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Diagnostic Methods for Achalasia
Phase 4
Recruiting
Led By Anand Jain, MD
Research Sponsored by Emory University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up two minutes after the study drugs administration
Awards & highlights
Summary
This trial uses a new technology to map the lower esophageal sphincter in patients with achalasia. It helps doctors understand if the problem is due to muscle stiffness or nerve issues, allowing for earlier and better treatment. EsoFLIP is a new technology used for esophageal dilation in achalasia.
Who is the study for?
Adults over 18 with achalasia or esophageal motility disorders, who are undergoing specific treatments like Heller myotomy or per oral endoscopic myotomy. They must have been evaluated at Emory facilities and not be pregnant, imprisoned, cognitively impaired without consent ability, have severe cardiac issues, respiratory diseases, urinary retention problems, glaucoma, myasthenia gravis or poor kidney function.
What is being tested?
The trial is testing how muscle fibrosis relates to lower esophageal sphincter measurements using a new technology called FLIP Topography after an atropine challenge. It aims to improve early intervention in achalasia by understanding the condition better through these tests and biopsies.
What are the potential side effects?
Potential side effects may include reactions to the atropine challenge such as dry mouth, blurred vision, sensitivity to light, lack of sweating and increased heart rate. The biopsy procedure might cause discomfort or minor bleeding.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ two minutes after the study drugs administration
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~two minutes after the study drugs administration
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Degree of lower esophageal sphincter contraction and relaxation
The collagen content in muscle biopsy specimens
Trial Design
1Treatment groups
Experimental Treatment
Group I: Pharmacologic challengeExperimental Treatment2 Interventions
Measurement of esophageal response to atropine using functional lumen imaging probe (FLIP)
Research Highlights
Information in this section is not a recommendation. We encourage patients to speak with their healthcare team when evaluating any treatment decision.Mechanism Of Action
Side Effect Profile
Prior Approvals
Other Research
Achalasia treatments primarily aim to reduce the pressure of the lower esophageal sphincter (LES) to facilitate the passage of food and liquids. Common treatments include pneumatic dilation, laparoscopic Heller myotomy, and peroral endoscopic myotomy (POEM), which mechanically disrupt the LES muscle.
Pharmacologic treatments, such as botulinum toxin injections, temporarily paralyze the LES muscle. Understanding LES function and muscle fibrosis using FLIP Topography, as studied in the trial, is essential for assessing treatment effectiveness and personalizing therapy for achalasia patients.
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Who is running the clinical trial?
Emory UniversityLead Sponsor
1,688 Previous Clinical Trials
2,602,835 Total Patients Enrolled
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)NIH
2,428 Previous Clinical Trials
4,322,850 Total Patients Enrolled
Anand Jain, MDPrincipal Investigator - Emory University
Emory University
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Eligibility Criteria:
This trial includes the following eligibility criteria:- You have recently had surgery or a procedure to treat your esophageal motility disorder.You have a heart condition that requires a pacemaker or defibrillator, or your heart rate is either too slow or too fast. You have congestive heart failure with a low ejection fraction, a history of heart attack, or high blood pressure. You also have asthma or chronic obstructive pulmonary disease, trouble emptying your bladder requiring a catheter, narrow-angle glaucoma, or myasthenia gravis. Additionally, your kidney function is below a certain level (GFR <60) for specific parts of the study.
Research Study Groups:
This trial has the following groups:- Group 1: Pharmacologic challenge
Awards:
This trial has 3 awards, including:- Drug Has Already Been Approved - The FDA has already approved this drug, and is just seeking more data.
- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
- Pivotal Trial - The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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