search
Back to results

Optimization of the Bowel Preparation Regimen for the PillCam® COLON 2 Capsule Endoscopy Procedure

Primary Purpose

Colorectal Cancer Screening

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
PillCam® COLON 2 procedure-CONTROL
Senna tablets
PEG
Metoclopramide
Erythromycin
SUPREP oral sulfate solution
Bisacodyl
SUPREP oral sulfate solution with Gastrografin
Sponsored by
Medtronic - MITG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Colorectal Cancer Screening focused on measuring Polyps, Capsule endoscopy, Bowel preparation regimen, Average risk patients for colorectal cancer screening

Eligibility Criteria

50 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Subject is between 50 and 75 years of age.
  2. Subject is classified as average risk per the American Gastroenterological Association Guidelines on Colorectal Cancer Screening: Individuals without a personal or family history of colorectal cancer (CRC) or adenomas, inflammatory bowel disease, or high-risk genetic syndromes.
  3. Subject is willing and able to participate in the study procedures and to understand and sign the informed consent.

Exclusion Criteria:

  1. Subject with history of polyps (including those identified by computed tomography [CT], optical colonoscopy, sigmoidoscopy, etc.).
  2. Subject with history of negative colon assessment (including CT, optical colonoscopy, sigmoidoscopy etc.) within 5 years as these subjects would be defined not requiring screening in this time frame.
  3. Subject with suspected or diagnosed with hematochezia, melena, iron deficiency with or without anemia, or any other rectal bleeding, including positive fecal occult blood test of any variety.
  4. Subject with any condition believed to have an increased risk of capsule retention such as suspected or known bowel obstruction, stricture, or fistula.
  5. Subject with dysphagia or any swallowing disorder.
  6. Subject with serious medical conditions that would increase the risk associated with capsule or colonoscopy that are so severe that screening would have no benefit.
  7. Subject with a cardiac pacemaker or other implanted electromedical device.
  8. Subject expected to undergo MRI examination within 7 days after ingestion of the capsule.
  9. Subject with clinical evidence of renal disease, including clinically significant laboratory abnormalities of renal function within the past 6 months, or at any time in the past if not tested within the last 6 months, defined as creatinine, blood urea nitrogen (BUN), and/or glomerular filtration rate (GFR) outside of the local laboratory reference range.
  10. Subject with known gastrointestinal motility disorders.
  11. Subject with allergies or known contraindication to the medications or preparation agents used in the procedure as described in the relevant instructions for use.
  12. Subject with comorbidities which, in the opinion of the investigator, will not be appropriate for the study or the subject has an estimated life expectancy of less than 6 months.
  13. Subject is considered to be part of a vulnerable population (e.g. prisoners or those without sufficient mental capacity).
  14. Subject is pregnant, suspected pregnant, or is actively breast-feeding. Females of child-bearing potential will be required to provide either a urine pregnancy test or serum pregnancy test as part of the participant's standard of care regardless of their participation in the study (except for subjects who are surgically sterile or are post-menopausal for at least two years).
  15. Subject has participated in an investigational drug or device research study within 30 days of enrollment that may interfere with the subject's safety or ability to participate in this study.

Sites / Locations

  • Pinnacle Research Group, LLC
  • Indiana University Hospital
  • Indianapolis Gastroenterology and Hepatology
  • Dayton Gastroenterology
  • Thomas Jefferson University
  • Franklin Gastroenterology, PLLC

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Bowel preparation regimen -Control

Bowel preparation regimen-Test

Arm Description

Regimen includes administration of: Drug: 4 Senna tablets 2 days before the procedure, Drug: 2-liters of polyethylene glycol (PEG) on the evening before the procedure Drug: 2-liters of PEG on the morning of the procedure, Drug:10mg Metoclopramide or 250 mg Erythromycin Drug: 2 SUPREP oral sulfate solution Drug: 10mg Bisacodyl suppository.

Regimen includes administration of: Drug: 4 Senna tablets 2 days before the procedure, Drug: 2-liters of PEG on the evening before the procedure Drug: 2-liters of PEG on the morning of the procedure, Drug:10mg Metoclopramide or 250 mg Erythromycin Drug: 2 SUPREP oral sulfate solution with Gastrografin Drug: 10mg Bisacodyl suppository.

Outcomes

Primary Outcome Measures

Bowel Cleansing Level of Two Different Bowel Preparation Methods for PillCam® Colon Capsule Endoscopy (CCE)
The primary endpoint is the bowel cleansing level, as determined by a standardized 4-point grading scale, assessed in total and by segment (cecum, ascending, transverse, descending/sigmoid, and rectum).

Secondary Outcome Measures

Comparing Polyp Detection Rate of Two Different Bowel Preparation Methods for PillCam CCE
Will be assessed from RAPID video in total and by segment
Colonic Transit Time of Two Different Bowel Preparation Methods for PillCam CCE
Colonic transit time of two different bowel preparation was assessed from RAPID video in total and by segment
Comparing of Completion Rate of Capsule of Two Different Bowel Preparation Methods for PillCam CCE
Will be assessed from RAPID video in total and by segment
Excretion Rate of Capsule Within 12 Hours of Two Different Bowel Preparation Methods for PillCam CCE
Will be assesses by applicable case report form (CRF)
Adverse Events Rate Between Two Different Bowel Preparation Methods for PillCam CCE
Will be assesses by applicable CRF

Full Information

First Posted
May 19, 2015
Last Updated
January 22, 2017
Sponsor
Medtronic - MITG
search

1. Study Identification

Unique Protocol Identification Number
NCT02481219
Brief Title
Optimization of the Bowel Preparation Regimen for the PillCam® COLON 2 Capsule Endoscopy Procedure
Official Title
COVGIC20482: A Multicenter, Consecutive, Randomized Study to Optimize the Bowel Preparation Regimen for the PillCam COLON 2 Capsule Endoscopy Procedure
Study Type
Interventional

2. Study Status

Record Verification Date
June 2015
Overall Recruitment Status
Completed
Study Start Date
May 2015 (undefined)
Primary Completion Date
January 2016 (Actual)
Study Completion Date
February 2016 (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 study is designed to determine the optimal bowel preparation regimen for PillCam® COLON 2 Capsule Endoscopy System (CCE) procedures in average risk patients. Patients will be randomized to receive one of two bowel preparation regimens prior to PillCam CCE.
Detailed Description
This is a multicenter, prospective, consecutive, randomized study. Average-risk subjects undergoing CCE without optical colonoscopy will be consecutively enrolled and randomized 1:1 to receive one of two bowel preparation regimens prior to PillCam CCE. Subjects will be enrolled at 5-10 clinical sites in the United States. Subjects who meet the eligibility criteria will be screened for study participation at a baseline visit and will be evaluated on the procedure day or until capsule excretion. A telephone follow-up will be conducted 5 to 9 days post-capsule ingestion to verify capsule excretion, assess patient well-being, and capture any adverse events.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Cancer Screening
Keywords
Polyps, Capsule endoscopy, Bowel preparation regimen, Average risk patients for colorectal cancer screening

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Bowel preparation regimen -Control
Arm Type
Active Comparator
Arm Description
Regimen includes administration of: Drug: 4 Senna tablets 2 days before the procedure, Drug: 2-liters of polyethylene glycol (PEG) on the evening before the procedure Drug: 2-liters of PEG on the morning of the procedure, Drug:10mg Metoclopramide or 250 mg Erythromycin Drug: 2 SUPREP oral sulfate solution Drug: 10mg Bisacodyl suppository.
Arm Title
Bowel preparation regimen-Test
Arm Type
Experimental
Arm Description
Regimen includes administration of: Drug: 4 Senna tablets 2 days before the procedure, Drug: 2-liters of PEG on the evening before the procedure Drug: 2-liters of PEG on the morning of the procedure, Drug:10mg Metoclopramide or 250 mg Erythromycin Drug: 2 SUPREP oral sulfate solution with Gastrografin Drug: 10mg Bisacodyl suppository.
Intervention Type
Device
Intervention Name(s)
PillCam® COLON 2 procedure-CONTROL
Intervention Type
Drug
Intervention Name(s)
Senna tablets
Intervention Type
Drug
Intervention Name(s)
PEG
Intervention Type
Drug
Intervention Name(s)
Metoclopramide
Intervention Type
Drug
Intervention Name(s)
Erythromycin
Intervention Type
Drug
Intervention Name(s)
SUPREP oral sulfate solution
Intervention Type
Drug
Intervention Name(s)
Bisacodyl
Intervention Type
Drug
Intervention Name(s)
SUPREP oral sulfate solution with Gastrografin
Primary Outcome Measure Information:
Title
Bowel Cleansing Level of Two Different Bowel Preparation Methods for PillCam® Colon Capsule Endoscopy (CCE)
Description
The primary endpoint is the bowel cleansing level, as determined by a standardized 4-point grading scale, assessed in total and by segment (cecum, ascending, transverse, descending/sigmoid, and rectum).
Time Frame
Within two weeks of study procedure
Secondary Outcome Measure Information:
Title
Comparing Polyp Detection Rate of Two Different Bowel Preparation Methods for PillCam CCE
Description
Will be assessed from RAPID video in total and by segment
Time Frame
an expected average of 3 weeks from study procedure
Title
Colonic Transit Time of Two Different Bowel Preparation Methods for PillCam CCE
Description
Colonic transit time of two different bowel preparation was assessed from RAPID video in total and by segment
Time Frame
an expected average of 3 weeks from study procedure
Title
Comparing of Completion Rate of Capsule of Two Different Bowel Preparation Methods for PillCam CCE
Description
Will be assessed from RAPID video in total and by segment
Time Frame
an expected average of 3 weeks from study procedure
Title
Excretion Rate of Capsule Within 12 Hours of Two Different Bowel Preparation Methods for PillCam CCE
Description
Will be assesses by applicable case report form (CRF)
Time Frame
an expected average of 3 weeks from study procedure
Title
Adverse Events Rate Between Two Different Bowel Preparation Methods for PillCam CCE
Description
Will be assesses by applicable CRF
Time Frame
Adverse Events (AE) were collected starting from the screening visit and until 5-9 days following the PillCam procedure day.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subject is between 50 and 75 years of age. Subject is classified as average risk per the American Gastroenterological Association Guidelines on Colorectal Cancer Screening: Individuals without a personal or family history of colorectal cancer (CRC) or adenomas, inflammatory bowel disease, or high-risk genetic syndromes. Subject is willing and able to participate in the study procedures and to understand and sign the informed consent. Exclusion Criteria: Subject with history of polyps (including those identified by computed tomography [CT], optical colonoscopy, sigmoidoscopy, etc.). Subject with history of negative colon assessment (including CT, optical colonoscopy, sigmoidoscopy etc.) within 5 years as these subjects would be defined not requiring screening in this time frame. Subject with suspected or diagnosed with hematochezia, melena, iron deficiency with or without anemia, or any other rectal bleeding, including positive fecal occult blood test of any variety. Subject with any condition believed to have an increased risk of capsule retention such as suspected or known bowel obstruction, stricture, or fistula. Subject with dysphagia or any swallowing disorder. Subject with serious medical conditions that would increase the risk associated with capsule or colonoscopy that are so severe that screening would have no benefit. Subject with a cardiac pacemaker or other implanted electromedical device. Subject expected to undergo MRI examination within 7 days after ingestion of the capsule. Subject with clinical evidence of renal disease, including clinically significant laboratory abnormalities of renal function within the past 6 months, or at any time in the past if not tested within the last 6 months, defined as creatinine, blood urea nitrogen (BUN), and/or glomerular filtration rate (GFR) outside of the local laboratory reference range. Subject with known gastrointestinal motility disorders. Subject with allergies or known contraindication to the medications or preparation agents used in the procedure as described in the relevant instructions for use. Subject with comorbidities which, in the opinion of the investigator, will not be appropriate for the study or the subject has an estimated life expectancy of less than 6 months. Subject is considered to be part of a vulnerable population (e.g. prisoners or those without sufficient mental capacity). Subject is pregnant, suspected pregnant, or is actively breast-feeding. Females of child-bearing potential will be required to provide either a urine pregnancy test or serum pregnancy test as part of the participant's standard of care regardless of their participation in the study (except for subjects who are surgically sterile or are post-menopausal for at least two years). Subject has participated in an investigational drug or device research study within 30 days of enrollment that may interfere with the subject's safety or ability to participate in this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Douglas K Rex, Dr.
Official's Role
Principal Investigator
Facility Information:
Facility Name
Pinnacle Research Group, LLC
City
Anniston
State/Province
Alabama
ZIP/Postal Code
36207
Country
United States
Facility Name
Indiana University Hospital
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
Indianapolis Gastroenterology and Hepatology
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46237
Country
United States
Facility Name
Dayton Gastroenterology
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45440
Country
United States
Facility Name
Thomas Jefferson University
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
Facility Name
Franklin Gastroenterology, PLLC
City
Franklin
State/Province
Tennessee
ZIP/Postal Code
37067
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Optimization of the Bowel Preparation Regimen for the PillCam® COLON 2 Capsule Endoscopy Procedure

We'll reach out to this number within 24 hrs