NCT04307901

Brief Summary

Following European guidelines patients undergoing colonoscopy in one of Odense University Hospitals units will now be offered a colon capsule endoscopy (CCE) in case of incomplete examinations. Patients formerly referred to colonoscopy in general anesthesia or patients who decline colonoscopy after having completed bowel preparation will also be offered a CCE. In our department we have conducted a comparison study documenting that the sensitivity of CCE is superior to CT colonography in both polyps \>9 mm and polyps \>5 mm, which is also supported by an Italian study. The safety and completion rate of CCE following incomplete colonoscopy is confirmed by several studies including one multicenter study and the completion rate is not significantly lower compared to other patient groups. In an incomplete colonoscopy it is always the most oral part of the colon which is not visualized, whereas in CCE, an incomplete investigation will most often have visualized the oral part. By combining incomplete colonoscopy results and incomplete CCE results we can identify patients who have had a complete colon investigation although both investigations were incomplete. Aim: to investigate the quality of CCE and the completion rate in patients who have undergone an incomplete colonoscopy, have completed bowel preparation but declines colonoscopy or have been referred to colonoscopy in general anesthesia.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
600

participants targeted

Target at P75+ for all trials

Timeline
55mo left

Started May 2020

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress57%
May 2020Dec 2030

First Submitted

Initial submission to the registry

March 12, 2020

Completed
1 day until next milestone

First Posted

Study publicly available on registry

March 13, 2020

Completed
2 months until next milestone

Study Start

First participant enrolled

May 1, 2020

Completed
10.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2030

Expected
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2030

Last Updated

May 20, 2020

Status Verified

May 1, 2020

Enrollment Period

10.4 years

First QC Date

March 12, 2020

Last Update Submit

May 18, 2020

Conditions

Keywords

colon capsule endoscopyct colonographycolonoscopyendoscopy

Outcome Measures

Primary Outcomes (1)

  • Complete mucosal visualization combining incomplete investigations

    By combining results from incomplete colon capsule endoscopy and incomplete colonoscopy we will identify complete combined investigations.

    10 years

Secondary Outcomes (5)

  • Completion rate of colon capsule endoscopy

    2 years

  • Safety of colon capsule endoscopy

    1 year

  • Quality of colon capsule endoscopy

    1 year

  • Economic evaluation

    1 year

  • Patient preference

    2 years

Study Arms (3)

Incomplete colonoscopy

Individuals referred to colon capsule endoscopy due to incomplete colonoscopy investigation.

Device: Colon capsule endoscopy

Colonoscopy general anesthesia

Individuals referred to colon capsule endoscopy as alternative to colonoscopy under general anesthesia.

Device: Colon capsule endoscopy

Colonoscopy declined

Individuals referred to colon capsule endoscopy after completion of bowel preparation for colonoscopy, but who have declined colonoscopy to be carried out.

Device: Colon capsule endoscopy

Interventions

Endoscopy performed using PillCam2 camera capsule for oral ingestion

Colonoscopy declinedColonoscopy general anesthesiaIncomplete colonoscopy

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

All adults referred to colon capsule endoscopy from the surgical department of Odense University Hospital, which signs consent form enabling us to retrieve personal data.

You may qualify if:

  • Incomplete colonoscopy, referral for colonoscopy under general anesthesia or declining colonoscopy after completion of bowel preparation.

You may not qualify if:

  • Chrohn's disease with symptoms of stenosis and/or pacemaker

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Odense University Hospital

Svendborg, 5700, Denmark

RECRUITING

Related Publications (1)

  • Havshoi AV, Deding U, Jensen SS, Andersen PV, Kaalby L, Al-Najami I. Colon capsule endoscopy following incomplete colonoscopy in routine clinical settings. Surg Endosc. 2023 Apr;37(4):2749-2755. doi: 10.1007/s00464-022-09783-w. Epub 2022 Dec 5.

MeSH Terms

Conditions

Colorectal Neoplasms

Interventions

Endoscopy

Condition Hierarchy (Ancestors)

Intestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal Diseases

Intervention Hierarchy (Ancestors)

Diagnostic Techniques, SurgicalDiagnostic Techniques and ProceduresDiagnosisMinimally Invasive Surgical ProceduresSurgical Procedures, Operative

Central Study Contacts

Gunnar Baatrup, Prof.

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

March 12, 2020

First Posted

March 13, 2020

Study Start

May 1, 2020

Primary Completion (Estimated)

October 1, 2030

Study Completion (Estimated)

December 31, 2030

Last Updated

May 20, 2020

Record last verified: 2020-05

Locations