Small Volume Simethicone Before Gastroscopy: Any Benefit?
Benefits of Premedication With Small Volume Simethicone Solution Before Diagnostic Gastroscopy: A Randomized Endoscopist-blinded Prospective Study
1 other identifier
interventional
54
1 country
1
Brief Summary
A randomized controlled and endoscopist-blinded study which compares the efficacy of liquid simethicone (100mg) in 5 mls water, versus placebo ( 5mls of water), as premedication (given at least 30 minutes) before gastroscopy towards improvement of the total mucosal visibility score.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Aug 2015
Shorter than P25 for phase_2
1 active site
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, 2015
CompletedFirst Submitted
Initial submission to the registry
September 13, 2015
CompletedFirst Posted
Study publicly available on registry
September 21, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2015
CompletedResults Posted
Study results publicly available
March 15, 2016
CompletedMarch 15, 2016
February 1, 2016
3 months
September 13, 2015
February 15, 2016
February 15, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Total Cumulative Mucosal Visibility Score
Total cumulative mucosal visibility score (TMVS) of all areas during the gastroscopy as determined by Mc Nally score: Score of 1: no bubbles Score of 2: minimal-occasional bubbles; must actively look for them Score of 3: moderate-obviously present Score of 4: severe-so many bubbles that vision is obscured Total areas covered: (E) esophagus (D) duodenum (A) Antrum and angularis (B) body and fundus
This will be calculated during the diagnostic gastroscopy, an expected duration of 10 minutes.
Secondary Outcomes (3)
Mucosal Visibility Score Per Area as Determined by Mc Nally Score:
This will be calculated during the diagnostic gastroscopy, an expected duration of 10 minutes.
Volume of Additional Manual Flushes Required During Endoscopy in Mls
This will be calculated during the diagnostic gastroscopy, an expected duration of 10 minutes.
Adverse Events in Each Group Which May or May Not be Related to Simethicone Solution
Participants will be followed from ingestion of the premedication to the time of discharge from the endoscopy center, an estimated duration. of 3 hours
Study Arms (2)
Simethicone premedication
EXPERIMENTALLiquid simethicone (1ml volume) in 5mls of water
Placebo
PLACEBO COMPARATORJust 5 mls of water
Interventions
100mg of liquid simethicone is put into 5mls of water and given at least 30 minutes before the gastroscopy.
Eligibility Criteria
You may qualify if:
- Planned for an elective diagnostic gastroscopy by the attending gastroenterologist
- Age of at least 21 years old
- Mentally competent and able to provide informed consent
You may not qualify if:
- Category A patients (incarcerated prisoners)
- adults who are unable to give their own informed consent due to lack of mental capacity
- suspected gastrointestinal bleeding
- suspected impacted foreign material
- suspected gastric outlet obstruction
- suspected esophageal obstruction
- history of dysphagia
- known hypersensitivity to simethicone
- previous gastrectomy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Changi General Hospital
Singapore, 529889, Singapore
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr Song Mingjun
- Organization
- MOHH Holdings
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 13, 2015
First Posted
September 21, 2015
Study Start
August 1, 2015
Primary Completion
November 1, 2015
Study Completion
November 1, 2015
Last Updated
March 15, 2016
Results First Posted
March 15, 2016
Record last verified: 2016-02
Data Sharing
- IPD Sharing
- Will share
Data send to Singapore Health Sciences Authority