New cutting tool may outperform heat therapy for Barrett's esophagus
NCT ID NCT04867590
First seen Jun 30, 2026 · Last updated Jul 01, 2026 · Updated 1 time
Summary
This study tests a new device called EndoRotor, which mechanically removes the damaged lining of the esophagus, against the standard heat-based radiofrequency treatment for people with Barrett's esophagus who have precancerous cells (dysplasia). The goal is to see if the new method can completely eliminate the abnormal tissue in a single session, while also allowing for tissue analysis. About 140 adults with Barrett's esophagus measuring 2 to 6 cm will take part, and the main check happens 3 months after treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- EndoRotor device (mechanical mucosal resection system)
- What this could lead to
- If successful, EndoRotor could offer a more effective, one-session treatment for Barrett's esophagus, potentially reducing the risk of hidden precancerous glands and lowering costs.
- What could go wrong
- This is a relatively early comparison study with 140 participants. The new technique may not prove superior, and carries risks like perforation or bleeding. Long-term outcomes are not yet known.
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 140 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2022
- Expected to finish
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Jul 2031
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a government body.
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 years and older
- 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: * Adult patients presenting Barrett's esophagus of a size between 2 cm and 6 cm in the height of the longest tonguea with low to high grade dysplasia that is histologically proven or with a superficial non-invasive adenocarcinoma that has been resected a The total height of the BE is evaluated according to the Prague classification, with the height of the circumferential segment between 0 cm (non-circumferential segment) and 6 cm (segment shaped like a full sleeve for 6 cm), referred to as C0 to C6, and the height of the longest tongue between 2 cm and 6 cm (M2- M6). * Patients must have signed the consent form in order to participate in the study * Patients are pre-included (signature of consent) before the histological confirmation of dysplasiab and/or superficial non-invasive adenocarcinoma that allows the patient to be included in the study. Exclusion Criteria: * Individuals over 85 years old * Women who are pregnant, breastfeeding or in labour * Individuals in detention through judicial or administrative decision * Individuals who are the subject of psychiatric treatment under duress * Individuals who are subjects of legal protection measures * Individuals who are in no state to give their consent * Individuals who do not understand French or do not know how to read * Individuals who are not part of a social security program or benefit from such a scheme * Those with active peptic and/or radiation-induced or complicated esophagitis at the time of treatment * Presence of a visible lesion that is suspected to be esophageal cancer confirmed by biopsies * Anterior resection of invasive adenocarcinoma using endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD) with invasion of the lateral and/or deep margin, adenocarcinoma of poorly differentiated characteristics or sub-mucosal invasion \> 500µm (pT1b) * All preliminary ablation treatments or dilation for esophageal stenosis * Significant esophageal stenosis: cannot be passed with a standard gastroscope * Presence of esophageal varices or portal hypertension * Anticoagulant treatment that cannot be stopped before the intervention (excluding 100 mg maximum per day of aspirin in single-drug treatment) or any haemostasis problems that cannot be corrected * Having a contraindication regarding anaesthesia * Patients incapable of taking proton pump inhibitors (PPIs) orally.
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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 places running it
15 sites. The list below names each one and where it is.
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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.
Contacts and locations
Locations
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Cochin Hospital
ACTIVE_NOT_RECRUITINGParis, France
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Edouard Herriot Hospital
RECRUITINGLyon, France
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Georges Pompidou European Hospital
WITHDRAWNParis, France
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UNiversity Hospital of Toulouse
RECRUITINGToulouse, France
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University Hospital of Besançon
RECRUITINGBesançon, France
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University Hospital of Bordeaux
RECRUITINGPessac, France
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University Hospital of Brest
NOT_YET_RECRUITINGBrest, France
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University Hospital of Dijon
RECRUITINGDijon, France
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University Hospital of Lille
RECRUITINGLille, France
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University Hospital of Limoges
RECRUITINGLimoges, France
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University Hospital of Montpellier
RECRUITINGMontpellier, France
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University Hospital of Nancy
RECRUITINGNancy, France
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University Hospital of Nantes
RECRUITINGNantes, France
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University Hospital of Nice
NOT_YET_RECRUITINGNice, France
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University Hospital of Poitiers
NOT_YET_RECRUITINGPoitiers, France
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University Hospital of Rennes
NOT_YET_RECRUITINGRennes, France
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University Hospital of Tours
RECRUITINGChambray-lès-Tours, France
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