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Trial registered on ANZCTR
Registration number
ACTRN12609000939291
Ethics application status
Approved
Date submitted
28/10/2009
Date registered
3/11/2009
Date last updated
2/07/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
A randomised, double blinded trial of Succinylated Gelatin versus normal saline for submucosal injection for colonic endoscopic mucosal resection (EMR)
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Scientific title
In patients undergoing colonic EMR (endoscopic mucosal resection) for large sessile polyps, succinylated gelatin may be a superior submucosal injectant compared with normal saline.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Sessile polyps of the colon
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Condition category
Condition code
Oral and Gastrointestinal
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Colonic submucosal injection of succinylated gelatin for EMR (volume of injection is at discretion of endoscopist and will vary with size of the lesion for resection)
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
Colonic submucosal injection of normal saline for EMR (volume of injection is at discretion of endoscopist and will vary with size of the lesion for resection)
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Control group
Active
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Outcomes
Primary outcome [1]
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Ratio of size of lesion (in mm) to number of snare resection pieces (calculated by dividing lesion size by the number of snare resection pieces)
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Assessment method [1]
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Timepoint [1]
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Immediately post-procedure
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Secondary outcome [1]
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Percentage of lesions resected en bloc
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Assessment method [1]
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Timepoint [1]
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Immediately post-procedure
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Secondary outcome [2]
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Number of adverse events (including bleeding requiring intervention, perforation, allergy, hospitalisation)
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Assessment method [2]
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Timepoint [2]
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Immediately post procedure and 2 weeks post procedure
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Secondary outcome [3]
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Number of submucosal injections performed,
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Assessment method [3]
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Timepoint [3]
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Immediately post-procedure
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Secondary outcome [4]
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Total volume of injectant used
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Assessment method [4]
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Timepoint [4]
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Immediately post-procedure
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Secondary outcome [5]
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Duration of EMR procedure
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Assessment method [5]
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Timepoint [5]
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Immediately post-procedure
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Eligibility
Key inclusion criteria
Sessile polyp sized 20mm or larger intended for EMR
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Minimum age
18
Years
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Maximum age
No limit
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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
- Personal history of allergy to gelatin, Gelofusine or Haemaccel
- Pregnancy: currently pregnant or attempting to become pregnant
- Lactation: currently breastfeeding
- Taken clopidogrel within 7 days
- Taken warfarin within 5 days
- Had full therapeutic dose unfractionated heparin within 6 hours
- Had full therapeutic dose low molecular weight heparin (LMWH) within 12 hours
- Known clotting disorder
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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
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
PLEASE NOTE that an interim analysis will be conducted after 80 patients have been enrolled.
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Phase
Phase 3
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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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Date of first participant enrolment
Anticipated
28/04/2009
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Actual
28/04/2009
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Date of last participant enrolment
Anticipated
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Actual
17/11/2009
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Date of last data collection
Anticipated
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Actual
1/02/2010
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Sample size
Target
160
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Accrual to date
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Final
80
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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Primary sponsor type
Individual
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Name
Dr Alan Moss and Dr Michael Bourke
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Address
Endoscopy Unit
Westmead Hospital
Corner Hawkesbury and Darcy Roads
Westmead
NSW 2145
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
251290
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Sydney West Area Health Service Human Research Ethics Committee
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Ethics committee address [1]
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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16/02/2009
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Ethics approval number [1]
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Summary
Brief summary
En bloc resection (ie. in a single piece) is the goal for removing large sessile colonic polyps. Currently this is limited to 20mm in size with the standard submucosal injection solution (ie. normal saline). Succinylated Gelatin is a colloid, that has been proven to be safe and superior to normal saline for EMR in a porcine model. With Human Research approval, this study is to assess the efficacy and safety of succinylated gelatin for sessile colonic polyps sized 20mm or greated.
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Trial website
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Trial related presentations / publications
A randomized, double-blind trial of succinylated gelatin submucosal injection for endoscopic resection of large sessile polyps of the colon. Moss A, Bourke MJ, Metz AJ. American Journal of Gastroenterology 2010 Nov; 105(11):2375-82.
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Public notes
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Contacts
Principal investigator
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 public queries
Name
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Dr Alan Moss
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Address
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Endoscopy Unit
Westmead Hospital
Corner Hawkesbury and Darcy Roads
Westmead
NSW 2145
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Country
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Australia
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Phone
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(61) 2 9845 5555
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Fax
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(61) 2 9845 5637
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Alan Moss
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Address
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Endoscopy Unit
Westmead Hospital
Corner Hawkesbury and Darcy Roads
Westmead
NSW 2145
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Country
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Australia
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Phone
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(61) 2 9845 5555
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Fax
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(61) 2 9845 5637
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Email
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[email protected]
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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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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