A Prospective Randomized Study Comparing the Adenoma Detection Yield of SC, AI and Combined AI and G-EYE®
Primary Purpose
Colorectal (Colon or Rectal) Cancer, Adenoma
Status
Not yet recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Standard Colonoscopy
Artificial Intelligence Aided Colonoscopy (GI Genius™)
Combined Artificial Intelligence Aided Colonoscopy (GI Genius™) and G-EYE® Balloon Aided Colonoscopy
Sponsored by
About this trial
This is an interventional screening trial for Colorectal (Colon or Rectal) Cancer
Eligibility Criteria
Inclusion Criteria:
- Patients of age ≥ 45 years old
- Referred to colonoscopy for screening or surveillance colonoscopy (history of adenoma resection)
- The patient must understand and provide written consent for the procedure.
Exclusion Criteria:
- Subjects with inflammatory bowel disease
- Subjects with a personal history of polyposis syndrome
- Subjects with suspected chronic stricture potentially precluding complete colonoscopy
- Subjects with diverticulitis or toxic megacolon
- Subjects with a history of radiation therapy to abdomen or pelvis
- Pregnant or lactating female subjects
- Subjects who are currently enrolled in another clinical investigation.
- Subjects with current oral or parenteral use of anticoagulants, not considered eligible by the investigator.
- Subjects with recent (within the last 3 mounts) coronary ischemia or CVA (stroke)
- Any patient condition deemed too risky for the study by the investigator
- Previous colonic surgery (except for appendectomy)
Sites / Locations
- Indiana University
- NYU Langone Health
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Active Comparator
Active Comparator
Experimental
Arm Label
Standard Colonoscopy ("SC")
Artificial Intelligence Aided Colonoscopy (GI Genius™) ("AI")
Combined Artificial Intelligence (GI Genius™) and G-EYE® Colonoscopy (AG)
Arm Description
Subjects enrolled to arm 1 ("SC") will undergo colonoscopy using a standard colonoscope.
Subjects enrolled to arm 2 ("AI") will undergo colonoscopy using a standard colonoscope aided by Artificial Intelligence (GI Genius™)
Subjects enrolled to arm 3 ("AG") will undergo colonoscopy using the G-EYE® Colonoscope and Artificial Intelligence Aided Colonoscopy (GI Genius™).
Outcomes
Primary Outcome Measures
Adenoma Per Colonoscopy (APC) (AI compared with AG)
Adenoma detection yield, represented by Adenoma Per Colonoscopy (APC) of AI compared with APC of AG.
Secondary Outcome Measures
Adenoma Per Colonoscopy (APC) (SC compared with AG)
Adenoma detection yield, represented by Adenoma Per Colonoscopy (APC) of SC compared with APC of AG
Advanced Adenoma Per Colonoscopy (AAPC) (SC compared with AG)
Advanced Adenoma detection yield, represented by Advanced Adenoma Per Colonoscopy (AAPC) of SC compared with AAPC of AG
Full Information
NCT ID
NCT05317351
First Posted
March 31, 2022
Last Updated
March 31, 2022
Sponsor
Smart Medical Systems Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT05317351
Brief Title
A Prospective Randomized Study Comparing the Adenoma Detection Yield of SC, AI and Combined AI and G-EYE®
Official Title
A Prospective Randomized Study Comparing the Adenoma Detection Yield of (i) Standard Colonoscopy ("SC"), (ii) Artificial Intelligence (GI Genius™) ("AI"), and (Iii) Combined Artificial Intelligence (GI Genius™) and G-EYE® Colonoscopy
Study Type
Interventional
2. Study Status
Record Verification Date
March 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
May 2022 (Anticipated)
Primary Completion Date
December 2022 (Anticipated)
Study Completion Date
December 2022 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Smart Medical Systems Ltd.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a multicenter, 3-arm, randomized, open-label study. Subjects referred to colonoscopy for screening or surveillance will be randomized in a 2:5:5 into one of the following arms:
(i) Standard Colonoscopy (ii) Artificial Intelligence Aided Colonoscopy (GI Genius™) (iii) Combined Artificial Intelligence Aided Colonoscopy (GI Genius™) and G-EYE® Balloon Aided Colonoscopy
Detailed Description
This is a multicenter, 3-arm, randomized, open-label study. Subjects referred to colonoscopy for screening or surveillance will be randomized in a 2:5:5 into one of the following arms:
(i) Standard Colonoscopy (ii) Artificial Intelligence Aided Colonoscopy (GI Genius™) (iii) Combined Artificial Intelligence Aided Colonoscopy (GI Genius™) and G-EYE® Balloon Aided Colonoscopy Study aim is to compare the adenoma detection yield, expressed by Adenoma Per Colonoscopy (APC), of these 3 arms.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal (Colon or Rectal) Cancer, Adenoma
7. Study Design
Primary Purpose
Screening
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
This is a multicenter, 3-arm, randomized, open-label study. Subjects referred to colonoscopy for screening or surveillance will be randomized in a 2:5:5 into one of the following arms: (i) Standard Colonoscopy, (ii) Artificial Intelligence Aided Colonoscopy (GI Genius™), and (iii) Combined Artificial Intelligence Aided Colonoscopy (GI Genius™) and G-EYE® Balloon Aided Colonoscopy
Masking
None (Open Label)
Allocation
Randomized
Enrollment
2160 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Standard Colonoscopy ("SC")
Arm Type
Active Comparator
Arm Description
Subjects enrolled to arm 1 ("SC") will undergo colonoscopy using a standard colonoscope.
Arm Title
Artificial Intelligence Aided Colonoscopy (GI Genius™) ("AI")
Arm Type
Active Comparator
Arm Description
Subjects enrolled to arm 2 ("AI") will undergo colonoscopy using a standard colonoscope aided by Artificial Intelligence (GI Genius™)
Arm Title
Combined Artificial Intelligence (GI Genius™) and G-EYE® Colonoscopy (AG)
Arm Type
Experimental
Arm Description
Subjects enrolled to arm 3 ("AG") will undergo colonoscopy using the G-EYE® Colonoscope and Artificial Intelligence Aided Colonoscopy (GI Genius™).
Intervention Type
Device
Intervention Name(s)
Standard Colonoscopy
Intervention Description
Subjects randomized into arm 1 will undergo standard colonoscopy using a standard colonoscope
Intervention Type
Device
Intervention Name(s)
Artificial Intelligence Aided Colonoscopy (GI Genius™)
Intervention Description
Subjects randomized into arm 2 will undergo colonoscopy using a standard colonoscope aided by Artificial Intelligence (GI Genius™)
Intervention Type
Device
Intervention Name(s)
Combined Artificial Intelligence Aided Colonoscopy (GI Genius™) and G-EYE® Balloon Aided Colonoscopy
Intervention Description
Subjects enrolled to arm 3 ("AG") will undergo colonoscopy using the G-EYE® Colonoscope and Artificial Intelligence Aided Colonoscopy (GI Genius™).
Primary Outcome Measure Information:
Title
Adenoma Per Colonoscopy (APC) (AI compared with AG)
Description
Adenoma detection yield, represented by Adenoma Per Colonoscopy (APC) of AI compared with APC of AG.
Time Frame
Upon histology results (up to 30 days)
Secondary Outcome Measure Information:
Title
Adenoma Per Colonoscopy (APC) (SC compared with AG)
Description
Adenoma detection yield, represented by Adenoma Per Colonoscopy (APC) of SC compared with APC of AG
Time Frame
Upon histology results (up to 30 days)
Title
Advanced Adenoma Per Colonoscopy (AAPC) (SC compared with AG)
Description
Advanced Adenoma detection yield, represented by Advanced Adenoma Per Colonoscopy (AAPC) of SC compared with AAPC of AG
Time Frame
Upon histology results (up to 30 days)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Patients of age ≥ 45 years old
Referred to colonoscopy for screening or surveillance colonoscopy (history of adenoma resection)
The patient must understand and provide written consent for the procedure.
Exclusion Criteria:
Subjects with inflammatory bowel disease
Subjects with a personal history of polyposis syndrome
Subjects with suspected chronic stricture potentially precluding complete colonoscopy
Subjects with diverticulitis or toxic megacolon
Subjects with a history of radiation therapy to abdomen or pelvis
Pregnant or lactating female subjects
Subjects who are currently enrolled in another clinical investigation.
Subjects with current oral or parenteral use of anticoagulants, not considered eligible by the investigator.
Subjects with recent (within the last 3 mounts) coronary ischemia or CVA (stroke)
Any patient condition deemed too risky for the study by the investigator
Previous colonic surgery (except for appendectomy)
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Douglas K Rex, MD
Phone
317-777-9676
Email
drex@iu.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Douglad K Rex, MD
Organizational Affiliation
Indina University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Indiana University
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Douglas K Rex, MD
Phone
317-777-9676
Email
drex@iu.edu
Facility Name
NYU Langone Health
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Seth A Gross, MD
Phone
212-263-3095
Email
Seth.Gross@nyulangone.org
12. IPD Sharing Statement
Plan to Share IPD
No
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A Prospective Randomized Study Comparing the Adenoma Detection Yield of SC, AI and Combined AI and G-EYE®
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