Cold Snare Versus Cold Forceps Polypectomy for Small Lesions
NCT06970808 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 312
Last updated 2025-05-14
Summary
The goal of this clinical trial is to compare the efficacy and the safety of a new device for cold forceps polypectomy (CFP)- a special jumbo forceps- to cold snare polypectomy (CSP) for small colorectal lesions, without adding peri- or post-procedural risks to the patient.
The main questions it aims to answer are:
* Does the cold forceps guarantee a complete endoscopic resection rate?
* How many adverse events could the jumbo forceps reduce in comparison to CSP?
* Does the lesion retrieval rate increase?
* Does the polypectomy duration decrease? Participants will be randomized to one or to the other group when a polypoid or non-polypoid lesion is identified. If multiple polyps are found in the same patient, they will be removed using the same polypectomy technique.
If polypectomy cannot be performed using the indicated technique, a crossover will be done according to the best practice of care principles.
Conditions
- Colorectal Adenoma
- Colorectal Lesions
Interventions
- DEVICE
-
Sampling from the resection margins
After polypectomy, the base will be irrigated and assessed by the endoscopist, who may also use virtual or vital chromoendoscopy, if needed. Any residual adenomatous tissue will be removed using the same technique. To confirm the completeness of each polypectomy, two biopsies will be taken from the resection margins for polyps ≤ 5 mm, and three biopsies for polyps 6-9 mm, using standard biopsy forces.
Sponsors & Collaborators
-
Azienda USL Modena
lead OTHER
Principal Investigators
-
Mauro Manno · AUSL Modena
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2025-12-31
- Primary Completion
- 2027-10-31
- Completion
- 2027-12-31
Countries
- Italy
Study Locations
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