Evaluation of ArTificial Intelligence System (Gi-Genius) for adenoMa dEtection in Lynch Syndrome.

NCT ID: NCT04909671

Last Updated: 2022-03-17

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

404 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-13

Study Completion Date

2023-12-01

Brief Summary

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The purpose of this study is to assess if artificial intelligence aid colonoscopy colonoscopy is superior to conventional colonoscopy for the detection of adenomas during surveillance colonoscopy in patients with Lynch syndrome.

Detailed Description

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To compare the performance of white-light colonoscopy (HD-WLE) versus white-light + CAD (CAD) for detection of adenomas (1:1 ratio). The CAD system will include an artificial intelligence-based medical device (GI Genius, Medtronic) trained to process colonoscopy images and superimpose them, in real time, on the endoscopy display as a green box over suspected lesion. An adequate bowel preparation and minimum withdrawal time of 6 min will be required. Colonoscopies will be performed by experienced endoscopists and with high-definition scopes. Lesions will be collected, and histopathology findings used as the reference standard. The primary outcome of this trial will be the mean number of adenomas per colonoscopy (APC).

Conditions

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Lynch Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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CAD arm

Patients allocated to CAD arm will receive during colonoscopy withdrawal high definition white light endoscopy aided with artificial intelligence device (Gi Genius, Medtronic)

Group Type ACTIVE_COMPARATOR

Gi Genius, Medtronic

Intervention Type DEVICE

GI geniusTM (Medtronic) is an artificial intelligence device designed and validated on a dataset of white-light endoscopy videos from high-quality randomized controlled trials for the detection of colorectal lesions during colonoscopy. Based on a deep learning system using convolutional neural networks, GI genius works in real-time side-to-side with the gastroenterologist during colonoscopy highlighting the presence of precancerous lesions with a visual marker (green box) in real time and designed to be integrated with the majority of colonoscopies.

WLE arm

Patients allocated to WLE arm will receive during colonoscopy withdrawal high definition white light endoscopy as standart of care.

Group Type PLACEBO_COMPARATOR

White light standart colonoscopy

Intervention Type OTHER

High definition white light endoscopy will be used during the scope withdrawal

Interventions

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Gi Genius, Medtronic

GI geniusTM (Medtronic) is an artificial intelligence device designed and validated on a dataset of white-light endoscopy videos from high-quality randomized controlled trials for the detection of colorectal lesions during colonoscopy. Based on a deep learning system using convolutional neural networks, GI genius works in real-time side-to-side with the gastroenterologist during colonoscopy highlighting the presence of precancerous lesions with a visual marker (green box) in real time and designed to be integrated with the majority of colonoscopies.

Intervention Type DEVICE

White light standart colonoscopy

High definition white light endoscopy will be used during the scope withdrawal

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years with a proven pathogenic germline variant in one of the MMR genes (MLH1, MSH2, MSH6) or Epcam deletion who are under surveillance colonoscopy.

Exclusion Criteria

* Previous history of total colectomy,
* Concomitant inflammatory bowel disease,
* Inability or refuse to sign the informed consent,
* Previous colonoscopy \< 12 months.
* Inadequate bowel preparation.
* Incomplete procedure.
* PMS2 mutation carriers
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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European Society of Gastrointestinal Endoscopy

OTHER

Sponsor Role collaborator

Hospital Clinic of Barcelona

OTHER

Sponsor Role lead

Responsible Party

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María Pellisé

Principal Investigator. Attending physician Gastroenterology department.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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María Pellisé. MD. PhD.

Barcelona, , Spain

Site Status RECRUITING

Oswaldo ortiz

Barcelona, , Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Maria Pellise, Phd

Role: CONTACT

+34 932275400 ext. 2675

Facility Contacts

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María Pellisé, MD. PhD.

Role: primary

+34 932275400 ext. 2675

Oswaldo ortiz

Role: primary

+34691371417

References

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Other Identifiers

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Timely

Identifier Type: -

Identifier Source: org_study_id

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