Endoscopic Resection of Large Colorectal Polyps: An Observational Cohort Study

  • STATUS
    Recruiting
  • End date
    May 28, 2025
  • participants needed
    1000
  • sponsor
    White River Junction Veterans Affairs Medical Center
Updated on 19 February 2024
cancer
endoscopic resection
colorectal polyps
prevention of colorectal cancer
colorectal cancer

Summary

This protocol describes a prospective cohort study. It addresses an important challenge in the prevention of colorectal cancer: how to safely and effectively remove large polyps.

Description

Over recent years, a number of studies have been published that have highlighted factors associated with improved efficacy and safety of large polyp resection. Almost all of these studies originate from one large Australian cohort. It is unclear, whether the results are generalizable to other populations. It is important to understand if these findings can be duplicated, to further build on the gained knowledge. At the same time the technology of endoscopic resection is evolving.

Established in 2012, the Large Polyp Study group aims to prospectively examine outcomes related to endoscopic large polyp removal. Enrollment of an ongoing randomized trial of 920 patients has just been completed and a second trial is planned. The primary aim of both trials is to understand whether a specific intervention will reduce the risk of adverse events. The added observational study will complement the trials in different ways: It will enroll patients who might not have been eligible for the trials and allow the application of other resection techniques. The observational study will therefore better represent the average patient who undergoes resection of a large polyp. Furthermore, it will add sample size to examine secondary outcomes with greater power.

This is a continuation of NCT01936948 (Safety of Endoscopic Resection of Large Colorectal Polyps: A Randomized Trial) as a observational cohort.

The continuation was approved by the institutional IRB as part of the initial RCT. At this point the investigators document the observational arm as its own study in this registry.

Details
Condition Relapse, COLONIC POLYP, colonoscopy, Complication
Age 18-100 years
Clinical Study IdentifierNCT04220905
SponsorWhite River Junction Veterans Affairs Medical Center
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Any patient 18 who presents for a colonoscopy and who does not have criteria for exclusion
Patients with a 20mm colon polyp

Exclusion Criteria

Patients who are receiving an emergency colonoscopy
Patients with coagulopathy with an elevated INR 1.5, or platelets <50
Poor bowel preparation
Pregnancy
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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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