1L- vs. 4L-PEG for Bowel Preparation Among Inpatients.

NCT ID: NCT04310332

Last Updated: 2020-03-17

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

COMPLETED

Total Enrollment

1004 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-02-01

Study Completion Date

2019-12-15

Brief Summary

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Background and aims: Inpatients are at high risk for inadequate colon cleansing. Experts recommend 4L-polyethylene-glycol (PEG) solution because of its effectiveness and safety profile. A higher colon cleansing adequacy rate for a hyperosmolar 1L-PEG plus ascorbate prep has been recently reported in an observational study among more than 1,000 inpatients. Thus, the present study is aimed at determining whether 1L-PEG outperforms 4L-PEG among inpatients, through a propensity score-matching between the two groups in order to correct for confounders.

Detailed Description

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Conditions

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Colonoscopy Hospitalized Patients Bowel Preparation

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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1L-PEG

Hospitalized patients who are prescribed colonoscopy with 1L-polyethylene glycole (PEG) plus ascorbic acid as bowel preparation.

1L-PEG

Intervention Type DRUG

The drug is 1L-PEG plus ascorbic acid (Plenvu®). It will be administered either the day before colonoscopy, or half the day before and half the day of colonoscopy, or the day of colonoscopy.

Patients are prescribed bowel prep according to local clinical practice and then all undergo colonoscopy. No standardized intervention on bowel prep is applied, as the design of the study is observational.

4L-PEG

Hospitalized patients who are prescribed colonoscopy with 4L-polyethylene glycole (PEG) as bowel preparation.

4L-PEG

Intervention Type DRUG

The drug is 4L-PEG. It will be administered either the day before colonoscopy, or half the day before and half the day of colonoscopy, or the day of colonoscopy.

Patients are prescribed bowel prep according to local clinical practice and then all undergo colonoscopy. No standardized intervention on bowel prep is applied, as the design of the study is observational.

Interventions

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1L-PEG

The drug is 1L-PEG plus ascorbic acid (Plenvu®). It will be administered either the day before colonoscopy, or half the day before and half the day of colonoscopy, or the day of colonoscopy.

Patients are prescribed bowel prep according to local clinical practice and then all undergo colonoscopy. No standardized intervention on bowel prep is applied, as the design of the study is observational.

Intervention Type DRUG

4L-PEG

The drug is 4L-PEG. It will be administered either the day before colonoscopy, or half the day before and half the day of colonoscopy, or the day of colonoscopy.

Patients are prescribed bowel prep according to local clinical practice and then all undergo colonoscopy. No standardized intervention on bowel prep is applied, as the design of the study is observational.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult inpatients scheduled for colonoscopy for any indication within the normal process of care.

Exclusion Criteria

* patients who underwent emergency or elective therapeutic colonoscopies (e.g. polypectomy, endoscopic mucosal resection, endoscopic submucosal dissection)
* patients who underwent bowel preparation outside the hospital
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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IRCCS Azienda Ospedaliero-Universitaria di Bologna

OTHER

Sponsor Role lead

Responsible Party

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Lorenzo Fuccio

Professor of Gastroenterology

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Policlinico Sant'Orsola-Malpighi

Bologna, , Italy

Site Status

Digestive Endoscopy Unit, Fondazione Poliambulanza

Brescia, , Italy

Site Status

UOSD Gastroenterologia ed Endoscopia Digestiva, Azienda USL di Modena

Carpi, , Italy

Site Status

Gastroenterology Unit, Valduce Hospital

Como, , Italy

Site Status

Unit of Gastroenterology and Digestive Endoscopy, Forli-Cesena Hospital, AUSL Romagna

Forlì, , Italy

Site Status

Digestive Endoscopy Unit, Centro Traumatologico-Ortopedico Hospital

Iglesias, , Italy

Site Status

Department of Gastroenterology, ASST Rhodense, Rho and Garbagnate Milanese Hospital

Milan, , Italy

Site Status

Gastroenterology and Digestive Endoscopy Unit, Ospedale Maggiore della Carità

Novara, , Italy

Site Status

Department of Internal Medicine, Gastroenterology and Hepatology Unit, "Guglielmo da Saliceto" Hospital

Piacenza, , Italy

Site Status

Gastroenterology Unit, S. Maria delle Croci Hospital

Ravenna, , Italy

Site Status

Countries

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Italy

References

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Frazzoni L, Spada C, Radaelli F, Mussetto A, Laterza L, La Marca M, Piccirelli S, Cortellini F, Rondonotti E, Paci V, Bazzoli F, Fabbri C, Manno M, Aragona G, Manes G, Occhipinti P, Cadoni S, Zagari RM, Hassan C, Fuccio L. 1L- vs. 4L-Polyethylene glycol for bowel preparation before colonoscopy among inpatients: A propensity score-matching analysis. Dig Liver Dis. 2020 Dec;52(12):1486-1493. doi: 10.1016/j.dld.2020.10.006. Epub 2020 Oct 21.

Reference Type DERIVED
PMID: 33250131 (View on PubMed)

Other Identifiers

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QIPS propensity score matching

Identifier Type: -

Identifier Source: org_study_id

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