Additive Hemostatic Efficacy of EndoClot After EMR or ESD in the Gastrointestinal Tract

NCT ID: NCT02688699

Last Updated: 2023-05-16

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

288 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-30

Study Completion Date

2024-03-31

Brief Summary

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The investigators want to verify in a randomised trial, the effectiveness of EndoClotTM in preventing post-procedural bleeding after EMR (Endoscopic Mucosal Resection) or ESD (Endoscopic Submucosal Dissection) for sessile lesions \>20 mm in the right colon

Detailed Description

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Conditions

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Colonic Polyp Colonic Neoplasms Colonic Dysplasia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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EndoClot

spraying of Endoclot powder after EMR or ESD

Group Type EXPERIMENTAL

EndoClot

Intervention Type PROCEDURE

All patients enrolled and submitted to EMR or ESD in several units of Italian endoscopy will be divided into two different groups: in a first group will be included patients at the endoscopic end of which will be applied EndoClotTM based on the lesion removed in addition to the treatment Standard (drug injection, electrocoagulation, metal clips). The second group, on the other hand, includes patients in whom EndoClotTM will not be used.

Before the end of the procedure neither the endoscopist nor the patient will know the group because the group to which the patient is assigned will be written in a sealed envelope that will be opened only at the end of the procedure before the endoscope extraction: The use of EndoClotTM will depend on the group to which the patient belongs.

control

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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EndoClot

All patients enrolled and submitted to EMR or ESD in several units of Italian endoscopy will be divided into two different groups: in a first group will be included patients at the endoscopic end of which will be applied EndoClotTM based on the lesion removed in addition to the treatment Standard (drug injection, electrocoagulation, metal clips). The second group, on the other hand, includes patients in whom EndoClotTM will not be used.

Before the end of the procedure neither the endoscopist nor the patient will know the group because the group to which the patient is assigned will be written in a sealed envelope that will be opened only at the end of the procedure before the endoscope extraction: The use of EndoClotTM will depend on the group to which the patient belongs.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* \>18 years old
* lesions suitable for EMR or ESD
* \> 20 mm
* site in the right colon

Exclusion Criteria

* Severe cardiovascular pathologies
* Liver and Urinary dysfunctions
* Hematologic diseases
* Pregnancy and breast feeding
* impossible follow-up
* platelet and coagulation disorders (PLT \< 50 x 109/L, INR \> 2)
* Sensitivity or allergy to the drug
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Turin, Italy

OTHER

Sponsor Role lead

Responsible Party

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Alberto Arezzo

Associate Professor of Surgery, MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Alberto Arezzo, MD

Role: CONTACT

+393358378243

Other Identifiers

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12243648

Identifier Type: -

Identifier Source: org_study_id

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