Hydrogel Injection to Assist Endoscopic Submucosal Dissection
NCT ID: NCT03321396
Last Updated: 2019-11-27
Study Results
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View full resultsBasic Information
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COMPLETED
NA
13 participants
INTERVENTIONAL
2017-09-01
2018-08-20
Brief Summary
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Detailed Description
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All participants in the study received Endoscopic submucosal dissection with Sodium Alginate mixed with Calcium Lactate prior to endoscopic resection.
The product is used in Endoscopic submucosal dissection which is accomplished by steps listed as follows: lesion marking, submucosal injection, mucosal incision, submucosal dissection, then en-bloc resection. It's a new submucosal injection regimen, sodium alginate mixed with calcium lactate, which turned to calcium-alginate gel, we called it as "Gut Guarding Gel".
Determine the rates of the delayed bleeding/perforation, postpolypectomy electrocoagulation syndrome, and the late tissue injury.
Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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Endoscopic submucosal dissection
All participants in the study received Endoscopic submucosal dissection with Sodium Alginate mixed with Calcium Lactate prior to endoscopic resection.
sodium alginate mixed with calcium lactate
The product is used in Endoscopic submucosal dissection which is accomplished by steps listed as follows: lesion marking, submucosal injection, mucosal incision, submucosal dissection, then en-bloc resection. It's a new submucosal injection regimen, sodium alginate mixed with calcium lactate, which turned to calcium-alginate gel, we called it as "Gut Guarding Gel".
Interventions
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sodium alginate mixed with calcium lactate
The product is used in Endoscopic submucosal dissection which is accomplished by steps listed as follows: lesion marking, submucosal injection, mucosal incision, submucosal dissection, then en-bloc resection. It's a new submucosal injection regimen, sodium alginate mixed with calcium lactate, which turned to calcium-alginate gel, we called it as "Gut Guarding Gel".
Eligibility Criteria
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Inclusion Criteria
B. Superficial tumors or polyps found either in esophagus, stomach, or large intestine via endoscopic diagnosis.
C. Tumor or polyps ≧ 20 millimeters.
D. Superficial tumor or polyps found either in esophagus, stomach, or large intestine have never received any kind of endoscopic treatment.
E. No evidence of depth of submucosal invasion or metastasis via endoscopy.
Exclusion Criteria
A. Patients suffering from other advanced malignant tumors.
B. White Blood Cell\< 2000 μL or Severe thrombocytopenia(Platelet count \< 50,000 μL),or blood coagulation abnormalities uncorrectable .
C. Patients taking anti- thrombocytopenia or anti-coagulation medicine, and medication cannot be stopped under physicians' consideration.
D. Main organs (heart, lung, liver, kidney) dysfunction who are not eligible for clinical trials under physicians' consideration.
E. Evidence of depth of submucosal invasion or metastasis via endoscopy.
F. Unable to follow-up by endoscopy.
G. Unwilling to sign informed consent.
H. Allergic to pharmaceutical excipients related to this medical device (Calcium Lactate or Sodium Alginate).
20 Years
ALL
No
Sponsors
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The Industrial Technology Research Institute
OTHER
National Cheng Kung University
OTHER
National Research Program for Biopharmaceuticals, Taiwan
OTHER
National Cheng-Kung University Hospital
OTHER
Responsible Party
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Principal Investigators
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Jui-Wen Kang
Role: STUDY_DIRECTOR
Department of Internal Medicine, National Cheng Kung University Hospital
Locations
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National Cheng Kung University Hospital
Tainan City, , Taiwan
Countries
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References
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Kusano T, Etoh T, Akagi T, Ueda Y, Shiroshita H, Yasuda K, Satoh M, Inomata M, Shiraishi N, Kitano S. Evaluation of 0.6% sodium alginate as a submucosal injection material in endoscopic submucosal dissection for early gastric cancer. Dig Endosc. 2014 Sep;26(5):638-45. doi: 10.1111/den.12268. Epub 2014 Mar 24.
Norouzi M, Nazari B, Miller DW. Injectable hydrogel-based drug delivery systems for local cancer therapy. Drug Discov Today. 2016 Nov;21(11):1835-1849. doi: 10.1016/j.drudis.2016.07.006. Epub 2016 Jul 14.
Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Other Identifiers
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B-BR-106-022
Identifier Type: -
Identifier Source: org_study_id
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