Affiliated Hospital to Academy of Military Medical Sciences
Phase
Not applicable
Started
2026-04-24
Last updated
2026-05-22
Condition(s) studied
GIST - Gastrointestinal Stromal Tumor
Investigational drug(s) / intervention(s)
A Novel Two-Tooth Endoscopic ClipClip
A Novel Two-Tooth Endoscopic Clip: "Clip with line" traction method with the novel two-tooth clip will be applied in patients undergoing ESD or EFTR. After lesion retrieval, defects requiring closure will be managed using the same novel two-tooth clips.
Clip: Standard ESD or EFTR without the use of dedicated traction devices will be performed, then using the standard clips for closure.
Study summary
This study is designed to evaluate the efficacy and safety of a novel two-tooth endoscopic clip, utilized in a "clip with line" traction configuration, during endoscopic resection procedures (ESD and EFTR) of GIST. The novel clip's dual-tooth design is intended to provide a more secure anchor on the lesion, enabling effective counter-traction when combined with a line. The primary aim is to determine if this method improves submucosal dissection efficiency compared to conventional ESD. A secondary aim is to evaluate the performance of the same clip system for full-thickness or mucosal defect closure.
Eligibility
Sex
ALL
Min age
18 Years
Max age
85 Years
Healthy volunteers
No
Inclusion Criteria:
* Age ≥ 18 and ≤ 85 years.
* Patients diagnosed with gastric gastrointestinal lesions clinically indicated for ESD or EFTR.
* Lesion size between 2 cm and 5 cm in diameter.
* Willing and able to provide written informed consent.
Exclusion Criteria:
* Lesions with clear evidence of deep submucosal invasion or distant metastasis precluding curative endoscopic resection.
* Severe coagulation dysfunction (international normalized ratio \>2.0, platelet count \<50,000/µL) or ongoing use of dual antiplatelet therapy/anticoagulants that cannot be appropriately bridged or discontinued per guidelines.
* Severe organ failure (cardiac, renal, hepatic, or respiratory) rendering the patient unsuitable for prolonged sedation or general anesthesia.
* Pregnancy or lactation.
* Prior surgical or endoscopic intervention at the target lesion site that results in significant fibrosis.
Primary outcome measure(s)
Submucosal Dissection Efficiency — 24 hours The rate of submucosal dissection (measured in mm²/min), calculated from the start of submucosal entry to the completion of lesion removal.
Trial sites (1)
Facility
City
Region
Status
The Fifth Medical Center of Chinese PLA General Hospital
Beijing
China
Recruiting
More Affiliated Hospital to Academy of Military Medical Sciences trials in China
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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