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Trial registered on ANZCTR
Registration number
ACTRN12617000530325
Ethics application status
Approved
Date submitted
5/04/2017
Date registered
11/04/2017
Date last updated
14/03/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluation of dynamic clot formation in Endoscopic Mucosal Resection
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Scientific title
Evaluation of dynamic clot formation in Endoscopic Mucosal Resection
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Secondary ID [1]
291631
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nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
sessile polyp
302753
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bleeding
302754
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hyperfibrinolysis
302755
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Condition category
Condition code
Oral and Gastrointestinal
302271
302271
0
0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Cancer
302272
302272
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0
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Bowel - Back passage (rectum) or large bowel (colon)
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Blood
302295
302295
0
0
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Clotting disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
In theory electro surgery can increase plasminogen activity and cause hyperfibrinolysis..
viscoelastic testing on 3 occasions, which is not part of standard care, might confirm this hypothesis which has not been previously demonstrated in humans.
Viscoelastic testing is assessing whole blood clotting. At our hospital this is done by Thrombelastomerty with ROTEM by our Pathology provider. Only 4 ml of blood is required and the test can be done for up to 4 hours after the sample is taken.
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Intervention code [1]
297718
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Early detection / Screening
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Comparator / control treatment
no control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
301681
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coagulation abnormality detected by Thrombelastometry
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Assessment method [1]
301681
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Timepoint [1]
301681
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post procedural , before discharge from hospital within 2 hours of EMR, and on day two post EMR
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Secondary outcome [1]
333549
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bleeding, noted by patient, prompting contacting the hospital and/or re-admission
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Assessment method [1]
333549
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Timepoint [1]
333549
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2-3 days post procedure
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Eligibility
Key inclusion criteria
patients undergoing EMR for large sessile colonic polyps
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients on anticoagulants or antiplatelet agents
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety
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Statistical methods / analysis
Analysis will be descriptive
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/05/2017
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Actual
19/07/2017
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Date of last participant enrolment
Anticipated
31/01/2018
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Actual
7/02/2018
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Date of last data collection
Anticipated
28/02/2018
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Actual
10/02/2018
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Sample size
Target
30
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Accrual to date
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Final
33
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
7776
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Lyell McEwin Hospital - Elizabeth Vale
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Recruitment postcode(s) [1]
15709
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5112 - Elizabeth Vale
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Funding & Sponsors
Funding source category [1]
296132
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Hospital
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Name [1]
296132
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Anaesthesia research fund
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Address [1]
296132
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Haydown Rd
Elizabeth Vale
SA 5112
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Country [1]
296132
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Australia
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Funding source category [2]
296940
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Government body
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Name [2]
296940
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South Australian PBM council
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Address [2]
296940
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11 Hindmarsh Square, Adelaide, SA 5000
Mail: PO Box 287, Rundle Mall, Adelaide SA 5001
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Country [2]
296940
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Australia
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Primary sponsor type
Hospital
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Name
Lyell McEwin
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Address
Haydown Rd
Elizabeth Vale SA 5112
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Country
Australia
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Secondary sponsor category [1]
295028
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None
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Name [1]
295028
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Address [1]
295028
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Country [1]
295028
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
297377
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Human Research Ethics Committee (TQEH/LMH/MH)
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Ethics committee address [1]
297377
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Basil Hetzel Institute The Queen Elizabeth Hospital 28 Woodville Road Woodville South SA 5011
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Ethics committee country [1]
297377
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Australia
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Date submitted for ethics approval [1]
297377
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27/03/2017
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Approval date [1]
297377
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07/04/2017
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Ethics approval number [1]
297377
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HREC/17/TQEH/66
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Summary
Brief summary
Approximately 17000 colonic cancers are diagnosed in Australia each year. The majority of patients will undergo surgery. Large sessile lesions are traditionally removed surgically. In recent years advances in Endoscopic Mucosal Resection (EMR) emerged as a safe, effective, minimally invasive technique for removal of large sessile polyps and can be performed as an ambulatory procedure in special Gastroenterology units. This has potentially a much smaller impact on the patient and allows a faster recovery. However, one of the main risk factors of EMR is delayed bleeding. Clinically significant post-endoscopic bleeding [CSPEB] occurred in 6.2% of patients. The underlying cause for the bleeding is unclear. We suspect that there is a possibility the clotting system gets disturbed slightly during the procedure in some patients. A special blood test looking for clotting abnormalities may help us evaluate if this theory is true or not. This study will test for clotting abnormalities before and after endoscopic mucosal resection (EMR). Who is it for? You may be eligible to join this study if you are aged 18 years or above and are undergoing EMR for large sessile colonic polyps. Study details All participants will have a blood test immediately before and after the EMR to check for clotting abnormalities. Participants will be asked to return to the clinic for post-procedure follow-up 2-3 days after the procedure to determine any occurrences of post-endoscopic bleeding.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
73850
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A/Prof Bernd Froessler
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Address
73850
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Lyell McEwin Hospital
Haydown Road
Elizabeth Vale SA 5112
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Country
73850
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Australia
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Phone
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+61881829806
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Fax
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Email
73850
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[email protected]
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Contact person for public queries
Name
73851
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Bernd Froessler
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Address
73851
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Lyell McEwin Hospital
Haydown Road
Elizabeth Vale SA 5112
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Country
73851
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Australia
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Phone
73851
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+61881829806
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Fax
73851
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Email
73851
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[email protected]
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Contact person for scientific queries
Name
73852
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Bernd Froessler
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Address
73852
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Lyell McEwin Hospital
Haydown Road
Elizabeth Vale SA 5112
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Country
73852
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Australia
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Phone
73852
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+61881829806
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Fax
73852
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Email
73852
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
Type
Is Peer Reviewed?
DOI
Citations or Other Details
Attachment
Study results article
Yes
372698-(Uploaded-17-02-2020-16-23-07)-Journal results publication.pdf
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Dynamic functional clot formation in patients undergoing endoscopic mucosal resection.
2020
https://dx.doi.org/10.1002/jgh3.12306
N.B. These documents automatically identified may not have been verified by the study sponsor.
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