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Comparison of Capso Vision SV-1 to PillCam SB2 in the Evaluation of Subjects With Suspected Small Bowel Disease

Primary Purpose

Intestinal Disease, Inflammatory Bowel Disease, Crohn Disease

Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
PillCam SB2 capsule
CapsoCam SV-1
Sponsored by
Capso Vision, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Intestinal Disease focused on measuring intestinal disease, inflammatory bowel disease, crohn disease, ulcer, celiac disease, angioectasia, polyp

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Male or female between 18 to 85 years of age (inclusive).
  2. Willing and able to provide written informed consent.
  3. Subjects with suspected small bowel disease who are referred for capsule endoscopy. Suspected small bowel disease includes suspected small bowel bleeding (including obscure gastrointestinal bleed), suspected or established Crohn's Disease [should have had patency capsule, CT or MR enterography before entry], suspected or known celiac disease, suspected small bowel tumor or familial polyposis syndrome.
  4. If subject was referred for capsule endoscopy (CE) for identification of occult GI bleeding, has the subject undergone a non-diagnostic esophagoduodenoscopy and colonoscopy as part of their evaluation, OR has the subject had continued bleeding requiring transfusion since the initial evaluation, OR does the subject have the following hematocrit values <31% in males or <28% in females.

Exclusion Criteria:

  1. Subjects who had a prior negative capsule endoscopy (within 1 year of study).
  2. Known or suspected obstruction or stricture unless patency capsule confirms patency.
  3. Known or suspected gastrointestinal perforation.
  4. Known or suspected small bowel diverticuli.
  5. Known swallowing disorder or the inability or unwillingness to swallow pills.
  6. Radiation or chemotherapy induced enteritis.
  7. History of Zenker's or known duodenal or jejunal diverticula.
  8. Isolated diarrhea or isolated abdominal pain without alarm signs or symptoms
  9. Subjects who are high risk for undergoing surgical interventions (i.e., to CONFIDENTIAL CapsoVision Protocol SV-1 Revision: October 17, 2011 7 remove the capsule when capsule retention occurs).
  10. Subjects with DNR/DNI "do not resuscitate/do not intubate" status.
  11. Known or suspected gastrointestinal dysmotility.
  12. Presence of cardiac pacemaker, implanted defibrillator or other electromedical implant.
  13. History of skin reaction to adhesives.
  14. Subjects who in the Investigator's opinion should not consume the 2L GoLytely and 10 mg bisacodyl study drugs, because it could pose a significant additional risk to the subject because of the subject's medical condition.
  15. Subjects who are scheduled for an MRI within 30 days of the last study visit.
  16. Pregnancy; females of childbearing potential must have a negative urine pregnancy test at screening.
  17. Prisoners.
  18. Mental and/or physical condition precluding compliance with the study and/or device instructions.
  19. Participation in another clinical study within past 30 days.

Sites / Locations

  • Shabana F. Pasha, MD
  • Gastro Health
  • University of Massachusetts, Worcester
  • Medical University of South Carolina
  • Ziad Younes, MD
  • UT Southwestern Medical Center
  • Pacific Gastroenterology Associates GI Research Institute

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

Other

Arm Label

PillCam SB2 then CapsoCam SV-1

CapsoCam SV-1 then PillCam SB2

Arm Description

PillCam SB2 capsule then CapsoCam SV-1 capsule

CapsoCam SV-1 capsule then PillCam SB2 capsule

Outcomes

Primary Outcome Measures

Normal vs Abnormal, Overall Impression
The review of images of suspected diseased small bowel to determine agreement among readers between the two image capture systems: CapsoCam SV-1 and PillCam SB2. The proportion of Normal vs Abnormal, Overall Impression based upon the result of 2 out of 3 data readers in agreement.

Secondary Outcome Measures

Comparison of SB Transit Times With CapsoCam SV-1 and PillCam SB2
Total transit time, was determined the time the 1st Duodenal image to the 1st cecal or IC Valve image as determined by the readers.
Comparison of Diagnostic Yield of CapsoCam SV-1 as Compared to PillCam SB2
Comparison of Diagnostic Yield of CapsoCam SV-1 as compared to PillCam SB: Proportion of primary diagnostic yields based upon the result of 2 out of 3 readers in agreement or the consensus group result.
Preference Between CapsoCam SV-1 and PillCam SB2
Subject preference between CapsoCam SV-1 and PillCam SB2 based on pill preference questionnaire administered to subjects

Full Information

First Posted
May 2, 2012
Last Updated
March 31, 2017
Sponsor
Capso Vision, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01787825
Brief Title
Comparison of Capso Vision SV-1 to PillCam SB2 in the Evaluation of Subjects With Suspected Small Bowel Disease
Official Title
Comparison of Capso Vision SV-1 to PillCam SB2 in the Evaluation of Subjects With Suspected Small Bowel Disease
Study Type
Interventional

2. Study Status

Record Verification Date
March 2017
Overall Recruitment Status
Completed
Study Start Date
May 2012 (undefined)
Primary Completion Date
April 2015 (Actual)
Study Completion Date
February 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Capso Vision, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to compare the clinical findings involving the small bowel obtained with the Capso Vision Video Capsule Device to those results obtained with the PillCam SB2.
Detailed Description
This is a prospective, randomized, comparative multi-center site study. The study will be conducted at 5 to 10 clinical sites. Up to 120 subjects will be enrolled in the study in order to obtain complete endoscopic results involving at least 98 subjects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Intestinal Disease, Inflammatory Bowel Disease, Crohn Disease, Ulcer, Celiac Disease
Keywords
intestinal disease, inflammatory bowel disease, crohn disease, ulcer, celiac disease, angioectasia, polyp

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
121 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PillCam SB2 then CapsoCam SV-1
Arm Type
Other
Arm Description
PillCam SB2 capsule then CapsoCam SV-1 capsule
Arm Title
CapsoCam SV-1 then PillCam SB2
Arm Type
Other
Arm Description
CapsoCam SV-1 capsule then PillCam SB2 capsule
Intervention Type
Device
Intervention Name(s)
PillCam SB2 capsule
Other Intervention Name(s)
capsule endoscopy system
Intervention Description
Capsule Endoscopy system
Intervention Type
Device
Intervention Name(s)
CapsoCam SV-1
Other Intervention Name(s)
Capsule endoscopy
Intervention Description
Capsule endoscopy
Primary Outcome Measure Information:
Title
Normal vs Abnormal, Overall Impression
Description
The review of images of suspected diseased small bowel to determine agreement among readers between the two image capture systems: CapsoCam SV-1 and PillCam SB2. The proportion of Normal vs Abnormal, Overall Impression based upon the result of 2 out of 3 data readers in agreement.
Time Frame
Study Completion
Secondary Outcome Measure Information:
Title
Comparison of SB Transit Times With CapsoCam SV-1 and PillCam SB2
Description
Total transit time, was determined the time the 1st Duodenal image to the 1st cecal or IC Valve image as determined by the readers.
Time Frame
Study Completion
Title
Comparison of Diagnostic Yield of CapsoCam SV-1 as Compared to PillCam SB2
Description
Comparison of Diagnostic Yield of CapsoCam SV-1 as compared to PillCam SB: Proportion of primary diagnostic yields based upon the result of 2 out of 3 readers in agreement or the consensus group result.
Time Frame
Study Completion
Title
Preference Between CapsoCam SV-1 and PillCam SB2
Description
Subject preference between CapsoCam SV-1 and PillCam SB2 based on pill preference questionnaire administered to subjects
Time Frame
Study Completion

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or female between 18 to 85 years of age (inclusive). Willing and able to provide written informed consent. Subjects with suspected small bowel disease who are referred for capsule endoscopy. Suspected small bowel disease includes suspected small bowel bleeding (including obscure gastrointestinal bleed), suspected or established Crohn's Disease [should have had patency capsule, CT or MR enterography before entry], suspected or known celiac disease, suspected small bowel tumor or familial polyposis syndrome. If subject was referred for capsule endoscopy (CE) for identification of occult GI bleeding, has the subject undergone a non-diagnostic esophagoduodenoscopy and colonoscopy as part of their evaluation, OR has the subject had continued bleeding requiring transfusion since the initial evaluation, OR does the subject have the following hematocrit values <31% in males or <28% in females. Exclusion Criteria: Subjects who had a prior negative capsule endoscopy (within 1 year of study). Known or suspected obstruction or stricture unless patency capsule confirms patency. Known or suspected gastrointestinal perforation. Known or suspected small bowel diverticuli. Known swallowing disorder or the inability or unwillingness to swallow pills. Radiation or chemotherapy induced enteritis. History of Zenker's or known duodenal or jejunal diverticula. Isolated diarrhea or isolated abdominal pain without alarm signs or symptoms Subjects who are high risk for undergoing surgical interventions (i.e., to CONFIDENTIAL CapsoVision Protocol SV-1 Revision: October 17, 2011 7 remove the capsule when capsule retention occurs). Subjects with DNR/DNI "do not resuscitate/do not intubate" status. Known or suspected gastrointestinal dysmotility. Presence of cardiac pacemaker, implanted defibrillator or other electromedical implant. History of skin reaction to adhesives. Subjects who in the Investigator's opinion should not consume the 2L GoLytely and 10 mg bisacodyl study drugs, because it could pose a significant additional risk to the subject because of the subject's medical condition. Subjects who are scheduled for an MRI within 30 days of the last study visit. Pregnancy; females of childbearing potential must have a negative urine pregnancy test at screening. Prisoners. Mental and/or physical condition precluding compliance with the study and/or device instructions. Participation in another clinical study within past 30 days.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shabana F Pasha, MD
Organizational Affiliation
Mayo Clinic
Official's Role
Principal Investigator
Facility Information:
Facility Name
Shabana F. Pasha, MD
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85259
Country
United States
Facility Name
Gastro Health
City
Miami
State/Province
Florida
ZIP/Postal Code
33173
Country
United States
Facility Name
University of Massachusetts, Worcester
City
Worcester
State/Province
Massachusetts
ZIP/Postal Code
01655
Country
United States
Facility Name
Medical University of South Carolina
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29425
Country
United States
Facility Name
Ziad Younes, MD
City
Germantown
State/Province
Tennessee
ZIP/Postal Code
38138
Country
United States
Facility Name
UT Southwestern Medical Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390
Country
United States
Facility Name
Pacific Gastroenterology Associates GI Research Institute
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V6Z 2K5
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Comparison of Capso Vision SV-1 to PillCam SB2 in the Evaluation of Subjects With Suspected Small Bowel Disease

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