Mini-sized MCE for Detection of Small Bowel in Children Under the Age of 10 Years

NCT ID: NCT05522101

Last Updated: 2022-10-14

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

158 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-20

Study Completion Date

2023-07-20

Brief Summary

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In this prospective randomized controlled trial, pediatric volunteers were enrolled and randomly underwent mini-sized MCE and normal-sized CE to compare the success rate of self-swallowing between mini-sized MCE and normal-sized CE during gastrointestinal examination.

Detailed Description

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Magnetic controlled capsule endoscopy (MCE) is comparable to traditional gastroscopy (EGD) in the diagnosis of gastric diseases, and has been widely used in clinical practice. However, there are still some limitations in the application of MCE in digestive tract examination. Due to the large size of capsules at present, some patients have difficulty swallowing capsules during capsule swallowing, which leads to the failure of examination, and the proportion is higher in children patients. Therefore, in order to further improve the patient's comfort in swallowing capsules, our team developed a small MCE with a smaller size combined with innovation, which is 0.6 times of the conventional MCE in terms of volume and weight. This study aims to clarify the application efficacy of mini-MCE in gastrointestinal examination of adults and children through a multicenter clinical study comparing conventional capsule endoscopy with mini-magnetic-controlled capsule endoscopy. In order to ensure the efficacy of the capsule in the examination of digestive tract mucosa, and improve the ease of swallowing in children.

Conditions

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Small Bowel Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Mini-sized MCE

AKES-31SW Capsule Endoscopy

Group Type EXPERIMENTAL

Mini-sized MCE

Intervention Type DEVICE

AKES-31SW capsule endoscopy(Mini-sized MCE), its diameter is 9.5mm, length is 24.5mm, weight is 3.0g, shooting frequency is 0.5-6fps, image resolution is 480\*480, working time is not less than 8 hours. Mini-sized MCE is 0.6 times of traditional MCE in volume and weight, which is the smallest capsule in clinical application

Normal sized CE

PillCam Capsule Endoscopy

Group Type PLACEBO_COMPARATOR

Normal-sized MCE

Intervention Type DEVICE

Pillcam SB 3 capsule endoscopy(Normal-sized MCE), its diameter is 11.4mm, length is 26.2mm, weight is 3.0g, shooting frequency is 2-6fps, image resolution is 340\*340, working time is not less than 8 hours.

Interventions

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Mini-sized MCE

AKES-31SW capsule endoscopy(Mini-sized MCE), its diameter is 9.5mm, length is 24.5mm, weight is 3.0g, shooting frequency is 0.5-6fps, image resolution is 480\*480, working time is not less than 8 hours. Mini-sized MCE is 0.6 times of traditional MCE in volume and weight, which is the smallest capsule in clinical application

Intervention Type DEVICE

Normal-sized MCE

Pillcam SB 3 capsule endoscopy(Normal-sized MCE), its diameter is 11.4mm, length is 26.2mm, weight is 3.0g, shooting frequency is 2-6fps, image resolution is 340\*340, working time is not less than 8 hours.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients and their legal guardians agreed to participate in the study and signed informed consent;
* 2 years ≤ age \< 10 years;
* Pediatric patients with suspected small bowel disease who are scheduled for small bowel capsule endoscopy

Exclusion Criteria

* Intestinal obstruction, stenosis, or fistula is known or suspected;
* Dysphagia or gastric emptying dysfunction;
* Severe asthma, dysphagia or gastroparesis and other emptying disorders;
* Known or suspected possibility of major bleeding from active digestive tract;
* The presence of a pacemaker in the body, except where the pacemaker is a new MRI-compatible product;
* Implanted cochlear implants, magnetic metal drug infusion pumps, nerve stimulators and other electronic devices, as well as magnetic metal foreign bodies;
* Those who plan to undergo magnetic resonance imaging (MRI) examination before capsule endoscopy discharge;
* Previous history of abdominal surgery affecting the normal structure of the digestive tract;
* Patients with mental illness;
* Allergic to macromolecular materials such as dimethyl silicone oil;
* Refuse to use electronic gastroscopy to deliver the capsule to the duodenum if the capsule cannot be swallowed by itself;
* Contraindications of intravenous anesthesia;
* Patients who have participated in or are participating in other clinical trials within three months;
* Any other factors considered by the investigator to be inappropriate for enrollment or to affect the participant's participation in the study.
Minimum Eligible Age

2 Years

Maximum Eligible Age

9 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Shanghai Children's Hospital

OTHER

Sponsor Role collaborator

Xian Children's Hospital

OTHER_GOV

Sponsor Role collaborator

Changhai Hospital

OTHER

Sponsor Role lead

Responsible Party

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Zhuan Liao

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zhuan Liao

Role: PRINCIPAL_INVESTIGATOR

Changhai Hospital

Locations

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Qilu Children's Hospital

Jinan, , China

Site Status

Shanghai Changhai Hospital

Shanghai, , China

Site Status

Shanghai Children's Hospital

Shanghai, , China

Site Status

Xi'an Children's Hospital

Xi'an, , China

Site Status

Countries

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China

Central Contacts

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Zhuan Liao

Role: CONTACT

86-21-31161004

Facility Contacts

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Junjie Xu

Role: primary

Haifeng Liu

Role: primary

Ying Fang

Role: primary

References

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Swaminath A, Legnani P, Kornbluth A. Video capsule endoscopy in inflammatory bowel disease: past, present, and future redux. Inflamm Bowel Dis. 2010 Jul;16(7):1254-62. doi: 10.1002/ibd.21220.

Reference Type BACKGROUND
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Arguelles-Arias F, Donat E, Fernandez-Urien I, Alberca F, Arguelles-Martin F, Martinez MJ, Molina M, Varea V, Herrerias-Gutierrez JM, Ribes-Koninckx C. Guideline for wireless capsule endoscopy in children and adolescents: A consensus document by the SEGHNP (Spanish Society for Pediatric Gastroenterology, Hepatology, and Nutrition) and the SEPD (Spanish Society for Digestive Diseases). Rev Esp Enferm Dig. 2015 Dec;107(12):714-31. doi: 10.17235/reed.2015.3921/2015.

Reference Type BACKGROUND
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Urs AN, Martinelli M, Rao P, Thomson MA. Diagnostic and therapeutic utility of double-balloon enteroscopy in children. J Pediatr Gastroenterol Nutr. 2014 Feb;58(2):204-12. doi: 10.1097/MPG.0000000000000192.

Reference Type BACKGROUND
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Gu Z, Wang Y, Lin K, Wang X, Cheng W, Wang L, Zhang T, Liu H. Magnetically Controlled Capsule Endoscopy in Children: A Single-center, Retrospective Cohort Study. J Pediatr Gastroenterol Nutr. 2019 Jul;69(1):13-17. doi: 10.1097/MPG.0000000000002292.

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Cardey J, Le Gall C, Michaud L, Dabadie A, Talbotec C, Bellaiche M, Lamireau T, Mas E, Bridoux-Henno L, Viala J, Restier-Miron L, Lachaux A. Screening of esophageal varices in children using esophageal capsule endoscopy: a multicenter prospective study. Endoscopy. 2019 Jan;51(1):10-17. doi: 10.1055/a-0647-1709. Epub 2018 Sep 5.

Reference Type BACKGROUND
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Pai AK, Jonas MM, Fox VL. Esophageal Capsule Endoscopy in Children and Young Adults With Portal Hypertension. J Pediatr Gastroenterol Nutr. 2019 Dec;69(6):641-647. doi: 10.1097/MPG.0000000000002455.

Reference Type BACKGROUND
PMID: 31365487 (View on PubMed)

Oliva S, Di Nardo G, Hassan C, Spada C, Aloi M, Ferrari F, Redler A, Costamagna G, Cucchiara S. Second-generation colon capsule endoscopy vs. colonoscopy in pediatric ulcerative colitis: a pilot study. Endoscopy. 2014 Jun;46(6):485-92. doi: 10.1055/s-0034-1365413. Epub 2014 Apr 28.

Reference Type BACKGROUND
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Reference Type BACKGROUND
PMID: 31205466 (View on PubMed)

Fritscher-Ravens A, Scherbakov P, Bufler P, Torroni F, Ruuska T, Nuutinen H, Thomson M, Tabbers M, Milla P. The feasibility of wireless capsule endoscopy in detecting small intestinal pathology in children under the age of 8 years: a multicentre European study. Gut. 2009 Nov;58(11):1467-72. doi: 10.1136/gut.2009.177774. Epub 2009 Jul 21.

Reference Type BACKGROUND
PMID: 19625281 (View on PubMed)

Radhakrishnan C, Sefidani Forough A, Cichero JAY, Smyth HE, Raidhan A, Nissen LM, Steadman KJ. A Difficult Pill to Swallow: An Investigation of the Factors Associated with Medication Swallowing Difficulties. Patient Prefer Adherence. 2021 Jan 11;15:29-40. doi: 10.2147/PPA.S277238. eCollection 2021.

Reference Type BACKGROUND
PMID: 33469272 (View on PubMed)

Ohmiya N, Oka S, Nakayama Y, Iwama I, Nakamura M, Shimizu H, Sumioka A, Abe N, Kudo T, Osawa S, Honma H, Okuhira T, Mtsufuji S, Imaeda H, Ota K, Matsuoka R, Hotta N, Inoue M, Nakaji K, Takamaru H, Ozeki K, Kobayashi T, Hosoe N, Tajiri H, Tanaka S. Safety and efficacy of the endoscopic delivery of capsule endoscopes in adult and pediatric patients: Multicenter Japanese study (AdvanCE-J study). Dig Endosc. 2022 Mar;34(3):543-552. doi: 10.1111/den.14104. Epub 2021 Sep 10.

Reference Type BACKGROUND
PMID: 34379849 (View on PubMed)

Burgess CJ, McIntyre EC, Withers GD, Ee LC. Comparing swallowing of capsule to endoscopic placement of capsule endoscopy in children. JGH Open. 2017 Sep 18;1(1):11-14. doi: 10.1002/jgh3.12001. eCollection 2017 Sep.

Reference Type BACKGROUND
PMID: 30483526 (View on PubMed)

Dan T, Dandan S, Enqiang L. Aspiration of a Magnetically Controlled Capsule Endoscopy. Gastroenterology. 2023 May;164(6):e30-e31. doi: 10.1053/j.gastro.2019.04.006. Epub 2019 Apr 11. No abstract available.

Reference Type BACKGROUND
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Melson J, Trikudanathan G, Abu Dayyeh BK, Bhutani MS, Chandrasekhara V, Jirapinyo P, Krishnan K, Kumta NA, Pannala R, Parsi MA, Sethi A, Trindade AJ, Watson RR, Maple JT, Lichtenstein DR. Video capsule endoscopy. Gastrointest Endosc. 2021 Apr;93(4):784-796. doi: 10.1016/j.gie.2020.12.001. Epub 2021 Feb 26. No abstract available.

Reference Type BACKGROUND
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Jiang B, Qian YY, Pan J, Jiang X, Wang YC, Zhu JH, Zou WB, Zhou W, Li ZS, Liao Z. Second-generation magnetically controlled capsule gastroscopy with improved image resolution and frame rate: a randomized controlled clinical trial (with video). Gastrointest Endosc. 2020 Jun;91(6):1379-1387. doi: 10.1016/j.gie.2020.01.027. Epub 2020 Jan 22.

Reference Type BACKGROUND
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Reference Type BACKGROUND
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Meltzer EO, Welch MJ, Ostrom NK. Pill swallowing ability and training in children 6 to 11 years of age. Clin Pediatr (Phila). 2006 Oct;45(8):725-33. doi: 10.1177/0009922806292786.

Reference Type BACKGROUND
PMID: 16968958 (View on PubMed)

Other Identifiers

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Mini-sized MCE

Identifier Type: -

Identifier Source: org_study_id

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