Paclitaxel Coated Balloon for the Treatment of Chronic bEnigN sTricture- Esophagus
NCT ID: NCT05561114
Last Updated: 2025-06-25
Study Results
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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RECRUITING
PHASE3
198 participants
INTERVENTIONAL
2023-12-01
2031-04-30
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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GIE Medical ProTractX3 TTS DCB
The ProTractX3 Drug-coated balloon is a 0.035" guidewire compatible over-the-wire catheter.
GIE Medical ProTractX3 TTS DCB
Paclitaxel Coated Balloon
Control
Standard of Care Endoscopic Dilation
Control
Standard Endoscopic Dilation
Interventions
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GIE Medical ProTractX3 TTS DCB
Paclitaxel Coated Balloon
Control
Standard Endoscopic Dilation
Eligibility Criteria
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Inclusion Criteria
2. Diagnosis of a benign esophageal stricture with at least 2 previous dilations
3. Ogilvie Dysphagia Score of ≥2
4. Minimum esophageal lumen diameter \<13 mm
5. Willing and able to complete protocol required follow-up visits
6. Willing and able to provide written informed consent
7. Strictures ≤5cm in total length
8. Target benign esophageal stricture etiologies include:
1. Peptic stricture,
2. Schatzki's ring,
3. Stricture due to prior infection,
4. Post-procedural (e.g. ESD/EMR/RFA/Cryo) stricture
5. Post surgical (e.g. anastomotic), including post curative esophagectomy with or without prior neoadjuvant chemoradiation therapy
Exclusion Criteria
2. Female subjects who are pregnant or breastfeeding or plan to become pregnant in next 12 months
3. Contraindication to endoscopy, anesthesia or deep sedation
4. Benign esophageal stricture due to extrinsic esophageal compression, caustic ingestion, lichen planus, and purely radiation induced strictures post head/neck cancer treatment.
5. History of diagnosis of eosinophilic esophagitis (EoE)
6. Signs or suspicion of a malignant esophageal stricture NOTE: If stricture is suspicious for malignancy based on clinical or endoscopic presentation, malignancy must be excluded by biopsy prior to enrollment. Subjects with a history of invasive esophageal cancer should have recurrence excluded by advanced imaging (e.g. CT/PET scan) and biopsy within 6 months of enrollment.
7. Diagnosis of metastatic cancer of any type that is not considered in remission or non-metastatic cancer that may require radiation treatment in the neck or thoracic region NOTE: A prior diagnosis of esophageal cancer is acceptable if considered in remission and recurrence has been excluded by advanced imaging and biopsy within 6 months of enrollment.
8. Suspected perforation of gastrointestinal tract
9. Inability to pass guidewire across stricture
10. Active systemic infection
11. Allergy to paclitaxel or structurally related compounds
12. Severe coagulation disorders or current use of anticoagulant or antiplatelet medication that cannot be safely managed per recommended guidelines prior to the index procedure
13. Chronic systemic steroid use for any medical conditions unless subject is willing to undergo a 4-week washout and discontinue steroid use
14. Received steroid injections into target stricture in the last 8 weeks.
15. Stricture not amenable to endoscopic dilation to ≥ 18 mm in the opinion of the investigator
16. Current use of nasal or oral feeding tube unless tube is removed prior to baseline assessments and subject maintains normal swallowing function.
17. Acute stricture condition that requires emergent procedure (e.g. immediate dilation)
18. Stricture complicated with abscess, fistula, deep ulceration, perforation, leakage or varices, or thrombosis, etc
19. Life expectancy of less than 24 months
20. Concurrent medical condition that would affect the investigator's ability to evaluate the patient's condition or could compromise patient safety, such as recent myocardial infarction, severe pulmonary disease, bleeding diathesis, large thoracic aneurysm, pharyngeal or cervical deformity, ongoing infection, etc
21. Current participation in another pre-market drug or medical device clinical study that has not reached it's primary endpoint.
22. Dysphagia related to primary motility disorders, such as achalasia, diffused esophageal spasm, ineffective esophageal motility (IEM), hypertensive lower esophageal sphincter, esophageal outlet obstruction, etc.
23. Active erosive esophagitis with a Los Angeles classification of Grade B-D at the time of endoscopy.
24. Significant esophageal dilation proximal to the stricture that, in the Investigator's opinion, may impact long-term esophageal motility.
25. Intolerant to effective acid suppression medication (e.g. proton pump inhibitors, H2 receptor antagonists)
26. Concurrent gastric and/or duodenal obstruction
22 Years
ALL
No
Sponsors
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GIE Medical
INDUSTRY
Responsible Party
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Locations
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Birmingham Gastroenterology Associates
Birmingham, Alabama, United States
Honor Health
Scottsdale, Arizona, United States
University of California, Irvine
Irvine, California, United States
Gastro Care Institute
Lancaster, California, United States
Cedars Sinai
Los Angeles, California, United States
San Diego Gastroenterology
San Diego, California, United States
University of Colorado Anschutz
Aurora, Colorado, United States
University of Florida
Gainesville, Florida, United States
Borland-Groover
Jacksonville, Florida, United States
Research Associates of South Florida
Miami, Florida, United States
Hillcrest Medical Research
Orange City, Florida, United States
Orlando Health
Orlando, Florida, United States
Gastroenterology Associates of Central Georgia, LLC
Macon, Georgia, United States
Rush University
Chicago, Illinois, United States
Kansas Gastroenterology, LLC
Wichita, Kansas, United States
University of Louisville
Louisville, Kentucky, United States
Tandem Clinical Research
Marrero, Louisiana, United States
Brigham and Women's Hospital
Boston, Massachusetts, United States
Washington University
St Louis, Missouri, United States
Sierra Clinical Research
Las Vegas, Nevada, United States
Rutgers University
Piscataway, New Jersey, United States
New York Presbyterian Hospital- Columbia University Medical Center
New York, New York, United States
University of North Carolina Chapel Hill
Chapel Hill, North Carolina, United States
Oregon Health and Science University
Portland, Oregon, United States
University of Pennsylvania
Philadelphia, Pennsylvania, United States
Einstein Medical Center
Philadelphia, Pennsylvania, United States
Thomas Jefferson University
Philadelphia, Pennsylvania, United States
Allegheny Health Network
Pittsburgh, Pennsylvania, United States
Vanderbilt University Medical Center
Nashville, Tennessee, United States
Baylor St. Luke's Medical Center
Houston, Texas, United States
TEN20 Clinical Research
Plano, Texas, United States
The University of Utah
Salt Lake City, Utah, United States
Swedish Medical Center
Seattle, Washington, United States
West Virginia University
Morgantown, West Virginia, United States
Countries
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Central Contacts
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Facility Contacts
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Michael Anderson
Role: primary
Role: backup
Other Identifiers
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PR2052
Identifier Type: -
Identifier Source: org_study_id
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