NCT02668198

Brief Summary

The purpose of this study is to compare the accuracy of using different endoscopic imaging technique (white light, white light with near focus, narrow band imaging (NBI), NBI with near focus) for detection of residual neoplastic tissue at site of prior EMR

Trial Health

87
On Track

Trial Health Score

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

Enrollment
230

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2016

Typical duration 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

January 1, 2016

Completed
22 days until next milestone

First Submitted

Initial submission to the registry

January 23, 2016

Completed
6 days until next milestone

First Posted

Study publicly available on registry

January 29, 2016

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2018

Completed
1 year until next milestone

Results Posted

Study results publicly available

October 17, 2019

Completed
Last Updated

October 17, 2019

Status Verified

September 1, 2019

Enrollment Period

2.8 years

First QC Date

January 23, 2016

Results QC Date

September 24, 2019

Last Update Submit

September 24, 2019

Conditions

Keywords

Endoscopic mucosal resection, residual polyp, near focus imaging

Outcome Measures

Primary Outcomes (9)

  • Positive Recurrent Adenomas Using White Light Imaging

    The number of positive diagnoses using white light optical imaging only.

    approximately 6 to 12 months post endoscopic mucosal resection

  • Positive Recurrent Adenomas Using White Light Imaging Confirmed by Histology

    The number of recurrent adenomas diagnosed positive with white light imaging confirmed by standard histopathology of biopsy.

    approximately 6 to 12 months post endoscopic mucosal resection

  • Positive Recurrent Adenomas Using White Light Near Focus Imaging

    The number of positive diagnoses using white light near focus optical imaging only.

    approximately 6 to 12 months post endoscopic mucosal resection

  • Positive Recurrent Adenomas Using White Light Near Focus Imaging Confirmed by Histology

    The number of recurrent adenomas diagnosed positive with white light imaging near focus confirmed by standard histopathology of biopsy.

    approximately 6 to 12 months post endoscopic mucosal resection

  • Positive Recurrent Adenomas Using Narrow Band Imaging

    The number of positive diagnoses using narrow band optical imaging only.

    approximately 6 to 12 months post endoscopic mucosal resection

  • Positive Recurrent Adenomas Using Narrow Band Imaging Confirmed by Histology

    The number of recurrent adenomas diagnosed positive with narrow band imaging confirmed by standard histopathology of biopsy.

    approximately 6 to 12 months post endoscopic mucosal resection

  • Positive Recurrent Adenomas Using Narrow Band Imaging Near Focus

    The number of positive diagnoses using narrow band optical imaging near focus only.

    approximately 6 to 12 months post endoscopic mucosal resection

  • Positive Recurrent Adenomas Using Narrow Band Imaging Near Focus Confirmed by Histology

    The number of recurrent adenomas diagnosed positive with narrow band imaging near focus confirmed by standard histopathology of biopsy.

    approximately 6 to 12 months post endoscopic mucosal resection

  • Positive Recurrent Adenomas Using Biopsy

    The number of positive diagnoses determined by standard histopathology assessment of biopsy.

    approximately 6 to 12 months post endoscopic mucosal resection

Study Arms (1)

Endoscopic scar assessment

EXPERIMENTAL

Using endoscope with high definition white light, high definition white light with near focus, narrow band imagining, and narrow band imaging with near focus.

Device: Olympus CF190 Colonoscope High definition white lightDevice: Olympus CF190 Colonoscope White light with near focusDevice: Olympus CF190 Colonoscope Narrow band imagingDevice: Olympus CF190 Colonoscope Narrow band imaging with near focusProcedure: Biopsy

Interventions

Standard endoscopic imaging technique

Endoscopic scar assessment

Near focus mode is used to closely examine the area of prior EMR site.

Endoscopic scar assessment

Narrow band imaging is utilized to examine the area of prior EMR.

Endoscopic scar assessment

NBI with near focus to help closely examine the area of prior EMR site.

Endoscopic scar assessment
BiopsyPROCEDURE

Biopsy to assess any evidence of residual neoplasia via standard histopathology assessment

Endoscopic scar assessment

Eligibility Criteria

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

You may qualify if:

  • Post-EMR follow up at 6-12 months

You may not qualify if:

  • Non-corrected coagulopathy
  • Pregnancy
  • Breast feeding

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Mayo Clinic

Jacksonville, Florida, 32224, United States

Location

Related Publications (1)

  • Kandel P, Brand EC, Pelt J, Ball CT, Chen WC, Bouras EP, Gomez V, Raimondo M, Woodward TA, Wallace MB; EMR SCAR Group. Endoscopic scar assessment after colorectal endoscopic mucosal resection scars: when is biopsy necessary (EMR Scar Assessment Project for Endoscope (ESCAPE) trial). Gut. 2019 Sep;68(9):1633-1641. doi: 10.1136/gutjnl-2018-316574. Epub 2019 Jan 11.

Related Links

MeSH Terms

Interventions

Biopsy

Intervention Hierarchy (Ancestors)

CytodiagnosisCytological TechniquesClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisSpecimen HandlingDiagnostic Techniques, SurgicalSurgical Procedures, OperativeInvestigative Techniques

Results Point of Contact

Title
Dr. Michael B. Wallace
Organization
Mayo Clinic

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Consultant, Professor of Medicine

Study Record Dates

First Submitted

January 23, 2016

First Posted

January 29, 2016

Study Start

January 1, 2016

Primary Completion

October 1, 2018

Study Completion

October 1, 2018

Last Updated

October 17, 2019

Results First Posted

October 17, 2019

Record last verified: 2019-09

Data Sharing

IPD Sharing
Will not share

Locations