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Trial registered on ANZCTR
Registration number
ACTRN12611000049976
Ethics application status
Not yet submitted
Date submitted
19/11/2010
Date registered
14/01/2011
Date last updated
14/01/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
A Prospective Randomized Trial Comparing endoscopic LDRf and conventional Type(Japanese taxonomy) for endoscopic therapeutic esophagus variceal.
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Scientific title
A Prospective Randomized Trial Comparing Survival between endoscopic LDRf and Conventional Type(Japanese taxonomy) for endoscopic therapeutic esophagus variceal.
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Secondary ID [1]
253167
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none
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
esophagus variceal
258686
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Condition category
Condition code
Oral and Gastrointestinal
258844
258844
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
All patients in the intervention group recieve the endoscopy LDRf type (intervention group)and Japanese type (control group by conventional endoscopy varicosis type)simultaneously to observe patients live rate after EVL therapy.
EVL was performed by a Wilson-Cook 6 rubber bands from the gastroesophageal junction,the first band was released on the varix about 2 cm beyond the bleeding point, then then the second band was released exactly on the bleeding point and the third band was released 2 cm above the bleeding point. EVL takes 0.5-1 hour each session, once every 2 weeks until esophageal varicosis has disappeared.
The LDRf type is considered to be an advanced endoscopic methods for GI variceal. LDRf type characterize it: L:Location;D:Diameter;Rf :Risk factor;The therapeutic method are decided by Location and Diameter; The therapeutic occasion is decided by Risk factor.Japanese type is a conventional type.
Because LDRf type can decrease the risk after esophagus variceals therapy (e.g. rebleeding,mortality,degree of varices; etc).
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Intervention code [1]
257861
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Treatment: Other
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Comparator / control treatment
Endoscopic variceal ligation (EVL) was performed in control treatment,;EVL (six-band ligator from W ilson-cook) is once every 2 weeks until esophageal varicosis has disappeared.
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Control group
Active
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Outcomes
Primary outcome [1]
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Complication rate. This outcome will be assessed through monitoring by health care professionals .
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Assessment method [1]
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Timepoint [1]
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at 1month,3moth,6month and 1 year after treatment
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Primary outcome [2]
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Survival rate :1,2 years after treatment. This outcom will be assessed by health care professionals through telephones or by letters.
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Assessment method [2]
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Timepoint [2]
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participants will be followed up once each year for one and half years after EVL,EVS ,EVL+EVS therapy by two kind of endoscopic type method(LDRf type and conventional type).
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Primary outcome [3]
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esophagus variceal remote recur by gastroscopy examination.
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Assessment method [3]
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Timepoint [3]
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at 1 year after treatment
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Secondary outcome [1]
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esophagus variceal diferent rates of eradication assessed through monitoring by health care professionals .
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Assessment method [1]
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Timepoint [1]
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at 7 days ,1month,3moth,6month and 1 year after treatment
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Secondary outcome [2]
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The diferent rates of rebleeding of EV (esophagus variceal)assessed by health care professionals .
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Assessment method [2]
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Timepoint [2]
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at 72 hours,1month,3moth,6month and 1 year after treatment
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Secondary outcome [3]
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average length of stay assessed by hospital records.
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Assessment method [3]
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Timepoint [3]
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at discharge (post-initial intervention).
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Eligibility
Key inclusion criteria
esophagus variceal diagnosed by two kind of endoscopic type method (LDRf type and conventional type)simultaneity .
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1.remote recurrence by gastroscopy examination.
2. after treatment of EVL for EV repeated gastroscopy examination in the same patients.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Each patient enrolled in the study will be given a serial number and will be randomized in blocks to one of the two groups: LDRf type and conventional type. Allocation is not concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomization table created by a computer software
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/12/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
3058
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China
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State/province [1]
3058
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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China
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Primary sponsor type
Individual
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Name
Linghu Enqiang
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Address
28 Fuxing Road,Beijing,100853,China. digestive endoscopic centre gastroenterologic and hepatologic dept. Chinese People's Liberation Army(PLA) general hospital
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Country
China
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Secondary sponsor category [1]
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None
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Name [1]
257287
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Address [1]
257287
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Country [1]
257287
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Institute Ethics Committee,Chinese People's Liberation Army (PLA) general hospital
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Ethics committee address [1]
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28 Fuxing Road,Beijing,100853,China. Ethics Committee,Chinese PLA general hospital.
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Ethics committee country [1]
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China
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Date submitted for ethics approval [1]
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01/11/2010
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Approval date [1]
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01/11/2010
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Ethics approval number [1]
260093
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Summary
Brief summary
Many articles have showed that LDRf is a safe and effective alternative type for endoscopic esophagus variceal. But there is still no one,which is prospectively randomized and controlled , to compare LDRf type and conventional type for EV.So our purpose is to compare LDRf type and conventional type for EV in a prospectively randomized and controlled way.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Linghu Enqiang
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Address
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28 Fuxing Road,Beijing,100853,China.
digestive endoscopic centre
gastroenterologic and hepatologic dept.
Chinese PLA general hospital
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Country
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China
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Phone
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+86 10 6818 2255
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Fax
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+86 10 6815 4653
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Email
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[email protected]
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Contact person for scientific queries
Name
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Linghu Enqiang
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Address
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28 Fuxing Road,Beijing,100853,China.
digestive endoscopic centre
gastroenterologic and hepatologic dept.
Chinese PLA general hospital
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Country
6111
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China
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Phone
6111
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+86 10 6818 2255
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Fax
6111
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+86 10 6815 4653
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Email
6111
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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