Clinical trial Recruiting at 2 sites Interventional Ages 18 and up

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.

More Achalasia trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment73 (estimated)
SponsorChinese University of Hong Kong
Academic / other
Locations2 sites (Guayaquil and 1 other locations)
StatusRecruiting
StartedNovember 1, 2024
Main results expectedOctober 1, 2026
Study endsApril 1, 2027
Registry record updatedFebruary 12, 2026
Trial IDNCT07406945 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

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.