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EndoCuff-assisted Versus Standard Colonoscopy for Adenoma Detection

Primary Purpose

Polyp, Adenoma, Cancer

Status
Completed
Phase
Not Applicable
Locations
Germany
Study Type
Interventional
Intervention
EndoCuff-assisted colonoscopy
Standard colonoscopy
Sponsored by
Helios Albert-Schweitzer-Klinik Northeim
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Polyp focused on measuring colon cancer, adenoma, colon polyps

Eligibility Criteria

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

Inclusion Criteria:

indication for colonoscopy (screening, surveillance, diagnostic) ager ≥ 18 years ability to give informed consent

Exclusion Criteria:

  • pregnancy
  • age<18 years
  • known colonic strictures
  • chronic inflammatory bowel disease
  • active inflammation
  • s/p colonic resection

Sites / Locations

  • University Medical Center Göttingen
  • HELIOS St. Marienberg Hospital Helmstedt
  • Helios Albert-Schweitzer-Hospital, Academic University Teaching Hospital
  • HELIOS Medical Center Siegburg, Department of Gastroenterology

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Endocuff-assisted colonoscopy

Standard colonoscopy

Arm Description

Endocuff-assisted colonoscopy

Standard Colonoscopy

Outcomes

Primary Outcome Measures

adenoma detection rate
completion of colonoscopy is defined as the time point at which the colonoscope has been pulled out of the body.

Secondary Outcome Measures

polyp detection rate
number of LGIN and HGIN adenomas detected
LGIN= low grade intraepithelial neoplasia HGIN= high grade intraepithelial neoplasia
polyp distribution
procedure time
withdrawal time
without intervention time due to polypectomy
ileum intubation rate
total colonoscopy rate
adverse events
perforation, cuff loss, lacerations, major bleedings, drop of sO2 during colonoscopy

Full Information

First Posted
January 6, 2014
Last Updated
March 6, 2018
Sponsor
Helios Albert-Schweitzer-Klinik Northeim
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1. Study Identification

Unique Protocol Identification Number
NCT02034929
Brief Title
EndoCuff-assisted Versus Standard Colonoscopy for Adenoma Detection
Official Title
A Randomized Controlled Study to Compare EndoCuff-assisted With Standard Colonoscopy for the Detection of Adenomas
Study Type
Interventional

2. Study Status

Record Verification Date
March 2018
Overall Recruitment Status
Completed
Study Start Date
January 2014 (undefined)
Primary Completion Date
July 2014 (Actual)
Study Completion Date
July 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Helios Albert-Schweitzer-Klinik Northeim

4. Oversight

5. Study Description

Brief Summary
The EndoCuff is novel flexible cuff that can be attached to the distal tip of the colonoscope and helps to flatten large mucosal folds during withdrawal. The study hypothesis is that the use of the Endocuff (EC) increases the adenoma detection rate during colonoscopy. The study purpose is to compare EC-assisted colonoscopy with standard colonoscopy for polyp detection.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Polyp, Adenoma, Cancer
Keywords
colon cancer, adenoma, colon polyps

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Factorial Assignment
Masking
Participant
Allocation
Randomized
Enrollment
500 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Endocuff-assisted colonoscopy
Arm Type
Active Comparator
Arm Description
Endocuff-assisted colonoscopy
Arm Title
Standard colonoscopy
Arm Type
Active Comparator
Arm Description
Standard Colonoscopy
Intervention Type
Device
Intervention Name(s)
EndoCuff-assisted colonoscopy
Intervention Description
EC-assisted colonoscopy
Intervention Type
Device
Intervention Name(s)
Standard colonoscopy
Intervention Description
Standard colonoscopy
Primary Outcome Measure Information:
Title
adenoma detection rate
Description
completion of colonoscopy is defined as the time point at which the colonoscope has been pulled out of the body.
Time Frame
25 minutes
Secondary Outcome Measure Information:
Title
polyp detection rate
Time Frame
1 Week
Title
number of LGIN and HGIN adenomas detected
Description
LGIN= low grade intraepithelial neoplasia HGIN= high grade intraepithelial neoplasia
Time Frame
one week
Title
polyp distribution
Time Frame
25 minutes
Title
procedure time
Time Frame
25 Minutes
Title
withdrawal time
Description
without intervention time due to polypectomy
Time Frame
10 Minutes
Title
ileum intubation rate
Time Frame
10 minutes
Title
total colonoscopy rate
Time Frame
25 minutes
Title
adverse events
Description
perforation, cuff loss, lacerations, major bleedings, drop of sO2 during colonoscopy
Time Frame
25 minutes

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: indication for colonoscopy (screening, surveillance, diagnostic) ager ≥ 18 years ability to give informed consent Exclusion Criteria: pregnancy age<18 years known colonic strictures chronic inflammatory bowel disease active inflammation s/p colonic resection
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Tobias Meister, M.D.
Organizational Affiliation
Helios Albert-Schweitzer-Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
University Medical Center Göttingen
City
Göttingen
ZIP/Postal Code
37575
Country
Germany
Facility Name
HELIOS St. Marienberg Hospital Helmstedt
City
Helmstedt
ZIP/Postal Code
38350
Country
Germany
Facility Name
Helios Albert-Schweitzer-Hospital, Academic University Teaching Hospital
City
Northeim
ZIP/Postal Code
37154
Country
Germany
Facility Name
HELIOS Medical Center Siegburg, Department of Gastroenterology
City
Siegburg
ZIP/Postal Code
53721
Country
Germany

12. IPD Sharing Statement

Citations:
PubMed Identifier
25470133
Citation
Floer M, Biecker E, Fitzlaff R, Roming H, Ameis D, Heinecke A, Kunsch S, Ellenrieder V, Strobel P, Schepke M, Meister T. Higher adenoma detection rates with endocuff-assisted colonoscopy - a randomized controlled multicenter trial. PLoS One. 2014 Dec 3;9(12):e114267. doi: 10.1371/journal.pone.0114267. eCollection 2014.
Results Reference
derived

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EndoCuff-assisted Versus Standard Colonoscopy for Adenoma Detection

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