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Efficacy of Outside-lesion Clip-Thread Method for Gastric Endoscopic Submucosal Dissection of Lesions of the Greater Curvature of the Upper/Middle Stomach: Multicenter Randomized Controlled Trial

Outside-lesion Clip-Thread Method for Gastric ESD: Multicenter Randomized Controlled Trial - O-CTM study

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
JPRN
Registry ID
JPRN-UMIN000055875
Enrollment
80
Registered
2024-10-18
Start date
2024-09-27
Completion date
Unknown
Last updated
2026-06-29

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

Conditions

early gastric cancer

Interventions

Control ESD O-CTM ESD

Sponsors

Aichi cancer center
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1) Patients who are at least 20 years old. 2) Patients with ECOG-PS 0,1. 3) Patients who have obtained written consent from the patient. 4) Patients whose major organ functions (bone marrow, heart, liver, lungs, kidneys, etc.) are preserved. 5) Neoplastic lesions are defined as lesions diagnosed as adenoma on biopsy prior to ESD or gastric cancer, and the following lesions listed in the ESD/EMR Guidelines for Gastric Cancer (2nd Edition). i) UL0 gross intramucosal carcinoma (cT1a) of 2 cm or less in length, differentiated carcinoma ii) cT1a, differentiated carcinoma of UL0 greater than 2 cm in length iii) cT1a, differentiated carcinoma in UL1 with a diameter of 3 cm or less iv) cT1a, undifferentiated carcinoma of UL0 less than 2 cm in length

Exclusion criteria

Exclusion criteria: 1) Postoperative gastric cases. 2) Patients in which the lesion is in the vicinity of a scar from a previous endoscopic procedure. 2) Patients with concurrent multiple lesions and multiple lesions to be resected in a single ESD. 3) Patients who have been previously enrolled in this study. 4) Patients deemed inappropriate for this study by the treating physician.

Design outcomes

Primary

MeasureTime frame
procedure time

Secondary

MeasureTime frame
Resection speed, R0 resection rate, En bloc resection rate, Adverse events, percentage of surgeon change from non-expert to expert, percentage of change from O-CTM to control method.

Countries

Japan

Contacts

Public ContactKeisaku Yamada

Aichi cancer center Endscopy

k.yamada@aichi-cc.jp0527626111

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026