Clinical trial Recruiting at 1 site Interventional Ages 18 to 65

Underwater Endoscopic Mucosal Resection for small Type I gastric neuroendocrine tumors

Official title: Safety and Efficacy of Underwater Endoscopic Mucosal Resection for Type I Gastric Neuroendocrine Tumors Measuring 5-9 mm: A Prospective Single-Centre Cohort Study

Run by Asian Institute of Gastroenterology, India · NCT07728292 · Data updated 2026-11-12

A medical team will test whether using water-filled endoscopy to remove 5–9 mm Type I gastric NETs is safe and can clear the tumor.

Quick facts

Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment60 (estimated)
SponsorAsian Institute of Gastroenterology, India
Academic / other
Locations1 site (Hyderabad, Telangana)
StatusRecruiting
StartedJuly 17, 2026
Main results expectedNovember 10, 2026
Study endsDecember 30, 2026
Registry record updatedJuly 27, 2026
Trial IDNCT07728292 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18+) with endoscopically visible 5–9 mm Type I gastric NETs amenable to snare resection, without deep invasion.

Probably not a fit

Patients with larger lesions, non-lifting or deeply invasive tumors, or contraindications to endoscopy may not benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This prospective, single-center study evaluates underwater endoscopic mucosal resection (UEMR) for small, type I gastric neuroendocrine tumors. The primary outcome is the rate of complete histologic removal with clear margins (R0). Secondary outcomes include en bloc resection rate, immediate and delayed adverse events, procedure time, margin quality, and detection of residual or metachronous disease during follow-up. The study analyzes results at the lesion level while accounting for potential clustering of multiple lesions within the same patient.

Why it matters

Potential benefit: If successful, this approach could provide a minimally invasive option with reliable complete removal for small gastric NETs.

How similar studies have gone: Previous work on UEMR in gastric lesions has shown promise, but data for small Type I gastric NETs remain limited and this study addresses that gap.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Patient-level

* Age ≥18 years
* Fit for endoscopic therapy and sedation
* Written informed consent

Exclusion Criteria:

Lesion-level

* Endoscopically visible gastric neuroendocrine tumor
* Size 5-9 mm (endoscopic estimation)
* Clinical and/or histologic features consistent with type I gastric NET
* No endoscopic features suggestive of deep invasion
* Technically amenable to snare resection

Where it's running

  • Asian Institute of Gastroenterology/AIG Hospitals
    Hyderabad, Telangana, India
    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.