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Colonic DiseaseNCT00604422

Evaluation of the PillCam™ Colon Capsule Endoscopy (PCCE) in Detection & Classification of Ulcerative Colitis

An observational study of Colonic Disease and Ulcerative Colitis, run by Medtronic - MITG at 3 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To evaluate the ability of the PillCam® Colon Capsule Endoscope to detect and classify Ulcerative colitis Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Colonic Disease, Ulcerative Colitis
How many people
97 participants
Where
3 sitesin 3 countries
Study dates
Apr 2007to Mar 2010
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Subjects that are indicated for standard colonoscopy due to suspected or known Ulcerative colitis disease The study population will consist of subjects who fulfill all the inclusion criteria and none of the exclusion criteria.

Who may be able to join

  • Subjects 18-70
  • Suspected or known ulcerative colitis patients

Who cannot join

  • Subject has dysphagia
  • Subject has congestive heart failure
  • Subject who can not tolerate bowel preparation
  • Poor bowel preparation
  • Subject has renal insufficiency
  • Subject is known or is suspected to suffer from intestinal obstruction.
Show all 15Show fewer
  • Subject has a cardiac pacemaker or other implanted electro-medical devices.
  • Subject is pregnant
  • Subject is expected to undergo MRI examination within 7 days after ingestion of the capsule.
  • Subject has had prior abdominal surgery of the gastrointestinal tract other than uncomplicated procedures that would be unlikely to lead to bowel obstruction based on the clinical judgment of the investigator.
  • Subject has any condition, which precludes compliance with study and/or device instructions.
  • Subject suffers from life threatening conditions
  • Subject is currently participating in another clinical study
  • Subject has constipation (less than 3 bowel movements/week)
  • Subject has known slow gastric emptying time

Trial locations and contacts

3 sites in 3 countries.

3 sites in 3 countries

Hong Kong1 site
  • Chinese university of Hong Kong, Princes of Walses Hospital

    Hong Kong

Other trials in Hong Kong

Singapore1 site
  • Department of Medicine, National University Hospital

    Singapore, 119074

Other trials in Singapore

Taiwan1 site
  • Department of Internal Medicine & Health Management Center, National Taiwan University Hospital

    Taipei

Other trials in Taiwan

About this study

To evaluate the ability of the PillCam® Colon Capsule Endoscope to detect and classify Ulcerative colitis

Read the detailed description

Ulcerative colitis (UC) is a disorder of unknown origin that may be characterized by acute and chronic inflammation of the colon. The extent of the colonic mucosal inflammation varies among individuals, but the disease almost always involves the rectum. Ulcerative colitis has required evaluation by colonoscopy to determine the extent and severity of the disease. The PillCam platform offers an alternative approach for endoscopic visualization of the colon using capsule endoscopy, a swallowable device which contains imagers, light sources, a power source and a RF transmitter. Advantages of the PillCam platform include the elimination of the need for conscious sedation, the minimally invasive, painless nature of the exam, and the ability to pursue normal daily activities immediately following the procedure . Furthermore, compared to standard colonoscopy, the PillCam platform may be more readily accepted by the subjects, thereby improving subjects' willingness to undergo a diagnostic evaluation of the colon.

The PillCam® SB capsule (formerly M2A® Capsule) that was FDA-approved in August 2001 for small bowel evaluation has been ingested to date by more than 700,000 people worldwide and is well accepted by patients and physicians as well as the professional societies. However, adequate visualization of the colon cannot be achieved with the standard PillCam™ SB capsule because of the anatomical and physiological properties of the colon which are significantly different than the small bowel. Moreover, other issues that limit the evaluation of the colonic mucosa by the standard PillCam™ SB procedure include an unsatisfactory level of colon cleanliness and slow progression of the PillCam™ SB capsule through the colon during the desired examination time. Therefore, the development and introduction of a specially designed, customized colon capsule combined with a dedicated capsule colonoscopy procedure protocol will allow for more efficient evaluation of the colonic mucosa. Further details of the PillCam® Colon Capsule Endoscope (PCCE) can be found in the device description section.

In previous studies, the PillCam colon platform has been shown to be safe and to be able to demonstrate colon polyps and cancers. This study is an extension to a trial evaluating the use of PCCE in ulcerative colitis that has already been completed in Hong Kong (n=40). This study is designed to assess the ability of the capsule to accurately detect inflammatory lesions and thus classifying the extent and severity of disease in subjects with ulcerative colitis in comparison to traditional colonoscopy.

Keywords
Colonic disease, Ulcerative colitis, suspected or known colonic disease
Medical subject headings
Colonic Diseases, Colitis, Ulcerative

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT00604422
Study groupRoleWhat they receive
ASubjects that are indicated for standard colonoscopy due to suspected or known Ulcerative colitis disease

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Agreement level between capsule and colonoscopy in classifying colitis into the above (see section 3.1) categories.

    Measured: within 7 days

Secondary outcomes (7)
  1. Number, type and severity of adverse events with both PCCE and standard colonoscopy

    Measured: Within 7 days

  2. Accuracy parameters for detecting active UC

    Measured: within 7 days

  3. Disease severity scoring index for both PCCE and .standard colonoscopy

    Measured: within 7 days

  4. Colon cleansing level score for both PCCE and standard colonoscopy.

    Measured: within 7 days

  5. Grading of the bubbles interference at the colon for PCCE.

    Measured: Within 7 days

  6. Percentage of excreted colon capsules

    Measured: Within 7 Days

  7. PCCE transit time from ingestion to excretion and colon transit time

    Measured: Within 7 Days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Jan 2008 (estimated)
  2. Study startApr 2007
  3. Primary completionFeb 2010
  4. Study completionMar 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
97 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00604422
Sponsor's protocol ID
MA-107
Status last verified
Mar 2010
First submitted
24 Jan 2008
Last updated
31 Jul 2019
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

An observational study of Colonic Disease and Ulcerative Colitis, run by Medtronic - MITG at 3 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 31 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Hong Kong, Singapore, Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Agreement level between capsule and colonoscopy in classifying colitis into the above (see section 3.1) categories. (time frame: within 7 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Jul 2019.

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