Cap Assisted Upper Endoscopy Versus High Definition White Light Endoscopy and Narrow Band Imaging Alone In The Detection Of Visible Lesions Barrett's Esophagus: A Randomized Tandem Study

NCT ID: NCT03417570

Last Updated: 2022-09-01

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-12-22

Study Completion Date

2021-11-17

Brief Summary

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The hypothesis is that the addition of a transparent cap to the end of the endoscope will increase the detection and diagnostic yield of visible lesions in Barrett's esophagus. Thus, the goal of this tandem design trial is to compare the diagnostic yield (DY) of cap assisted endoscopy with that of conventional endoscopy using high definition-white light endoscopy (HD-WLE) and narrow band imaging (NBI) in patients with Barrett's esophagus.

Detailed Description

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Conditions

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Barrett Esophagus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Arm 1: EGD with cap first, followed by EGD without cap

-Participants in the first arm will undergo EGD with cap first, followed by EGD without cap in the same procedural period.

Group Type EXPERIMENTAL

Esophagogastroduodenoscopy with high definition-white light end endoscopy (HD-WLE) and narrow band imaging (NBI)

Intervention Type PROCEDURE

-The second endoscopist will be blinded to the results of the initial exam.

Olympus Disposable Distal Attachment Cap

Intervention Type DEVICE

-The second endoscopist will be blinded to the results of the initial exam.

Arm 2: EGD without cap first, followed by EGD with cap

-Participants in the second arm will undergo EGD without cap first, followed by EGD with cap in the same procedural period.

Group Type EXPERIMENTAL

Esophagogastroduodenoscopy with high definition-white light end endoscopy (HD-WLE) and narrow band imaging (NBI)

Intervention Type PROCEDURE

-The second endoscopist will be blinded to the results of the initial exam.

Olympus Disposable Distal Attachment Cap

Intervention Type DEVICE

-The second endoscopist will be blinded to the results of the initial exam.

Interventions

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Esophagogastroduodenoscopy with high definition-white light end endoscopy (HD-WLE) and narrow band imaging (NBI)

-The second endoscopist will be blinded to the results of the initial exam.

Intervention Type PROCEDURE

Olympus Disposable Distal Attachment Cap

-The second endoscopist will be blinded to the results of the initial exam.

Intervention Type DEVICE

Other Intervention Names

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EGD Cap

Eligibility Criteria

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Inclusion Criteria

* Must be at least 18 years of age.
* Must be patients undergoing standard of care EGD for the confirmation of dysplasia in BE or EET for dysplasia in BE.
* Must be able to understand and willing to sign an IRB-approved written informed consent document.

Exclusion Criteria

* Pregnant or breastfeeding.
* Prior endoscopic treatment for BE.
* Unable to tolerate sedation due to medical comorbidities.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Washington University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Vladimir M Kushnir, M.D.

Role: PRINCIPAL_INVESTIGATOR

Washington University School of Medicine

Locations

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Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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http://www.siteman.wustl.edu

Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine

Other Identifiers

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201708210

Identifier Type: -

Identifier Source: org_study_id

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