Evaluation of Two Different Regimens of Colon Preparations for Advanced Cleaning.

NCT ID: NCT05570669

Last Updated: 2022-10-06

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

Clinical Phase

PHASE4

Total Enrollment

321 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-25

Study Completion Date

2021-12-28

Brief Summary

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Multicenter, prospective, randomized, checked, open label, with blind evaluation, for compare the intestinal cleansing effectiveness of the regimen full-dose delayed (A) of Clensia vs split regimen (B) of Clensia, in patients undergoing endoscopy.

Detailed Description

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Enrolled patients, after providing written informed consent, are randomized to the CLENSIA preparation scheme, delayed full-dose or split-dose regimen. The delayed full-dose regimen will constitute study arm A while the split-dose regimen will constitute the control arm B.

Participants will follow a slag-free diet in the three days preceding the colonoscopy (reduction in the consumption of fruit, vegetables and legumes). On the day before the colonoscopy, patients will be able to have a normal breakfast and lunch that are both free of fiber. The dietary indications will be delivered in writing to the patient by the health staff of the center involved in the trial. From the moment the preparation begins with the intake of the product, the intake of solid foods will no longer be allowed while clear liquids of the patient's choice can be taken freely up to two hours before the colonoscopy.

The study ends for each patient with the execution of each procedure / examination planned for the visit 2 The effectiveness of the preparation in terms of intestinal cleansing is assessed blindly (by the endoscopist) using the scale (Boston Bowel Preparation Scale).

Conditions

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Colonoscopy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

two groups randomized 1:1
Primary Study Purpose

SCREENING

Blinding Strategy

SINGLE

Outcome Assessors
the endoscopist analyzes the results and evaluates the cleaning without knowing the treatment followed by the patient

Study Groups

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full dose

Group A "delayed full-dose" regimen (study arm): intake of two large A sachets and 2 small B sachets from 20:30 to 22:00 the evening before the exam. Taking the remaining 2 envelopes A large e 2 small B envelopes from 10.30 pm to midnight the evening before the exam.

Group Type EXPERIMENTAL

(Macrogol 4000 52,500 g + Sodium sulphate anhydrous 3,750 g + Simethicone 0,080 g) full dose

Intervention Type DRUG

Taking the colonoscopy preparation drug (Clensia) in a single administration

split dose

Group B "split-dose" regimen (control arm): intake of two large A sachets and two small B sachets from 20.30 to 22:00 the evening before the exam. The remaining two large A envelopes and two small B envelopes will be taken 5 hours earlier than the time when the exam is scheduled on the same day as the exam.

Group Type OTHER

(Macrogol 4000 52,500 g + Sodium sulphate anhydrous 3,750 g + Simethicone 0,080 g) split dose

Intervention Type DRUG

Taking the colonoscopy preparation drug (Clensia) in two stages of administration

Interventions

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(Macrogol 4000 52,500 g + Sodium sulphate anhydrous 3,750 g + Simethicone 0,080 g) full dose

Taking the colonoscopy preparation drug (Clensia) in a single administration

Intervention Type DRUG

(Macrogol 4000 52,500 g + Sodium sulphate anhydrous 3,750 g + Simethicone 0,080 g) split dose

Taking the colonoscopy preparation drug (Clensia) in two stages of administration

Intervention Type DRUG

Other Intervention Names

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Clensia in full dose Clensia in Split dose

Eligibility Criteria

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Inclusion Criteria

* Male / female patients
* outpatient, consecutively subjected to colonoscopy with an exam scheduled from 8.00 to 10.00
* Age between 18 and 75 years
* Written informed consent

Exclusion Criteria

* Hypersensitivity and contraindications to the product under study, to the active ingredients or to any of the excipients.

Known severe renal insufficiency (Glomerular Filtration Rate (eGFR) \<30 ml / min / 1.73 m2)

* Presence of known chronic inflammatory bowel disease
* Previous digestive tract surgery
* Suspected gastrointestinal perforation
* History of congestive heart failure (NYHA class III or IV)
* Severe hepatic insufficiency or impairment (in the case of Child-Pugh Class C accurate verification of the patient's condition) indicated by transaminase values greater than 3 times the maximum normal value.
* Toxic colitis or toxic megacolon
* Suspected intestinal obstruction
* Patients enrolled in colorectal cancer screening programs
* Intestinal paralysis
* Documented electrolyte disturbances (Na, Cl, K, Ca or P outside normal limits)
* Recent symptomatic acute ischemic heart disease (\<6 months). Acute myocardial infarction and recent unstable angina within six months antecedents.
* Participation in a clinical trial in which an investigational drug was administered within 30 days or 5 half-lives of the study drug, whichever is longer.
* Documented state of pregnancy ascertained through positive pregnancy test
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Presidio Ospedaliero Sant Ottone Frangipane Avellino

UNKNOWN

Sponsor Role collaborator

Azienda Ospedaliera Specializzata in Gastroenterologia Saverio de Bellis

OTHER

Sponsor Role collaborator

Azienda Policlinico Umberto I

OTHER

Sponsor Role collaborator

Ospedale di Manerbio ASST Garda

UNKNOWN

Sponsor Role collaborator

Ospedale Civile San Giovanni di Dio Crotone

UNKNOWN

Sponsor Role collaborator

Ospedale di Baggiovara Modena

UNKNOWN

Sponsor Role collaborator

Ospedale S. Jacopo Pistoia

UNKNOWN

Sponsor Role collaborator

Ospedale S. Martino Belluno

UNKNOWN

Sponsor Role collaborator

IRCCS Azienda Ospedaliero-Universitaria di Bologna

OTHER

Sponsor Role collaborator

Federico II University

OTHER

Sponsor Role collaborator

Societa Italiana di Endoscopia Digestiva

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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LUIGI PASQUALE, PROF

Role: STUDY_CHAIR

Societa Italiana di Endoscopia Digestiva

Locations

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Presidio Ospedaliero Sant'Ottone Frangipane

Ariano Irpino, Avellino, Italy

Site Status

Reparto di Gastroenterologia IRRCS Saverio de Bellis

Castellana Grotte, BARI, Italy

Site Status

SSD Endoscopia digestiva - Ospedale Manerbio

Manerbio, Brescia, Italy

Site Status

SC Gastroenterologia Endoscopia Digestiva. Ospedale di Baggiovara

Baggiovara, Modena, Italy

Site Status

SC Gastroenterologia ed Endoscopia Digestiva - Ospedale S. Martino

Belluno, , Italy

Site Status

Dipartimento di scienze mediche e chirurgiche, Università di Bologna - Policlinico Sant'Orsola

Bologna, , Italy

Site Status

Reparto Gastroenterologia ed Endoscopia dell'Ospedale Civile San Giovanni di Dio

Crotone, , Italy

Site Status

Servizio Centralizzato di Endoscopia Digestiva Operatoria - AOU Federico II

Napoli, , Italy

Site Status

S.S. Endoscopia Digestiva/ P.O. S. Jacopo

Pistoia, , Italy

Site Status

Chirurgia Generale AOU Policlinico Umberto I

Rome, , Italy

Site Status

Countries

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Italy

Other Identifiers

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ERACLES01/2020

Identifier Type: -

Identifier Source: org_study_id

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