Flexible Endoscopy Biopsies for Submucous Tumors With a New Drill Instrument

NCT ID: NCT02161029

Last Updated: 2019-02-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-02

Study Completion Date

2015-03-27

Brief Summary

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The purpose of this study is to determine whether the newly constructed CE (Conformité Européenne) marked drill biopsy instrument for flexible endoscopes can make possible representative biopsies of the increasing numbers of submucosal tumours in the gastrointestinal tract. The amount of submucous tissue ( micrograms and in % of all the biopsy) harvested with the new drill biopsy instrument used in flexible endoscopy investigations is measured in the study and compared to the amount of submucous tissue harvested with the existing biopsy forceps.

Detailed Description

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Background: With the existing biopsy instruments for flexible endoscopy it's only possible to achieve superficial biopsies comprising the mucosa and very seldom some small fragments of the submucosa. It is, however, increasingly important to get biopsies from the submucous tissues because the tumors that are on the increase more than any other in the stomach is the GIST (GastroIntestinal Stroma Tumours) that grows in the submucosa. Cytology is not enough for a reliable diagnosis and to often not representative. Furthermore there is a well-known risk for tract seeding when sampling through the abdominal wall with a fine needle instrument.

The investigators have invented a new biopsy instrument for flexible endoscopy that is a drill within a cylinder that can be used for biopsies of the submucous tissues, for instance GIST-tumours, see www.BIBBInstruments.com.

Hypothesis: Will it be possible to achieve representative submucous tissue from the gastrointestinal tract with the newly constructed drill biopsy instrument for flexible endoscopy. The investigators hypothesize that the amount of tissue harvested with the new drill biopsy instrument will give significantly more amount of tissue to evaluate for the pathologist than the existing biopsy forceps.

Method: Ten patients with tumours in the submucosa of the stomach are examined with a gastroscope. The investigator decides where the first biopsy should be taken and randomly the investigator blindly get the new drill instrument or the conventional biopsy forceps and take the biopsy on the decided localization. The next site of the tumour is decided and again blindly the investigator get one of the two biopsy instruments according to a previously decided scheme. Six biopsies (three with each of the two biopsy tools) in every patient are harvested in ten patients. With altogether 30 specimen for each biopsy instrument and a difference of 1/3 which is a low calculated difference 10 patients as above will give a 80 % Power (Chi-2 = 5.40, p = 0.02\*). The amount of submucous tissue harvested with the two biopsy instruments are measured in microgram and as percentage of all the biopsy and compared. The quality of the specimens are also calculated.

Conditions

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Gastric Tumor

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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New drill biopsy instrument

To take biopsies from gastric submucosal tumors with a new drill biopsy instrument used with flexible endoscopes.

Group Type ACTIVE_COMPARATOR

Flexible drill biopsy instrument

Intervention Type DEVICE

Biopsies taken with the new drill biopsy instrument for flexible endoscopy

Conventional biopsy instrument

To take biopsies from gastric submucosal tumors with conventional biopsy forceps used with flexible endoscopes

Group Type ACTIVE_COMPARATOR

conventional biopsy instrument

Intervention Type DEVICE

Biopsies taken with conventional biopsy forceps for flexible endoscopic instruments

Interventions

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Flexible drill biopsy instrument

Biopsies taken with the new drill biopsy instrument for flexible endoscopy

Intervention Type DEVICE

conventional biopsy instrument

Biopsies taken with conventional biopsy forceps for flexible endoscopic instruments

Intervention Type DEVICE

Other Intervention Names

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Endodrill (=Internal code name)

Eligibility Criteria

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Inclusion Criteria

* Submucous gastrointestinal tumours

Exclusion Criteria

* No gastrointestinal submucous tumor
* Submucosal hemangioma
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Lund University

OTHER

Sponsor Role collaborator

Lund University Hospital

OTHER

Sponsor Role collaborator

Region Skane

OTHER

Sponsor Role lead

Responsible Party

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Bruno Walther

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Bruno S Walther, MD

Role: PRINCIPAL_INVESTIGATOR

Professor

Locations

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Department of Surgery, Lund University

Lund, , Sweden

Site Status

Countries

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Sweden

Related Links

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Other Identifiers

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2014/97

Identifier Type: -

Identifier Source: org_study_id

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