Trial Outcomes & Findings for Capsule Endoscopy for HEmorrhage in the ER (NCT NCT03458000)

NCT ID: NCT03458000

Last Updated: 2023-06-01

Results Overview

Our primary goal is to determine whether ED VCE is able to discharge low risk patients for outpatient management of upper GI bleeds.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

24 participants

Primary outcome timeframe

30 Days

Results posted on

2023-06-01

Participant Flow

Participant milestones

Participant milestones
Measure
Active Control
Standard of Care: Patient was admitted to hospital for care and received in-patient EGD.
Experimental
PillCam UGI: An esophageal capsule endoscope which is designed to visualize the upper gastrointestinal tract.
Overall Study
STARTED
13
11
Overall Study
COMPLETED
13
11
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Capsule Endoscopy for HEmorrhage in the ER

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Control
n=13 Participants
Standard of Care: Patient was admitted to hospital for care and received in-patient EGD.
Experimental
n=11 Participants
PillCam UGI: An esophageal capsule endoscope which is designed to visualize the upper gastrointestinal tract.
Total
n=24 Participants
Total of all reporting groups
Age, Continuous
47.0 years
n=5 Participants
55.0 years
n=7 Participants
51.5 years
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
7 Participants
n=7 Participants
16 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Black
7 Participants
n=5 Participants
9 Participants
n=7 Participants
16 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Other
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · White
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Region of Enrollment
United States
13 participants
n=5 Participants
11 participants
n=7 Participants
24 participants
n=5 Participants

PRIMARY outcome

Timeframe: 30 Days

Our primary goal is to determine whether ED VCE is able to discharge low risk patients for outpatient management of upper GI bleeds.

Outcome measures

Outcome measures
Measure
Active Control
n=13 Participants
Standard of Care: Patient was admitted to hospital for care and received in-patient EGD.
Experimental
n=11 Participants
PillCam UGI: An esophageal capsule endoscope which is designed to visualize the upper gastrointestinal tract.
Number of Participants Discharged for Outpatient Management of Upper GI Bleeds
3 Participants
9 Participants

SECONDARY outcome

Timeframe: 30 Days

Population: This is a subgroup analysis. The reason only the experimental arm is reported here is because only the experimental arm got the VCE.

Our secondary objective is to present the prevalence of clinical findings in VCE subjects based on gastroenterologist interpretation.

Outcome measures

Outcome measures
Measure
Active Control
n=11 Participants
Standard of Care: Patient was admitted to hospital for care and received in-patient EGD.
Experimental
PillCam UGI: An esophageal capsule endoscope which is designed to visualize the upper gastrointestinal tract.
Detection Rate of Video Capsule Endoscopy
Clean stomach and duodenum i.e. no fresh blood /coffee grounds
8 participants
Detection Rate of Video Capsule Endoscopy
Upper GI pathology non-causative/ incidental.
1 participants
Detection Rate of Video Capsule Endoscopy
Coffee ground blood
2 participants
Detection Rate of Video Capsule Endoscopy
Needs endoscopic hemostasis
2 participants
Detection Rate of Video Capsule Endoscopy
A low grade non-Variceal lesion (Forrest IIc, III)
1 participants
Detection Rate of Video Capsule Endoscopy
Fresh blood or evidence of active bleeding
1 participants
Detection Rate of Video Capsule Endoscopy
Other sources of non-variceal bleeding / pathology
3 participants
Detection Rate of Video Capsule Endoscopy
VCE passed the pylorus
9 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 30 Days

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 30 Days

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 30 Days

Assess for mortality, re-bleeding, total blood transfusions, surgery (capsule-specific group)

Outcome measures

Outcome measures
Measure
Active Control
n=13 Participants
Standard of Care: Patient was admitted to hospital for care and received in-patient EGD.
Experimental
n=11 Participants
PillCam UGI: An esophageal capsule endoscope which is designed to visualize the upper gastrointestinal tract.
Number of Participants With Serious Adverse Events at Day 7 and Day 30
0 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 30 Days

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 30 days

Outcome measures

Outcome data not reported

Adverse Events

Active Control

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

Experimental

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. Andrew Meltzer

George Washington University

Phone: 202-741-2952

Results disclosure agreements

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