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Cryoablation Device
CryoBalloon Ablation for Barrett's Esophagus (NO FEAR-BE Trial)
N/A
Recruiting
Led By Nicholas J Shaheeen, MD, MPH
Research Sponsored by University of North Carolina, Chapel Hill
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
2.1.4. Any residual dysplasia in tubular esophagus
18 or older years of age at time of consent.
Must not have
Known portal hypertension, visible esophageal varices, or history of esophageal varices.
5.2. Patients with IMC must be at low risk for recurrence, confirmed by EMR/ESD pathology results negative for: positive margin, >T1a stage, poorly differentiated carcinoma, and lymphovascular invasion.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 12 months
Awards & highlights
No Placebo-Only Group
Summary
This trial is testing a new ablation system to treat persistent dysplasia or intestinal metaplasia in the esophagus after multiple failed attempts with another ablation system.
Who is the study for?
This trial is for adults who've had at least 2-3 unsuccessful radiofrequency ablations to treat Barrett's Esophagus with dysplasia or intestinal metaplasia. Candidates should not have used certain esophageal treatments before, must be in good health overall, and willing to follow the study plan.
What is being tested?
The NO FEAR-BE trial tests the C2 CryoBalloon Focal Ablation System's safety and effectiveness on patients whose Barrett's Esophagus hasn't improved after multiple radiofrequency ablations. It’s a single-group study without randomization.
What are the potential side effects?
Potential side effects may include discomfort or pain at the treatment site, risks associated with endoscopy like bleeding or infection, and possible damage to the esophagus such as tears or perforations.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I have abnormal cell growth in my esophagus.
Select...
I am 18 years old or older.
Select...
I have had at least 3 RFA treatments.
Select...
I have areas of Barrett's esophagus larger than 1 cm.
Select...
I have never had balloon or spray cryotherapy for my esophagus, but I may have had APC.
Select...
My Barrett's esophagus extends at least 1 cm.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have or had high blood pressure in the liver or swollen veins in my esophagus.
Select...
My early-stage stomach cancer is at low risk of coming back, confirmed by specific test results.
Select...
I have had abnormal findings like ulcers or masses seen in an endoscopy.
Select...
My esophagus has a significant area affected after treatment.
Select...
I have severe acid reflux diagnosed by a doctor.
Select...
I have a fungal infection in my esophagus.
Select...
My condition is limited to early changes in the upper part of my stomach.
Select...
I do not have uncontrolled bleeding disorders.
Select...
My esophageal cancer has not been treated yet.
Select...
I cannot stop taking blood thinners as recommended for a high-risk procedure.
Select...
I have untreated narrowings in my esophagus causing symptoms.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 12 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~12 months
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Incidence of CryoBalloon-related serious adverse events
Percentage of all treated subjects with complete eradication of dysplasia (CED) within 12 months of enrollment
Secondary study objectives
Mean number of CryoBalloon ablation treatments required to achieve CED and CEIM by 12 months from enrollment date.
Pain
Mean pain score - Day 30
+16 moreAwards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
1Treatment groups
Experimental Treatment
Group I: Cryoballoon Focal Ablation System (CbFAS) TreatmentExperimental Treatment1 Intervention
Subjects undergoing CbFAS treatment as part of their clinical care for their condition.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
CryoBalloon Focal Ablation System
2016
N/A
~80
Find a Location
Who is running the clinical trial?
University of North Carolina, Chapel HillLead Sponsor
1,569 Previous Clinical Trials
4,319,514 Total Patients Enrolled
PENTAX of America, Inc.UNKNOWN
Johns Hopkins UniversityOTHER
2,339 Previous Clinical Trials
14,881,603 Total Patients Enrolled
Nicholas J Shaheeen, MD, MPHPrincipal InvestigatorUNC Chapel Hill
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have or had high blood pressure in the liver or swollen veins in my esophagus.My esophagus was narrow but has been widened to at least 15mm.I have had abnormal findings like ulcers or masses seen in an endoscopy.My esophagus has a significant area affected after treatment.I have severe acid reflux diagnosed by a doctor.I have a fungal infection in my esophagus.I have abnormal cell growth in my esophagus.I am 18 years old or older.My condition is limited to early changes in the upper part of my stomach.I have Barrett's esophagus with confirmed low or high-grade dysplasia, or treated early-stage cancer with low risk of coming back.I've had at least 2 RFA treatments for BE with less than 50% success.I have severe health issues that make endoscopy risky and may live less than 2 years.I have had esophageal surgery, but not a simple nissen fundoplication.My early-stage stomach cancer is at low risk of coming back, confirmed by specific test results.I had a specific stomach or esophagus procedure less than 6 weeks ago.I have had RFA treatment before.You have multiple health problems or are generally not in good health, which could put you at risk if you participate in the trial.I do not have uncontrolled bleeding disorders.I have had at least 3 RFA treatments.My esophageal cancer has not been treated yet.I have areas of Barrett's esophagus larger than 1 cm.I cannot stop taking blood thinners as recommended for a high-risk procedure.I am open to trying a different standard treatment for my condition.I have never had balloon or spray cryotherapy for my esophagus, but I may have had APC.My Barrett's esophagus extends at least 1 cm.I have untreated narrowings in my esophagus causing symptoms.
Research Study Groups:
This trial has the following groups:- Group 1: Cryoballoon Focal Ablation System (CbFAS) Treatment
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
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.