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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT06370169
Other study ID # ROSC 1
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date August 1, 2022
Est. completion date August 10, 2024

Study information

Verified date March 2024
Source Asian Institute of Gastroenterology, India
Contact Jahangeer Dr Basha, MD DM
Phone 04023378888
Email drjahangeer09@gmail.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The standard treatment of bleeding gastric varices is obliteration with placement of coil and glue. Our study will evaluate the efficacy of EUS guided coil as primary prophylaxis for high-risk gastric varices. All procedures will be performed with patient under deep sedation or general anaesthesia under the supervision of an anaesthesiologist.


Description:

In this study Principal investigator recruiting patients with high-risk gastric varices for primary prophylaxis. Gastric varices are dilated submucosal veins in the lining of the stomach, found in patients with portal hypertension or elevated pressure in the portal venous system. The standard treatment of bleeding gastric varices is obliteration with placement of coil and glue. Our study will evaluate the efficacy of EUS guided coil as primary prophylaxis for high-risk gastric varices. All procedures will be performed with patient under deep sedation or general anaesthesia under the supervision of an anaesthesiologist. After the procedure patients will be discharged to home unless there is any indication for admission, such as significant abdominal pain, bleeding or chest pain. For enrolment into the study, patient has to sign an informed consent form which is provided at the end. First, we will do baseline evaluation of the patient which includes detailed clinical examination, routine laboratory tests, Upper GI Endoscopy, triphasic CT abdomen. The duration of study is 6 months. Only the routine tests necessary for the management of disease will be charged.


Recruitment information / eligibility

Status Recruiting
Enrollment 50
Est. completion date August 10, 2024
Est. primary completion date March 30, 2024
Accepts healthy volunteers No
Gender All
Age group 18 Months to 80 Years
Eligibility Inclusion criteria: - Each patient must meet all the following criteria to be enrolled in this study: 1. Gastric fundal varices larger than 2.0 cm in total diameter 2. High risk GV (GOV 2/IGV 1) 3. Primary prophylaxis 4. Patients with known fundal varices 5. Ability to give a signed informed consent Exclusion criteria: - The exclusion criteria for these volunteers will be: 1. Patients with a history of TIPS or any other portosystemic shunt procedure 2. Oesophageal stricture 3. Patient not fit for general anaesthesia 4. Secondary prophylaxis 5. Pediatric Patients (<18 years) 6. Pregnant or lactating mother 7. Not willing to participate

Study Design


Intervention

Device:
Endoscopic ultrasound placement of Coil and glue
The standard treatment of bleeding gastric varices is obliteration with placement of coil and glue

Locations

Country Name City State
India Asian institute of Gastroenterology Hyderabad Telangana

Sponsors (1)

Lead Sponsor Collaborator
Asian Institute of Gastroenterology, India

Country where clinical trial is conducted

India, 

Outcome

Type Measure Description Time frame Safety issue
Primary The outcome will measure number of patient had achieved complete obliteration of varices Repeat Endoscopic ultrasound findings of residual flow 6 months for observation
Secondary Number of patient needed re intervention Repeat coil application on follow-up 6 months for observation
Secondary Number of patient needed had bleeding following intervention like immediate (with in 5 days) or later (5-90 days) These are the definite data which will be statistically analyzed 90 days
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