Status:

NOT_YET_RECRUITING

EMR Versus ESD for Barrett's Neoplasia

Lead Sponsor:

Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

Collaborating Sponsors:

University Medical Center Groningen

Amsterdam UMC, location VUmc

Conditions:

Barretts Esophagus With Dysplasia

Barrett Adenocarcinoma

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Rationale: The optimal technique for removal of visible dysplastic lesions in Barrett's esophagus remains controversial. Endoscopic mucosal resection (EMR) is safe, effective, easy to apply, and has ...

Eligibility Criteria

Inclusion

  • Patients age: ≥ 18 years
  • Willingness to undergo both EMR or ESD
  • Ability to provide written, informed consent (approved by IRB) and understand the responsibilities of trial participation
  • BE with a single visible lesion with absence of signs of submucosal invasion on endoscopy, after evaluation by the adjudication committee.

Exclusion

  • Patients with visible lesions with suspicion of submucosal invasion bases on assessment of the adjudication committee
  • History of esophageal surgery other than fundoplication
  • History of esophageal ablation therapy or endoscopic resection
  • Multiple visible lesions in the BE segment at baseline
  • Uncontrolled coagulopathy with INR \>2.0, thrombocytopenia with platelet counts \< 50,000
  • Subject has a known history of unresolved drug or alcohol dependency that would limit ability to comprehend or follow instructions related to informed consent, post-treatment in-structions, or follow-up guidelines
  • Life expectancy \<2 years

Key Trial Info

Start Date :

December 1 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2026

Estimated Enrollment :

331 Patients enrolled

Trial Details

Trial ID

NCT05276791

Start Date

December 1 2022

End Date

December 1 2026

Last Update

July 21 2022

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