New endoscopic method aims to make rectal polyp removal faster and cheaper
NCT ID NCT07236827
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new endoscopic technique called ESISD for removing large, flat precancerous growths in the rectum. It compares ESISD to the standard procedure (ESD) in 60 patients to see if it is faster, safer, and more cost-effective. The goal is to improve treatment for patients with these rectal polyps.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Endoscopic Synchronous Injection and Submucosal Dissection (ESISD) procedure
- What this could lead to
- If successful, ESISD could offer a faster, safer, and cheaper way to remove large rectal polyps, reducing procedure time and costs.
- What could go wrong
- This is a small, early-stage study with only 60 participants, so results may not apply to everyone. The new technique may not be safer or more effective than the standard approach.
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
-
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
-
About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
-
Dec 2025
An estimate. Start dates often move.
- Expected to finish
-
Dec 2026
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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. Age ≥ 18 years. 2. Endoscopic diagnosis of a large (≥ 20 mm) granular mixed nodular laterally spreading tumor (LST-G-M) located in the rectum. 3. Lesion situated 0-15 cm from the anal verge. 4. Pre-procedure imaging (e.g., EUS) and endoscopic assessment suggest a very low to low risk of lymph node metastasis (i.e., lesions confined to the mucosa or with superficial submucosal invasion \< 1000 μm). 5. Deemed suitable for Endoscopic Submucosal Dissection (ESD) based on a comprehensive clinical evaluation by the endoscopist. 6. Provision of signed and dated informed consent form. Exclusion Criteria: 1. Coagulopathy that cannot be adequately corrected, including an international normalized ratio (INR) \> 1.5 or a platelet count \< 50,000/μL. 2. Evidence of deep submucosal invasion (≥ 1000 μm) or obvious non-lifting sign, suggesting a need for surgical intervention. 3. Pregnancy or lactation. 4. Inability to tolerate deep sedation or general anesthesia. 5. History of colorectal surgery (except for simple appendectomy or polypectomy). 6. Presence of a synchronous colorectal cancer that requires priority treatment. 7. Recurrent lesions at the same site. 8. Any condition that, in the investigator's opinion, could increase the patient's risk or interfere with the study assessments.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Endoscopic resection are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- A bag that holds the small intestine could change colon surgery
- Which stoma is safer? new trial aims to settle the debate
- 8,000-Patient study aims to sharpen cancer radiation with Real-Time MRI
- Water-Jet knife speeds up stomach cancer surgery
- Water-Jet knife speeds up stomach cancer removal in new study
- New bypass device could spare rectal cancer patients from stoma surgery