Clinical trial • Not applicable • Gastroenterology

SODIUM HYDROGEN CARBONATE; POTASSIUM CHLORIDE; SODIUM CHLORIDE; MACROGOL 3350 for Inadequate bowel preparation

Not applicable trial of SODIUM HYDROGEN CARBONATE; POTASSIUM CHLORIDE; SODIUM CHLORIDE; MACROGOL 3350 for Inadequate bowel preparation.

Overview

Trial Therapeutic Area
Gastroenterology
Trial Disease
Inadequate bowel preparation
Trial Stage
Not applicable
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
31-03-2025
First CTIS Authorization Date
18-07-2025

Trial design

Randomised, placebo matching clinitrat® (composition same as clinitrat® except for the active substance). dose/schedule not specified in the ctis record.-controlled Not applicable trial across 4 sites in Greece.

Randomised
Yes
Comparator
Placebo matching CLINITRAT® (composition same as CLINITRAT® except for the active substance). Dose/schedule not specified in the CTIS record.
Target Sample Size
188
Trial Duration For Participant
84

Eligibility

Recruits 188 No vulnerable populations selected. Patients must be legally competent and capable of understanding the study information and must provide written informed consent (ICF). No assent/parental consent procedures are described because only adults (≥18 years) are eligible..

Pregnancy Exclusion
Pregnancy
Vulnerable Population
No vulnerable populations selected. Patients must be legally competent and capable of understanding the study information and must provide written informed consent (ICF). No assent/parental consent procedures are described because only adults (≥18 years) are eligible.

Inclusion criteria

  • {"criterion_text":"- Women and/or men at least 18 years old\n- Women and/or men with inadequate preparation on reference colonoscopy, score <6 points according to the Boston Bowel Preparation Scale (BBPS)\n- Patients who are legally competent and capable of understanding the information provided about the study, have been informed about the nature, scope and utility of the study, voluntarily agree to participate and have signed the informed consent form (ICF)."}

Exclusion criteria

  • {"criterion_text":"- Common contraindications for colonoscopy (suspected perforation, toxic megacolon, pyloric stenosis, severe colitis, pregnancy, lactation)\n- Type I diabetes\n- Patients with colon segmental resection\n- Patients suffering from severe dehydration\n- Rhabdomyolysis\n- Hypermagnesemia\n- Patients suffering from active inflammatory bowel disease\n- Intestinal obstruction or perforation\n- Ileus, gastric retention, acute intestinal or gastric ulceration\n- Acute abdominal conditions requiring immediate surgery, such as acute appendicitis\n- Nausea and vomiting\n- Allergy or hypersensitivity to study drugs\n- Toxic megacolon\n- Non-compliance with instructions for bowel preparation during reference colonoscopy (receiving <75% of bowel preparation)\n- Polyposis syndrome and refusal to participate in the study\n- Pregnancy\n- Lactation\n- Participation in another study of an investigational medicinal product or investigational medical device\n- Severe heart failure (NYHA III/IV)\n- Severe chronic kidney disease (eGFR<30)"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Adequate bowel preparation, as defined by a total BBPS score ≥6 and a score per segment ≥2.","definition_or_measurement_approach":"Defined by Boston Bowel Preparation Scale (BBPS): total BBPS score ≥6 and per-segment score ≥2."}

Secondary endpoints

  • {"endpoint_text":"- Average BBPS total score\n- Partial BBPS sub-score for the right (ascending) colon\n- Polyp detection rate\n- Percentage of colonoscopies reaching the cecum\n- Patient tolerance, which will be assessed based on a questionnaire assessing the tolerance of the preparation translated and updated in Greek","definition_or_measurement_approach":"Average and partial scores measured using the Boston Bowel Preparation Scale (BBPS); polyp detection rate measured as proportion of procedures with polyps detected; percentage reaching the cecum measured as proportion of colonoscopies reaching the cecum; patient tolerance assessed by a translated questionnaire (patient-reported tolerance)."}

Recruitment

Planned Sample Size
188
Recruitment Window Months
24
Consent Approach
Written informed consent (ICF) required from each participant. Inclusion criteria state patients must be legally competent and capable of understanding study information and must have signed the ICF. Consent materials include an ICF document (available for publication) and translations into Greek are provided/indicated. No minors are eligible (≥18 years), so no assent procedures are described.

Geography

Total Number Of Sites
4
Total Number Of Participants
188

Greece

Earliest CTIS Part Ii Submission Date
15-04-2025
Latest Decision Or Authorization Date
18-07-2025
Processing Time Days
94
Number Of Sites
4
Number Of Participants
188

Sites

Site Name
Geniko Nosokomeio Nikaias Peiraia Ag. Panteleimon Geniko Nosokomeio Dytikis Attikis I
Department Name
Gastroenterology Clinic
Principal Investigator Name
Maria Tzouvala
Principal Investigator Email
tzouvalam@gmail.com
Contact Person Name
Maria Tzouvala
Contact Person Email
tzouvalam@gmail.com
Site Name
University General Hospital Of Heraklion
Department Name
Gastroenterology Clinic
Principal Investigator Name
Ioannis Koutroubakis
Principal Investigator Email
ikoutroubakis@gmail.com
Contact Person Name
Ioannis Koutroubakis
Contact Person Email
ikoutroubakis@gmail.com
Site Name
Evangelismos S.A.
Department Name
Gastroenterology Department
Principal Investigator Name
Nikolaos Viazis
Principal Investigator Email
nikos.viazis@gmail.com
Contact Person Name
Nikolaos Viazis
Contact Person Email
nikos.viazis@gmail.com
Site Name
Alexandra Hospital
Department Name
Gastroenterology Clinic
Principal Investigator Name
Spyridon Michopoulos
Principal Investigator Email
michosp5@gmail.com
Contact Person Name
Spyridon Michopoulos
Contact Person Email
michosp5@gmail.com

Sponsor

Primary sponsor

Full Name
Uni-Pharma Kleon Tsetis Pharmaceutical Laboratories S.A.
Organisation Type
Pharmaceutical company
Country Of Registered Address
Greece

Investigational products

Investigational Product Name
CLINITRAT® (6.563+175,4+89,3+23,3) mg/sachet ή stick, Κόνις για πόσιμο διάλυμα
Active Substance
SODIUM HYDROGEN CARBONATE; POTASSIUM CHLORIDE; SODIUM CHLORIDE; MACROGOL 3350
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL
Authorisation Status
Authorised (marketing authorisation number 3109301, country GR)
Maximum Dose
41.4 g per day (max total 82.8 g)
Investigational Product Name
The placebo has the same composition as the investigational medicinal product Clinitrat® (6.563+175,4+89,3+23,3) mg/sachet (with the exception of the active substance)
Modality
Other
Combination Treatment
Yes

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