Clinical trial • Not applicable • Gastroenterology

Ascorbic acid; Sodium ascorbate; Potassium chloride; Sodium chloride; Sodium sulfate anhydrous; Macrogol 3350 for Comparison of diagnostic tools

Not applicable trial of Ascorbic acid; Sodium ascorbate; Potassium chloride; Sodium chloride; Sodium sulfate anhydrous; Macrogol 3350 for Comparison of di…

Overview

Trial Therapeutic Area
Gastroenterology
Trial Disease
Comparison of diagnostic tools
Trial Stage
Not applicable
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
20-01-2025
First CTIS Authorization Date
21-01-2025

Trial design

Randomised, three preparation groups: (1) liquid diet the day before the exam and fasting as the only preparation; (2) liquid diet and two liters of moviprep the day before the exam and fasting; (3) liquid diet the day before the examination, fasting associated with the administration of 2 ml (200 mg) of aero-red 15 minutes before the examination.-controlled Not applicable trial across 2 sites in Spain.

Randomised
Yes
Comparator
Three preparation groups: (1) Liquid diet the day before the exam and fasting as the only preparation; (2) Liquid diet and two liters of Moviprep the day before the exam and fasting; (3) Liquid diet the day before the examination, fasting associated with the administration of 2 ml (200 mg) of Aero-red 15 minutes before the examination.
Target Sample Size
156

Eligibility

Recruits 156 No vulnerable populations selected; participants must be 18 years or older and will provide signed informed consent for performing capsule endoscopy and signed and dated informed consent for entry into the clinical trial..

Pregnancy Exclusion
pregnant
Vulnerable Population
No vulnerable populations selected; participants must be 18 years or older and will provide signed informed consent for performing capsule endoscopy and signed and dated informed consent for entry into the clinical trial.

Inclusion criteria

  • {"criterion_text":"- Patients aged 18 years or older who are indicated to undergo a small bowel study using capsule endoscopy and whose indication is included in standard clinical practice"}
  • {"criterion_text":"- They will provide signed informed consent for performing capsule endoscopy."}
  • {"criterion_text":"- Provide signed and dated informed consent for entry into the clinical trial"}

Exclusion criteria

  • {"criterion_text":"- Suspected or diagnosed gastrointestinal obstruction/perforation."}
  • {"criterion_text":"- Known small bowel strictures"}
  • {"criterion_text":"- Patients with severe gastroparesis"}
  • {"criterion_text":"- In case of previous Patency® capsule production: Deformed retention or expulsion of the capsule."}
  • {"criterion_text":"- pregnant"}
  • {"criterion_text":"- Patients with severe liver, cardiovascular or kidney disease that contraindicates preparation with polyethylene glycol (Movipep®)."}
  • {"criterion_text":"- Patients who present or have presented any adverse reaction or allergy to polyethylene glycol (Moviprep ®) or simethicone."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Degree of small bowel cleansing using an accepted cleansing scale.","definition_or_measurement_approach":"Using an accepted cleansing scale."}

Secondary endpoints

  • {"endpoint_text":"- Diagnostic yield of capsule endoscopy defined as: finding of clinically significant lesions.","definition_or_measurement_approach":"Defined as finding of clinically significant lesions (diagnostic yield)."}
  • {"endpoint_text":"- Gastric transit time (GTT): Defined as the time elapsed from the first gastric image to the first duodenal image. This value will be expressed in minutes.","definition_or_measurement_approach":"Time elapsed from the first gastric image to the first duodenal image; expressed in minutes."}
  • {"endpoint_text":"- Small bowel transit time (STT): This is defined as the time elapsed from the first duodenal image to the first cecal image. When the study does not reach the cecum, the last image of the study will be considered as the first cecal image and it will be indicated that the cecum has not been reached. This value will be expressed in minutes.","definition_or_measurement_approach":"Time elapsed from the first duodenal image to the first cecal image; if cecum not reached the last image is considered first cecal image; expressed in minutes."}
  • {"endpoint_text":"- Tolerability of the preparation: Expresses the degree of acceptance or non-acceptance by the patient of the preparation. For this purpose, a questionnaire will be used, which is not validated, and will be completed at the time the capsule is administered.","definition_or_measurement_approach":"Assessed by a non-validated questionnaire completed at time of capsule administration to express degree of acceptance/tolerability."}
  • {"endpoint_text":"- Percentage of complete studies: A study is considered complete when it has reached the blind spot during the recording time.","definition_or_measurement_approach":"Proportion of studies reaching the cecum ('blind spot') during recording time."}
  • {"endpoint_text":"- Other variables: Demographic variables: age, gender, personal history. Reason for requesting capsule endoscopy and diagnosis found. Previous treatment with antiplatelet agents, anticoagulants, non-steroidal anti-inflammatory drugs and/or prokinetics.","definition_or_measurement_approach":"Collection of demographic and clinical variables including medication history and reason for capsule endoscopy."}

Recruitment

Planned Sample Size
156
Recruitment Window Months
56
Consent Approach
Participants (aged 18 years or older) must provide signed informed consent for performing capsule endoscopy and signed and dated informed consent for entry into the clinical trial. Subject information and informed consent form document is listed for publication (no languages specified).

Geography

Total Number Of Sites
2
Total Number Of Participants
156

Spain

Earliest CTIS Part Ii Submission Date
16-01-2025
Latest Decision Or Authorization Date
21-01-2025
Processing Time Days
5
Number Of Sites
2
Number Of Participants
156

Sites

Site Name
Hospital Universitario Principe De Asturias
Department Name
DIGESTIVE DISEASE
Contact Person Name
MARIA ISABEL HIGUERA FERNÁNDEZ
Site Name
Hospital Universitario De Guadalajara SESCAM
Department Name
DIGESTIVE DISEASE
Contact Person Name
Silvia García Garzón
Contact Person Email
silviag@sescam.jccm.es

Sponsor

Primary sponsor

Full Name
Hospital Universitario La Paz
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Spain

Investigational products

Investigational Product Name
MOVIPREP
Active Substance
Ascorbic acid; Sodium ascorbate; Potassium chloride; Sodium chloride; Sodium sulfate anhydrous; Macrogol 3350
Modality
Small molecule
Routes Of Administration
Oral
Route
oral
Authorisation Status
Authorised (authorisationCountryCode: NO)
Starting Dose
2 l
Dose Levels
2 l
Frequency
Single administration the day before the exam (liquid diet plus preparation)
Maximum Dose
2 l
Investigational Product Name
Aero-red 100 mg/ml gotas orales en solución
Active Substance
Simeticone
Modality
Small molecule
Routes Of Administration
Oral
Route
oral
Authorisation Status
Authorised (authorisationCountryCode: ES)
Starting Dose
2 ml (200 mg)
Dose Levels
2 ml (200 mg)
Frequency
Single dose 15 minutes before the examination
Maximum Dose
480 mg

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