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Barrett EsophagusENDOBARRETTNCT04867590

A Study Comparing the Effectiveness of EndoRotor Versus Radiofrequency in Treating Barrett's Esophagus

A study testing Endorotor and Radiofrequency in people with Barrett Esophagus and Dysplasia, run by University Hospital, Angers at 17 sites in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Barrett Esophagus is a common pathology, with an estimated prevalence of 1.6% at risk of progression to precancerous mucosa (low to high grade dysplasia). The incidence of adenocarcinoma on BE is 0.5% per year. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Barrett Esophagus, Dysplasia
What is being tested?
Endorotor and Radiofrequency
Could I receive a placebo?
No, everyone receives an active treatment
How many people
140 participants
Where
17 sitesFrance
Study dates
25 Mar 2022to 25 Jul 2031
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult patients presenting Barrett's esophagus of a size between 2 cm and 6 cm in the height of the longest tonguea with low to high grade dysplasia that is histologically proven or with a superficial non-invasive adenocarcinoma that has been resected a The total height of the BE is evaluated according to the Prague classification, with the height of the circumferential segment between 0 cm (non-circumferential segment) and 6 cm (segment shaped like a full sleeve for 6 cm), referred to as C0 to C6, and the height of the longest tongue between 2 cm and 6 cm (M2- M6).
  • Patients must have signed the consent form in order to participate in the study
  • Patients are pre-included (signature of consent) before the histological confirmation of dysplasiab and/or superficial non-invasive adenocarcinoma that allows the patient to be included in the study.

Who cannot join

  • Individuals over 85 years old
  • Women who are pregnant, breastfeeding or in labour
  • Individuals in detention through judicial or administrative decision
  • Individuals who are the subject of psychiatric treatment under duress
  • Individuals who are subjects of legal protection measures
  • Individuals who are in no state to give their consent
Show all 17Show fewer
  • Individuals who do not understand French or do not know how to read
  • Individuals who are not part of a social security program or benefit from such a scheme
  • Those with active peptic and/or radiation-induced or complicated esophagitis at the time of treatment
  • Presence of a visible lesion that is suspected to be esophageal cancer confirmed by biopsies
  • Anterior resection of invasive adenocarcinoma using endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD) with invasion of the lateral and/or deep margin, adenocarcinoma of poorly differentiated characteristics or sub-mucosal invasion > 500µm (pT1b)
  • All preliminary ablation treatments or dilation for esophageal stenosis
  • Significant esophageal stenosis: cannot be passed with a standard gastroscope
  • Presence of esophageal varices or portal hypertension
  • Anticoagulant treatment that cannot be stopped before the intervention (excluding 100 mg maximum per day of aspirin in single-drug treatment) or any haemostasis problems that cannot be corrected
  • Having a contraindication regarding anaesthesia
  • Patients incapable of taking proton pump inhibitors (PPIs) orally.

Trial locations and contacts

17 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Elodie CESBRON-METIVIER, Ph.D. contact

+33241353148

elcesbronmetivier@chu-angers.fr

17 sites in 1 country

France17 sites, 15 recruiting
  • University Hospital of Besançon

    Besançon

    Justin FAURE

    Recruiting
  • University Hospital of Brest

    Brest

    Franck CHOLET, Ph.D.

    Not yet recruiting
  • University Hospital of Tours

    Chambray-lès-Tours

    Driffa MOUSSATA, Ph.D.

    Recruiting
  • University Hospital of Dijon

    Dijon

    Thiabult DEGAND

    Recruiting
  • University Hospital of Lille

    Lille

    Julien BRANCHE, Ph.D.

    Recruiting
  • University Hospital of Limoges

    Limoges

    Jérémie JACQUES, Ph.D.

    Recruiting
  • Edouard Herriot Hospital

    Lyon

    Mathieu PIOCHE, Ph.D.

    Recruiting
  • University Hospital of Montpellier

    Montpellier

    Laurent MONINO

    Recruiting
  • University Hospital of Nancy

    Nancy

    Jean-Baptiste CHEVAUX

    Recruiting
  • University Hospital of Nantes

    Nantes

    Emmanuel CORON, Ph.D.

    Recruiting
  • University Hospital of Nice

    Nice

    Geoffroy VANBIERVLIET, Ph.D.

    Not yet recruiting
  • Cochin Hospital

    Paris

    Active, not recruiting
  • Georges Pompidou European Hospital

    Paris

    Withdrawn
  • University Hospital of Bordeaux

    Pessac

    Arthur BERGER, Ph.D.

    Recruiting
  • University Hospital of Poitiers

    Poitiers

    Thierry BARRIOZ, Ph.D.

    Not yet recruiting
  • University Hospital of Rennes

    Rennes

    Timothée WALLENHORST, Ph.D.

    Not yet recruiting
  • UNiversity Hospital of Toulouse

    Toulouse

    Adrian CULETTO

    Recruiting

Other trials in France

About this study

Official title: A Controlled, Randomised Multicenter Study Comparing the Effectiveness of EndoRotor (New Treatment Technique) Versus Radiofrequency (Reference Technique) in Treating Barrett's Esophagus Complicated by Dysplasia

Barrett Esophagus is a common pathology, with an estimated prevalence of 1.6% at risk of progression to precancerous mucosa (low to high grade dysplasia). The incidence of adenocarcinoma on BE is 0.5% per year. In the event of dysplasia or cancer in situ, it is currently recommended at international and particularly European level to eradicate BE. The treatment techniques used to date carry out thermal destruction of the BE, in particular by radiofrequency. Eradication of dysplasia is achieved in 81% to 100% and disappearance of BE in 73% to 87% of cases. It requires an average of 3 destruction sessions. RF does not allow histological analysis after destruction of BE, but the risk of progression to neoplasia is estimated at 7.8/1000 persons per year. This risk could be due to the presence of glands buried in the esophageal mucosa. Indeed, these glands are not destroyed by thermal ablation methods, and remain invisible during endoscopic controls.

A new treatment technique using the Endorotor® system allows mechanical resection of the entire mucosa in one session of treatment. In addition, the cost of these thermal destruction techniques currently limits their wider diffusion. It is therefore legitimate to propose a less expensive and probably more effective alternative technique.

Being tested
Endorotor, Radiofrequency
Medical subject headings
Barrett Esophagus

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EndorotorDevice

    The treatment itself is preceded by a sub-mucosa saline and adrenalin solution injection administered by an endoscopic sclerotherapy needle lifting the submucosa and thus reducing the risk of perforation and hemorrhage.

    The interventional tool is then applied tangentially to be brought into contact with the lifted mucosa, visual monitored by endoscope. The aspiration and sectioning system is activated by use of a pedal and a generator specially made for the system, used in every procedure. The entire surface area of the targeted mucosa must be covered by the probe. The residual tissue is then removed via the aspiration system and caught by a filter. The specimens are then easily retrievable at the end of the procedure and can be stored in formalin fixing solution for histological analysis.

  • RadiofrequencyDevice

    Endoscopic treatment using the HALO® 360 or 90 system is a thermal method for destroying the superficial mucosa. An initial debridement of the mucosal deposits is carried out by application of acetylcysteine in spray form with a spray catheter on the entire mucosal surface to be treated and then rinsed with water after a minute of application time.

    For circumferential BEs, a single-use 360 Express® probe is used to make it possible to size the diameter of the esophagus and the treatment used. The length of the treatment area is 5 cm and several points of impact can be achieved by overlapping the catheter at two consecutive heights, with the zone spanned measuring one centimeter, in order to cover the entire pathological area requiring treatment.

    For non-circumferential lesions a "palette" applicator is used in a variety of sizes, and in this context no sizing of the esophagus is required.

Study groups in NCT04867590
Study groupRoleWhat they receive
EndoRotorExperimentalThe ENDOROTOR is a new system for the resection of superficial lesions within the digestive tract and composed of a reusable generator, a single-use probe and additional accessories. The device is used in the resection of mucosa in the digestive tract: flat or slightly raised lesions in the digestive mucosa, or treatment of the lateral margins following a resection carried out using another technique. Resected tissue is aspirated away through a rotating catheter: the cutting and removal of tissue as well as the collection of specimens are combined into one act.
Receives: Device: Endorotor
RadiofrequencyActive comparatorEndoscopic treatment using the HALO® 360 or 90 system is a thermal ablation system for superficial mucosa. First and foremost, the examination includes an endoscopy to locate the upper limits of the BE and its distribution, so as to choose the most appropriate type of probe. An initial debridement of the mucosal deposits is carried out by application of acetylcysteine in spray form with a spray catheter on the entire mucosal surface to be treated and then rinsed with water after a minute of application time.
Receives: Device: Radiofrequency

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The rate of full eradication of Barrett esophagus (metaplasia), which is defined by the absence of residual Barrett esophagus in the check-up endocopy after 3 months

    To evaluate, 3 months after the first endoscopic treatment, the effectiveness of Endorotor treatment versus Radiofrequency in the elimination of Barrett esophagus complicated with dysplasia or adenocarcinoma.

    Measured: 3 months after the endoscopic treatment

Secondary outcomes (15)
  1. Effectiveness assessment defined by the absence of dysplasia on all systematic esophageal biopsies confirmed by an anatomical pathological reading on site

    To compare the effectiveness of endoscopic Endorotor treatment versus Radiofrequency esophageal treatment on eradication of dysplasia 3 months after the initial endoscopic treatment

    Measured: 3 months after the initial endoscopic treatment

  2. Effectiveness assessment defined by the absence of dysplasia on all systematic oesophageal biopsies confirmed by an anatomical pathological reading on site

    To compare the effectiveness of endoscopic Endorotor treatment versus Radiofrequency esophageal treatment on eradication of dysplasia 12 months after the initial treatment

    Measured: 12 months after the initial treatment

  3. Effectiveness assessment defined by the area regression of Barrett esophagus between the pre-treatment evaluation and the follow-up at 3 months is evaluated using a visual endoscopic scale of the area Barrett esophagus regression and video analysis

    To compare the effectiveness of endoscopic Endorotor treatment versus Radiofrequency esophageal treatment on the area of Barrett esophagus regression 3 months after the initial treatment

    Measured: 3 months after the initial endoscopic treatment

  4. Effectiveness assessment defined by the area regression of Barrett esophagus between the pre-treatment evaluation and the follow-up at 12 months is evaluated using a visual endoscopic scale of the area Barrett esophagus regression and video analysis

    To compare the effectiveness of endoscopic Endorotor treatment versus Radiofrequency esophageal treatment on the area of Barrett esophagus regression 12 months after the initial treatment

    Measured: 12 months after the initial treatment

  5. Effectiveness assessment defined by the rate of eradicating Barrett esophagus 12 months after the initial endoscopic treatment which is confirmed by the absence of Barrett esophagus lesions on biopsies

    To compare the effectiveness of endoscopic Endorotor treatment versus Radiofrequency esophageal treatment on eradication of Barrett esophagus 12 months after the first treatment

    Measured: 12 months after the first treatment

  6. Effectiveness assessment defined by the number of additional treatment sessions carried out using radiofrequency to achieve complete eradication of Barrett esophagus at 12 months, after initial endoscopic treatment

    To compare the effectiveness of endoscopic Endorotor treatment versus Radiofrequency esophageal treatment to determine the number of additional sessions carried out to achieve complete eradication at 12 months after the initial treatment

    Measured: 12 months after the initial treatment

  7. Safety assessment defined by the discomfort score is recorded in a log over as well as dysphagia score and pain evaluation in first 30 days following the initial procedure and during the clinical evaluating

    After 3 months, evaluating the safety of endoscopic treatment with Endorotor, compared to the reference treatment with esophageal radiofrequency to evaluating clinical tolerance

    Measured: 3 months after the initial endoscopic treatment

  8. Safety assessment defined by the serious adverse events after treatment and then at day 2, day 15, day 30 and 3 months after the initial endoscopic treatment are classed in four levels of severity based on the level of hospitalization, in accordance with

    After 3 months, evaluating the safety of endoscopic treatment with Endorotor, compared to the reference treatment with esophageal radiofrequency to register the rate of serious adverse events

    Measured: 3 months after the initial treatment

  9. Safety assessment defined by esophageal stenosis that cannot be passed by a standard gastroscope of 10 mm in diameter.

    After 3 months, evaluating the safety of endoscopic treatment with Endorotor, compared to the reference treatment with esophageal radiofrequency to evaluate the rate of esophageal stenosis

    Measured: 3 months after the initial treatment

  10. Evaluating the benefit of anatomo pathological analysis of resected tissue after treatment using ENDOROTOR defined by the quality of the anatomical pathological analysis for the samples taken during treatment is determined through a centralised readin

    Evaluate benefits of histological information obtained with Endorotor to evaluate the quality of anatomical pathology analysis of resected samples using Endorotor

    Measured: 12 months after the first treatment

  11. Evaluating the benefit of anatomo pathological analysis of resected tissue after treatment using ENDOROTOR defined by the percentage of patients for whom the analyses of resected tissue enable the discovery of a dysplasia or adenocarcinoma

    Determine percentage of patients for whom the analysis of resected tissue will enable the discovery of a dysplasia or adenocarcinoma, ignored on the first biopsies

    Measured: 12 months after the first treatment

  12. Evaluating the benefit of anatomo pathological analysis of resected tissue after treatment using ENDOROTOR defined by the percentage of patients for whom the analyses of resected tissue enable a change in the follow-up plan

    Determine percentage of patients for whom the analysis of resected tissue will enable a change in their follow up

    Measured: 12 months after the first treatment

  13. Evaluating the efficiency defined by the incremental cost-utility ratio

    To assess and compare the efficiency of endoscopic EndoRotor treatment against radiofrequency treatment in the elimination of Barrett's eosophagus in term of cost per Quality Adjusted Life Years gained

    Measured: 12 months after the first treatment

  14. Evaluating the efficiency defined by the incremental cost-effectiveness ratio

    To assess and compare the efficiency of endoscopic EndoRotor treatment against radiofrequency treatment in the elimination of Barrett's eosophagus in term of cost per rate of eradicating barrett's eosophagus

    Measured: 12 months after the first treatment

  15. Build a model to predict incomplete response for eradication of Barrett's eosophagus on the basis of each independent predictor coefficient in the multivariate regression logistic model

    Build a predictive model of incomplete response to eradication of Barrett's eosophagus

    Measured: 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Apr 2021
  2. Study start25 Mar 2022
  3. Primary completion25 Jul 2031 (estimated)
  4. Study completion25 Jul 2031 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
140 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04867590
Sponsor's protocol ID
2020-A00975-34
Acronym
ENDOBARRETT
Status last verified
Jun 2026
First submitted
27 Apr 2021
Last updated
30 Jun 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A study testing Endorotor and Radiofrequency in people with Barrett Esophagus and Dysplasia, run by University Hospital, Angers at 17 sites in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 30 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Elodie CESBRON-METIVIER, Ph.D. (+33241353148, elcesbronmetivier@chu-angers.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The rate of full eradication of Barrett esophagus (metaplasia), which is defined by the absence of residual Barrett esophagus in the check-up endocopy after 3 months (time frame: 3 months after the endoscopic treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Jun 2026.

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