Evaluation of a Double Balloon Interventional Platform (DiLumen) for Complex Colonic ESD

NCT ID: NCT03846609

Last Updated: 2020-12-11

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

147 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-19

Study Completion Date

2020-12-10

Brief Summary

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The purpose of this randomized study is to compare ESD procedural time and cost facilitated with a dual balloon accessory device versus ESD procedures performed without the accessory device. Study is designed to detect if the double balloon interventional platform helps to perform removal of benign complex colonic lesions safer and in more efficient way.

Detailed Description

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This is a prospective, post-market, randomized clinical trial comparing colonic ESD procedures utilizing the DiLumen™ Endolumenal Interventional Platform to colonic ESD procedures that are performed without use the DiLumen™ device.

The study participants will be randomly assigned to study group and control group The treatment group will consist of up to 100 subjects treated with the DiLumen™ device. The control group will consist of up to 100 subjects treated without DiLumen™ device. Assessments will include procedure timepoints, anesthesia use, polyp location and classification, over-all cost assessment, and general complications.

The primary outcome will be analyzed using parametric statistics to compare the means of the study and control groups. P-values and confidence intervals will be reported. Descriptive and summary statistics will also be employed. Secondary outcomes will be summarized with descriptive statistics.

Conditions

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Colonic Polyp

Keywords

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Endoscopic Submucosal Dissection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The patients will be assigned into study group \[procedure performed with use of double balloon interventional platform (DiLumen)\] or control group \[procedure done without the use of double balloon interventional platform (DiLumen)\]
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
The patients will be randomly assigned to study or control group. The patients will not know their assignment until completion of the study.

Study Groups

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double balloon platform

Device: double balloon interventional platform (DiLumen)

Group Type EXPERIMENTAL

double balloon interventional platform (DiLumen)

Intervention Type DEVICE

double balloon interventional platform (DiLumen) is used for removal of colonic polyp

no double balloon platform

Device: no double balloon interventional platform (DiLumen)

Group Type ACTIVE_COMPARATOR

no double balloon interventional platform (DiLumen)

Intervention Type DEVICE

double balloon interventional platform (DiLumen) is not used for removal of colonic polyp

Interventions

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double balloon interventional platform (DiLumen)

double balloon interventional platform (DiLumen) is used for removal of colonic polyp

Intervention Type DEVICE

no double balloon interventional platform (DiLumen)

double balloon interventional platform (DiLumen) is not used for removal of colonic polyp

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Men or women 18-85 years of age.
2. Have ability to understand the requirements of the study and provide written informed consent
3. Suspected complex adenomatous polyps in the large intestine defined as sessile or polypoid lesions 2 cm and larger in size.
4. No medical contraindication to endoscopic submucosal dissection (ESD).

Exclusion Criteria

1. Contraindication to colonoscopy, such as active colitis, diverticulitis, perforation, or stricture.
2. History of open or laparoscopic colorectal surgery.
3. History of Inflammatory Bowel Disease (IBD).
4. Any medical or surgical condition that would preclude the endoscopic removal of the polyp.
5. Anatomy or other factors that prohibit safe access to the large intestine such as previous radiation therapy to the affected area, known colonic strictures, extensive colonic diverticuli, etc.
6. History of AIDS, HIV, or active hepatitis.
7. History of mental illness, including psychological or neurological conditions (addiction to substances such as alcohol. e.g.) that in the investigator's opinion would pre-empt their ability or willingness to participate in the study.
8. Patients who are pregnant or lactating.
9. Currently involved in another investigational product for similar purposes.
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mercy Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Sergey Kantsevoy, M.D., Ph.D.

Director of Therapeutic Endoscopy

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sergey V Kantsevoy, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Director of The Therapeutic Endoscopy Mercy Medical Center

Locations

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Mercy Medical Center

Baltimore, Maryland, United States

Site Status

Countries

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United States

References

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Kantsevoy SV, Palmer A, Hockett D, Vilches A. Prospective, randomized controlled study evaluating a double-balloon interventional endoscopic platform for colorectal endoscopic submucosal dissection (with video). Gastrointest Endosc. 2025 Jan;101(1):149-157. doi: 10.1016/j.gie.2024.07.001. Epub 2024 Jul 5.

Reference Type DERIVED
PMID: 38971202 (View on PubMed)

Other Identifiers

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1368768-2

Identifier Type: -

Identifier Source: org_study_id