PREcision MEDicine In Achalasia (PREMEDIA) - Cohort

NCT ID: NCT07293689

Last Updated: 2025-12-19

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

NOT_YET_RECRUITING

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2026-04-01

Study Completion Date

2030-03-01

Brief Summary

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The goal of this observational study is to learn about how the doctor decides how long to cut t the esophageal muscle during Per-Oral Endoscopic Myotomy (POEM) in patients with difficulty swallowing due to certain conditions. The main question it aims to answer is: does pre-POEM testing help the physician choose how long to cut the muscle.

Participants will allow researchers to access their standard of care information in their medical record, complete questionnaires at up to 6 times over a 2-year period.

Detailed Description

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Conditions

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Type III Achalasia EGJ Outflow Obstruction With Spastic/Hypercontractile Features Jackhammer Esophagus Distal Esophageal Spasm

Keywords

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achalasia EGJOO

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

1. Age ≥ 18
2. Type III achalasia or EGJOO with spastic/hypercontractile features or Jackhammer Esophagus or Distal Esophageal Spasm
3. Eckardt Score \> 3

Exclusion Criteria

* Exclusion:

1. Prior POEM
2. Prior surgical treatment for achalasia
3. Endoscopic pneumatic dilation or lower esophageal sphincter botulinum toxin (botox) injection within 6 months
4. Prior unrelated esophageal or upper gastric surgery, including Roux-en-Y gastric bypass and sleeve gastrectomy
5. Prior endoscopic gastroesophageal intervention for obesity or GERD, such endoscopic sleeve gastroplasty or transoral incisionless fundoplication
6. Known secondary achalasia related to malignancy (pseudoachalasia)
7. Known eosinophilic esophagitis
8. Diverticulum (\> 2 cm) in distal esophagus
9. Megaesophagus
10. Fibroinflammatory stricture of the esophagus due to any etiology (e.g., peptic, radiation, eosinophilic)
11. Pregnancy
12. Standard contraindications to general anesthesia
13. Standard contraindications to endoscopic myotomy in the esophagus (e.g. untreated varices)
14. Unwillingness or inability to consent for the study
15. Anticipated inability to follow protocol
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH

Sponsor Role collaborator

Northwestern University

OTHER

Sponsor Role lead

Responsible Party

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John Pandolfino

PRINCIPAL INVESTIGATOR (Contact PI)

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Mayo Clinic Arizona

Scottsdale, Arizona, United States

Site Status

University of California San Diego

La Jolla, California, United States

Site Status

University of Colorado Denver

Denver, Colorado, United States

Site Status

University of Florida

Gainesville, Florida, United States

Site Status

Adventist Health System/Sunbelt, Inc

Orlando, Florida, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

Johns Hopkins University

Baltimore, Maryland, United States

Site Status

Washington University

St Louis, Missouri, United States

Site Status

Weill Cornell Medical College

New York, New York, United States

Site Status

Case Western Reserve University

Cleveland, Ohio, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Baylor Scott & White Health

Dallas, Texas, United States

Site Status

Countries

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United States

Central Contacts

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Elizabeth Yan, BS

Role: CONTACT

Phone: 312-908-1723

Email: [email protected]

Yasmin Pina, BS

Role: CONTACT

Phone: 312-503-6459

Email: [email protected]

Other Identifiers

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PREMEDIA (Pro00083748) - 02

Identifier Type: -

Identifier Source: org_study_id