Bowel Preparation and Prokinetics in Capsule Endoscopy

NCT ID: NCT00275184

Last Updated: 2007-09-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-01-31

Brief Summary

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The aim of this study is to determine whether taking bowel preparation (citramag and senna) or a medicine to speed up transit through the stomach (metoclopramide), will improve the quality of the images seen, increase the transit through the small bowel, and increase the rate of completion of capsule endoscopy.

The secondary objective is to determine whether patients could routinely tolerate this bowel preparation prior to capsule endoscopy and whether the diagnostic yield of capsule endoscopy is improved.

Detailed Description

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Capsule endoscopy is a diagnostic tool for the detection of small bowel disease allowing noninvasive endoscopic examination of the entire small bowel without the need for sedation. Its limited battery life of 8+/-1 hours means it is paramount that the Capsule reaches the caecum, visualizing the whole of the small intestine, and also that the mucosal views obtained are clear, facilitating detection of pathologic lesions.

So far no optimal protocol for bowel preparation prior to Capsule endoscopy has been established. Recently, several studies have shown that bowel preparation with polyethylene glycol significantly reduces both gastric and small bowel transit times. Similarly, visualization of the small intestine and therefore 'diagnostic yield' have both been shown to be improved by both sodium phosphate and polyethylene glycol preparation. A more recent study by Selby et al also demonstrates that the prokinetic agent metoclopramide (which is known to promote emptying of the stomach) reduced both stomach and small bowel transit time, increasing completion rates from 76% to 97%).

The proposal is to perform a randomised, controlled study using Citramag and Senna bowel preparation or Metoclopramide to determine whether test completion rates are improved and whether the images of the bowel are of better quality.

The hypothesis is that the improved wall visibility and increased completion rates will improve the diagnostic yield of Capsule endoscopy and therefore improve patient care.

Conditions

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Small Bowel Disease Gastrointestinal Hemorrhage Refractory Anemia

Keywords

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Bowel preparation capsule endoscopy randomised Citramag Senna Metoclopramide Patients referred for Capsule endoscopy occult/overt gastrointestinal bleeding other suspected small bowel pathology

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Interventions

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Senna

Intervention Type DRUG

Citramag powder

Intervention Type DRUG

Metoclopramide

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients over 18 who have been referred for capsule endoscopy

Exclusion Criteria

* Under 18
* Known or suspected gastrointestinal tract obstruction as this may impede passage of the capsule
* Known small bowel stricture or fistula as this may impede capsule passage
* Pregnancy, breast feeding or phaeochromocytoma as metoclopramide is contraindicated
* Recent gastrointestinal surgery in view of the risk of impeded capsule passage
* Permanent cardiac pacemaker or implantable defibrillator in-situ to avoid the risk of possible interference
* Congestive cardiac failure as citramag is contraindicated in such patients
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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London North West Healthcare NHS Trust

OTHER

Sponsor Role lead

Principal Investigators

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Christopher Fraser, MB BCH, MD, FRCP

Role: PRINCIPAL_INVESTIGATOR

St Mark's Hospital, North West London Hospitals NHS Trust

Locations

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St Mark's Hospital, North West London Hospitals NHS Trust

London, , United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Christopher Fraser, MB BCH, MD, FRCP

Role: CONTACT

Email: [email protected]

Neil Patterson, MB BCH, MD, MRCP

Role: CONTACT

Email: [email protected]

Facility Contacts

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Alan Warnes, PhD

Role: primary

Iva Hauptmannova, BSc, MA

Role: backup

Other Identifiers

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REC 05/Q0405/94

Identifier Type: -

Identifier Source: secondary_id

EudraCT No: 2005-004423-19

Identifier Type: -

Identifier Source: secondary_id

05/CE/94

Identifier Type: -

Identifier Source: org_study_id