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Clinical Trial Details — Status: Withdrawn

Administrative data

NCT number NCT04037072
Other study ID # 18-1022
Secondary ID
Status Withdrawn
Phase Phase 2
First received
Last updated
Start date April 3, 2020
Est. completion date December 15, 2022

Study information

Verified date April 2022
Source Fox Chase Cancer Center
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

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.


Recruitment information / eligibility

Status Withdrawn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.

Study Design


Intervention

Drug:
Mitomycin C
Topical application of Mytomycin C (MMC)
Other:
Control
Topical application of Normal Saline

Locations

Country Name City State
United States Fox Chase Cancer Center Philadelphia Pennsylvania

Sponsors (1)

Lead Sponsor Collaborator
Fox Chase Cancer Center

Country where clinical trial is conducted

United States, 

Outcome

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
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