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Small Bowel DiseaseNCT05522101

Mini-sized MCE for Detection of Small Bowel in Children Under the Age of 10 Years

A study testing Mini-sized MCE and Normal-sized MCE in people with Small Bowel Disease, run by Changhai Hospital at 4 sites in China.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

In this prospective randomized controlled trial, pediatric volunteers were enrolled and randomly underwent mini-sized MCE and normal-sized CE to compare the success rate of self-swallowing between mini-sized MCE and normal-sized CE during gastrointestinal examination. Read more about this study

Who is it for?
Ages 2 to 9 yearsHealthy volunteers can take part
Conditions the study is for
Small Bowel Disease
What is being tested?
Mini-sized MCE and Normal-sized MCE
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
158 participants
Where
4 sitesChina
Study dates
20 Oct 2022to 20 Jul 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 2 to 9 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Patients and their legal guardians agreed to participate in the study and signed informed consent;
  • 2 years ≤ age < 10 years;
  • Pediatric patients with suspected small bowel disease who are scheduled for small bowel capsule endoscopy

Who cannot join

  • Intestinal obstruction, stenosis, or fistula is known or suspected;
  • Dysphagia or gastric emptying dysfunction;
  • Severe asthma, dysphagia or gastroparesis and other emptying disorders;
  • Known or suspected possibility of major bleeding from active digestive tract;
  • The presence of a pacemaker in the body, except where the pacemaker is a new MRI-compatible product;
  • Implanted cochlear implants, magnetic metal drug infusion pumps, nerve stimulators and other electronic devices, as well as magnetic metal foreign bodies;
Show all 14Show fewer
  • Those who plan to undergo magnetic resonance imaging (MRI) examination before capsule endoscopy discharge;
  • Previous history of abdominal surgery affecting the normal structure of the digestive tract;
  • Patients with mental illness;
  • Allergic to macromolecular materials such as dimethyl silicone oil;
  • Refuse to use electronic gastroscopy to deliver the capsule to the duodenum if the capsule cannot be swallowed by itself;
  • Contraindications of intravenous anesthesia;
  • Patients who have participated in or are participating in other clinical trials within three months;
  • Any other factors considered by the investigator to be inappropriate for enrollment or to affect the participant's participation in the study.

Trial locations and contacts

4 sites in 1 country.

China4 sites
  • Qilu Children's Hospital

    Jinan

    Junjie Xu

  • Shanghai Changhai Hospital

    Shanghai

  • Shanghai Children's Hospital

    Shanghai

    Haifeng Liu

  • Xi'an Children's Hospital

    Xi'an

    Ying Fang

Other trials in China

About this study

Official title: Mini-sized Magnetically Controlled Capsule Endoscopy vs. Normal-sized CE for Detection of Small Bowel in Children Under the Age of 10 Years:A Prospective,Multi-center,Randomized Controlled Trial

In this prospective randomized controlled trial, pediatric volunteers were enrolled and randomly underwent mini-sized MCE and normal-sized CE to compare the success rate of self-swallowing between mini-sized MCE and normal-sized CE during gastrointestinal examination.

Read the detailed description

Magnetic controlled capsule endoscopy (MCE) is comparable to traditional gastroscopy (EGD) in the diagnosis of gastric diseases, and has been widely used in clinical practice. However, there are still some limitations in the application of MCE in digestive tract examination. Due to the large size of capsules at present, some patients have difficulty swallowing capsules during capsule swallowing, which leads to the failure of examination, and the proportion is higher in children patients. Therefore, in order to further improve the patient's comfort in swallowing capsules, our team developed a small MCE with a smaller size combined with innovation, which is 0.6 times of the conventional MCE in terms of volume and weight. This study aims to clarify the application efficacy of mini-MCE in gastrointestinal examination of adults and children through a multicenter clinical study comparing conventional capsule endoscopy with mini-magnetic-controlled capsule endoscopy. In order to ensure the efficacy of the capsule in the examination of digestive tract mucosa, and improve the ease of swallowing in children.

Being tested
Mini-sized MCE, Normal-sized MCE
Keywords
Children, Small Bowel Disease, Capsule Endoscopy

What participants receive

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

  • Mini-sized MCEDevice

    AKES-31SW capsule endoscopy(Mini-sized MCE), its diameter is 9.5mm, length is 24.5mm, weight is 3.0g, shooting frequency is 0.5-6fps, image resolution is 480*480, working time is not less than 8 hours. Mini-sized MCE is 0.6 times of traditional MCE in volume and weight, which is the smallest capsule in clinical application

  • Normal-sized MCEDevice

    Pillcam SB 3 capsule endoscopy(Normal-sized MCE), its diameter is 11.4mm, length is 26.2mm, weight is 3.0g, shooting frequency is 2-6fps, image resolution is 340*340, working time is not less than 8 hours.

Study groups in NCT05522101
Study groupRoleWhat they receive
Mini-sized MCEExperimentalAKES-31SW Capsule Endoscopy
Receives: Device: Mini-sized MCE
Normal sized CEPlacebo comparatorPillCam Capsule Endoscopy
Receives: Device: Normal-sized MCE

What is being measured

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

  1. Success rate of self-swallowing with Mini-sized MCE

    Self-swallowing was defined as the subjects swallowing capsules for examination by themselves, and no endoscope or other instruments were needed to place capsules during the entire examination process

    Measured: 2 weeks

Secondary outcomes (20)
  1. Completion rate of capsule endoscopy gastric examination in two groups

    The stomach was divided into six parts: cardia, fundus, body, antrum, angle and pylorus. The proportion of all subjects who completed complete observation of the six anatomical parts.

    Measured: 2 weeks

  2. Completion rate of small bowel examination by capsule endoscopy in two groups

    Small bowel examination completion definition: All subjects reached the cecum with capsule endoscopy and completed small bowel examination.

    Measured: 2 weeks

  3. Success rate of instrument-assisted examination in the two groups

    The success rate of device-assisted examination was defined as the proportion of small bowel examinations performed by endoscopists using endoscope-assisted capsules.

    Measured: 2 weeks

  4. Two groups of capsule endoscopy swallowing time

    Swallowing time was defined as the time between the time when the patient first placed the capsule in the mouth and the time when the patient took the first image of the esophagus.

    Measured: 2 weeks

  5. Two groups of capsule endoscopy swallowing intake of water

    Definition of water intake in swallowing capsule: The total amount of water ingested by the subject after swallowing the capsule successfully or unsuccessfully using a measuring cup.

    Measured: 2 weeks

  6. The degree of difficulty of capsule swallowing in the two groups

    Swallowing difficulty is assessed on a scale of 0-5, with 0 being no difficulty and 5 being the most difficult.

    Measured: 2 weeks

  7. Factors affecting swallowing by capsule endoscopy

    Physiological parameter such as BMI were recorded

    Measured: 2 weeks

  8. Factors affecting gastrointestinal retention under capsule endoscopy

    The incidence of capsule retention due to anesthesia or intestinal obstruction was recorded

    Measured: 2 weeks

  9. The transmit time of esophagus, the transmit time of stomach, the transmit time of small intestine and the retention time of capsule in two groups

    The time of the first esophageal image, the first stomach image, the first small intestine image, the first large intestine image and the last image taken by capsule endoscopy were recorded.

    Esophageal transmit time: time of first stomach image minus time of first esophageal image Stomach transmit time: time of first small intestine image minus time of first stomach image Small bowel transmit time: the time of the first large intestine image minus the time of the first small intestine image Total retention time of the capsule in vivo: total recording time of the capsule in vivo, which is the time of the last image of the capsule minus the time of the first image of the esophagus.

    Measured: 2 weeks

  10. The time of gastric examination was magnetically controlled in the MCE group

    Measured: 2 weeks

  11. The rate of pylorus was magnetically controlled in the MCE group

    Measured: 2 weeks

  12. The detection rate of gastrointestinal lesions by capsule endoscopy in two groups

    Measured: 2 weeks

  13. Mucosal cleanliness of esophagus in two capsule endoscopy groups

    Esophageal mucosa cleanliness score (Grade0: no bubbles, saliva or a small amount of bubbles, saliva, no impact on the observation of mucosa; Grade 1: moderate amount of bubbles and saliva, slight effect on observed mucosa; Grade 2: a large number of bubbles and saliva, which have a great influence on the observation of mucosa)

    Measured: 2 weeks

  14. Mucosal cleanliness of stomach in two capsule endoscopy groups

    Gastric mucosa cleanliness score:(Grade 1 : no adhesive mucus and foam, clear field of vision; Grade 2 : there is a small amount of mucus and foam, but the visual field is not blurred, which does not affect the integrity of the examination; Grade 3 : medium amount of mucus and foam, blurred visual field, affecting the integrity of the examination; Grade 4 : large amount of mucus and foam, blurred vision, affecting the integrity of the examination)

    Measured: 2 weeks

  15. Mucosal cleanliness of small intestine in two capsule endoscopy groups

    Small intestinal mucosa cleanliness score:

    Small bowel cleanliness score (Grade0: no fecal residue or a small amount of clear fluid, clear field of vision; Grade 1: There is a small amount of fecal residue or more clear liquid, and the visual field is still clear, which does not affect the observation; Grade 2: More fecal residue or turbid fecal fluid, blurred vision, affecting observation)

    Measured: 2 weeks

  16. The integrity of esophageal mucosa was observed by capsule endoscopy in the two groups

    Esophageal mucosal integrity The dentate line observation was evaluated mainly, including whether the dentate line could be observed, and the number of dentate line observation quadrants;

    Measured: 2 weeks

  17. The integrity of gastric mucosa was observed by capsule endoscopy in the two groups

    Gastric mucosa integrity assessment:

    The main anatomic sites such as cardia, fundus, body, Angle, antrum and pylorus were observed (grade 1: sufficient observation, ≥ 90% of gastric mucosa could be observed; Grade 2: Good observation, 70-90% of the gastric mucosa can be observed; Level 3: Insufficient observation, < 70% of gastric mucosa can be observed)

    Measured: 2 weeks

  18. The integrity of small bowel mucosa was observed by capsule endoscopy in the two groups

    The percentage of the total small bowel examination time in which the mucosa was clearly visible (> 50% visual field) was recorded

    Measured: 2 weeks

  19. Incidence of adverse events

    The rates of adverse events such as asphyxia by capsule aspiration, drug allergy and capsule retention were recorded

    Measured: 2 weeks

  20. Overall inspection comfort score

    A questionnaire survey was conducted on the overall comfort of Normal-sized CE and Mini-sized MCE, with 4 scores as very comfortable, 3 scores as comfortable, 2 scores as tolerable, 1 score as uncomfortable, and 0 score as very uncomfortable.

    Measured: 2 weeks

Timeline

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

  1. First posted30 Aug 2022
  2. Study start20 Oct 2022 (estimated)
  3. Primary completion20 Jul 2023 (estimated)
  4. Study completion20 Jul 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
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
158 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05522101
Sponsor's protocol ID
Mini-sized MCE
Status last verified
Oct 2022
First submitted
4 Aug 2022
Last updated
14 Oct 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: After finishing this study,We will make the data available to other researchers:including protocol,statistical analysis plan (SAP),informed consent form (ICF) and clinical study report (CSR).

Publications

  • Swaminath A, Legnani P, Kornbluth A. Video capsule endoscopy in inflammatory bowel disease: past, present, and future redux. Inflamm Bowel Dis. 2010 Jul;16(7):1254-62. doi: 10.1002/ibd.21220.

    PubMed 20155845
  • Arguelles-Arias F, Donat E, Fernandez-Urien I, Alberca F, Arguelles-Martin F, Martinez MJ, Molina M, Varea V, Herrerias-Gutierrez JM, Ribes-Koninckx C. Guideline for wireless capsule endoscopy in children and adolescents: A consensus document by the SEGHNP (Spanish Society for Pediatric Gastroenterology, Hepatology, and Nutrition) and the SEPD (Spanish Society for Digestive Diseases). Rev Esp Enferm Dig. 2015 Dec;107(12):714-31. doi: 10.17235/reed.2015.3921/2015.

    PubMed 26671584
  • Urs AN, Martinelli M, Rao P, Thomson MA. Diagnostic and therapeutic utility of double-balloon enteroscopy in children. J Pediatr Gastroenterol Nutr. 2014 Feb;58(2):204-12. doi: 10.1097/MPG.0000000000000192.

    PubMed 24126830
  • Gu Z, Wang Y, Lin K, Wang X, Cheng W, Wang L, Zhang T, Liu H. Magnetically Controlled Capsule Endoscopy in Children: A Single-center, Retrospective Cohort Study. J Pediatr Gastroenterol Nutr. 2019 Jul;69(1):13-17. doi: 10.1097/MPG.0000000000002292.

    PubMed 30747810
  • Cardey J, Le Gall C, Michaud L, Dabadie A, Talbotec C, Bellaiche M, Lamireau T, Mas E, Bridoux-Henno L, Viala J, Restier-Miron L, Lachaux A. Screening of esophageal varices in children using esophageal capsule endoscopy: a multicenter prospective study. Endoscopy. 2019 Jan;51(1):10-17. doi: 10.1055/a-0647-1709. Epub 2018 Sep 5.

    PubMed 30184608
  • Pai AK, Jonas MM, Fox VL. Esophageal Capsule Endoscopy in Children and Young Adults With Portal Hypertension. J Pediatr Gastroenterol Nutr. 2019 Dec;69(6):641-647. doi: 10.1097/MPG.0000000000002455.

    PubMed 31365487
  • Oliva S, Di Nardo G, Hassan C, Spada C, Aloi M, Ferrari F, Redler A, Costamagna G, Cucchiara S. Second-generation colon capsule endoscopy vs. colonoscopy in pediatric ulcerative colitis: a pilot study. Endoscopy. 2014 Jun;46(6):485-92. doi: 10.1055/s-0034-1365413. Epub 2014 Apr 28.

    PubMed 24777427
  • Xie M, Qian Y, Cheng S, Wang L, Shen R. Magnetically Guided Capsule Endoscopy in Pediatric Patients with Abdominal Pain. Gastroenterol Res Pract. 2019 May 8;2019:7172930. doi: 10.1155/2019/7172930. eCollection 2019.

    PubMed 31205466
  • Fritscher-Ravens A, Scherbakov P, Bufler P, Torroni F, Ruuska T, Nuutinen H, Thomson M, Tabbers M, Milla P. The feasibility of wireless capsule endoscopy in detecting small intestinal pathology in children under the age of 8 years: a multicentre European study. Gut. 2009 Nov;58(11):1467-72. doi: 10.1136/gut.2009.177774. Epub 2009 Jul 21.

    PubMed 19625281
  • Radhakrishnan C, Sefidani Forough A, Cichero JAY, Smyth HE, Raidhan A, Nissen LM, Steadman KJ. A Difficult Pill to Swallow: An Investigation of the Factors Associated with Medication Swallowing Difficulties. Patient Prefer Adherence. 2021 Jan 11;15:29-40. doi: 10.2147/PPA.S277238. eCollection 2021.

    PubMed 33469272
  • Ohmiya N, Oka S, Nakayama Y, Iwama I, Nakamura M, Shimizu H, Sumioka A, Abe N, Kudo T, Osawa S, Honma H, Okuhira T, Mtsufuji S, Imaeda H, Ota K, Matsuoka R, Hotta N, Inoue M, Nakaji K, Takamaru H, Ozeki K, Kobayashi T, Hosoe N, Tajiri H, Tanaka S. Safety and efficacy of the endoscopic delivery of capsule endoscopes in adult and pediatric patients: Multicenter Japanese study (AdvanCE-J study). Dig Endosc. 2022 Mar;34(3):543-552. doi: 10.1111/den.14104. Epub 2021 Sep 10.

    PubMed 34379849
  • Burgess CJ, McIntyre EC, Withers GD, Ee LC. Comparing swallowing of capsule to endoscopic placement of capsule endoscopy in children. JGH Open. 2017 Sep 18;1(1):11-14. doi: 10.1002/jgh3.12001. eCollection 2017 Sep.

    PubMed 30483526
  • Dan T, Dandan S, Enqiang L. Aspiration of a Magnetically Controlled Capsule Endoscopy. Gastroenterology. 2023 May;164(6):e30-e31. doi: 10.1053/j.gastro.2019.04.006. Epub 2019 Apr 11. No abstract available.

    PubMed 30981792
  • Melson J, Trikudanathan G, Abu Dayyeh BK, Bhutani MS, Chandrasekhara V, Jirapinyo P, Krishnan K, Kumta NA, Pannala R, Parsi MA, Sethi A, Trindade AJ, Watson RR, Maple JT, Lichtenstein DR. Video capsule endoscopy. Gastrointest Endosc. 2021 Apr;93(4):784-796. doi: 10.1016/j.gie.2020.12.001. Epub 2021 Feb 26. No abstract available.

    PubMed 33642034
  • Jiang B, Qian YY, Pan J, Jiang X, Wang YC, Zhu JH, Zou WB, Zhou W, Li ZS, Liao Z. Second-generation magnetically controlled capsule gastroscopy with improved image resolution and frame rate: a randomized controlled clinical trial (with video). Gastrointest Endosc. 2020 Jun;91(6):1379-1387. doi: 10.1016/j.gie.2020.01.027. Epub 2020 Jan 22.

    PubMed 31981648

Questions about this trial

What is this clinical trial studying?

A study testing Mini-sized MCE and Normal-sized MCE in people with Small Bowel Disease, run by Changhai Hospital at 4 sites in China.

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 3 inclusion and 14 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 14 Oct 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in China. 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. 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.

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 Zhuan Liao (86-21-31161004, liaozhuan@smmu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Success rate of self-swallowing with Mini-sized MCE (time frame: 2 weeks). 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 NCT05522101, which also lists 17 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 14 Oct 2022.

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