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Bowel Preparation ScalePhase 4NCT02507037

Effect of Gum Chewing on Bowel Cleansing Before Colonoscopy

A Phase 4 study testing gum+PEG and polyethylene glycol in people with Bowel Preparation Scale and Adenoma Detection Rate, run by Changhai Hospital.

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

In this randomized controlled study, consecutive outpatients scheduled for elective colonoscopy were randomized into two groups. Group A patients (n = 150) used 2 L PEG before colonoscopy. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
What is being tested?
gum+PEG and polyethylene glycol
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
300 participants
Where
No sites listed yet
Study dates
Jul 2014to Oct 2015
Phase
Phase 4
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 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • All adults (18-65) who were referred for outpatient colonoscopy.

Who cannot join

  • under 18 years or More than 65 years
  • previous abdominal surgery
  • major psychiatric disorders
  • pregnancy
  • presence of any contraindications for colonoscopy(eg, severe heart failure)
  • recent inadequate colonoscopy history

About this study

Official title: Effect of Gum Chewing on Bowel Cleansing Before Colonoscopy: A Prospective Randomized Study

In this randomized controlled study, consecutive outpatients scheduled for elective colonoscopy were randomized into two groups. Group A patients (n = 150) used 2 L PEG before colonoscopy. Patients in group B (n = 150) were additionally advised to chew sugarless gum plus 2 L PEG, The overall quality of colonoscopy cleaning was evaluated using the Boston Bowel Preparation Scale by endoscopists who was blinded to the intervention. Difficulty of procedure, patients' tolerance, and adverse events were also evaluated.

Being tested
gum+PEG, polyethylene glycol

What participants receive

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

  • gum+PEGDietary supplement

    chew sugarless gum

  • polyethylene glycolDrug

    2L PEG

Study groups in NCT02507037
Study groupRoleWhat they receive
gum+PEGExperimentalused 2L PEG+sugarless gum
Receives: Dietary Supplement: gum+PEG
PEGPlacebo comparatoronly used 2L PEG
Receives: Drug: polyethylene glycol

What is being measured

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

  1. Boston Bowel Preparation Scale

    Measured: 2 days

Secondary outcomes (3)
  1. number of patient tolerability

    Measured: 2 days

  2. number of patient willingness to repeat preparation

    Measured: 2 days

  3. Adenoma Detection Rate

    Measured: 2 days

Timeline

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

  1. First posted23 Jul 2015 (estimated)
  2. Study startJul 2014
  3. Primary completionAug 2015
  4. Study completionOct 2015

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Screening
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Investigator
Enrolment
300 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02507037
Sponsor's protocol ID
Gum-1
Status last verified
Mar 2016
First submitted
19 Jul 2015
Last updated
18 Mar 2016
Results posted
No
Data monitoring committee
Yes

Publications

  • Sakin YS, Uygun A, Bagci S. Comment on: Efficacy and safety of gum chewing in adjunct to high-dose senna for bowel cleansing before colonoscopy: a single-blind randomized controlled trial. Saudi J Gastroenterol. 2015 Jan-Feb;21(1):56. doi: 10.4103/1319-3767.151233. No abstract available.

    PubMed 25672242
  • Ergul B, Filik L, Kocak E, Dogan Z, Sarikaya M. Efficacy and safety of gum chewing in adjunct to high-dose senna for bowel cleansing before colonoscopy: a single-blind randomized controlled trial. Saudi J Gastroenterol. 2014 Nov-Dec;20(6):356-9. doi: 10.4103/1319-3767.145325.

    PubMed 25434316
  • Ou G, Svarta S, Chan C, Galorport C, Qian H, Enns R. The effect of chewing gum on small-bowel transit time in capsule endoscopy: a prospective, randomized trial. Gastrointest Endosc. 2014 Apr;79(4):630-6. doi: 10.1016/j.gie.2013.08.038. Epub 2013 Oct 7.

    PubMed 24112594
  • Fang J, Wang SL, Fu HY, Li ZS, Bai Y. Impact of gum chewing on the quality of bowel preparation for colonoscopy: an endoscopist-blinded, randomized controlled trial. Gastrointest Endosc. 2017 Jul;86(1):187-191. doi: 10.1016/j.gie.2016.05.051. Epub 2016 Jun 17.

    PubMed 27327849

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing gum+PEG and polyethylene glycol in people with Bowel Preparation Scale and Adenoma Detection Rate, run by Changhai Hospital.

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 1 inclusion and 6 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 18 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

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

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

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?

Boston Bowel Preparation Scale (time frame: 2 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02507037, which also lists 4 linked publications.

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 18 Mar 2016.

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