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High-Volume Vs Low-Volume Preparation in Emergency Department

Primary Purpose

GastroIntestinal Bleeding

Status
Completed
Phase
Not Applicable
Locations
Italy
Study Type
Interventional
Intervention
Low volume macrogol
High volume macrogol
Sponsored by
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for GastroIntestinal Bleeding

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • males or females
  • > 18 years and <85 years,
  • hemodynamically stable,
  • able to sign informed consent
  • requiring colonoscopy
  • anemia (loss of at least 2 g/dl of Hb) with or without active bleeding

Exclusion Criteria:

  • suspected or confirmed pregnancy,
  • hemodynamically unstable patients,
  • patients unable to swallow or with known or suspected gastrointestinal obstruction or perforation,
  • toxic megacolon,
  • major colonic resection,
  • heart failure (Class III or IV NYHA),
  • severe liver failure,
  • end-stage renal disease

Sites / Locations

  • Fondazione Policlinico Universitario A. Gemelli IRCCS

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

Other

Arm Label

High-Volume

Low-Volume

Arm Description

Patients in the group were instructed to take 4 L of solution on the day before the colonoscopy

Patients in the group were instructed to take 2 L of solution on the day before the colonoscopy

Outcomes

Primary Outcome Measures

intestinal cleansing
Using Boston Bowel Preparation Scale score (from 0 to 9, where 9 is worst preparation level)

Secondary Outcome Measures

Full Information

First Posted
April 29, 2022
Last Updated
April 1, 2023
Sponsor
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
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1. Study Identification

Unique Protocol Identification Number
NCT05362227
Brief Title
High-Volume Vs Low-Volume Preparation in Emergency Department
Official Title
Lower Gastrointestinal Bleeding in the Emergency Department: High-Volume Vs Low-Volume Peg Bowel Preparation for Colonoscopy
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Completed
Study Start Date
November 1, 2019 (Actual)
Primary Completion Date
May 30, 2021 (Actual)
Study Completion Date
June 30, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Fondazione Policlinico Universitario Agostino Gemelli IRCCS

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The primary endpoint of this study was to compare the intestinal cleansing of patients with LGIB requiring colonoscopy, prepared with High-Volume or with Low-Volume who have to perform colonoscopy, directly from the ED. The intestinal cleansing was evaluated with the standardized Boston Bowel Preparation Scale (BBPS). The secondary endpoint was to evaluate the tolerability and compliance of patients prepared with High-Volume in comparison to Low-Volume in the ED.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
GastroIntestinal Bleeding

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
228 (Actual)

8. Arms, Groups, and Interventions

Arm Title
High-Volume
Arm Type
Other
Arm Description
Patients in the group were instructed to take 4 L of solution on the day before the colonoscopy
Arm Title
Low-Volume
Arm Type
Other
Arm Description
Patients in the group were instructed to take 2 L of solution on the day before the colonoscopy
Intervention Type
Drug
Intervention Name(s)
Low volume macrogol
Intervention Description
Clensia 2 lt
Intervention Type
Drug
Intervention Name(s)
High volume macrogol
Intervention Description
Selg 4 lt
Primary Outcome Measure Information:
Title
intestinal cleansing
Description
Using Boston Bowel Preparation Scale score (from 0 to 9, where 9 is worst preparation level)
Time Frame
during colonscopy procedure

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: males or females > 18 years and <85 years, hemodynamically stable, able to sign informed consent requiring colonoscopy anemia (loss of at least 2 g/dl of Hb) with or without active bleeding Exclusion Criteria: suspected or confirmed pregnancy, hemodynamically unstable patients, patients unable to swallow or with known or suspected gastrointestinal obstruction or perforation, toxic megacolon, major colonic resection, heart failure (Class III or IV NYHA), severe liver failure, end-stage renal disease
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Veronica Ojetti, Prof
Organizational Affiliation
Fondazione Policlinico universitario a. Gemelli
Official's Role
Principal Investigator
Facility Information:
Facility Name
Fondazione Policlinico Universitario A. Gemelli IRCCS
City
Roma
ZIP/Postal Code
00168
Country
Italy

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

High-Volume Vs Low-Volume Preparation in Emergency Department

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