PARADIGM - En Bloc Trial With the EndoQuest Endoluminal Surgical (ELS) System
Part of paid clinical trials in Scottsdale, Arizona.
- Sponsor
- EndoQuest Robotics, Inc.
- Study ID
- NCT06133387
- Status
- Recruiting
Conditions
- Colorectal Adenoma
- Colorectal Lesion
- Colorectal Polyp
- Rectal Adenoma
- Rectal Lesion
- Rectal Polyp
- Sigmoid Colon Polyp
- Sigmoid; Lesion
Eligibility Criteria
- Sex
- ALL
- Age
- 22 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Endoscopic submucosal dissection using the ELS System — DEVICEAll subjects will undergo endoscopic submucosal dissection, with or without closure at the discretion of the Investigator, of benign lesions in the rectum and sigmoid colon.
Study Details
The objective of this study is to evaluate the safety and effectiveness of the Endoluminal Surgical (ELS) System in subjects undergoing specified transanal endoluminal procedures in the rectum and sigmoid colon. Subjects will undergo endoscopic submucosal dissection (ESD), with or without closure at the discretion of the Investigator, of benign lesions in the rectum and sigmoid colon. The safety and effectiveness outcomes will be assessed intraoperatively and postoperatively at discharge and Days 7 and 30.
Key Dates
- Start date
- May 13, 2025
- Status verified
- Apr 2026
- Primary completion
- May 31, 2026
- Completion
- Jun 30, 2026
Study Design
- Enrollment
- 56 participants (estimated)
- Allocation
- NON_RANDOMIZED
- Intervention model
- SINGLE_GROUP
- Primary purpose
- TREATMENT
Arms
- Experimental: Arm 1* Subjects with benign final pathology and R0 resection is achieved; or, * Subjects with benign (but not pre-cancerous) final pathology without R0 resection. Subjects in Arm 1 will complete the study after Day 30.
- Experimental: Arm 2* Subjects with final pathology that is upstaged to cancer; or, * Subjects with benign (and pre-cancerous) final pathology without R0 resection. Subjects in Arm 2 will undergo 5-year follow-up to assess long-term oncological outcomes including local recurrence, disease-free survival and overall survival.
Primary Outcome Measure
En Bloc Resection Rate [ Time Frame: On Day 0 (day of procedure) ]
Locations (6)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Mayo Clinic | Scottsdale | Arizona | 85259 | Norio Fukami, MD (PRINCIPAL_INVESTIGATOR) |
| AdventHealth | Orlando | Florida | 32803 | Matthew Albert, MD (PRINCIPAL_INVESTIGATOR) |
| Brigham and Women's Hospital | Boston | Massachusetts | 02115 | - |
| Cleveland Clinic | Cleveland | Ohio | 44195 | Joshua Sommovilla, MD (PRINCIPAL_INVESTIGATOR) |
| Baylor College of Medicine | Houston | Texas | 77030 | Mohamed Othman, MD (PRINCIPAL_INVESTIGATOR) |
| HCA Healthcare | Houston | Texas | 77004 | Eric Haas, MD (PRINCIPAL_INVESTIGATOR) |
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