Initial clinical trial of a novel hemostat, TDM-621, in the endoscopic treatments of the gastric tumors

Background and AimThe feasibility of TDM-621, the synthetic infectious agent-free peptides, was tested in hemostasis of the bleeding after endoscopic treatments of the gastric tumors. MethodsThe patients who underwent endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD) were enrolled in the present study. The subject of hemostasis was the oozing after the EMR or ESD. The hemostatic effect, the secondary hemorrhage from one postoperative day to the day before discharge and operability were studied. ResultsThe hemostatic effects were assessed in 12 patients. It was remarkably effective in 11 patients and effective in 1 patient. The operability was very easy in two patients, easy in eight patients and acceptable in two patients. No secondary hemorrhage was observed in all of 12 patients. No adverse effect considered to be related to TDM-621 was observed. ConclusionIt was shown that hemostasis using TDM-621 was feasible after endoscopic treatments of the gastric tumors without any technical trouble or adverse event.