European achalasia trial: a prospective randomised multi-centre study comparing endoscopic pneumodilation and laparoscopic myotomy as treatment of idiopathic achalasia

ISRCTN ISRCTN56304564
DOI https://doi.org/10.1186/ISRCTN56304564
Protocol serial number NTR37
Sponsor Academic Medical Centre (AMC) (The Netherlands)
Funder Academic Medical Centre (AMC) (The Netherlands)
Submission date
04/08/2005
Registration date
04/08/2005
Last edited
30/11/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Digestive System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr G E E Boeckxstaens
Scientific

Meibergdreef 9
Amsterdam
1105 AZ
Netherlands

Phone +31 (0)20 566 7375
Email g.e.boeckxstaens@amc.uva.nl

Study information

Primary study designInterventional
Study designRandomised, active controlled, parallel group, multicentre trial
Secondary study designRandomised controlled trial
Scientific titleEuropean achalasia trial: a prospective randomised multi-centre study comparing endoscopic pneumodilation and laparoscopic myotomy as treatment of idiopathic achalasia
Study objectivesThe major aim of this prospective, randomised, multi-centre study is to compare the two treatments, namely pneumatic dilation and laparoscopic Heller myotomy.
Ethics approval(s)Ethics approval received from the local ethics committee.
Health condition(s) or problem(s) studiedAchalasia
InterventionPneumatic dilation versus laparoscopic Heller myotomy.

Subjects will be followed during 10 years. 1 month after treatment a manometry and an oesophageal emptying will be performed and will be repeated every year. 1 year after treatment an endoscopy (+ Lugol staining) and 24h pH-metry will be performed and will be repeated every 3 years.
Intervention typeOther
Primary outcome measure(s)

1. Symptom control
2. Therapeutic success

Key secondary outcome measure(s)

No secondary outcome measures

Completion date01/01/2013

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit75 Years
SexAll
Target sample size at registration200
Key inclusion criteria1. Between 18 and 75 years of age
2. Manometric diagnosis of achalasia
3. Eckardt score greater than three
4. Signed informed consent
Key exclusion criteria1. Severe cardio-pulmonary disease or other serious disease leading to unacceptable surgical risk
2. Previous treatment except treatment with nitroderivatives
3. Ca++ channel blockers or sildenafil or dilation with Savary bougies or balloons of 2 cm diameter or smaller
4. Pseudo-achalasia
5. Mega-oesophagus (greater than 7 cm)
6. Previous oesophageal or gastric surgery (except for gastric perforation)
7. Not capable of filling out questionnaires (i.e. due to language barrier)
8. Not available for follow-up
9. Oesophageal diverticula in the distal oesophagus
Date of first enrolment01/01/2003
Date of final enrolment01/01/2013

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Meibergdreef 9
Amsterdam
1105 AZ
Netherlands

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 12/05/2011 Yes No
Results article results 01/04/2013 Yes No
Results article results 01/05/2016 Yes No

Editorial Notes

30/11/2015: Publication reference added.