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Colorectal CancerSOCRATECNCT04307901

Safety Of ColoRectal Assessment and Tumor Evaluation by Colon Capsule Endoscopy

An observational study of Colorectal Cancer and Colorectal Polyp, run by Odense University Hospital at 1 site in Denmark.

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Trial summary

Following European guidelines patients undergoing colonoscopy in one of Odense University Hospitals units will now be offered a colon capsule endoscopy (CCE) in case of incomplete examinations. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Colorectal Cancer, Colorectal Polyp
What is being tested?
Colon capsule endoscopy
How many people
600 participants
Where
1 siteDenmark
Study dates
1 May 2020to 31 Dec 2030
Phase
Observational

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: All adults referred to colon capsule endoscopy from the surgical department of Odense University Hospital, which signs consent form enabling us to retrieve personal data.

Who may be able to join

  • Incomplete colonoscopy, referral for colonoscopy under general anesthesia or declining colonoscopy after completion of bowel preparation.

Who cannot join

  • Chrohn's disease with symptoms of stenosis and/or pacemaker

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Gunnar Baatrup, Prof. contact

+4520575154

gunnar.baatrup@rsyd.dk

Denmark1 site, 1 recruiting
  • Odense University Hospital

    Svendborg, 5700

    Gunnar Baatrup

    Recruiting

Other trials in Denmark

About this study

Following European guidelines patients undergoing colonoscopy in one of Odense University Hospitals units will now be offered a colon capsule endoscopy (CCE) in case of incomplete examinations. Patients formerly referred to colonoscopy in general anesthesia or patients who decline colonoscopy after having completed bowel preparation will also be offered a CCE. In our department we have conducted a comparison study documenting that the sensitivity of CCE is superior to CT colonography in both polyps >9 mm and polyps >5 mm, which is also supported by an Italian study. The safety and completion rate of CCE following incomplete colonoscopy is confirmed by several studies including one multicenter study and the completion rate is not significantly lower compared to other patient groups. In an incomplete colonoscopy it is always the most oral part of the colon which is not visualized, whereas in CCE, an incomplete investigation will most often have visualized the oral part. By combining incomplete colonoscopy results and incomplete CCE results we can identify patients who have had a complete colon investigation although both investigations were incomplete.

Aim: to investigate the quality of CCE and the completion rate in patients who have undergone an incomplete colonoscopy, have completed bowel preparation but declines colonoscopy or have been referred to colonoscopy in general anesthesia.

Being tested
Colon capsule endoscopy
Keywords
colon capsule endoscopy, ct colonography, colonoscopy, endoscopy
Medical subject headings
Colorectal Neoplasms

What participants receive

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

  • Colon capsule endoscopyDevice

    Endoscopy performed using PillCam2 camera capsule for oral ingestion

Study groups in NCT04307901
Study groupRoleWhat they receive
Incomplete colonoscopyIndividuals referred to colon capsule endoscopy due to incomplete colonoscopy investigation.
Receives: Device: Colon capsule endoscopy
Colonoscopy general anesthesiaIndividuals referred to colon capsule endoscopy as alternative to colonoscopy under general anesthesia.
Receives: Device: Colon capsule endoscopy
Colonoscopy declinedIndividuals referred to colon capsule endoscopy after completion of bowel preparation for colonoscopy, but who have declined colonoscopy to be carried out.
Receives: Device: Colon capsule endoscopy

What is being measured

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

  1. Complete mucosal visualization combining incomplete investigations

    By combining results from incomplete colon capsule endoscopy and incomplete colonoscopy we will identify complete combined investigations.

    Measured: 10 years

Secondary outcomes (5)
  1. Completion rate of colon capsule endoscopy

    Total and subgroup completion rates of investigations

    Measured: 2 years

  2. Safety of colon capsule endoscopy

    Total and subgroup safety of investigations

    Measured: 1 year

  3. Quality of colon capsule endoscopy

    Sensitivity and specificity compared to colonoscopies

    Measured: 1 year

  4. Economic evaluation

    Economic analyses and evaluations comparing cost of investigations per patient and per case by investigation type.

    Measured: 1 year

  5. Patient preference

    Investigation of patient preferences stratified by demographic characteristics and history of endoscopic procedures

    Measured: 2 years

Timeline

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

  1. First posted13 Mar 2020
  2. Study start1 May 2020
  3. Primary completion1 Oct 2030 (estimated)
  4. Study completion31 Dec 2030 (estimated)

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
600 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04307901
Sponsor's protocol ID
20/4408
Acronym
SOCRATEC
Status last verified
May 2020
First submitted
12 Mar 2020
Last updated
20 May 2020
Results posted
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Undecided

Publications

  • Havshoi AV, Deding U, Jensen SS, Andersen PV, Kaalby L, Al-Najami I. Colon capsule endoscopy following incomplete colonoscopy in routine clinical settings. Surg Endosc. 2023 Apr;37(4):2749-2755. doi: 10.1007/s00464-022-09783-w. Epub 2022 Dec 5.

    PubMed 36471059

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