NCT04214678

Brief Summary

This is a single centre randomised controlled study comparing underwater clip closure versus conventional gas insufflation clip closure of post-resection defect in patients undergoing colonic endoscopic resection. The investigators hypothesize that underwater clip closure would be faster than conventional closure under gas insufflation.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
64

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jul 2020

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

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 28, 2019

Completed
5 days until next milestone

First Posted

Study publicly available on registry

January 2, 2020

Completed
6 months until next milestone

Study Start

First participant enrolled

July 1, 2020

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2023

Completed
Last Updated

August 23, 2023

Status Verified

August 1, 2023

Enrollment Period

3 years

First QC Date

December 28, 2019

Last Update Submit

August 21, 2023

Conditions

Keywords

Endosocpic submucosal dissectionUnderwater clip closure

Outcome Measures

Primary Outcomes (1)

  • Time required to complete clip closure of mucosal defect

    o Defined as the time from completion of prophylactic coagulation till the final clip application (min)

    Within 1 hour

Secondary Outcomes (7)

  • Technical success of complete closure of defect (%)

    Within 1 hour

  • Total time for endoscopic procedure (min)

    Within 1 hour

  • Number of endoscopic clip used for closure

    Within 1 hour

  • Rate of Haemorrhage

    30 days

  • Rate of Perforation

    30 days

  • +2 more secondary outcomes

Study Arms (2)

Underwater clip closure

EXPERIMENTAL

The post-resection defect is closed using endoscopic clips with underwater technique

Procedure: Underwater clip closure

Conventional clip closure

ACTIVE COMPARATOR

The post-resection defect is closed using endoscopic clips with conventional gas insufflation (CO2)

Procedure: Conventional clip closure

Interventions

Closure of post-resection defect with endoscopic clips by underwater technique

Underwater clip closure

Closure of post-resection defect with endoscopic clip by conventional technique

Conventional clip closure

Eligibility Criteria

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

You may qualify if:

  • Patients undergoing elective endoscopic resection
  • Colorectal superficial neoplasm with a resultant mucosal defect of ≥20mm
  • Age \>18 years old

You may not qualify if:

  • Patients on anticoagulation (Warfarin or other direct oral anticoagulants)
  • Muscular perforation during the endoscopic resection
  • Incomplete endoscopic resection
  • Lesions arising from surgical anastomotic site
  • Marked electrolyte abnormalities
  • Other cases deemed by the examining physician as unsuitable for safe treatment
  • Patients who refused to participate

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Prince of Wales Hospital

Hong Kong, Hong Kong

Location

MeSH Terms

Conditions

Colonic Polyps

Condition Hierarchy (Ancestors)

Intestinal PolypsPolypsPathological Conditions, AnatomicalPathological Conditions, Signs and Symptoms

Study Officials

  • Hon Chi Yip, MBChB

    Chinese University of Hong Kong

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Consultant

Study Record Dates

First Submitted

December 28, 2019

First Posted

January 2, 2020

Study Start

July 1, 2020

Primary Completion

June 30, 2023

Study Completion

June 30, 2023

Last Updated

August 23, 2023

Record last verified: 2023-08

Data Sharing

IPD Sharing
Will not share

Locations