Status:

UNKNOWN

Nexpowder to Prevent Delayed Bleeding After Endoscopic Resection

Lead Sponsor:

Erasme University Hospital

Conditions:

Gastro Intestinal Bleeding

Polyps

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Safety and effectiveness of a new hemostatic system to prevent delayed bleeding after endoscopic resection in a selected high-risk population (NEXPOWDER- ENDOHS). Indication: Patients with indicatio...

Detailed Description

Hypotheses: The use of NexpowderTM after upper and lower gastrointestinal ESD or EMR of ≥20mm in high-risk population will prevent and decrease delayed bleeding to less than 5%. Study design: This ...

Eligibility Criteria

Inclusion

  • Age: ≥18 year of age at the time of informed consent,
  • Patients must have given written informed consent,
  • Subjects with documented lesions with indication of upper or lower endoscopic removal by ESD or EMR with high risk of delayed bleeding (+/-16%), namely:
  • All patients under anticoagulation (vitamin K antagonist, direct anticoagulant, non-fractionated heparin or low molecular weight heparin) or anti-aggregating (P2Y12 receptor antagonists),
  • Patients without anticoagulation or anti-aggregating with indication of duodenal EMR or ESD (if duodenal cold snare EMR: only under anticoagulant or P2Y12 receptor antagonist),
  • Resection field of ESD or EMR is ≥ 20mm (same size restriction in case of endoscopic papillectomy).

Exclusion

  • Resection bed \<20mm,
  • Subject currently enrolled in another interventional confounding research (no contra-indication for image or blood collection in another protocol),
  • Incapacitated subjects, pregnant or lactating women.

Key Trial Info

Start Date :

October 15 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

July 30 2024

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT06096948

Start Date

October 15 2023

End Date

July 30 2024

Last Update

October 24 2023

Active Locations (12)

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Page 1 of 3 (12 locations)

1

AZ Maria Middelares

Ghent, Oost-Vlaanderen, Belgium, 9000

2

UZ Gasthuisberg (KUL)

Leuven, Vlaams Brabant, Belgium, 3000

3

AZ Sint-Jan Brugge-Oostende

Bruges, West-Vlaanderen, Belgium, 8000

4

AZ Delta Campus Rumbeke

Roeselare, West-Vlaanderen, Belgium, 8800