Clinical trial Recruiting at 1 site Observational Ages 18 and up

Evaluating adenoma recurrence after specific endoscopic procedures

Official title: Prospective Randomized Controlled Trial Evaluating Adenoma Recurrence After Endoscopic Mucosal Resection With Margin Marking or Post Treatment With Snare Tip Soft Coagulation

Run by AdventHealth · NCT06476145 · Data updated 2026-11-12

This study is testing which of two different techniques for removing large colon polyps helps prevent the return of adenomas in adults who are having a colonoscopy.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment342 (estimated)
SponsorAdventHealth
Academic / other
Locations1 site (Orlando, Florida)
StatusRecruiting
StartedDecember 8, 2023
Main results expectedMay 30, 2026
Study endsJanuary 8, 2027
Registry record updatedJanuary 5, 2026
Trial IDNCT06476145 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with non-pedunculated colon polyps that are 20 mm or larger.

Probably not a fit

Patients with pedunculated polyps, inflammatory bowel disease, or those unable to provide informed consent will 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 observational study aims to compare the recurrence rates of adenomas in non-pedunculated colonic lesions following two different endoscopic mucosal resection techniques: one with margin marking and the other with thermal margin ablation. Patients aged 18 and older, who are scheduled for colonoscopy to evaluate and remove colon polyps of 20 mm or larger, will be included. The study will assess the effectiveness of these techniques in preventing adenoma recurrence, providing valuable insights into optimal treatment approaches.

Why it matters

Potential benefit: If successful, this study could lead to improved strategies for preventing adenoma recurrence in patients undergoing colon polyp removal.

How similar studies have gone: While this study explores a comparative approach, similar studies have shown promise in evaluating endoscopic techniques for adenoma management.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Age 18 years or older
2. Ability to provide informed consent
3. Patient scheduled to undergo colonoscopy for the evaluation and removal of colon polyps
4. Non-pedunculated polyps ≥ 20 mm size

Exclusion Criteria:

1. Pedunculated polyps
2. Inflammatory bowel disease
3. Inability to provide informed consent
4. Lesions \< 20 mm in size (largest dimension)
5. Lesion involves the lips of the ileocecal valve, is located at the appendiceal orifice and/or is fully circumferential.
6. Any standard contraindication, including pregnancy, to anesthesia and/or colonoscopy

Where it's running

  • AdventHealth
    Orlando, Florida, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.