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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02198729
Registration number
NCT02198729
Ethics application status
Date submitted
17/07/2014
Date registered
24/07/2014
Date last updated
3/07/2023
Titles & IDs
Public title
Comparison Rectal Endoscopic Submucosal Dissection to Endoscopic Mucosal Resection
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Scientific title
Endoscopic Submucosal Dissection Versus Endoscopic Mucosal Resection for Sessile Polyps and Laterally Spreading Lesions of the Rectum - a Prospective Randomised Trial
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Secondary ID [1]
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HREC2013/10/4.2(3830)
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Universal Trial Number (UTN)
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Trial acronym
RESDEMR
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Colonic Polyps
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Condition category
Condition code
Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Cancer
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0
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Bowel - Back passage (rectum) or large bowel (colon)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Active comparator: Endoscopic Mucosal Resection - Participants randomised to this arm will receive standard of care Endoscopic Mucosal Resection for removal of their lesions.
Experimental: Endoscopic Submucosal Dissection - Participants randomised to this arm will receive Endoscopic Mucosal Dissection to remove their lesion.
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Recurrence
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Assessment method [1]
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Recurrence rate - free of adenoma endoscopically and histologically on 2 subsequent examinations
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Timepoint [1]
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18 months
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Secondary outcome [1]
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One piece resection rate
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Assessment method [1]
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Rate of en bloc resection
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Timepoint [1]
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14 days
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Secondary outcome [2]
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Technical success of EMR
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Assessment method [2]
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Rate of initial technical success
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Timepoint [2]
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14 days
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Secondary outcome [3]
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Recurrence
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Assessment method [3]
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Recurrence tissue observed at follow up colonoscopies over a 3 year period
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Timepoint [3]
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up to 3 years
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Secondary outcome [4]
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complication rates
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Assessment method [4]
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Safety outcomes measured in the form of follow up phone calls.
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Timepoint [4]
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14 days
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Eligibility
Key inclusion criteria
* Can give informed consent to trial participation
* Lesion size 20 mm to 50 mm
* Laterally spreading or sessile polyp morphology
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Minimum age
18
Years
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Maximum age
99
Years
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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
* Previous resection or attempted resection of target adenoma lesion
* Endoscopic appearance of invasive malignancy
* Age less than 18 years
* Pregnancy
* Active Inflammatory colonic conditions (e.g. inflammatory bowel disease)
* Use of anticoagulant or antiplatelet agents other than aspirin less than 5 days prior to procedure
* American Society of Anesthesiology (ASA) Grade IV-V
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled 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
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/07/2014
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/05/2023
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Sample size
Target
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Accrual to date
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Final
300
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Westmead Endoscopy Unit - Westmead
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Recruitment postcode(s) [1]
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2145 - Westmead
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Funding & Sponsors
Primary sponsor type
Other
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Name
Professor Michael Bourke
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The investigators have recently become proficient in a new, and we believe more effective technique for polyp removal. Known as Endoscopic Submucosal Dissection (ESD). ESD involves removing the polyp in one piece. It is preferable to remove the polyp in one piece as it minimises the chance of leaving residual polyp tissue behind. There have also been recent studies overseas that have shown this new technique to be quite effective. In this study, half of the patients will receive the newly developed technique of polyp removal (ESD), while the other half will receive conventional Endoscopic Mucosal Resection (EMR) treatment. This study will allow us to show which technique results in lower recurrence rates and is more effective.
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Trial website
https://clinicaltrials.gov/study/NCT02198729
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Michael J Bourke, MBBS
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Address
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Western Sydney Local Health District
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
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
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02198729
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