NCT01525732

Brief Summary

Spastic esophageal motility disorders induced significant symptoms including dysphagia, retrosternal pain and regurgitation. Per oral endoscopic myotomy (P.O.E.M.) is a novel approach to perform myotomy through the esophagus with long submucosal tunnel. This study aimed to investigate the feasibility and safety of P.O.E.M. and translate the techniques from animal study to clinical practice in human.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
50

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jun 2010

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2010

Completed
1.7 years until next milestone

First Submitted

Initial submission to the registry

February 1, 2012

Completed
2 days until next milestone

First Posted

Study publicly available on registry

February 3, 2012

Completed
5.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 25, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 25, 2017

Completed
Last Updated

May 1, 2017

Status Verified

April 1, 2017

Enrollment Period

6.9 years

First QC Date

February 1, 2012

Last Update Submit

April 27, 2017

Conditions

Keywords

Achalasia, Hypertensive LES

Outcome Measures

Primary Outcomes (1)

  • Dysphagia score before and after P.O.E.M.

    From 1st day after POEM to within 2 weeks after POEM

Secondary Outcomes (5)

  • Eckardt score before and after P.O.E.M.

    Before and 1 month after POEM

  • Post-operative pain

    From Day 1 to until 2 weeks after POEM

  • Operative time

    Up to 24 hours

  • Hospital stay

    From day of admission till up to 30 days

  • Perioperative complication

    30 days after operation

Study Arms (1)

POEM

OTHER

Per Oral Endoscopic Myotomy

Procedure: Per Oral Endoscopic Myotomy

Interventions

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • All patients with age ranged 18 to 80 who had primary esophageal motility disorders will be recruited. The primary motility disorders included: Achalasia, hypertensive LES, Nutcracker esophagus and Diffuse esophageal spasm.

You may not qualify if:

  • Patients will be excluded from this study with the followings -
  • Pregnancy
  • Informed consent not available
  • Previous history of esophagectomy or mediastinal surgery
  • Previous history of endoscopic resection for early esophageal cancers, including endoscopic mucosal resection and endoscopic submucosal dissection
  • End-stage Achalasia with dilated esophagus more than 6cm on Barium swallow

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Chinese University of Hong Kong

Hong Kong, Hong Kong

Location

Related Publications (1)

  • Chiu PW, Wu JC, Teoh AY, Chan Y, Wong SK, Liu SY, Yung MY, Lam CC, Sung JJ, Chan FK, Lau JY, Ng EK. Peroral endoscopic myotomy for treatment of achalasia: from bench to bedside (with video). Gastrointest Endosc. 2013 Jan;77(1):29-38. doi: 10.1016/j.gie.2012.08.018. Epub 2012 Oct 6.

MeSH Terms

Conditions

Esophageal Achalasia

Condition Hierarchy (Ancestors)

Esophageal Motility DisordersDeglutition DisordersEsophageal DiseasesGastrointestinal DiseasesDigestive System Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

February 1, 2012

First Posted

February 3, 2012

Study Start

June 1, 2010

Primary Completion

April 25, 2017

Study Completion

April 25, 2017

Last Updated

May 1, 2017

Record last verified: 2017-04

Locations