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Inflammatory Bowel DiseasesPECNCT04904224

Diagnosis of Inflammatory Bowel Disease by Examining the Entire Bowel by Pan-intestinal Capsule Endoscopy

A study testing Panintestinal video capsule endoscopy and Colonoscopy in people with Inflammatory Bowel Diseases and Morbus Crohn, run by Robert Bosch Medical Center at 6 sites in Germany.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The aim of this study is to discover inflammatory changes in the gastrointestinal tract in adult patients with suspicion of a chronic inflammatory bowel disease (IBD) by examining the entire bowel, including the small intestine, by using a video capsule. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Inflammatory Bowel Diseases, Morbus Crohn
What is being tested?
Panintestinal video capsule endoscopy and Colonoscopy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
150 participants
Where
6 sitesGermany
Study dates
7 Mar 2021to 31 Mar 2023
Phase
Interventional
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18 years or older
  • Apply one of the following
  • Chronic abdominal pain for at least 4 weeks, min. 3/10 points on a visual pain scale
  • Persistent diarrhea, Stool frequency of at least 4 per day
  • doctor visit due to the mentioned complaints
  • Exclusion of an infectious genesis or coeliac disease by serological testing or duodenal biopsy, if necessary
  • Consent to study participation
  • Fecal calprotectin > 50 µg/g

Who cannot join

  • Pregnancy
  • metastasized malignoma
  • terminal renal insufficiency, renal insufficiency requiring dialysis
  • swallowing disorder
  • age < 18 years
  • lack of consent
Show all 10Show fewer
  • infectious genesis of symptomps
  • coeliac disease
  • Relative contraindication:
  • evidence of strictures, strictures or fistulas in the gastrointestinal tract in imaging or in high suggestive symptoms, e.g. Ileus

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

Germany6 sites, 6 recruiting
  • Praxis Gersemann

    Ditzingen, Baden-Wurttemberg, 71254

    Michael Gersemann

    Recruiting
  • Praxis Escher

    Leonberg, Baden-Wurttemberg, 71229

    Markus Escher

    Recruiting
  • Gastroenterologische Schwerpunktpraxis

    Stuttgart, Baden-Wurttemberg, 70190

    Boris Uhel

    Hartmut Goelkel

    Recruiting
  • Robert Bosch Medical Center

    Stuttgart, Baden-Wurttemberg, 70376

    Joerg G Albert, 004971181013406, joerg.albert@rbk.de

    Bea Poppel, 004971181015453, bea.poppel@web.de

    Recruiting
  • Gastroenterologie am Pragsattel

    Stuttgart, Baden-Wurttemberg, 70469

    Oliver Mueller

    Marcus Pichler

    Recruiting
  • Ambulante Gastroenterologie

    Stuttgart, Baden-Wurttemberg, 70565

    Karl M. Teubner

    Dietmar Vogler

    Recruiting

Other trials in Germany

About this study

Official title: Use of Pan-intestinal Capsule Endoscopy for Detection of Inflammatory Bowel Disease in the Case of Increased Fecal Calprotectin

The aim of this study is to discover inflammatory changes in the gastrointestinal tract in adult patients with suspicion of a chronic inflammatory bowel disease (IBD) by examining the entire bowel, including the small intestine, by using a video capsule. The study compares the video capsule endoscopy with colonoscopy with the question of inflammation and patient satisfaction with the respective examinations.

The study is aimed at participants who present to a gastroenterologist because of their complaints like persistent abdominal pain or diarrhea. An infectious genesis and celiac disease must be ruled out in advance.

Read more

In addition, the determination of the fecal calprotectin (fCal) is necessary for this study. Fecal calprotectin is a stool marker for the severity of an inflammation of the gastrointestinal tract, an increased fecal calprotectin can be an initial indication for the presence of a chronic inflammatory bowel disease.

As mentioned above, participants will be examined in one of two ways: either with an examination of the small and large intestines using video capsule endoscopy in one examination (i.e. ,panintestinal capsule endoscopy', PICE) or a colonoscopy is performed as the standard treatment. Which of the two methods is used will be decided by lot, electronically controlled.

Colon cleansing is necessary in preparation for both examinations. The advantage of being assigned to the video capsule group is, in addition to showing the entire intestine in one examination, that no sedation is necessary for this examination.

In addition to the examination, participants have to fill out a questionnaire with information about their state of affairs, their well-being and their experience with the examination. After a period of six month the participants will be contact by phone to inquire about their current state of health.

Read the detailed description

People who contact a gastroenterologist because of persistent complaints like abdominal pain or diarrhea are suspicious having an inflammatory bowel disease and maybe meet the eligibility requirements for the study.

After checking the inclusion and exclusion criteria further necessary data (medical history, secondary diagnoses, previous examinations, etc.) as well as laboratory parameters (especially signs of inflammation and fecal calprotectin) are collected. After being informed about the study and potential risks, all patients giving written informed consent and who meet the eligibility requirements will be randomized in an open-label manner (participant and investigator) in a 1:1 ratio to video capsule endscopy intervention or colonoscopy. A follow-up by phone to evaluate the state of health is planned after six months.

The study center and established specialist practices are responsible for the study inclusion.

There will be no recruitment by advertising. Only participants who are introducing themselves due to complaints are offered study participation.

Being tested
Panintestinal video capsule endoscopy, Colonoscopy
Keywords
Abdominal Pain, Diarrhea, Video Capsule Endoscopy, Panintestinal Video Capsule Endoscopy, Fecal Calprotectin
Medical subject headings
Inflammatory Bowel Diseases, Crohn Disease, Abdominal Pain, Diarrhea

What participants receive

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

  • Panintestinal video capsule endoscopyDevice

    Also called PillCam Crohn's Capsule

    Performing a video capsule endoscopy using the Pill Cam Crohn's capsule from Medtronic

  • ColonoscopyDevice

    Also called (Ileo-)Colonoscopy

    Performing a standard colonoscopy using the colonoscope available in the study center

Study groups in NCT04904224
Study groupRoleWhat they receive
PICEActive comparatorParticipants receive a panintestinal video capsule endoscopy (PICE)
Receives: Device: Panintestinal video capsule endoscopy
ColonoscopyActive comparatorParticipants receive an (Ileo-)Colonoscopy
Receives: Device: Colonoscopy

What is being measured

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

  1. Number of Participants with Evidence of inflammatory Alterations in the Gastrointestinal Tract

    Detection of inflammatory changes using vidoe capsule endoscopy or colonoscopy

    Measured: through study completion, an average of 1 year

Secondary outcomes (2)
  1. Number of Diagnosis of a Chronic Inflammatory Bowel Disease

    Diagnosis of inflammatory bowel disease depending on the examination findings of video capsule endoscopy or colonoscopy

    Measured: through study completion, an average of 1 year

  2. Number of Participants with Indication for a Therapy because of the Examination findings

    Indication for a surgical or drug therapy

    Measured: through study completion, an average of 1 year

Timeline

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

  1. First posted27 May 2021
  2. Study start7 Mar 2021
  3. Primary completion31 Mar 2022 (estimated)
  4. Study completion31 Mar 2023 (estimated)

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 N/A
Primary purpose
Diagnosis
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized multicentric open-label study in cooperation with local gastroenterological specialist practices. A comparison is made of pan-intestinal capsule endoscopy versus colonoscopy.
Masking
None (open label)
Enrolment
150 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04904224
Sponsor's protocol ID
KKF-06-2019
Acronym
PEC
Status last verified
May 2021
First submitted
22 May 2021
Last updated
27 May 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Albert JG, Martiny F, Krummenerl A, Stock K, Lesske J, Gobel CM, Lotterer E, Nietsch HH, Behrmann C, Fleig WE. Diagnosis of small bowel Crohn's disease: a prospective comparison of capsule endoscopy with magnetic resonance imaging and fluoroscopic enteroclysis. Gut. 2005 Dec;54(12):1721-7. doi: 10.1136/gut.2005.069427. Epub 2005 Jul 14.

    PubMed 16020490
  • Albert JG, Kotsch J, Kostler W, Behl S, Kaltz B, Bokemeyer B, Dollinger MM, Haerting J, Fleig WE. Course of Crohn's disease prior to establishment of the diagnosis. Z Gastroenterol. 2008 Feb;46(2):187-92. doi: 10.1055/s-2007-963524.

    PubMed 18253897
  • Carroccio A, Iacono G, Cottone M, Di Prima L, Cartabellotta F, Cavataio F, Scalici C, Montalto G, Di Fede G, Rini G, Notarbartolo A, Averna MR. Diagnostic accuracy of fecal calprotectin assay in distinguishing organic causes of chronic diarrhea from irritable bowel syndrome: a prospective study in adults and children. Clin Chem. 2003 Jun;49(6 Pt 1):861-7. doi: 10.1373/49.6.861.

    PubMed 12765980
  • Cotter J, Dias de Castro F, Moreira MJ, Rosa B. Tailoring Crohn's disease treatment: the impact of small bowel capsule endoscopy. J Crohns Colitis. 2014 Dec;8(12):1610-5. doi: 10.1016/j.crohns.2014.02.018. Epub 2014 Mar 14.

    PubMed 24631311
  • Dionisio PM, Gurudu SR, Leighton JA, Leontiadis GI, Fleischer DE, Hara AK, Heigh RI, Shiff AD, Sharma VK. Capsule endoscopy has a significantly higher diagnostic yield in patients with suspected and established small-bowel Crohn's disease: a meta-analysis. Am J Gastroenterol. 2010 Jun;105(6):1240-8; quiz 1249. doi: 10.1038/ajg.2009.713. Epub 2009 Dec 22.

    PubMed 20029412
  • Fleiss JL, Tytun A, Ury HK. A simple approximation for calculating sample sizes for comparing independent proportions. Biometrics. 1980 Jun;36(2):343-6.

    PubMed 26625475
  • Hale M, McAlindon ME. Capsule endoscopy as a panenteric diagnostic tool. Br J Surg. 2014 Feb;101(3):148-9. doi: 10.1002/bjs.9321. Epub 2013 Nov 19. No abstract available.

    PubMed 24254382
  • Hale MF, Drew K, McAlindon ME, Sidhu R. The diagnostic accuracy of faecal calprotectin and small bowel capsule endoscopy and their correlation in suspected isolated small bowel Crohn's disease. Eur J Gastroenterol Hepatol. 2016 Oct;28(10):1145-50. doi: 10.1097/MEG.0000000000000696.

    PubMed 27384306
  • Hale MF, Sidhu R, McAlindon ME. Capsule endoscopy: current practice and future directions. World J Gastroenterol. 2014 Jun 28;20(24):7752-9. doi: 10.3748/wjg.v20.i24.7752.

    PubMed 24976712
  • Jensen MD, Nathan T, Rafaelsen SR, Kjeldsen J. Diagnostic accuracy of capsule endoscopy for small bowel Crohn's disease is superior to that of MR enterography or CT enterography. Clin Gastroenterol Hepatol. 2011 Feb;9(2):124-9. doi: 10.1016/j.cgh.2010.10.019. Epub 2010 Nov 5.

    PubMed 21056692
  • Jensen MD, Kjeldsen J, Nathan T. Fecal calprotectin is equally sensitive in Crohn's disease affecting the small bowel and colon. Scand J Gastroenterol. 2011 Jun;46(6):694-700. doi: 10.3109/00365521.2011.560680. Epub 2011 Apr 1.

    PubMed 21456899
  • May A, Albert J, Keuchel M, Moog G, Hartmann D. [Capsule endoscopy for the diagnosis of small bowel diseases. An updated statement by the endoscopy section of DGVS]. Z Gastroenterol. 2010 Dec;48(12):1384-404. doi: 10.1055/s-0029-1245788. Epub 2010 Nov 24. No abstract available. German.

    PubMed 21108180
  • Pennazio M, Spada C, Eliakim R, Keuchel M, May A, Mulder CJ, Rondonotti E, Adler SN, Albert J, Baltes P, Barbaro F, Cellier C, Charton JP, Delvaux M, Despott EJ, Domagk D, Klein A, McAlindon M, Rosa B, Rowse G, Sanders DS, Saurin JC, Sidhu R, Dumonceau JM, Hassan C, Gralnek IM. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2015 Apr;47(4):352-76. doi: 10.1055/s-0034-1391855. Epub 2015 Mar 31.

    PubMed 25826168
  • Petruzziello C, Calabrese E, Onali S, Zuzzi S, Condino G, Ascolani M, Zorzi F, Pallone F, Biancone L. Small bowel capsule endoscopy vs conventional techniques in patients with symptoms highly compatible with Crohn's disease. J Crohns Colitis. 2011 Apr;5(2):139-47. doi: 10.1016/j.crohns.2010.12.004. Epub 2011 Jan 14.

    PubMed 21453883
  • Smalley W, Falck-Ytter C, Carrasco-Labra A, Wani S, Lytvyn L, Falck-Ytter Y. AGA Clinical Practice Guidelines on the Laboratory Evaluation of Functional Diarrhea and Diarrhea-Predominant Irritable Bowel Syndrome in Adults (IBS-D). Gastroenterology. 2019 Sep;157(3):851-854. doi: 10.1053/j.gastro.2019.07.004. Epub 2019 Jul 11. No abstract available.

    PubMed 31302098

Questions about this trial

What is this clinical trial studying?

A study testing Panintestinal video capsule endoscopy and Colonoscopy in people with Inflammatory Bowel Diseases and Morbus Crohn, run by Robert Bosch Medical Center at 6 sites in Germany.

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 8 inclusion and 10 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: status not confirmed, as of the sponsor's last update on 27 May 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in Germany. 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?

Results are not available in the source record.

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

Contact Joerg G. Albert (004971181013406, joerg.albert@rbk.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants with Evidence of inflammatory Alterations in the Gastrointestinal Tract (time frame: through study completion, an average of 1 year). 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 NCT04904224, which also lists 19 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 27 May 2021.

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