Esophageal Stenosis Clinical Trial
Official title:
GI-108: Randomized Controlled Double-Blinded Trial Assessing the Efficacy of Topical Mitomycin C for Complex Benign Esophageal Anastomotic Strictures
Verified date | April 2022 |
Source | Fox Chase Cancer Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study evaluates Mitomycin C as treatment for dysphagia in adult subjects with documented complex esophageal anastomotic strictures. Patients will be randomized in a double-blinded fashion to topical application of normal saline (NS) or Mitomycin C (MMC) at the time of time of index procedure.
Status | Withdrawn |
Enrollment | 0 |
Est. completion date | December 15, 2022 |
Est. primary completion date | March 15, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Ability to understand and willingness to sign a written informed consent and HIPAA consent document - Patients must have symptomatic (dysphagia =2), treatment naïve complex esophageal anastomotic stricture (length >2 cm or diameter =9mm). - Age = 18 - Esophago-gastro or esophago-jejunal anastomosis with or without having undergone neoadjuvant or adjuvant radio-chemotherapy - Any patient taking antiplatelet agents such as Plavix, Effient, Brilinta, Aggrenox must be able to hold the drugs 5 days prior to dilation and may resume 3 days after the dilation. - Any patient on vitamin K antagonists such as warfarin must be able to hold the drugs 5 days prior to dilation and may resume 3 days after the dilation. INR should be checked for such patients at least 24 hours before dilation and it must be < 1.5 - Patients taking direct thrombin inhibitors such as Pradaxa, Angiomax must be able to hold the drugs 5 days prior to dilation and may resume 3 days after the dilation - Patients taking Factor Xa inhibitors must be able to hold the drugs 2 days prior to dilation and may resume 3 days after dilation - Patients taking GIIB/IIIA inhibitors must be able to hold the drugs1 day prior to dilation and resume 3 days after the dilation. - Patients taking unfractionated heparin must be able to hold the drug 6 hours before dilation and low molecular weight heparin must be held 24 hours before dilation. Unfractionated heparin may resume immediately after the dilation while low molecular weight heparin may resume 3 days after dilation Exclusion Criteria: - Patients with malignant strictures - Patients with non-complex benign strictures. - Patients with anastomosis creation within = 2 weeks - Patients with suspected gastrointestinal perforation or leak that could result in extraluminal extravasation of Mitomycin C - Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements. - Pregnant or breast feeding. Refer to section 4.4 for further detail. - Patients receiving systemic chemotherapy during the treatment of esophageal stricture. |
Country | Name | City | State |
---|---|---|---|
United States | Fox Chase Cancer Center | Philadelphia | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
Fox Chase Cancer Center |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Rate of dysphagia = grade 1 after the dilation procedure | Prevalence of dysphagia grade =1 in MMC Vs normal saline treated patients until 6 months after the first follow-up. | 6 months | |
Secondary | Number of procedures needed to reach dilation goal | calculated from the first treatment procedure until the last one and will be compared between the experimental and the control arm. | 30 days |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT01900691 -
Removal of the Evolution® Esophageal Stent - Fully Covered
|
N/A | |
Withdrawn |
NCT02004782 -
Barretts oEsophageal Resection With Steroid Therapy Trial
|
Phase 4 | |
Completed |
NCT02039115 -
Reduction in Symptomatic Esophageal Stricture Formation
|
Phase 4 | |
Completed |
NCT01661686 -
Fully Covered or Partially Covered Stents in Malignant Esophageal Strictures
|
N/A | |
Terminated |
NCT03540953 -
Endoscopic Injection of Mitomycin C for the Treatment of Pharyngoesophageal Stenosis
|
N/A | |
Recruiting |
NCT04498260 -
Intralesional Steroid Injection Versus Oral Prednisolone in Prevention of Esophageal Stricture
|
Phase 4 | |
Completed |
NCT00667524 -
Eosinophilic Esophagitis: Influence of Dilation on Dysphagia and Inflammation
|
N/A | |
Not yet recruiting |
NCT03760354 -
Corticosteroid Treatment in the Acute Phase of Caustic Ingestion Management
|
Phase 2 | |
Recruiting |
NCT02183207 -
PEG by Introducer Method Via EG Scan
|
N/A | |
Enrolling by invitation |
NCT04007692 -
Optimal Endoscopic Suturing Pattern for Esophageal Stent Fixation
|
||
Completed |
NCT01802203 -
trūFreeze® Spray Cryotherapy Patient Registry
|