Anti-Migration System for Anti-reflux Oeso-gastric Stent (ANTIMIG)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-91
SponsorSociété Française d'Endoscopie Digestive

About this trial

The aim of this prospective, controlled, randomized, multicentre, single-blind study is to compare the rate of intragastric migration of 2 types of esophageal stents with and without an anti-migration device placed for locally advanced or metastatic malignant stenosis of the gastroesophageal junction.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patient of both sexes aged 18 or over.

Patient admitted to one of the investigation centers for dysphagia due to tumoral stenosis of the gastroesophageal junction, locally advanced or metastatic.

Patient ASA 1, ASA 2, ASA 3

Absence of participation in another clinical study

Disqualifiers

Patient referred for stenosis by extrinsic compression by an extra digestive mass

Patients with contraindications relating to the procedures essential for the introduction of a stent

Mediastinal radiotherapy or esophageal surgery history

Patient under 18 or over 90

Trial design

Design model

Parallel

Treatments tested in this trial

  • Gastroesophageal stent placement

    Device

    A gastroesophageal stent is placed during a digestive endoscopy performed under general anesthesia, under endoscopic and fluoroscopic control

Treatment groups

180 Participants
are divided into 2 treatment groups
Group A: STENT WITH ANTI-MIGRATION DEVICEActive comparator 1 intervention
Group B: STENT WITHOUT ANTI-MIGRATION DEVICEActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Stent Intragastric migration rate at M1

Stent Intragastric migration rate at M1 confirmed on radiography or CT

Time frame
1 month

Secondary outcomes

1

Stent Intragastric migration rate at M3

Stent Intragastric migration rate at M3 confirmed on radiography or CT

Time frame
3 months
2

Stent Intragastric migration rate at M6

Stent Intragastric migration rate at M6 confirmed on radiography or CT

Time frame
6 months
3

Dysphagia recurrence at M1

Dysphagia evaluation in 5 stages (Atkinson score) at M1 0 - no dysphagia 1. \- Clinging to the swallowing of solids 2. \- Semi-liquid feeding possible 3. \- Liquid feeding possible 4. \- Aphagia (need for parenteral nutrition)

Time frame
1 month
4

Dysphagia recurrence at M3

Dysphagia evaluation in 5 stages (Atkinson score) at M3 0 - no dysphagia 1. \- Clinging to the swallowing of solids 2. \- Semi-liquid feeding possible 3. \- Liquid feeding possible 4. \- Aphagia (need for parenteral nutrition)

Time frame
3 months

Other outcomes

Sponsors and contacts

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