Can a cold snare match heat for polyp removal?
NCT ID NCT07764224
First seen Aug 13, 2026 · Last updated Aug 14, 2026 · Updated 1 time
Summary
This trial compares two endoscopic techniques for removing flat, non-cancerous colorectal polyps that are 10-20 mm in size. One method uses a cold snare (no heat), while the other uses a hot snare with electrocautery. The goal is to see if the cold approach is just as effective at completely removing the polyps and whether it offers safety benefits. Adults aged 18-75 with such polyps may participate.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Cold snare endoscopic mucosal resection (CS-EMR) versus hot snare endoscopic mucosal resection (HS-EMR)
- What this could lead to
- If cold snare removal works as well as the hot method, it could offer a safer, simpler way to remove certain colorectal polyps, potentially reducing procedure-related risks.
- What could go wrong
- This is a non-inferiority trial, so it aims to show cold snare is not worse than hot snare, but it may not be better. There are risks like bleeding or incomplete removal, and results may not apply to all polyp types.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 968 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Feb 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Subjects aged 18-75 years, irrespective of gender; 2. Flat sessile colorectal polyps confirmed by colonoscopy, classified as Paris classification 0-Is or 0-IIa, with a measured diameter ranging from 10 to 20 mm; 3. Subjects voluntarily agree to receive endoscopic treatment and sign written informed consent. Exclusion Criteria: 1. Colonoscopic findings suggestive of submucosal invasion or malignant transformation of colorectal polyps; 2. Previous history of colorectal surgery; 3. Previous history of inflammatory bowel disease, familial adenomatous polyposis, or colorectal cancer; 4. Failure to discontinue anticoagulant and antiplatelet medications for a minimum of 1 week prior to the procedure; 5. Known coagulation disorders or bleeding diathesis; 6. Pregnant or breastfeeding women; 7. Patients complicated with malignant tumors, severe cardiovascular and cerebrovascular diseases, liver cirrhosis, chronic kidney disease, or other severe comorbidities that preclude tolerance to endoscopic resection.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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