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PillCam® Platform With the PillCam Crohn's Disease Capsule

Primary Purpose

Crohn's Disease

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Pillcam colon capsule and PillCam™ Prep Procedure
Ileocolonoscopy
Sponsored by
Medtronic - MITG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Crohn's Disease focused on measuring All subjects will have evidence of active symptoms associated with Crohn's disease

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Subject ages 18-75 years, inclusive
  2. Subject has known CD and signs and symptoms of active disease including one of the following:

    • Chronic diarrhea
    • Chronic abdominal pain
    • Rectal bleeding
  3. Subject has at least one of the following within three months of enrollment:

    • Positive inflammatory marker (ESR, CRP, thrombocytosis, leukocytosis, fecal lactoferrin, fecal alpha-1 antitrypsin)
    • Anemia (hemoglobin level below normal reference range)
    • Hypoalbuminemia (albumin below normal reference range)
    • Weight loss
  4. Proven patency by the Agile capsule or another approach deemed clinically acceptable by the investigator, e.g. CT enterography, performed within the 90 days prior to enrollment.
  5. Subject agrees to sign consent form

Exclusion Criteria:

  1. Indeterminate Colitis
  2. Ulcerative Colitis
  3. Antibiotic Associated Colitis
  4. Stool positive for Ova &Parasite and for Clostridium difficile toxin within 3 months of enrollment
  5. Other known infectious cause of increased symptoms
  6. Known history of intestinal obstruction or current obstructive symptoms, such as severe abdominal pain with accompanying nausea or vomiting, based on investigator judgment.
  7. Definite long stricture seen on radiological exam.
  8. Non-steroidal anti-inflammatory drugs including Aspirin, (twice weekly or more) during the 4 weeks preceding enrollment
  9. Suspected GI stricture, followed by Pillcam Patency study or other imaging study that could not prove patency of the GI tract.
  10. Subject has had prior abdominal surgery of the gastrointestinal tract in the last 6 months, other than uncomplicated procedures that would be unlikely to lead to bowel obstruction based on the clinical judgment of the investigator.
  11. Subject is expected to undergo MRI examination within 7 days after ingestion of the capsule.
  12. Subjects with known or suspected delayed gastric emptying
  13. Subjects with known or suspected delayed Small bowel motility
  14. Subject suffers from any condition, such as swallowing problems, which precludes compliance with study and/or device instructions.
  15. Subject has Type I or Type II Diabetes.
  16. Subject has any allergy or other known contraindication to the medications used in the study.
  17. Subject has any condition, which precludes compliance with study and/or device instructions.
  18. Women who are either pregnant or nursing at the time of screening, or are of child-bearing potential and do not practice medically acceptable methods of contraception.
  19. Concurrent participation in another clinical trial using any investigational drug or device.
  20. Subject suffers from a life threatening condition.
  21. Subject with a history or clinical evidence of renal disease and/or previous clinically significant laboratory abnormalities of renal function parameters.

Sites / Locations

  • IU School of Medicine - Gastroenterology

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

bowel prep regimen

Arm Description

Each study subject will undergo a bowel preparation followed by a PillCam procedure.

Outcomes

Primary Outcome Measures

Per-subject Diagnostic Yield of the PillCam Platform With the CD Capsule Within the Terminal Ileum and Colon as Compared to the Ileocolonoscopy Diagnostic Yield Within the Terminal Ileum and Colon
the primary outcome will be evalluated as follow: The number of subjects having active Crohn's disease in their terminal ileum and / or colon as detected by the PillCam Platform with the CD capsule and ileocolonoscopy. The analysis related to the primary endpoint was applied for the terminal ileum and colon only due to the limited access of ileocolonoscopy. Each patient was classified as follows: Active Crohn's disease is likely Active Crohn's disease is NOT likely "Active Crohn's disease" included the followings lesions: Aphthous ulceration Ulcers (other than Aphthous) Bleeding Inflammatory stricture Lesions other than the above list were classified as "Non active Crohn's disease."

Secondary Outcome Measures

Full Information

First Posted
June 28, 2012
Last Updated
July 29, 2019
Sponsor
Medtronic - MITG
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1. Study Identification

Unique Protocol Identification Number
NCT01631435
Brief Title
PillCam® Platform With the PillCam Crohn's Disease Capsule
Official Title
Evaluation of the PillCam® Platform With the PillCam Crohn's Disease Capsule in Visualization of Lesions in the Small Bowel and Colon That May Indicate Crohn's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
March 2015
Overall Recruitment Status
Completed
Study Start Date
June 2012 (undefined)
Primary Completion Date
January 2014 (Actual)
Study Completion Date
February 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Medtronic - MITG

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a prospective, multi-center (up to 6 sites) study which aims to To establish the effectiveness of the PillCam Platform with the PillCam Crohn's capsule as demonstrated by visualizing the small bowel and colon in patients with active symptoms associated with Crohn's disease (CD).
Detailed Description
This is a prospective, multi-center (up to 6 sites) study which aims to evaluate the diagnostic yield and safety of the PillCam Platform with the CD capsule in subjects with symptoms associated with Crohn's disease. All subjects to be enrolled in this study will have evidence of active symptoms associated with Crohn's disease. Each subject will be required to follow a bowel preparation regimen and will undergo the Crohn's Disease capsule endoscopy procedure and thereafter the ileocolonoscopy procedure on the same day. The ileocolonoscopy procedure may be done the following day per physician discretion. If the ileocolonoscopy procedure is done within 24 hours from the CE procedure, the subject will stay on clear liquid diet. Observations/ assessments to be conducted in the trial detailed in the sections below: Visit 1; Screening visit Informed consent process screening for eligibility to participate in the study Inclusion/exclusion criteria Small bowel patency test Demographic data Pregnancy test General medical history Visit 2; PillCam® Crohn's capsule ingestion PillCam® CD bowel preparation Capsule endoscopy Conventional ileocolonoscopy Examination (same day or within 24 hours) Ileocolonoscopy with intubation of terminal ileum Follow up period (5-9 days following visit 2) • CE Follow up telephone contac

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Crohn's Disease
Keywords
All subjects will have evidence of active symptoms associated with Crohn's disease

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
75 (Actual)

8. Arms, Groups, and Interventions

Arm Title
bowel prep regimen
Arm Type
Other
Arm Description
Each study subject will undergo a bowel preparation followed by a PillCam procedure.
Intervention Type
Other
Intervention Name(s)
Pillcam colon capsule and PillCam™ Prep Procedure
Intervention Description
PillCam® Crhon capsule preparation will include a clear liquid diet and administration of a purgative sulfate-free polyethylene glycol electrolyte lavage (SF-ELS) solution (e.g. Nulytely) divided into two doses: the first dose on the evening before the exam and the 2nd dose on the morning of the exam day.
Intervention Type
Device
Intervention Name(s)
Ileocolonoscopy
Intervention Description
Conventional ileocolonoscopy Examination (same day or within 24 hours)of CE procedure • Ileocolonoscopy with intubation of terminal ileum
Primary Outcome Measure Information:
Title
Per-subject Diagnostic Yield of the PillCam Platform With the CD Capsule Within the Terminal Ileum and Colon as Compared to the Ileocolonoscopy Diagnostic Yield Within the Terminal Ileum and Colon
Description
the primary outcome will be evalluated as follow: The number of subjects having active Crohn's disease in their terminal ileum and / or colon as detected by the PillCam Platform with the CD capsule and ileocolonoscopy. The analysis related to the primary endpoint was applied for the terminal ileum and colon only due to the limited access of ileocolonoscopy. Each patient was classified as follows: Active Crohn's disease is likely Active Crohn's disease is NOT likely "Active Crohn's disease" included the followings lesions: Aphthous ulceration Ulcers (other than Aphthous) Bleeding Inflammatory stricture Lesions other than the above list were classified as "Non active Crohn's disease."
Time Frame
All the end points and outcomes measures will be evaluated within 4 months from end of enrollment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject ages 18-75 years, inclusive Subject has known CD and signs and symptoms of active disease including one of the following: Chronic diarrhea Chronic abdominal pain Rectal bleeding Subject has at least one of the following within three months of enrollment: Positive inflammatory marker (ESR, CRP, thrombocytosis, leukocytosis, fecal lactoferrin, fecal alpha-1 antitrypsin) Anemia (hemoglobin level below normal reference range) Hypoalbuminemia (albumin below normal reference range) Weight loss Proven patency by the Agile capsule or another approach deemed clinically acceptable by the investigator, e.g. CT enterography, performed within the 90 days prior to enrollment. Subject agrees to sign consent form Exclusion Criteria: Indeterminate Colitis Ulcerative Colitis Antibiotic Associated Colitis Stool positive for Ova &Parasite and for Clostridium difficile toxin within 3 months of enrollment Other known infectious cause of increased symptoms Known history of intestinal obstruction or current obstructive symptoms, such as severe abdominal pain with accompanying nausea or vomiting, based on investigator judgment. Definite long stricture seen on radiological exam. Non-steroidal anti-inflammatory drugs including Aspirin, (twice weekly or more) during the 4 weeks preceding enrollment Suspected GI stricture, followed by Pillcam Patency study or other imaging study that could not prove patency of the GI tract. Subject has had prior abdominal surgery of the gastrointestinal tract in the last 6 months, other than uncomplicated procedures that would be unlikely to lead to bowel obstruction based on the clinical judgment of the investigator. Subject is expected to undergo MRI examination within 7 days after ingestion of the capsule. Subjects with known or suspected delayed gastric emptying Subjects with known or suspected delayed Small bowel motility Subject suffers from any condition, such as swallowing problems, which precludes compliance with study and/or device instructions. Subject has Type I or Type II Diabetes. Subject has any allergy or other known contraindication to the medications used in the study. Subject has any condition, which precludes compliance with study and/or device instructions. Women who are either pregnant or nursing at the time of screening, or are of child-bearing potential and do not practice medically acceptable methods of contraception. Concurrent participation in another clinical trial using any investigational drug or device. Subject suffers from a life threatening condition. Subject with a history or clinical evidence of renal disease and/or previous clinically significant laboratory abnormalities of renal function parameters.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Debbra Helper, MD
Organizational Affiliation
Indiana University, Indianapolis , USA
Official's Role
Principal Investigator
Facility Information:
Facility Name
IU School of Medicine - Gastroenterology
City
Indianapolis
State/Province
Indiana
Country
United States

12. IPD Sharing Statement

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PillCam® Platform With the PillCam Crohn's Disease Capsule

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