ClinicalTrials.gg
RecruitingNCT05561114PATENT-EUpdated Jun 25, 2025

Paclitaxel Coated Balloon for the Treatment of Chronic bEnigN sTricture- Esophagus

A Phase 3 interventional study of GIE Medical ProTractX3 TTS DCB and Control in Esophageal Stricture, sponsored by GIE Medical. Recruiting at 34 sites in United States. Open to participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2025-06-25.

Sponsored by GIE Medical · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2023; still recruiting 2 years 11 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
198
Allocation
Randomized
Ages
22 Years and older
Sex
All
01

Study summary

To evaluate the safety and efficacy of the ProTractX3™ DCB for the treatment of benign esophageal strictures.

02

Conditions studied

  • Esophageal Stricture

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Keywords

  • esophageal stricture
  • drug coated balloon
  • DCB
  • paclitaxel coated balloon
03

In context

Esophageal Stenosis

47 studies on the registry are indexed under Esophageal Stenosis; 13 are open to participants now.

This study's planned enrollment of 198 is above the median of 30 across 36 interventional studies indexed under Esophageal Stenosis.

Browse Esophageal Stenosis studies →

Lead sponsor

GIE Medical is the lead sponsor of 5 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
22 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age ≥ 22 years
  2. Diagnosis of a benign esophageal stricture with at least 2 previous dilations
  3. Ogilvie Dysphagia Score of ≥2
  4. Minimum esophageal lumen diameter \<13 mm
  5. Willing and able to complete protocol required follow-up visits
  6. Willing and able to provide written
  7. Strictures ≤5cm in total length
  8. Target benign esophageal stricture etiologies include:

    1. Peptic stricture,
    2. Schatzki's ring,
    3. Stricture due to prior infection,
    4. Post-procedural (e.g. ESD/EMR/RFA/Cryo) stricture
    5. Post surgical (e.g. anastomotic), including post curative esophagectomy with or without prior chemoradiation therapy

Exclusion criteria

Exclusion Criteria:

  1. Two or more (e.g. non-traversable) strictures with total length >5cm or unable to be treated with a single balloon.
  2. Female subjects who are pregnant or breastfeeding or plan to become pregnant in next 12 months
  3. to endoscopy, anesthesia or deep sedation
  4. Benign esophageal stricture due to extrinsic esophageal compression, caustic ingestion, lichen planus, and purely radiation induced strictures post head/neck cancer treatment.
  5. History of diagnosis of eosinophilic esophagitis (EoE)
  6. Signs or suspicion of a malignant esophageal stricture NOTE: If stricture is suspicious for based on clinical or endoscopic presentation, malignancy must be excluded by prior to enrollment. Subjects with a history of invasive esophageal cancer should have recurrence excluded by advanced imaging (e.g. CT/PET scan) and biopsy within 6 months of enrollment.
  7. Diagnosis of cancer of any type that is not considered in remission or non-metastatic cancer that may require radiation treatment in the neck or thoracic region NOTE: A prior diagnosis of esophageal cancer is acceptable if considered in remission and recurrence has been excluded by advanced imaging and biopsy within 6 months of enrollment.
  8. Suspected perforation of gastrointestinal tract
  9. Inability to pass guidewire across stricture
  10. Active systemic infection
  11. Allergy to paclitaxel or structurally related compounds
  12. Severe coagulation disorders or current use of anticoagulant or antiplatelet medication that cannot be safely managed per recommended guidelines prior to the index procedure
  13. Chronic systemic use for any medical conditions unless subject is willing to undergo a 4-week washout and discontinue steroid use
  14. Received steroid injections into target stricture in the last 8 weeks.
  15. Stricture not amenable to endoscopic dilation to ≥ 18 mm in the opinion of the investigator
  16. Current use of nasal or oral feeding tube unless tube is removed prior to baseline assessments and subject maintains normal swallowing function.
  17. Acute stricture condition that requires emergent procedure (e.g. immediate dilation)
  18. Stricture complicated with abscess, fistula, deep ulceration, perforation, leakage or varices, or thrombosis, etc
  19. of less than 24 months
  20. Concurrent medical condition that would affect the investigator's ability to evaluate the patient's condition or could compromise patient safety, such as recent myocardial infarction, severe pulmonary disease, bleeding diathesis, large thoracic aneurysm, pharyngeal or cervical deformity, ongoing infection, etc
  21. Current participation in another pre-market drug or medical device clinical study that has not reached it's primary endpoint.
  22. Dysphagia related to primary motility disorders, such as achalasia, diffused esophageal spasm, ineffective esophageal motility (IEM), hypertensive lower esophageal sphincter, esophageal outlet obstruction, etc.
  23. Active erosive esophagitis with a Los Angeles classification of Grade B-D at the time of endoscopy.
  24. Significant esophageal dilation proximal to the stricture that, in the Investigator's opinion, may impact long-term esophageal motility.
  25. Intolerant to effective acid suppression medication (e.g. proton pump inhibitors, H2 receptor antagonists)
  26. Concurrent gastric and/or duodenal obstruction
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
198 participants (estimated)

Study arms

  • Experimental
    GIE Medical ProTractX3 TTS DCB

    The ProTractX3 Drug-coated balloon is a 0.035" guidewire compatible over-the-wire catheter.

    Combination Product: GIE Medical ProTractX3 TTS DCB

  • Active comparator
    Control

    Standard of Care Endoscopic Dilation

    Other: Control

Interventions

  • Combination productGIE Medical ProTractX3 TTS DCB

    Paclitaxel Coated Balloon

  • OtherControl

    Standard Endoscopic Dilation

06

What researchers measure

Primary outcomes

  1. Treatment Success

    1\. The primary efficacy endpoint is freedom from stricture recurrence, measured as the time from Index procedure until stricture recurrence through 6 months post-procedure. Stricture recurrence is defined as an esophageal diameter \<13mm as measured using a functional luminal imaging probe, or clinically driven reintervention at the treated area within 6 months post-procedure as determined by the Clinical Events Committee

    Time frame: 6 Months Post-Procedure

  2. Primary Safety Outcome

    Incidence of device- and/or procedure-related Major Adverse Events (MAEs) (Death, perforation of the esophagus, bleeding requiring intervention or transfusion)

    Time frame: 30 Days Post-Treatment

Secondary outcomes

  1. Annualized Rate of Reintervention

    The annualized reintervention rate is defined as the annualized number of clinically driven interventions and will be assessed by comparing the annualized rate per patient year between groups using a test of Poisson rates.

    Time frame: Annually

  2. Diameter Improvement at 6 months

    The minimum esophageal stricture diameter will be assessed by a functional luminal imaging probe (EndoFLIP) during endoscopy and compared between the Test and Control arms. The minimum esophageal stricture diameter will be measured at baseline and during the 6-month follow-up, or at the time of a reintervention if one occurs prior to 6 months.

    Time frame: 6 Months Post-Procedure

  3. Clinical Responder Rate at 6 months

    Time frame: 6 Months Post-Procedure

  4. Freedom from clinically driven target stricture reintervention through 6 months post-procedure

    Time frame: 6 Months Post-Procedure

  5. Freedom from symptom recurrence through 6 months post-procedure

    Time frame: 6 Months Post-Procedure

Other outcomes

  1. Secondary Patency

    Time frame: Time between the index procedure to the second clinically driven intervention

  2. Technical Success

    Time frame: Procedure

  3. Annualized rate of dilations before and after treatment

    Time frame: Annually

  4. Improvement in time between dilations

    Time frame: Between Dilations

  5. Improvement in Ogilvie Dysphagia Score at each follow-up

    Time frame: 30 days, 3 months, 6 months, 12 months, and annually thereafter through 5 years

  6. Improvement in Dysphagia Handicap Index score at each follow-up

    Time frame: 30 days, 3 months, 6 months, 12 months, and annually thereafter through 5 years

  7. Stricture characteristics per functional imaging

    Time frame: Between Dilations

  8. Number of esophageal dilation procedures through each follow up

    Time frame: 30 days, 3 months, 6 months, 12 months, and annually thereafter through 5 years

  9. Freedom from clinically driven reintervention through each follow-up

    Time frame: 30 days, 3 months, 6 months, 12 months, and annually thereafter through 5 years

  10. Freedom from symptom recurrence through each follow-up

    Time frame: 30 days, 3 months, 6 months, 12 months, and annually thereafter through 5 years

  11. VAS for pain scores through 30-day follow-up

    Time frame: 30 days, 3 months, 6 months, 12 months, and annually thereafter through 5 years

  12. Composite EQ-5D quality of life scores at each follow-up

    Time frame: 30 days, 3 months, 6 months, 12 months, and annually thereafter through 5 years

07

Study locations

33 of 34 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 25, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05561114
Lead sponsor
GIE Medical
Responsible party
Sponsor
First posted
Sep 30, 2022
Start date
Dec 1, 2023
Primary completion
Oct 2026 (estimated)
Completion
Apr 2031 (estimated)
Last update
Jun 25, 2025

Study contacts

Erika Wang
Contact
wange@giemedical.com
7633605659

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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