A Pilot and Feasibility Study to Evaluate Capsule Endoscopy
MA-79
1 other identifier
interventional
50
2 countries
2
Brief Summary
This study is aimed at assessing the capability of the PillCam Platform using the PillCam ESO 2 Capsule in:
- Determining whether there is 1) active bleeding in the Upper gastrointestinal (UGI) tract, 2) identifying the anatomic location of acute overt UGI bleeding, and 3) discriminating a variceal versus non-variceal source of UGI bleeding.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Aug 2009
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2009
CompletedFirst Submitted
Initial submission to the registry
September 9, 2009
CompletedFirst Posted
Study publicly available on registry
September 10, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2010
CompletedJuly 31, 2019
May 1, 2010
1.3 years
September 9, 2009
July 29, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Identification of gross blood (fresh or coffee grounds) / active bleeding in the esophagus, stomach and /or duodenum by PillCam™ ESO 2 and NG aspirate
7 days
Secondary Outcomes (4)
Suspected anatomic location of acute overt UGI bleeding (e.g., esophageal, gastric, and/or duodenal location) by PillCam™ ESO 2 and EGD.
7 days
Determination of suspected variceal vs. non-variceal source of acute overt UGIH by PillCam™ ESO 2 and EGD.
7 days
Number, type and severity of adverse events and number of PillCam™ ESO 2 capsules that reached the 2nd portion of the duodenum.
7 days
Patient subjective assessment questionnaires
7 days
Study Arms (1)
Patients to undergo PillCam procedure
EXPERIMENTALPatients presenting to ER with acute overt upper GI bleeding
Interventions
The capsule to be tested in this proposed study, PillCam ESO 2 capsule Endoscopy, is an improved version with exactly the same dimensions as the current PillCam ESO capsule, both in length and diameter.
Eligibility Criteria
You may qualify if:
- age ≥ 18 years
- history of acute, overt UGI hemorrhage, defined as hematemesis (fresh blood or coffee grounds) and/or melena within the 48 hours prior to patient presentation
You may not qualify if:
- dysphagia
- odynophagia
- known swallowing disorder
- history of Zencker's diverticulum
- suspected bowel obstruction or bowel perforation at the time of presentation
- UGI hemorrhage with hemodynamic shock requiring urgent endoscopy
- history of prior bowel obstruction
- history of Crohn's disease
- history of UGI tract surgery (e.g., Billroth I, Billroth II, esophagectomy, gastrectomy, bariatric procedure)
- presence of an electromedical device (pacemaker or internal cardiac defibrillator)
- altered mental status (e.g., hepatic encephalopathy) at the time of presentation that would limit patient ability in swallowing the capsule
- pregnancy
- known allergy to conscious sedation medications
- known allergy to erythromycin
- inability to provide written informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Medtronic - MITGlead
Study Sites (2)
Prince of Wales Hospital, Hong Kong, China
Shating, N.T., Hong Kong
Rambma Medical Center
Haifa, 31096, Israel
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Josheph Sung, MD,PhD
Prince of Wales Hospital, Hong Kong, China
- PRINCIPAL INVESTIGATOR
Ian Gralnek, MD., PhD.
Rambam Medical Center, Haifa, Israel
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 9, 2009
First Posted
September 10, 2009
Study Start
August 1, 2009
Primary Completion
November 1, 2010
Study Completion
November 1, 2010
Last Updated
July 31, 2019
Record last verified: 2010-05