Using the SpydrBlade Flex device during POEM for achalasia and EGJ outflow obstruction
Official title: Safety and Efficacy of the Novel SpydrBlade Flex With Radiofrequency and Microwave Ablation Flexible Bipolar for Per-Oral Endoscopic Myotomy in Patients With Achalasia: A Multicenter Prospective Study
Run by Chinese University of Hong Kong · NCT07406945 · Data updated 2026-11-12
This will test whether using the SpydrBlade Flex device during POEM is safe and effective for adults with achalasia or EGJ outflow obstruction.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 73 (estimated) |
| Sponsor | Chinese University of Hong Kong Academic / other |
| Locations | 2 sites (Guayaquil and 1 other locations) |
| Status | Recruiting |
| Started | November 1, 2024 |
| Main results expected | October 1, 2026 |
| Study ends | April 1, 2027 |
| Registry record updated | February 12, 2026 |
| Trial ID | NCT07406945 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 or older referred for POEM for achalasia, failed prior myotomy, prior dilation, or EGJ outflow obstruction who can consent and tolerate general anesthesia are ideal candidates.
✕Probably not a fit
Patients with contraindications to EGD, an Eckardt score under 3 before POEM, a positive diagnosis of Chagas disease, or inability to undergo general anesthesia would not be expected to benefit or are excluded.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults referred for per-oral endoscopic myotomy (POEM) will undergo the procedure using the SpydrBlade Flex bipolar device and be followed for clinical and safety outcomes. Symptom severity will be tracked with the Eckardt Symptom Score and procedural success monitored with imaging and endoscopic findings such as timed barium esophagram and EGD. Adverse events and intraoperative metrics will be recorded to characterize safety. Exclusion criteria include contraindications to EGD, Eckardt score under 3, positive Chagas disease, or inability to tolerate general anesthesia.
Why it matters
Potential benefit: If successful, the SpydrBlade Flex could make POEM procedures safer and improve symptom relief for patients with achalasia or EGJ outflow obstruction.
How similar studies have gone: Bipolar electrosurgical tools have been used in endoscopic myotomy with some promising reports, but the SpydrBlade Flex is a relatively new device and direct device-specific evidence is limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with 18 years of age or older. * Patients referred to the participating center with a clinical indication for POEM. This includes conditions such as: achalasia, native or failed Heller myotomy, balloon dilation, and EGJ outflow obstruction. * Patients who provide informed consent. Exclusion Criteria: * Patients who have contraindications for EGD. * Patients with an Eckardt score \< 3 before POEM. * Positive diagnosis of Chagas disease. * Patients unable to withstand general anesthesia.
Where it's running
-
academy tertiary, IECED
Guayaquil, Ecuador Recruiting -
Department of Surgery, Faculty of Medicine, the Chinese University of Hong Kong
Hong Kong, Hong Kong Recruiting
Study contacts
- Study coordinator: Hon Chi Yip
- Email: hcyip@surgery.cuhk.edu.hk
- Phone: +852 3505 2956
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
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.
-
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.
-
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.
-
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.
-
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.
-
Comparing electrosurgical techniques for treating achalasia
This study is testing two different electrosurgical techniques during a procedure for achalasia to see which one works better and causes less tissue damage.
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.