to Explore the Influence of Longitudinal Muscle on the Prognosis of Achalasia Patients After Peroral Endoscopic Myotomy (POEM)

NCT ID: NCT03733756

Last Updated: 2018-11-14

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

NA

Total Enrollment

308 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-01

Study Completion Date

2020-08-31

Brief Summary

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Achalasia is a disease characterized by lack of peristalsis and lower esophageal sphincter failing to relax. Longitudinal muscle, outer layer of esophageal smooth muscle, is recently found to be responsible for emptying of esophagus for achalasia patients, especially for those type Ⅱcases. Clinical observations also conclude that type Ⅱ achalasia which still preserve longitudinal muscle response best to treatment, among the 3 types. Thus, with high frequent intraluminal ultrasound, clinically applied as endoscopic ultrasound, to measure the function of longitudinal muscle in achalasia patients, the current research aims to explore the influence of longitudinal muscle on the prognosis of achalasia patients after peroral endoscopic myotomy, a routine treatment.

Detailed Description

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Conditions

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Esophageal Achalasia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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POEM preserving longitudinal muscle

participants are operated POEM only involving circular muscle, leaving longitudinal muscle intact

Group Type EXPERIMENTAL

POEM preserving longitudinal muscle

Intervention Type PROCEDURE

participants are operated POEM only involving circular muscle, leaving longitudinal muscle intact

POEM involving longitudinal muscle

participants are operated POEM involving the whole layer of muscle, both circular and longitudinal muscle

Group Type ACTIVE_COMPARATOR

POEM involving longitudinal muscle

Intervention Type PROCEDURE

participants are operated POEM involving both circular and longitudinal muscle

Interventions

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POEM preserving longitudinal muscle

participants are operated POEM only involving circular muscle, leaving longitudinal muscle intact

Intervention Type PROCEDURE

POEM involving longitudinal muscle

participants are operated POEM involving both circular and longitudinal muscle

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Diagnosed of esophageal achalasia
* Patients or legal surrogates willing and competent to give informed consent

Exclusion Criteria

* postoperative or post-POEM
* post-pneumatic dilation or post-stenting
* fail to go through high frequency intraluminal ultrasound (HFIUS)
* Patients with American Society of Anesthesiologists (ASA) score ≥3
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Shanghai Zhongshan Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ping-Hong Zhou, MD,PhD

Role: STUDY_CHAIR

Zhongshan Hospital, Fudan University, Shanghai, China

Locations

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Zhongshan Hospital, Fudan University

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

Central Contacts

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Quan-lin Li, MD

Role: CONTACT

+86-021-64041990

Jia-qi Xu, MD

Role: CONTACT

+86-15221901085

References

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Hong SJ, Bhargava V, Jiang Y, Denboer D, Mittal RK. A unique esophageal motor pattern that involves longitudinal muscles is responsible for emptying in achalasia esophagus. Gastroenterology. 2010 Jul;139(1):102-11. doi: 10.1053/j.gastro.2010.03.058. Epub 2010 Apr 8.

Reference Type BACKGROUND
PMID: 20381493 (View on PubMed)

Schoeman MN, Holloway RH. Secondary oesophageal peristalsis in patients with non-obstructive dysphagia. Gut. 1994 Nov;35(11):1523-8. doi: 10.1136/gut.35.11.1523.

Reference Type BACKGROUND
PMID: 7828966 (View on PubMed)

Liu ZQ, Li QL, Chen WF, Zhang XC, Wu QN, Cai MY, Qin WZ, Hu JW, Zhang YQ, Xu MD, Yao LQ, Zhou PH. The effect of prior treatment on clinical outcomes in patients with achalasia undergoing peroral endoscopic myotomy. Endoscopy. 2019 Apr;51(4):307-316. doi: 10.1055/a-0658-5783. Epub 2018 Sep 27.

Reference Type BACKGROUND
PMID: 30261536 (View on PubMed)

Mittal RK, Liu J, Puckett JL, Bhalla V, Bhargava V, Tipnis N, Kassab G. Sensory and motor function of the esophagus: lessons from ultrasound imaging. Gastroenterology. 2005 Feb;128(2):487-97. doi: 10.1053/j.gastro.2004.08.004.

Reference Type BACKGROUND
PMID: 15685559 (View on PubMed)

Other Identifiers

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LM for achalasia

Identifier Type: -

Identifier Source: org_study_id

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