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 type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 342 (estimated) |
| Sponsor | AdventHealth Academic / other |
| Locations | 1 site (Orlando, Florida) |
| Status | Recruiting |
| Started | December 8, 2023 |
| Main results expected | May 30, 2026 |
| Study ends | January 8, 2027 |
| Registry record updated | January 5, 2026 |
| Trial ID | NCT06476145 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
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AdventHealth
Orlando, Florida, United States Recruiting
Study contacts
- Principal investigator: Dennis Yang, MD — AdventHealth
- Study coordinator: Diana Paredes, RN
- Email: Diana.Paredes@adventhealth.com
- Phone: 407-303-5503
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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.