Paclitaxel Coated Balloon for the Treatment of Chronic bEnigN sTricture- Esophagus

NCT ID: NCT05561114

Last Updated: 2025-06-25

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

198 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-01

Study Completion Date

2031-04-30

Brief Summary

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To evaluate the safety and efficacy of the ProTractX3™ DCB for the treatment of benign esophageal strictures.

Detailed Description

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Conditions

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Esophageal Stricture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

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.

Group Type EXPERIMENTAL

GIE Medical ProTractX3 TTS DCB

Intervention Type COMBINATION_PRODUCT

Paclitaxel Coated Balloon

Control

Standard of Care Endoscopic Dilation

Group Type ACTIVE_COMPARATOR

Control

Intervention Type OTHER

Standard Endoscopic Dilation

Interventions

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GIE Medical ProTractX3 TTS DCB

Paclitaxel Coated Balloon

Intervention Type COMBINATION_PRODUCT

Control

Standard Endoscopic Dilation

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Age ≥ 22 years
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

1. Two or more clinically significant (e.g. non-traversable) strictures with total length \>5cm or unable to be treated with a single balloon.
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
Minimum Eligible Age

22 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GIE Medical

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Birmingham Gastroenterology Associates

Birmingham, Alabama, United States

Site Status NOT_YET_RECRUITING

Honor Health

Scottsdale, Arizona, United States

Site Status RECRUITING

University of California, Irvine

Irvine, California, United States

Site Status RECRUITING

Gastro Care Institute

Lancaster, California, United States

Site Status RECRUITING

Cedars Sinai

Los Angeles, California, United States

Site Status RECRUITING

San Diego Gastroenterology

San Diego, California, United States

Site Status RECRUITING

University of Colorado Anschutz

Aurora, Colorado, United States

Site Status RECRUITING

University of Florida

Gainesville, Florida, United States

Site Status RECRUITING

Borland-Groover

Jacksonville, Florida, United States

Site Status RECRUITING

Research Associates of South Florida

Miami, Florida, United States

Site Status RECRUITING

Hillcrest Medical Research

Orange City, Florida, United States

Site Status RECRUITING

Orlando Health

Orlando, Florida, United States

Site Status RECRUITING

Gastroenterology Associates of Central Georgia, LLC

Macon, Georgia, United States

Site Status RECRUITING

Rush University

Chicago, Illinois, United States

Site Status RECRUITING

Kansas Gastroenterology, LLC

Wichita, Kansas, United States

Site Status RECRUITING

University of Louisville

Louisville, Kentucky, United States

Site Status RECRUITING

Tandem Clinical Research

Marrero, Louisiana, United States

Site Status RECRUITING

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Washington University

St Louis, Missouri, United States

Site Status RECRUITING

Sierra Clinical Research

Las Vegas, Nevada, United States

Site Status RECRUITING

Rutgers University

Piscataway, New Jersey, United States

Site Status RECRUITING

New York Presbyterian Hospital- Columbia University Medical Center

New York, New York, United States

Site Status RECRUITING

University of North Carolina Chapel Hill

Chapel Hill, North Carolina, United States

Site Status RECRUITING

Oregon Health and Science University

Portland, Oregon, United States

Site Status RECRUITING

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Einstein Medical Center

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Allegheny Health Network

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status RECRUITING

Baylor St. Luke's Medical Center

Houston, Texas, United States

Site Status RECRUITING

TEN20 Clinical Research

Plano, Texas, United States

Site Status RECRUITING

The University of Utah

Salt Lake City, Utah, United States

Site Status RECRUITING

Swedish Medical Center

Seattle, Washington, United States

Site Status RECRUITING

West Virginia University

Morgantown, West Virginia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Erika Wang

Role: CONTACT

7633605659

Facility Contacts

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Tiambra Clark

Role: primary

Victoria Staenglen

Role: primary

Hector Ochoa

Role: primary

Ruben Vargas

Role: primary

Claudia Bancilla

Role: primary

Nancy Giovanetty

Role: primary

Carter Stovall

Role: primary

April Goddard

Role: primary

Cynthia Buda

Role: primary

Stephany Moreno

Role: primary

Larry Moulder

Role: primary

Anna Hernandez

Role: primary

Elizabeth Jones

Role: primary

Amanda Lin

Role: primary

Jessica Wewer

Role: primary

Angela Siegwald

Role: primary

Antoinette Hymel

Role: primary

Samantha Geltz

Role: primary

Thomas Hollander

Role: primary

Maya Pudi

Role: primary

Molly Stewart

Role: primary

Claudia Musat

Role: primary

212-305-3009

Julia Kim

Role: primary

Heather Katcher

Role: primary

Christine Gepty

Role: primary

Stacey Carmody

Role: primary

Manisha Verma

Role: primary

Michael Anderson

Role: primary

Role: backup

4122288310

Larry Raber

Role: primary

Elaheh Keivani

Role: primary

Darian Trojacek

Role: primary

Amy Nichols

Role: primary

Adel Islam

Role: primary

Caitlin Regner

Role: primary

Other Identifiers

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PR2052

Identifier Type: -

Identifier Source: org_study_id

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