Actively Recruiting
Cold Snare Endoscopic Mucosal Resection (EMR) vs Cold EMR With Margin Snare Tip Soft Coagulation (STSC)
Led by Western Sydney Local Health District · Updated on 2025-03-27
300
Participants Needed
1
Research Sites
262 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Randomised controlled trial comparing cold snare endoscopic mucosal resection (EMR) with cold snare EMR and adjuvant margin STSC in the complete resection of 15-40mm lateral-spreading adenomas
CONDITIONS
Official Title
Cold Snare Endoscopic Mucosal Resection (EMR) vs Cold EMR With Margin Snare Tip Soft Coagulation (STSC)
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients older than 18 years undergoing colonoscopy
- Written consent for trial participation
- At least one laterally spreading lesion located in the colon or rectum
- Lesions with benign adenomatous surface features (Kudo III / IV, JNET 2a)
- Lesions with granular or non-granular topography
- Lesions classified as Paris 0-IIa/IIb +/- Is
- Sessile component of lesion no larger than 10mm if present
- Polyp size between 15 and 40mm
You will not qualify if you...
- Current use of antiplatelet (except aspirin) or anticoagulants not properly paused per guidelines
- Known bleeding disorder or coagulopathy
- Pregnancy
- History of inflammatory bowel disease
- Previously attempted or non-lifting lesions
- Endoscopic signs suggesting submucosal invasion or colorectal cancer
- Lesions involving the ileocaecal valve, appendiceal orifice, or anorectal junction
AI-Screening
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Trial Site Locations
Total: 1 location
1
Westmead Endoscopy Unit
Westmead, New South Wales, Australia, 2145
Actively Recruiting
Research Team
M
Michael Bourke, MBBS
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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