Randomized Trial of Cold EMR Compared to Hybrid Cold EMR.
NCT06937671 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 194
Last updated 2025-11-20
Summary
The goal of this randomized clinical trial is to learn if a combination of hot and cold EMR technique is associated with a lower risk of polyp recurrence without increasing the risk of complication when removing large polyps.
Participants will undergo EMR and return for a follow-up endoscopy in 3-6 months to check for polyp recurrence.
Conditions
- Polyp of Colon
- Endoscopic Mucosal Resection
Interventions
- PROCEDURE
-
Cold EMR
Cold EMR with cold forceps (regular or jumbo forceps) removal of any visible neoplasia that cannot be ensnared.
- PROCEDURE
-
Hybrid EMR
Cold EMR with hot avulsion of any visible residual neoplasia within the resection bed, in addition to precise APC of the fibrotic bands that may harbor invisible neoplasia within the resection bed.
Sponsors & Collaborators
-
The Cleveland Clinic
lead OTHER
Principal Investigators
-
Tilak Shah, M.D. · Cleveland Clinic Florida (Weston Hospital)
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-05-01
- Primary Completion
- 2026-12-31
- Completion
- 2026-12-31
Countries
- United States
Study Locations
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