Trial Outcomes & Findings for Study of Flat Polyp Detection Using New Narrow Band Imaging (NBI) Compared to White Light Colonoscopy - The FIND FLAT Colonoscopy Study (NCT NCT01310699)

NCT ID: NCT01310699

Last Updated: 2017-12-06

Results Overview

Compare the nonpolypoid colorectal neoplasm detection characteristics of the new high definition narrow band imaging colonoscopy to conventional high definition white light mode colonoscopy.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

281 participants

Primary outcome timeframe

One week (time of procedure plus time for pathology of polyp to be analyzed by histology)

Results posted on

2017-12-06

Participant Flow

Participant milestones

Participant milestones
Measure
High Definition NBI Colonoscopy
Use of high definition narrow band imaging colonoscopy during examination for polyp detection. Olympus Colonoscope CFHQ190AL: Technically improved colonoscope with close focus high definition narrow band imaging.
High Definition White Light Colonoscopy
Use of high definition white light colonoscopy during examination for polyp detection. Olympus Colonoscope CFHQ190AL: Technically improved colonoscope with close focus high definition narrow band imaging.
Overall Study
STARTED
132
149
Overall Study
COMPLETED
128
143
Overall Study
NOT COMPLETED
4
6

Reasons for withdrawal

Reasons for withdrawal
Measure
High Definition NBI Colonoscopy
Use of high definition narrow band imaging colonoscopy during examination for polyp detection. Olympus Colonoscope CFHQ190AL: Technically improved colonoscope with close focus high definition narrow band imaging.
High Definition White Light Colonoscopy
Use of high definition white light colonoscopy during examination for polyp detection. Olympus Colonoscope CFHQ190AL: Technically improved colonoscope with close focus high definition narrow band imaging.
Overall Study
Patients did not complete tandem.
4
6

Baseline Characteristics

Study of Flat Polyp Detection Using New Narrow Band Imaging (NBI) Compared to White Light Colonoscopy - The FIND FLAT Colonoscopy Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
High Definition NBI Colonoscopy
n=128 Participants
Use of high definition narrow band imaging colonoscopy during examination for polyp detection. Olympus Colonoscope CFHQ190AL: Technically improved colonoscope with close focus high definition narrow band imaging.
High Definition White Light Colonoscopy
n=143 Participants
Use of high definition white light colonoscopy during examination for polyp detection. Olympus Colonoscope CFHQ190AL: Technically improved colonoscope with close focus high definition narrow band imaging.
Total
n=271 Participants
Total of all reporting groups
Age, Continuous
63.7 years
STANDARD_DEVIATION 9.4 • n=5 Participants
62.3 years
STANDARD_DEVIATION 8.6 • n=7 Participants
63 years
STANDARD_DEVIATION 9.01 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
8 Participants
n=7 Participants
11 Participants
n=5 Participants
Sex: Female, Male
Male
125 Participants
n=5 Participants
135 Participants
n=7 Participants
260 Participants
n=5 Participants

PRIMARY outcome

Timeframe: One week (time of procedure plus time for pathology of polyp to be analyzed by histology)

Compare the nonpolypoid colorectal neoplasm detection characteristics of the new high definition narrow band imaging colonoscopy to conventional high definition white light mode colonoscopy.

Outcome measures

Outcome measures
Measure
High Definition NBI Colonoscopy
n=128 Participants
Use of high definition narrow band imaging colonoscopy during examination for polyp detection. Olympus Colonoscope CFHQ190AL: Technically improved colonoscope with close focus high definition narrow band imaging.
High Definition White Light Colonoscopy
n=143 Participants
Use of high definition white light colonoscopy during examination for polyp detection. Olympus Colonoscope CFHQ190AL: Technically improved colonoscope with close focus high definition narrow band imaging.
Number of Participants With Nonpolypoid (Flat and Depressed) Colorectal Neoplasm
33 Participants
43 Participants

SECONDARY outcome

Timeframe: One week (time of procedure plus time for pathology of polyp to be analyzed by histology)

Compare the number of missed lesions on the index examination using the new high definition narrow band imaging colonoscopy to the conventional high definition white light mode colonoscopy, based on the tandem colonoscopy findings.

Outcome measures

Outcome measures
Measure
High Definition NBI Colonoscopy
n=128 Participants
Use of high definition narrow band imaging colonoscopy during examination for polyp detection. Olympus Colonoscope CFHQ190AL: Technically improved colonoscope with close focus high definition narrow band imaging.
High Definition White Light Colonoscopy
n=143 Participants
Use of high definition white light colonoscopy during examination for polyp detection. Olympus Colonoscope CFHQ190AL: Technically improved colonoscope with close focus high definition narrow band imaging.
Percentage of Missed Lesions on Index Colonoscopy.
32.0 percentage of adenomas
31.4 percentage of adenomas

SECONDARY outcome

Timeframe: One week (time of procedure plus time for pathology of polyp to be analyzed by histology)

Population: Adenoma by shape (i.e. Flat)

Compare the number of missed non-polypoid lesions on the index examination using the new high definition narrow band imaging colonoscopy to the conventional high definition white light mode colonoscopy.

Outcome measures

Outcome measures
Measure
High Definition NBI Colonoscopy
n=128 Participants
Use of high definition narrow band imaging colonoscopy during examination for polyp detection. Olympus Colonoscope CFHQ190AL: Technically improved colonoscope with close focus high definition narrow band imaging.
High Definition White Light Colonoscopy
n=143 Participants
Use of high definition white light colonoscopy during examination for polyp detection. Olympus Colonoscope CFHQ190AL: Technically improved colonoscope with close focus high definition narrow band imaging.
Percentage of Nonpolypoid (Flat) Missed Lesions
7.2 percentage of adenomas
11.8 percentage of adenomas

Adverse Events

High Definition NBI Colonoscopy

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

High Definition White Light Colonoscopy

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Tonya Kaltenbach

San Francisco VA Medical Center

Phone: 415-221-4810

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place