Trial Outcomes & Findings for The Second-Generation MCCG for Upper Gastrointestinal Tract. (NCT NCT03977935)

NCT ID: NCT03977935

Last Updated: 2020-10-27

Results Overview

Circumferential visualization of the Z-line is defined by quadrants as follows: less than 2 quadrants (\< 50%) of the Z line observed; at least 2 quadrants (50%-75%) observed; at least 3 quadrants (\>75%) observed; and entire Z line (100%) observed.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

80 participants

Primary outcome timeframe

Through end of examination, up to 30 minutes

Results posted on

2020-10-27

Participant Flow

Participant milestones

Participant milestones
Measure
The First-generation MCCG Group
The patients swallowed the first-generation MCCG with a small amount of water in the left lateral decubitus position. Once the capsule reached the stomach after investigating the esophagus, it was lifted away from the posterior wall, rotated and advanced to the fundus and cardiac regions, and then to the gastric body, angulus, antrum and pylorus. After finishing the stomach examination twice, the endoscopist controlled the capsule to face the pylorus and drag it close to the pylorus. The capsule would enter the duodenal bulb and was held stationary to investigate the duodenal bulb using the "360-degree automatic scanning" mode. In the descending part of duodenum, the endoscopist tried to control the capsule to view the major papilla. After passing through the duodenum, the capsule started to complete the small-bowel examination with the "small-bowel mode". The magnetic steering time for passing through the pylorus was not allowed more than 15 min.
The Second-generation MCCG Group
All process in this study were the same except that the second-generation capsule (Ankon Navicam-2) was used in the experimental group. the second-generation MCCG: Patients in the experimental group swallowed the second-generation MCCG (Ankon Navicam-2).
Overall Study
STARTED
40
40
Overall Study
COMPLETED
40
40
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Second-Generation MCCG for Upper Gastrointestinal Tract.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
The First-generation MCCG Group
n=40 Participants
The patients swallowed the first-generation MCCG with a small amount of water in the left lateral decubitus position. Once the capsule reached the stomach after investigating the esophagus, it was lifted away from the posterior wall, rotated and advanced to the fundus and cardiac regions, and then to the gastric body, angulus, antrum and pylorus. After finishing the stomach examination twice, the endoscopist controlled the capsule to face the pylorus and drag it close to the pylorus. The capsule would enter the duodenal bulb and was held stationary to investigate the duodenal bulb using the "360-degree automatic scanning" mode. In the descending part of duodenum, the endoscopist tried to control the capsule to view the major papilla. After passing through the duodenum, the capsule started to complete the small-bowel examination with the "small-bowel mode". The magnetic steering time for passing through the pylorus was not allowed more than 15 min.
The Second-generation MCCG Group
n=40 Participants
All process in this study were the same except that the second-generation capsule (Ankon Navicam-2) was used in the experimental group. the second-generation MCCG: Patients in the experimental group swallowed the second-generation MCCG (Ankon Navicam-2).
Total
n=80 Participants
Total of all reporting groups
Age, Continuous
48.45 years
STANDARD_DEVIATION 13.51 • n=5 Participants
48.58 years
STANDARD_DEVIATION 14.24 • n=7 Participants
48.51 years
STANDARD_DEVIATION 13.79 • n=5 Participants
Sex: Female, Male
Female
16 Participants
n=5 Participants
17 Participants
n=7 Participants
33 Participants
n=5 Participants
Sex: Female, Male
Male
24 Participants
n=5 Participants
23 Participants
n=7 Participants
47 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
40 Participants
n=5 Participants
40 Participants
n=7 Participants
80 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
China
40 Participants
n=5 Participants
40 Participants
n=7 Participants
80 Participants
n=5 Participants
Indication
Abdominal pain or distension
20 Participants
n=5 Participants
19 Participants
n=7 Participants
39 Participants
n=5 Participants
Indication
Acid reflux or nausea/vomit
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Indication
Chronic diarrhea
6 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants
Indication
Physical examination
9 Participants
n=5 Participants
12 Participants
n=7 Participants
21 Participants
n=5 Participants
Helicobacter pylori (Hp) infection
7 Participants
n=5 Participants
7 Participants
n=7 Participants
14 Participants
n=5 Participants
History of abdominal surgery, smoking and drinking
History of abdominal surgery
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
History of abdominal surgery, smoking and drinking
Smoking history
7 Participants
n=5 Participants
5 Participants
n=7 Participants
12 Participants
n=5 Participants
History of abdominal surgery, smoking and drinking
Drinking history
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Through end of examination, up to 30 minutes

Circumferential visualization of the Z-line is defined by quadrants as follows: less than 2 quadrants (\< 50%) of the Z line observed; at least 2 quadrants (50%-75%) observed; at least 3 quadrants (\>75%) observed; and entire Z line (100%) observed.

Outcome measures

Outcome measures
Measure
The First-generation MCCG Group
n=40 Participants
The patients swallowed the first-generation MCCG with a small amount of water in the left lateral decubitus position. Once the capsule reached the stomach after investigating the esophagus, it was lifted away from the posterior wall, rotated and advanced to the fundus and cardiac regions, and then to the gastric body, angulus, antrum and pylorus. After finishing the stomach examination twice, the endoscopist controlled the capsule to face the pylorus and drag it close to the pylorus. The capsule would enter the duodenal bulb and was held stationary to investigate the duodenal bulb using the "360-degree automatic scanning" mode. In the descending part of duodenum, the endoscopist tried to control the capsule to view the major papilla. After passing through the duodenum, the capsule started to complete the small-bowel examination with the "small-bowel mode". The magnetic steering time for passing through the pylorus was not allowed more than 15 min.
The Second-generation MCCG Group
n=40 Participants
All process in this study were the same except that the second-generation capsule (Ankon Navicam-2) was used in the experimental group. the second-generation MCCG: Patients in the experimental group swallowed the second-generation MCCG (Ankon Navicam-2).
Circumferential Visualization of the Z-line
100% of Z-line
0 Participants
5 Participants
Circumferential Visualization of the Z-line
≥50% of Z-line
5 Participants
7 Participants
Circumferential Visualization of the Z-line
<50% of Z-line
12 Participants
12 Participants
Circumferential Visualization of the Z-line
0% of Z-line
23 Participants
16 Participants

SECONDARY outcome

Timeframe: up to 2 days after the examination

Detection rate of duodenal papilla means the percentage of patients with at least one image of duodenal papilla was obtained

Outcome measures

Outcome measures
Measure
The First-generation MCCG Group
n=40 Participants
The patients swallowed the first-generation MCCG with a small amount of water in the left lateral decubitus position. Once the capsule reached the stomach after investigating the esophagus, it was lifted away from the posterior wall, rotated and advanced to the fundus and cardiac regions, and then to the gastric body, angulus, antrum and pylorus. After finishing the stomach examination twice, the endoscopist controlled the capsule to face the pylorus and drag it close to the pylorus. The capsule would enter the duodenal bulb and was held stationary to investigate the duodenal bulb using the "360-degree automatic scanning" mode. In the descending part of duodenum, the endoscopist tried to control the capsule to view the major papilla. After passing through the duodenum, the capsule started to complete the small-bowel examination with the "small-bowel mode". The magnetic steering time for passing through the pylorus was not allowed more than 15 min.
The Second-generation MCCG Group
n=40 Participants
All process in this study were the same except that the second-generation capsule (Ankon Navicam-2) was used in the experimental group. the second-generation MCCG: Patients in the experimental group swallowed the second-generation MCCG (Ankon Navicam-2).
Detection Rate of Duodenal Papilla
3 Participants
6 Participants

SECONDARY outcome

Timeframe: Through end of examination, up to 30 minutes

Record the time taken for endoscopist to finish the gastric examination for primary anatomical landmarks twice (cardia, fundus, body, angulus, antrum and pylorus).

Outcome measures

Outcome measures
Measure
The First-generation MCCG Group
n=40 Participants
The patients swallowed the first-generation MCCG with a small amount of water in the left lateral decubitus position. Once the capsule reached the stomach after investigating the esophagus, it was lifted away from the posterior wall, rotated and advanced to the fundus and cardiac regions, and then to the gastric body, angulus, antrum and pylorus. After finishing the stomach examination twice, the endoscopist controlled the capsule to face the pylorus and drag it close to the pylorus. The capsule would enter the duodenal bulb and was held stationary to investigate the duodenal bulb using the "360-degree automatic scanning" mode. In the descending part of duodenum, the endoscopist tried to control the capsule to view the major papilla. After passing through the duodenum, the capsule started to complete the small-bowel examination with the "small-bowel mode". The magnetic steering time for passing through the pylorus was not allowed more than 15 min.
The Second-generation MCCG Group
n=40 Participants
All process in this study were the same except that the second-generation capsule (Ankon Navicam-2) was used in the experimental group. the second-generation MCCG: Patients in the experimental group swallowed the second-generation MCCG (Ankon Navicam-2).
Gastric Examination Time (GET)
7.78 minutes
Standard Deviation 0.97
5.24 minutes
Standard Deviation 0.74

SECONDARY outcome

Timeframe: up to 10 minutes after the examination

The performance of maneuverability is assessed using a semi-quantitative score related to the fluency, stability and comfortableness for examination procedure. Fluency is mainly reflected on the response speed to operation and smoothness of video playing. Stability is about the ability of holding the position for a long enough time and the real-time viewing of all images. comfortableness is the operator's sensation about manipulative force and fatigue degree. Maneuverability score was defined as a total scale of 3 to 15 calculated by adding up each evaluation index score above, and each index was graded from 1 to 5, with 1 as the worst and 5 as the best.

Outcome measures

Outcome measures
Measure
The First-generation MCCG Group
n=40 Participants
The patients swallowed the first-generation MCCG with a small amount of water in the left lateral decubitus position. Once the capsule reached the stomach after investigating the esophagus, it was lifted away from the posterior wall, rotated and advanced to the fundus and cardiac regions, and then to the gastric body, angulus, antrum and pylorus. After finishing the stomach examination twice, the endoscopist controlled the capsule to face the pylorus and drag it close to the pylorus. The capsule would enter the duodenal bulb and was held stationary to investigate the duodenal bulb using the "360-degree automatic scanning" mode. In the descending part of duodenum, the endoscopist tried to control the capsule to view the major papilla. After passing through the duodenum, the capsule started to complete the small-bowel examination with the "small-bowel mode". The magnetic steering time for passing through the pylorus was not allowed more than 15 min.
The Second-generation MCCG Group
n=40 Participants
All process in this study were the same except that the second-generation capsule (Ankon Navicam-2) was used in the experimental group. the second-generation MCCG: Patients in the experimental group swallowed the second-generation MCCG (Ankon Navicam-2).
Manipulation Performance Score of the MCCG
Fluency
3.04 score on a scale
Standard Deviation 0.51
4.59 score on a scale
Standard Deviation 0.42
Manipulation Performance Score of the MCCG
Comfortableness
3.16 score on a scale
Standard Deviation 0.45
4.51 score on a scale
Standard Deviation 0.43
Manipulation Performance Score of the MCCG
Stability
3.84 score on a scale
Standard Deviation 0.55
4.17 score on a scale
Standard Deviation 0.50
Manipulation Performance Score of the MCCG
Total score
10.05 score on a scale
Standard Deviation 1.04
13.28 score on a scale
Standard Deviation 0.9

SECONDARY outcome

Timeframe: up to 30 minutes after the examination

Assess Image quality grade ranged from 1 to 10 (1, the worst quality; 10, the quality of the best image captured by EGD).

Outcome measures

Outcome measures
Measure
The First-generation MCCG Group
n=40 Participants
The patients swallowed the first-generation MCCG with a small amount of water in the left lateral decubitus position. Once the capsule reached the stomach after investigating the esophagus, it was lifted away from the posterior wall, rotated and advanced to the fundus and cardiac regions, and then to the gastric body, angulus, antrum and pylorus. After finishing the stomach examination twice, the endoscopist controlled the capsule to face the pylorus and drag it close to the pylorus. The capsule would enter the duodenal bulb and was held stationary to investigate the duodenal bulb using the "360-degree automatic scanning" mode. In the descending part of duodenum, the endoscopist tried to control the capsule to view the major papilla. After passing through the duodenum, the capsule started to complete the small-bowel examination with the "small-bowel mode". The magnetic steering time for passing through the pylorus was not allowed more than 15 min.
The Second-generation MCCG Group
n=40 Participants
All process in this study were the same except that the second-generation capsule (Ankon Navicam-2) was used in the experimental group. the second-generation MCCG: Patients in the experimental group swallowed the second-generation MCCG (Ankon Navicam-2).
Image Quality Score (Mainly Focus on Clarity)
7.90 score on a scale
Standard Deviation 0.61
8.63 score on a scale
Standard Deviation 0.57

SECONDARY outcome

Timeframe: up to 30 minutes after the examination

The number of images captured by MCCG for esophagus and Z-line.

Outcome measures

Outcome measures
Measure
The First-generation MCCG Group
n=40 Participants
The patients swallowed the first-generation MCCG with a small amount of water in the left lateral decubitus position. Once the capsule reached the stomach after investigating the esophagus, it was lifted away from the posterior wall, rotated and advanced to the fundus and cardiac regions, and then to the gastric body, angulus, antrum and pylorus. After finishing the stomach examination twice, the endoscopist controlled the capsule to face the pylorus and drag it close to the pylorus. The capsule would enter the duodenal bulb and was held stationary to investigate the duodenal bulb using the "360-degree automatic scanning" mode. In the descending part of duodenum, the endoscopist tried to control the capsule to view the major papilla. After passing through the duodenum, the capsule started to complete the small-bowel examination with the "small-bowel mode". The magnetic steering time for passing through the pylorus was not allowed more than 15 min.
The Second-generation MCCG Group
n=40 Participants
All process in this study were the same except that the second-generation capsule (Ankon Navicam-2) was used in the experimental group. the second-generation MCCG: Patients in the experimental group swallowed the second-generation MCCG (Ankon Navicam-2).
The Number of Images Captured for Esophagus and Z-line
The number of images captured for esophagus
97 images
Interval 42.0 to 160.25
171 images
Interval 81.25 to 409.25
The Number of Images Captured for Esophagus and Z-line
The number of images captured for Z-line
0 images
Interval 0.0 to 2.75
2 images
Interval 0.0 to 13.0

SECONDARY outcome

Timeframe: up to 2 days after the examination

calculate the number of participants with lesions in different part of upper gastrointestinal tract (esophagus, stomach, duodenum, jejunoileum), and preliminarily evaluate the diagnostic efficacy of the new-generation MCCG.

Outcome measures

Outcome measures
Measure
The First-generation MCCG Group
n=40 Participants
The patients swallowed the first-generation MCCG with a small amount of water in the left lateral decubitus position. Once the capsule reached the stomach after investigating the esophagus, it was lifted away from the posterior wall, rotated and advanced to the fundus and cardiac regions, and then to the gastric body, angulus, antrum and pylorus. After finishing the stomach examination twice, the endoscopist controlled the capsule to face the pylorus and drag it close to the pylorus. The capsule would enter the duodenal bulb and was held stationary to investigate the duodenal bulb using the "360-degree automatic scanning" mode. In the descending part of duodenum, the endoscopist tried to control the capsule to view the major papilla. After passing through the duodenum, the capsule started to complete the small-bowel examination with the "small-bowel mode". The magnetic steering time for passing through the pylorus was not allowed more than 15 min.
The Second-generation MCCG Group
n=40 Participants
All process in this study were the same except that the second-generation capsule (Ankon Navicam-2) was used in the experimental group. the second-generation MCCG: Patients in the experimental group swallowed the second-generation MCCG (Ankon Navicam-2).
Number of Participants With Lesions in Upper Gastrointestinal Tract
Inflammation
25 Participants
24 Participants
Number of Participants With Lesions in Upper Gastrointestinal Tract
Focal lesions
12 Participants
13 Participants
Number of Participants With Lesions in Upper Gastrointestinal Tract
normal
3 Participants
3 Participants

SECONDARY outcome

Timeframe: up to 2 days after the examination

Assess the transit time of MCCG in the gastrointestinal tract (stomach and small bowel), and record the total running time from starts take images to ends.

Outcome measures

Outcome measures
Measure
The First-generation MCCG Group
n=40 Participants
The patients swallowed the first-generation MCCG with a small amount of water in the left lateral decubitus position. Once the capsule reached the stomach after investigating the esophagus, it was lifted away from the posterior wall, rotated and advanced to the fundus and cardiac regions, and then to the gastric body, angulus, antrum and pylorus. After finishing the stomach examination twice, the endoscopist controlled the capsule to face the pylorus and drag it close to the pylorus. The capsule would enter the duodenal bulb and was held stationary to investigate the duodenal bulb using the "360-degree automatic scanning" mode. In the descending part of duodenum, the endoscopist tried to control the capsule to view the major papilla. After passing through the duodenum, the capsule started to complete the small-bowel examination with the "small-bowel mode". The magnetic steering time for passing through the pylorus was not allowed more than 15 min.
The Second-generation MCCG Group
n=40 Participants
All process in this study were the same except that the second-generation capsule (Ankon Navicam-2) was used in the experimental group. the second-generation MCCG: Patients in the experimental group swallowed the second-generation MCCG (Ankon Navicam-2).
Transit Time of MCCG in the Gastrointestinal Tract and Total Running Time
Gastric transit time (min)
53.09 minutes
Interval 22.88 to 90.84
48.35 minutes
Interval 19.09 to 78.83
Transit Time of MCCG in the Gastrointestinal Tract and Total Running Time
Small-bowel transit time (min)
327.60 minutes
Interval 260.73 to 394.55
297.22 minutes
Interval 239.68 to 369.27
Transit Time of MCCG in the Gastrointestinal Tract and Total Running Time
Total running time (min)
702.83 minutes
Interval 648.47 to 856.1
1001.99 minutes
Interval 774.42 to 1207.38

SECONDARY outcome

Timeframe: Through end of examination, up to 30 minutes

The bubbles/saliva on the Z line area will be scored as follows: 0 = no bubbles/saliva on the Z line area;1 = a few bubbles/saliva on the Z line area; 2= increased amount of bubbles/saliva on the Z line area; 3 = severe bubbles/saliva on the Z line area.

Outcome measures

Outcome measures
Measure
The First-generation MCCG Group
n=40 Participants
The patients swallowed the first-generation MCCG with a small amount of water in the left lateral decubitus position. Once the capsule reached the stomach after investigating the esophagus, it was lifted away from the posterior wall, rotated and advanced to the fundus and cardiac regions, and then to the gastric body, angulus, antrum and pylorus. After finishing the stomach examination twice, the endoscopist controlled the capsule to face the pylorus and drag it close to the pylorus. The capsule would enter the duodenal bulb and was held stationary to investigate the duodenal bulb using the "360-degree automatic scanning" mode. In the descending part of duodenum, the endoscopist tried to control the capsule to view the major papilla. After passing through the duodenum, the capsule started to complete the small-bowel examination with the "small-bowel mode". The magnetic steering time for passing through the pylorus was not allowed more than 15 min.
The Second-generation MCCG Group
n=40 Participants
All process in this study were the same except that the second-generation capsule (Ankon Navicam-2) was used in the experimental group. the second-generation MCCG: Patients in the experimental group swallowed the second-generation MCCG (Ankon Navicam-2).
Cleansing Level Score of Z-line Area
No bubbles
13 Participants
11 Participants
Cleansing Level Score of Z-line Area
A few bubbles
18 Participants
22 Participants
Cleansing Level Score of Z-line Area
Increased amount of bubbles
7 Participants
5 Participants
Cleansing Level Score of Z-line Area
Severe bubbles
2 Participants
2 Participants

SECONDARY outcome

Timeframe: up to 2 weeks after the examination

The presence of adverse events within two weeks aftter swallowing MCCG will be recorded.

Outcome measures

Outcome measures
Measure
The First-generation MCCG Group
n=40 Participants
The patients swallowed the first-generation MCCG with a small amount of water in the left lateral decubitus position. Once the capsule reached the stomach after investigating the esophagus, it was lifted away from the posterior wall, rotated and advanced to the fundus and cardiac regions, and then to the gastric body, angulus, antrum and pylorus. After finishing the stomach examination twice, the endoscopist controlled the capsule to face the pylorus and drag it close to the pylorus. The capsule would enter the duodenal bulb and was held stationary to investigate the duodenal bulb using the "360-degree automatic scanning" mode. In the descending part of duodenum, the endoscopist tried to control the capsule to view the major papilla. After passing through the duodenum, the capsule started to complete the small-bowel examination with the "small-bowel mode". The magnetic steering time for passing through the pylorus was not allowed more than 15 min.
The Second-generation MCCG Group
n=40 Participants
All process in this study were the same except that the second-generation capsule (Ankon Navicam-2) was used in the experimental group. the second-generation MCCG: Patients in the experimental group swallowed the second-generation MCCG (Ankon Navicam-2).
The Incidence of Adverse Events (The Safety of MCCG)
0 Participants
0 Participants

SECONDARY outcome

Timeframe: up to 2 days after the examination

Assess the transit time of MCCG in esophagus from starts take images to ends.

Outcome measures

Outcome measures
Measure
The First-generation MCCG Group
n=40 Participants
The patients swallowed the first-generation MCCG with a small amount of water in the left lateral decubitus position. Once the capsule reached the stomach after investigating the esophagus, it was lifted away from the posterior wall, rotated and advanced to the fundus and cardiac regions, and then to the gastric body, angulus, antrum and pylorus. After finishing the stomach examination twice, the endoscopist controlled the capsule to face the pylorus and drag it close to the pylorus. The capsule would enter the duodenal bulb and was held stationary to investigate the duodenal bulb using the "360-degree automatic scanning" mode. In the descending part of duodenum, the endoscopist tried to control the capsule to view the major papilla. After passing through the duodenum, the capsule started to complete the small-bowel examination with the "small-bowel mode". The magnetic steering time for passing through the pylorus was not allowed more than 15 min.
The Second-generation MCCG Group
n=40 Participants
All process in this study were the same except that the second-generation capsule (Ankon Navicam-2) was used in the experimental group. the second-generation MCCG: Patients in the experimental group swallowed the second-generation MCCG (Ankon Navicam-2).
Transit Time of MCCG in Esophagus
59.5 seconds
Interval 24.75 to 82.75
44.5 seconds
Interval 23.0 to 107.5

Adverse Events

The First-generation MCCG Group

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

The Second-generation MCCG Group

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

Investigator of Clinical Trials

Changhai Hospital

Phone: 15021569528

Results disclosure agreements

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