Mini-sized MCE for Better Examination of UGI and Small Bowel
Feasibility of Mini-sized Magnetically Controlled Capsule Endoscopy in Visualization of UGI and Small Bowel: a Randomized Controlled Clinical Trial
1 other identifier
interventional
96
1 country
1
Brief Summary
A mini-sized MCE highlighted with a diameter of 9.5mm, a length of 24.5mm, and a weight of 3.0g has been developed. This new type of MCE is approximately 0.6 times the conventional MCE (27mm\*11.8mm) in volume and weight, and it is the smallest CE among all the reported capsules. Thus, this pilot study was conducted to clarify whether the mini-sized MCE can further optimize the process of swallowing the capsule and to verify whether the smaller size of the capsule will have influence on the examination procedure of the upper gastrointestinal tract and small intestine.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jan 2021
Shorter than P25 for not_applicable
1 active site
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 Start
First participant enrolled
January 12, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 30, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
September 15, 2021
CompletedFirst Submitted
Initial submission to the registry
September 17, 2021
CompletedFirst Posted
Study publicly available on registry
October 11, 2021
CompletedNovember 10, 2022
November 1, 2022
5 months
September 17, 2021
November 7, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
the difficulty score for swallowing the capsule
The primary outcome was the difficulty score for swallowing the capsule, which was assessed on a visual analog scale ranging from 0 (very easy with no nausea) to 10 (very difficult or with severe nausea)
6 months
the time required to swallow the capsule
The capsule swallowing time was defined as the time between the first mouth image and the first esophageal image.
6 months
the success rate for swallowing the capsule at the first attempt
If the patient swallowed the capsule directly with a sip of water at the first attempt, it was defined as a success for swallowing the capsule at the first attempt; if the capsule entered the esophagus after several swallowing attempts or with endoscopic placement, it was defined as a failure.
6 months
Secondary Outcomes (7)
the number of images captured for Z-line and quadrants of the Z-line
6 months
Visualization score of the gastric mucosa
6 months
Visualization of the small bowel
6 months
Difficulty score of swallowing the capsule
1 month
Gastrointestinal transit time
1 month
- +2 more secondary outcomes
Study Arms (2)
mini-sized MCE
EXPERIMENTALParticipants in this group underwent examination of mini-sized MCE.
normal-sized MCE
OTHERParticipants in this group underwent examination of normal-sized MCE.
Interventions
Enrolled participants were randomly allocated into the normal-sized MCE group or mini-sized MCE group in a 1:1 ratio.
Enrolled participants were randomly allocated into the normal-sized MCE group or mini-sized MCE group in a 1:1 ratio.
Eligibility Criteria
You may qualify if:
- Adult patients aged ≥18.
- Scheduled to undergo a capsule endoscopy for both stomach and small bowel.
- Signed the informed consents before joining this study.
You may not qualify if:
- Dysphagia or symptoms of gastric outlet obstruction
- Known or suspected GI obstruction, stenosis, or fistula
- History of upper gastrointestinal surgery or abdominal surgery altering gastrointestinal anatomy
- Implanted pacemaker, except the pacemaker is compatible with MRI
- Other implanted electromedical devices or magnetic metal foreign bodies
- Pregnancy or suspected pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Changhai Hospitallead
- Qilu Hospital of Shandong Universitycollaborator
Study Sites (1)
Changhai Hospital
Shanghai, 200433, China
Related Publications (9)
Liao Z, Hou X, Lin-Hu EQ, Sheng JQ, Ge ZZ, Jiang B, Hou XH, Liu JY, Li Z, Huang QY, Zhao XJ, Li N, Gao YJ, Zhang Y, Zhou JQ, Wang XY, Liu J, Xie XP, Yang CM, Liu HL, Sun XT, Zou WB, Li ZS. Accuracy of Magnetically Controlled Capsule Endoscopy, Compared With Conventional Gastroscopy, in Detection of Gastric Diseases. Clin Gastroenterol Hepatol. 2016 Sep;14(9):1266-1273.e1. doi: 10.1016/j.cgh.2016.05.013. Epub 2016 May 20.
PMID: 27211503BACKGROUNDLiao Z, Zou W, Li ZS. Clinical application of magnetically controlled capsule gastroscopy in gastric disease diagnosis: recent advances. Sci China Life Sci. 2018 Nov;61(11):1304-1309. doi: 10.1007/s11427-018-9353-5. Epub 2018 Oct 18.
PMID: 30367341BACKGROUNDJiang X, Pan J, Li ZS, Liao Z. Standardized examination procedure of magnetically controlled capsule endoscopy. VideoGIE. 2019 May 30;4(6):239-243. doi: 10.1016/j.vgie.2019.03.003. eCollection 2019 Jun. No abstract available.
PMID: 31194028BACKGROUNDJiang X, Qian YY, Liu X, Pan J, Zou WB, Zhou W, Luo YY, Chen YZ, Li ZS, Liao Z. Impact of magnetic steering on gastric transit time of a capsule endoscopy (with video). Gastrointest Endosc. 2018 Oct;88(4):746-754. doi: 10.1016/j.gie.2018.06.031. Epub 2018 Jul 11.
PMID: 30005825BACKGROUNDHu J, Wang S, Ma W, Pan D, Sun S. Magnetically controlled capsule endoscopy as the first-line examination for high-risk patients for the standard gastroscopy: a preliminary study. Scand J Gastroenterol. 2019 Jul;54(7):934-937. doi: 10.1080/00365521.2019.1638446. Epub 2019 Jul 22.
PMID: 31328998BACKGROUNDNuutinen H, Kolho KL, Salminen P, Rintala R, Koskenpato J, Koivusalo A, Sipponen T, Farkkila M. Capsule endoscopy in pediatric patients: technique and results in our first 100 consecutive children. Scand J Gastroenterol. 2011 Sep;46(9):1138-43. doi: 10.3109/00365521.2011.584900. Epub 2011 May 26.
PMID: 21615227BACKGROUNDPatel A, Jacobsen L, Jhaveri R, Bradford KK. Effectiveness of pediatric pill swallowing interventions: a systematic review. Pediatrics. 2015 May;135(5):883-9. doi: 10.1542/peds.2014-2114.
PMID: 25896843BACKGROUNDDan 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.
PMID: 30981792BACKGROUNDJiang X, Qiu XO, Li Z, Pan J, Peng C, Zuo XL, Liao Z, Li ZS. Small-sized versus standard magnetic capsule endoscopy in adults: a two-center, double-blinded randomized controlled trial. Endoscopy. 2023 Jan;55(1):52-57. doi: 10.1055/a-1881-4369. Epub 2022 Jul 12.
PMID: 35820437DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Zhuan Liao, Professor
Changhai Hospital,Shanghai,China
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
September 17, 2021
First Posted
October 11, 2021
Study Start
January 12, 2021
Primary Completion
May 30, 2021
Study Completion
September 15, 2021
Last Updated
November 10, 2022
Record last verified: 2022-11
Data Sharing
- IPD Sharing
- Will not share