
Study Overview
Status
Withdrawn
Conditions
Intervention / Treatment
Detailed Description
The investigators have recently developed a new, and the investigators believe safer and more effective technique for endoscopic mucosal resection (EMR).
Utilising the new method the investigators make small cuts around the polyp to isolate it.
Subsequently the Gelofusine solution is injected beneath the polyp and provides greater elevation.
This allows us to improve the chance of removal of the entire polyp with one attempt in one piece.
It is preferable to remove the polyp in one piece as it minimises the chance of leaving residual polyp tissue behind.
Our team has recently completed an animal study comparing our newly developed technique to conventional EMR.
The investigators have found significant improvements in our ability to completely remove the polyp in one attempt.
There have also been recent studies overseas that have shown this new technique to be quite effective.
Study Type
Interventional
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Michael J Bourke
- Phone Number: 0298459779
- Email: ace.westmead@gmail.com
Study Contact Backup
- Name: Kathleen Goodrick
- Phone Number: 0288909779
- Email: kathleen.goodrick@health.nsw.gov.au
Study Locations
-
-
New South Wales
-
Westmead, New South Wales, Australia, 2145
- Westmead Hospital
-
Contact:
- Rebecca Sonson
- Phone Number: 0298459779
- Email: bec2153@gmail.com
-
Principal Investigator:
- Michael J Bourke
-
Principal Investigator:
- Farzan Fartash
-
Sub-Investigator:
- Stephen J Williams
-
Sub-Investigator:
- Alan Moss
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
16 years to 93 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Can give informed consent to trial participation
- Age greater than 18
- Adenomas that have not have previously been attempted for resection (i.e. naïve lesions)
- Adenoma size greater than 20 mm
Exclusion Criteria:
- Age less than 18
- Previous resection or attempted resection of target adenoma lesion
- Pregnant patients
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Circumferential Submucosal Incision Resection
|
The patient is randomized, if in the active arm the procedure will continue as Circumferential Submucosal Incision Endoscopic Mucosal Resection.
|
Active Comparator: Endoscopic Mucosal Resection
Patients randomised into this arm will receive the conventional treatment Endoscopic Mucosal Resection in which the sessile lesion is injected and snared by piecemeal technique.
|
Patients randomised into this Intervention type will have Endoscopic Mucosal Resection performed
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Efficacy of CSI EMR (Rates of en-bloc resection, recurrence rates)
Time Frame: 3 months
|
3 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Michael J Bourke, Westmead Hospital - Endoscopy Unit
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Estimated)
December 30, 2023
Primary Completion (Estimated)
June 1, 2024
Study Completion (Estimated)
June 1, 2024
Study Registration Dates
First Submitted
June 6, 2011
First Submitted That Met QC Criteria
June 7, 2011
First Posted (Estimated)
June 8, 2011
Study Record Updates
Last Update Posted (Actual)
July 3, 2023
Last Update Submitted That Met QC Criteria
June 28, 2023
Last Verified
June 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- EMR-002-CSI
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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