Comparing electrosurgical techniques for treating achalasia
Official title: Electrosurgical Modes for Endoscopic Submucosal Dissection in Peroral Endoscopic Esophageal Myotomy: a Randomized Controlled Trial
Run by Cairo University · NCT06189859 · Data updated 2026-11-12
This study is testing two different electrosurgical techniques during a procedure for achalasia to see which one works better and causes less tissue damage.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 52 (estimated) |
| Sponsor | Cairo University Academic / other |
| Locations | 1 site (Cairo) |
| Status | Recruiting |
| Started | March 16, 2024 |
| Main results expected | July 2025 |
| Study ends | August 2025 |
| Registry record updated | May 13, 2025 |
| Trial ID | NCT06189859 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients diagnosed with esophageal motility disorders who are scheduled for a POEM procedure.
✕Probably not a fit
Patients with esophageal varices, neoplasms, or non-correctable coagulopathy may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial evaluates the effectiveness and safety of two electrosurgical modes, Spray Coagulation and Precisect mode, during the Peroral Endoscopic Esophageal Myotomy (POEM) procedure for patients with achalasia. The study aims to determine which mode provides better outcomes in terms of tissue damage and coagulation efficiency. Participants will undergo high-resolution manometry and gastroscopy to confirm their esophageal motility disorder before being assigned to one of the two intervention groups.
Why it matters
Potential benefit: If successful, this study could lead to improved safety and efficacy in the treatment of achalasia, enhancing patient outcomes.
How similar studies have gone: While there have been studies on electrosurgical techniques, this specific comparison of Spray Coagulation and Precisect mode in POEM is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients undergoing POEM procedure for any esophageal motility disorder * Esophageal motility disorder confirmed by high-resolution manometry and gastroscopy Exclusion Criteria: * Esophageal varices * Esophageal neoplasms * Non-correctable coagulopathy * Failure to provide an informed consent
Where it's running
-
Cairo University
Cairo, Egypt Recruiting
Study contacts
- Principal investigator: hany shehab — Cairo University
- Study coordinator: hany Shehab, MD, FRCP
- Email: h.shehab@kasralainy.edu.eg
- Phone: +201111111071
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Full-thickness vs progressive myotomy in POEM for achalasia
This trial tests whether a full-thickness myotomy during POEM works better than a partial, progressive approach for people with achalasia, to see which method better relieves symptoms with fewer side effects.
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Impact of Patient Position on EndoFLIP Measurements in Kids and Young Adults
This study tests whether EndoFLIP measurements differ when patients are in the supine versus left-side position during the procedure.
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A registry for adults with esophageal movement and reflux problems.
This project will collect esophageal function tests (manometry, pH-impedance, FLIP) and clinical data from adults with reflux or swallowing symptoms to see if combining these results helps guide diagnosis and long-term care.
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Speedboat UltraSlim™ for POEM in adults with achalasia and other esophageal motility disorders.
This registry will see if using the Speedboat UltraSlim™ device for POEM is safe and effective for adults with achalasia or other esophageal motility disorders.
-
Using the SpydrBlade Flex device during POEM for achalasia and EGJ outflow obstruction
This will test whether using the SpydrBlade Flex device during POEM is safe and effective for adults with achalasia or EGJ outflow obstruction.
-
Indocyanine green fluorescence during laparoscopic Heller–Dor for achalasia
This study will try using indocyanine green dye during laparoscopic Heller‑Dor in adults with type I or II achalasia to find mucosal leaks during surgery and help guide repairs.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.