The Efficiency of Colon Capsule Endoscopy in Colon Cancer Screening

NCT ID: NCT03052335

Last Updated: 2019-01-15

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

NA

Total Enrollment

230 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-01

Study Completion Date

2019-12-31

Brief Summary

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Main objective is to improve colorectal cancer (CRC) screening programme in the Czech Republic and decrease the disease incidence and mortality. The secondary aim is to verify the effectiveness of incorporation of the new minimally invasive device in the prevention programme.

Detailed Description

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Multicentre, multidisciplinary (3 gastroenterology units; biostatistics department; cooperation with general practitioners), prospective study is focused on examination of individuals with average colorectal cancer (CRC) risk (asymptomatic, age 50-75 years).

In years 2017 - 2019, there will be 230 persons with positive semi-quantitative immunochemical fecal occult blood tests (FIT; QuikRead, Orion Diagnostica Oy, Finland) with cut-off level 75 ng/ml involved. Every person will be examined by second generation colon capsule endoscopy (CCE2) and optical colonoscopy afterwards.

Main objective is to show that the negative predictive value (NPV) of the CCE2 applied in patients with positive FIT results is sufficient to include this method in the National CRC screening as filter test with aim to reduce the necessity of subsequent optical colonoscopy.

Conditions

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Colon Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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Pillcam® COLON 2 Capsule and colonoscopy

Persons with positive immunochemical fecal occult blood tests will be examined by second generation colon capsule endoscopy (CCE2) and optical colonoscopy afterwards.

Group Type EXPERIMENTAL

Pillcam® COLON 2 Capsule

Intervention Type DEVICE

The second generation of PillCam colon capsule endoscopy (CCE-2) is 11.6 mm × 31.5 mm in size and has two imagers, that each have a 172° angle of view, allowing for almost 360° visual coverage of the colon. CCE-2 has an adaptive frame rate from 4 to 35 images per second. This means that the camera is able to capture up to 35 pictures while in motion whereas 4 images per second are captured when it is virtually stationary. During the examination the patient wears a sensor array which is attached to the abdomen and a data recorder for storage of the information generated by the ingested capsule. After the examination the data are downloaded into the workstation and a video is generated.

Colonoscopy

Intervention Type PROCEDURE

Optical colonoscopy is the standard method for evaluating the colon

Interventions

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Pillcam® COLON 2 Capsule

The second generation of PillCam colon capsule endoscopy (CCE-2) is 11.6 mm × 31.5 mm in size and has two imagers, that each have a 172° angle of view, allowing for almost 360° visual coverage of the colon. CCE-2 has an adaptive frame rate from 4 to 35 images per second. This means that the camera is able to capture up to 35 pictures while in motion whereas 4 images per second are captured when it is virtually stationary. During the examination the patient wears a sensor array which is attached to the abdomen and a data recorder for storage of the information generated by the ingested capsule. After the examination the data are downloaded into the workstation and a video is generated.

Intervention Type DEVICE

Colonoscopy

Optical colonoscopy is the standard method for evaluating the colon

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* age 50 - 75 years
* asymptomatic (no enterorhagy, weight loss or anemia)
* signed informed consent with the study and with colonoscopy

Exclusion Criteria

* CRC high-risk group patients

* having first degree relatives diagnosed with colorectal cancer at age ˂ 60 years
* FAP, HNPCC and other hereditary CRC syndromes probands
* positive personal medical history of colorectal neoplasia (advanced adenomatous polyp, colorectal cancer)
* recent diagnostic, follow-up or preventive colonoscopy in ≤ 3 years (FOBT-positive colonoscopy, screening colonoscopy)
* colonoscopy contraindication
* severe acute inflammatory bowel disease
* severe comorbidities; likely non-compliance of the patient
* no informed consent signed (with the study and/or with colonoscopy)
Minimum Eligible Age

50 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Masaryk University

OTHER

Sponsor Role collaborator

Institute for Clinical and Experimental Medicine

OTHER_GOV

Sponsor Role collaborator

University Hospital Hradec Kralove

OTHER

Sponsor Role collaborator

Military University Hospital, Prague

OTHER

Sponsor Role lead

Responsible Party

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Stepan Suchanek, MD., Ph.D.

Head of Department of Gastrointestinal Endoscopy

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Stepan Suchanek

Role: STUDY_DIRECTOR

Military University Hospital, Prague

Locations

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Military University Hospital

Prague, , Czechia

Site Status RECRUITING

Countries

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Czechia

Central Contacts

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Stepan Suchanek, MD., Ph.D.

Role: CONTACT

973208367 ext. 00420

Michal Voska

Role: CONTACT

773200360 ext. 00420

Facility Contacts

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Stepan Suchanek, Ph.D.

Role: primary

Other Identifiers

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16-29614A

Identifier Type: -

Identifier Source: org_study_id

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