Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID06077981

Comparison of 0.4% Hyaluronic Acid Solution Versus Hydroxyethylamide Solution in Submucosal Endoscopic Resections of Superficial Malignant Esophageal Neoplasms

Led by Instituto do Cancer do Estado de São Paulo · Updated on 2025-05-01

30

Participants Needed

1

Research Sites

67 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the effectiveness of two different solutions used during the submucosal cushion formation stage of endoscopic submucosal resections for early esophageal malignant tumors. This randomized clinical trial is conducted at a single center and aims to compare 0.4% hyaluronic acid solution (TS-905 Blue Eye) and hydroxyethylamide solution in treating patients with early esophageal neoplasia. Patients are grouped based on the size of their lesions to ensure balanced comparison. Participants will undergo submucosal endoscopic dissection using either hydroxyethylamide or hyaluronic acid solution. Both procedures involve three stages: delimitation, incision, and dissection. The chosen solution is injected to create a cushion under the lesion, followed by careful cutting around the lesion with specialized equipment. There are two treatment groups, each including 15 patients receiving one of the solutions during their procedure. During the study, researchers will measure the volume of solution used, the duration of the procedure, and the number of additional injections needed. The main goal is to determine which solution better supports complete lesion removal with fewer injections. Participants will be monitored during the procedure, and the study is expected to continue until April 2026, ensuring careful assessment of treatment outcomes and safety throughout the process.

CONDITIONS

Brief Title

Comparison of 0.4% Hyaluronic Acid Solution Versus Hydroxyethylamide Solution in Submucosal Endoscopic Resections

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients over 18 years of age
  • Superficial esophageal adenocarcinoma or squamous cell carcinoma with indication of endoscopic submucosal dissection after multidisciplinary oncological board discussion
  • Signed informed consent form
Not Eligible

You will not qualify if you...

  • Residual or recurrent esophageal lesions
  • Ulcerated esophageal lesions
  • Severe cardiovascular, kidney, or liver disease
  • History of hypersensitivity to hyaluronic acid
  • Pregnant or lactating women

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Single procedure visit

Participants undergo submucosal endoscopic dissection with either hydroxyethylamide or hyaluronic acid solution. The procedure includes lesion delimitation, incision, and dissection with submucosal injections.

1 visit (in-person)

Trial Site Locations

Total: 1 location

1

Instituto do Câncer do Estado de São Paulo

São Paulo, São Paulo, Brazil, 01246-000

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Research Team

F

Fauze Maluf-Filho, PhD

P

Pierre Pirchner

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

BASIC_SCIENCE

Number of Arms

2

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