Tokyo, June 17 -- UMIN Clinical Trials Registry (UMIN-CTR) received information related to the study (UMIN000061928) titled 'Evaluation of procedural efficiency and bleeding control during colorectal endoscopic submucosal dissection using Flow-Assisted Coagulation (FAC) and HYBRIDknifeflex: a prospective feasibility study' on June 16.

Study Type: Interventional

Study Design: Basic Design - Single arm Randomization - Non-randomized Blinding - Open -no one is blinded Control - Uncontrolled

Primary Sponsor: Institute - Suzuka General Hospital

Condition: Condition - Colorectal adenoma, early colorectal cancer, or lesions suspected of early colorectal cancer indicated for endoscopic submucosal dissection (ESD) Classification by malignancy - Malignancy Genomic information - NO

Objective: Narrative objectives1 - This study prospectively evaluates the procedural efficiency, hemostatic efficacy, and safety of submucosal dissection (ESD) using Flow-Assisted Coagulation (FAC) and the HYBRIDknifeflex in a water-immersed setting. Basic objectives2 - Safety

Intervention: Interventions/Control_1 - Colorectal endoscopic submucosal dissection performed using Flow-Assisted Coagulation (FAC) and HYBRIDknifeflex under a gas-free immersion system

Eligibility: Age-lower limit - 20 years-old = Gender - Male and Female Key inclusion criteria - 1. Patients who provide written informed consent. 2. Patients aged 20 to 100 years. 3. Patients with colorectal adenoma, early colorectal cancer, or lesions suspected of early colorectal cancer that are indicated for endoscopic submucosal dissection (ESD). 4. Patients scheduled to undergo inpatient colorectal ESD. Key exclusion criteria - 1. Patients for whom surgical resection is considered more appropriate. 2. Patients with severe coagulation disorders. 3. Pregnant women or women who may be pregnant. 4. Patients with poor general condition that makes endoscopic treatment unsafe. 5. Patients judged unsuitable for study participation by the investigators. Target Size - 30

Recruitment Status: Recruitment status - Open public recruiting Date of protocol fixation - 2026 Year 06 Month 04 Day Date of IRB - 2026 Year 06 Month 04 Day Anticipated trial start date - 2026 Year 06 Month 16 Day Last follow-up date - 2027 Year 10 Month 01 Day

To know more, visit https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000070861

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