Gastrointestinal Haemorrhage Clinical Trial
Official title:
Randomised Controlled Trial Comparing Purastat® to Standard Therapy for Haemostasis Control During Endoscopic Submucosal Dissection
NCT number | NCT02833558 |
Other study ID # | PHT/2015/106 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | May 4, 2016 |
Est. completion date | May 18, 2018 |
Verified date | June 2018 |
Source | Portsmouth Hospitals NHS Trust |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Endoscopic submucosal dissection (ESD) is an endoscopic resection technique used to treat
superficial neoplasia in the gastrointestinal tract. Bleeding is a commonly encountered
problem during submucosal dissection and is usually managed with electrocautery. However,
this does carry a risk of deep thermal injury and perforation.
PuraStat® is a novel extracellular scaffold matrix of amino acids that forms a transparent
adherent barrier when applied to a bleeding point.
The aim of this trial is to study the use of PuraStat® in reducing the need for thermal
haemostasis during ESD.
Status | Completed |
Enrollment | 101 |
Est. completion date | May 18, 2018 |
Est. primary completion date | April 12, 2018 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Male or Female, aged 18 years or above. - An ESD is attempted for clinical indications approved by MDT. - Oesophageal or colonic lesion 2-5cm in size - Participant is willing and able to give informed consent for participation in the study Exclusion Criteria: - Known coagulopathy likely to affect risk of bleeding - Submucosal tumour - Anticoagulation or anti-platelet therapy (apart from single modality aspirin or clopidogrel) which cannot be stopped for clinical reasons - Patient preference |
Country | Name | City | State |
---|---|---|---|
United Kingdom | Portsmputh Hospitals NHS Trust | Portsmouth |
Lead Sponsor | Collaborator |
---|---|
Portsmouth Hospitals NHS Trust |
United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | The number of times intraprocedural heat therapy is used to achieve haemostasis in ESD in both the PuraStat® and control arms of the study | Measured during the ESD procedure | ||
Secondary | The length of the procedure in the PuraStat® and control arm of the study | Measured during the ESD procedure | ||
Secondary | The number of patients with delayed bleeding (bleeding within 28 days) in both the PuraStat® and control arm of the study | 28 days | ||
Secondary | Wound healing in the PuraStat® and control arm at 6 weeks post ESD | Wound healing will be measured at endoscopy using qualitative descriptor categories (active ulceration, healing ulceration, scarring or complete mucosal healing). There is no standard definition to qualify ulcer healing post ESD but these categories have previously been used by Uraoka et al in a similar study published in Gastrointestinal Endoscopy (Vol 83, No 6:2016.1259-1264). | 6 weeks | |
Secondary | Number of adverse events in the PuraStat® and control arm of the study | 14 months |