Rectal Polyp Clinical Trial
— UNI-VECOfficial title:
Rectal Tumor Resection Using the UNI-VEC Multichannel Transanal Access Device
The aim of the clinical trial is to investigate whether the use of a new multichannel endoscopic transanal access device (named UNI-VEC) is safe and effective in the resection of a rectal polyp or tumor that sits in the distal part of the colon (up to about 20 cm from the anal margin). This is the first study to test the device in humans, after proving its good performance in preclinical development (preclinical development has included functional laboratory tests and an animal trial).
Status | Recruiting |
Enrollment | 40 |
Est. completion date | September 7, 2024 |
Est. primary completion date | May 7, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - All polyps included in the Paris Classification (Polypoid (0-I): Sessile type (Is), Pedunculated type (Ip), Non-polypoid (0-II, III): Raised type (IIa), Flat type (IIb), Depressed type (IIc), Excavated type (III)) - Lesions located from the anal margin to about 20 cm. - Extent of at least 2 cm² (polyps 2 cm in diameter or areas of ERM or ESD 2 x 2 cm). - Well or moderately differentiated tumours. T1: Tumours confined to the mucosa (Tis) and submucosa (T1). - No positive lymph nodes. - No lymphatic, vascular or perineural invasion. Exclusion Criteria: - Are considered vulnerable subjects. - They suffer from hematological diseases with altered coagulation of their own or pharmacologically induced coagulation disorders (the use of acetylsalicylic acid (ASA) in doses of 150 mg/day is permitted). - Have rectal lesions that lie above the pectineal line or extend into the anal canal. - Local or distant metastasis. - Have a score of more than 2 points on the Wexner faecal incontinence scale. |
Country | Name | City | State |
---|---|---|---|
Spain | Complexo Hospitalario Universitario de A Coruña | A Coruña | Galicia |
Spain | Hospital Quirón-Salud A Coruña | A Coruña | Galicia |
Spain | Hospital del Mar | Barcelona | |
Spain | Hospital Universitario de Cabueñes | Gijón | Asturias |
Spain | Hospital Universitario Lucus Augusti | Lugo | Galicia |
Spain | Hospital La Paz | Madrid | |
Spain | Hospital Universitario Reina Sofía de Murcia | Murcia | |
Spain | Hospital Universitari Mútua de Terrassa | Terrassa | Bercelona |
Spain | Hospital Universitario La Fe | València | |
Spain | Hospital Universitario Río Hortega | Valladolid | |
Spain | Complejo Hospitalario Universitario de Vigo | Vigo | Galicia |
Lead Sponsor | Collaborator |
---|---|
Vecmedical Spain, S.L. |
Spain,
Noguera Aguilar JF, Gomez Dovigo A, Aguirrezabalaga Gonzalez J, Gonzalez Conde B, Alonso Aguirre P, Martinez Ares D, Sanchez Gonzalez J, Diez Redondo MP, Maseda Diaz O, Torres Garcia MI, Dacal Rivas A, Delgado Rivilla S, Romero Marcos JM, Ramirez Ruiz P, — View Citation
Noguera Aguilar JF, Gomez Dovigo A, Alonso Aguirre P, Gonzalez Conde B. Endoscopic submucosal dissection transanal hybrid laparoendoscopic robot-assisted. Cir Esp (Engl Ed). 2023 Apr;101(4):291. doi: 10.1016/j.cireng.2022.07.016. Epub 2022 Jul 28. No abst — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Assess that the use of the device meet the established functional requiremnt of allowing the removal of polyps | The device must allow the removal of polyps with a minimum size of 2 cm (maximum diameter of the removed polyp measured in mm) in the rectum. | During the procedure | |
Secondary | Rate of anorectal hemorrhagic events | Anorectal hemorrhagic events for each patinet will be recorded in a table and the number of events will be counted. | During the intervention and 1 week after the intervention. | |
Secondary | Rate of injuries to the anorectal canal and perianal region | The number of injuries to the anorectal canal and perianal region will be recoreded in a table and then the total number of injuries will be counted. | During the intervention and 1 week after the intervention. | |
Secondary | Assessment of anorectal continence | Anorectal continence will be assesed for each Participant with the Wexner Score | At 7 and 30 days after the procedure. If anorectal incontinence persists at 30 days: follow-up at 2 months. If anorectal incontinence persists: follow-up at 6 months. |
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