Skip to content

Aspirin vs. Clopidogrel: Risk Outcomes of cold Snare-polypectomy in Small-colonic polyp using (ACROSS)

Comparison of safety of cold snare polypectomy for small colonic polyps in patients taking Aspirin versus Clopidogrel: A non inferiority study - ACROSS

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CTRI
Registry ID
CTRI/2026/03/105783
Enrollment
128
Registered
2026-03-10
Start date
Unknown
Completion date
Unknown
Last updated
2026-03-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K635- Polyp of colon

Interventions

Intervention1: Nil: Nil

Sponsors

Believers Church Medical College Hospital, Tiruvalla
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Adults more than 18 years undergoing CSP for one or more colorectal polyps less than 10 mm.

Exclusion criteria

Exclusion criteria: To compare the safety of cold snare polypectomy for small colonic polyps in patients receiving uninterrupted aspirin therapy versus those receiving clopidogrel therapy in terms of the following 1.Incidence of immediate significant bleeding 2.Requirement of clips, epinephrine injection, or snare tip soft coagulation during CSP 3.Incidence of delayed postpolypectomy bleeding within 30 days. 4.Clinically significant drops in hemoglobin. 5.The requirement for blood transfusions postprocedure. 6.Hemodynamic compromise like hypotension, shock requiring interventions.

Design outcomes

Primary

MeasureTime frame
To compare the safety of cold snare polypectomy in terms of incidence of immediate significant bleeding, and delayed polypectomy bleeding within 30 daysTimepoint: 18 months

Secondary

MeasureTime frame
Incidence of immediate significant bleeding Requirement of clips, epinephrine injection, or snare tip soft coagulation during CSP incidence of delayed post-polypectomy bleeding within 30 days. Clinically significant drops in hemoglobin. The requirement for blood transfusions post-procedure. Hemodynamic compromise like hypotension, shock requiring interventions. To determine the efficacy of CSP in both cohorts by comparing the rates of Optical completeness Histological completeness To compare the rates of adverse outcomes necessitating healthcare resources within 30 days. The need for repeat endoscopic procedures for the management of complications.Timepoint: 18 months

Countries

India

Contacts

Public ContactLULU SULTHANA P

Department of Medical Gastroenterology Believers Church Medical College Hospital, Tiruvalla

johnson.deepak@gmail.com9446182531

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Apr 4, 2026