A Randomized, Pilot Study Comparing Cost Effectiveness on Two Commercially Available Gastric Feeding Tubes

NCT ID: NCT04030871

Last Updated: 2025-08-22

Basic Information

• Recruitment Status: TERMINATED
• Clinical Phase: NA
• Total Enrollment: 7 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-10-25
• Study Completion Date: 2023-12-30

Brief Summary

This document is a protocol for a human research study. This study is to be conducted according to US and international standards of Good Clinical Practice (International Conference on Harmonization ICHE6, R2), the Code of Federal Regulations Title 21 parts 803 and 812, and other applicable government regulations and Institutional research policies and procedures. The purpose of the study is to compare the cost effectiveness and tolerability of standard of care gastrostomy tubes to newer capsule dome gastrostomy tubes. The newer tubes are significantly more expensive, therefore the aims of this study will be to determine economic feasibility of going to the new model. Data are lacking on the newer g-tubes in terms of longevity and cost-effectiveness

Detailed Description

Gastrostomy tubes are enteral feeding devices that are designed to provide delivery of nutrients, fluids, medications directly into the stomach, bypassing the mouth and esophagus. These devices are also known as gastrostomy tubes (G-tubes) or percutaneous endoscopic gastrostomy tube (PEG tube). These are used when patients have conditions that make them unable to swallow. While parenteral (Intravenous) nutrition and nasogastric tubes are also nutritional-support methods. A variety of g-tube designs have been used in pediatric to adult populations. The insertion of a g-tube is one of the most common endoscopic procedures and is relatively safe. The OSU endoscopy lab placed 381 g-tubes in 2018.

The most common G-tube used by the OSU Endoscopy Lab is the Balloon Bolus feeding tube. In 2017 the Capsule Dome G-Tube became commercially available. The cost of the Capsule dome g-tube is twice as expensive as the standard balloon g-tube. The insertion costs would be comparable.

The need to perform a pilot comparative study of the two g-tubes is necessary to improve our physicians understanding of the potential cost-effectiveness that longer patency we could gather from the alternative device.

Conditions

Long Term Enteral Tube Feeding

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

Capsule Dome G-Tube

Capsule Dome G-Tube

Group Type: ACTIVE_COMPARATOR

Capsule Dome G-Tube

Intervention Type: DEVICE

Feeding replacement tubes with two different FDA approved devices in forty subjects

Balloon Bolus feeding tube

Balloon Bolus feeding tube

Group Type: ACTIVE_COMPARATOR

Balloon Bolus feeding tube

Intervention Type: DEVICE

Feeding replacement tubes with two different FDA approved devices in forty subjects

Interventions

Capsule Dome G-Tube

Feeding replacement tubes with two different FDA approved devices in forty subjects

Intervention Type: DEVICE

Balloon Bolus feeding tube

Feeding replacement tubes with two different FDA approved devices in forty subjects

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

1. Signed an IRB-approved informed consent form for the study.

2. Adults (18-75 years of age)

3. Requirement of long term enteral tube feeding (> to 12 months) and are due for a change of their initial or prior replacement bolus Percutaneous Endoscopic Gastrostomy (PEG) tube.

4. Ability to consent for the procedure and study.

5. Subjects must be able to communicate in english via telephone and understand the assessment checklists.

Exclusion Criteria

The following subjects will not be eligible for inclusion in the study:

1. Enteral feeding is not necessary for at least 12 months,

2. A medical condition that makes it impossible for them to communicate via telephone

3. Subjects requiring feeding into the jejunum via a combined gastroenterostomy-jejunostomy tube

4. Subjects who require endoscopic replacement of their current gastrostomy tube.

5. Impaired cognition, inability to provide assessment feedback by telephone.

6. Subjects not expected to survive > 12 months

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 75 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Ohio State University

OTHER

Sponsor Role: lead

Responsible Party

George Papachristou

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Jeffery R Groce, MD

Role: PRINCIPAL_INVESTIGATOR

Ohio State University

Locations

Endoscopy Doan

Columbus, Ohio, United States

Countries

United States

Other Identifiers

New-41476

Identifier Type: -

Identifier Source: org_study_id