ClinicalTrials.gg
Not yet recruitingNCT07409376CD stenosisUpdated Feb 13, 2026

Comparison of the Therapeutic Effects of Balloon Assisted Enteroscopy Assisted Narrow Incision and Balloon Dilation in the Treatment of Crohn's Disease Small Intestinal Stenosis

An interventional study of stricture incision and balloon dilation in CD - Crohn's Disease, sponsored by Second Affiliated Hospital, School of Medicine, Zhejiang University. Not yet recruiting. Open to participants aged 16 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-02-13.

Sponsored by Second Affiliated Hospital, School of Medicine, Zhejiang University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Non-randomized
Ages
16 Years to 75 Years
Sex
All
01

Study summary

This study is designed as a controlled trial to evaluate the efficacy of balloon-assisted enteroscopy-guided radial incision therapy for the treatment of stricturing small bowel Crohn's disease. The study aims to compare therapeutic outcomes, procedure-related complications, and recurrence rates in patients with stricturing small bowel Crohn's disease undergoing balloon-assisted enteroscopy-guided radial incision therapy. The results are expected to provide a novel and reliable treatment option for patients with stricturing Crohn's disease and to lay a foundation for improving disease-related symptoms and quality of life.

02

Conditions studied

  • CD - Crohn's Disease

Keywords

  • Crohn's Disease; balloon-assisted enteroscopy; stricture
03

In context

Crohn Disease

1,992 studies on the registry are indexed under Crohn Disease; 478 are open to participants now.

This study's planned enrollment of 100 is above the median of 67 across 1,260 interventional studies indexed under Crohn Disease.

Browse Crohn Disease studies →

Lead sponsor

Second Affiliated Hospital, School of Medicine, Zhejiang University is the lead sponsor of 1,047 studies on the registry; 502 are open to participants now.

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

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Who can participate

Ages eligible
16 Years to 75 Years
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 between 16 and 75 years.
  2. Diagnosis of Crohn's disease with primary or secondary small bowel stricture confirmed by imaging studies, or small bowel stricture identified by enteroscopy.
  3. Inadequate response to conventional medical therapy and step-up treatment strategies.
  4. Stricture length less than 5 cm.
  5. Signed form.

Exclusion criteria

Exclusion Criteria:

  1. Bowel wall thickening with Limberg grade IV blood flow on intestinal ultrasound, or presence of complications such as perforation, fistula, deep ulcer, inflammatory mass, or abscess.
  2. Deep ulcer in the stricture segment observed by enteroscopy, potentially involving the muscular layer.
  3. Presence of strictures in the esophagus, stomach, or duodenum.
  4. Presence of colorectal stricture or ileocecal valve stricture.
  5. Small bowel stricture complicated by abscess, fistula, or severe angulation.
  6. Patients with ≥3 small bowel strictures or stricture length ≥5 cm.
  7. Strictures previously treated with stent placement, dilation, or incision but without sustained symptom-free remission for at least 1 year.
  8. Pregnancy or breastfeeding.
  9. Inability to undergo endoscopic treatment.
  10. Severe coagulation disorders ( count \<70,000/μL, >1.5).
  11. Concomitant advanced tumors or other severe organ diseases.
  12. Suspected localized intestinal .
Terms in these criteria, in plain language(4)

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

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.

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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Sham comparator
    No Intervention

    Patients in this arm will not receive endoscopic interventional treatment for small bowel strictures and will be managed with standard medical therapy and clinical observation.

    Procedure: No Interventions

  • Experimental
    Balloon-assisted enteroscopy-guided balloon dilation

    Patients in this arm will undergo balloon dilation of small bowel strictures under balloon-assisted enteroscopy to relieve luminal narrowing.

    Procedure: balloon dilation

  • Experimental
    Balloon-assisted enteroscopy-guided stricture incision

    Patients in this arm will receive balloon-assisted enteroscopy-guided radial incision of small bowel strictures under direct endoscopic visualization.

    Procedure: stricture incision

Interventions

  • Procedurestricture incision

    Balloon-assisted enteroscopy-guided stricture incision versus balloon dilation

  • Procedureballoon dilation

    Balloon-assisted enteroscopy-guided balloon dilation

  • ProcedureNo Interventions

    No Intervention

06

What researchers measure

Primary outcomes

  1. Proportion of patients not requiring additional therapeutic interventions at 1-year follow-up

    Percentage of patients who do not require any new therapeutic intervention, including endoscopic balloon dilation (EBD), endoscopic stricture incision (EST), or surgery, within 1 year after the initial procedure.

    Time frame: 1 year

Secondary outcomes

  1. Proportion of patients not requiring additional therapeutic interventions at 3-year follow-up

    Percentage of patients who do not require any new therapeutic intervention (EBD, EST, or surgery) within 3 years after the initial procedure.

    Time frame: 3 years

  2. Proportion of patients not requiring additional therapeutic interventions at 5-year follow-up

    Percentage of patients who do not require any new therapeutic intervention (EBD, EST, or surgery) within 5 years after the initial procedure.

    Time frame: 5 years

  3. Safety assessment of the two treatment methods

    Evaluation of procedure-related complications, including postoperative bleeding, perforation, and any adverse events (AEs) or serious adverse events (SAEs) occurring within 2 months after the procedure.

    Time frame: Within 2 months post-procedure

  4. Immediate technical success of the procedure

    Assessment of successful passage of the endoscope through the stricture immediately after balloon dilation or stricture incision.

    Time frame: At the time of procedure

  5. Symptom-free duration within 1 year post-procedure

    Duration of symptom-free period within 1 year after the procedure, defined as a score ≤1 on the obstruction symptom assessment scale.

    Time frame: 1 year

  6. Cost analysis of the two treatment methods

    Comparative analysis of medical costs associated with balloon dilation versus stricture incision, including procedure, hospitalization, and follow-up expenses.

    Time frame: Up to 1 year post-procedure

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Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Mar 2026; primary completion for Dec 2027, 21 months later.

Of 287 non-industry interventional studies with no phase under Crohn Disease, half reached primary completion within 46 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 67. This study's planned 21 months is below that.

Counting every sponsor, half of 299 studies reached it within 45 months; a quarter within 21 and three quarters within 65.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 9, 2026
First posted
Feb 13, 2026
StartEst.
Mar 1, 2026
Primary completionEst.
Dec 31, 2027
CompletionEst.
Dec 31, 2028
Last update
Feb 13, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07409376
Responsible party
Sponsor
First posted
Feb 13, 2026
Start date
Mar 1, 2026 (estimated)
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Feb 13, 2026

Study contacts

Shenglong Xia, Phd
Contact
xsl89@zju.edu.cn
+86-19857128950
Surong Hu, PhD
Contact
526315332@qq.com
+86-15868532956
Yan Chen, PhD
principal investigator · Second Affiliated Hospital of Zhejiang University School of Medicine

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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