NCT05522101

Brief Summary

In this prospective randomized controlled trial, pediatric volunteers were enrolled and randomly underwent mini-sized MCE and normal-sized CE to compare the success rate of self-swallowing between mini-sized MCE and normal-sized CE during gastrointestinal examination.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
158

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Oct 2022

Shorter than P25 for not_applicable

Geographic Reach
1 country

4 active sites

Status
unknown

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

First Submitted

Initial submission to the registry

August 4, 2022

Completed
26 days until next milestone

First Posted

Study publicly available on registry

August 30, 2022

Completed
2 months until next milestone

Study Start

First participant enrolled

October 20, 2022

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 20, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 20, 2023

Completed
Last Updated

October 14, 2022

Status Verified

October 1, 2022

Enrollment Period

9 months

First QC Date

August 4, 2022

Last Update Submit

October 12, 2022

Conditions

Keywords

ChildrenSmall Bowel DiseaseCapsule Endoscopy

Outcome Measures

Primary Outcomes (1)

  • Success rate of self-swallowing with Mini-sized MCE

    Self-swallowing was defined as the subjects swallowing capsules for examination by themselves, and no endoscope or other instruments were needed to place capsules during the entire examination process

    2 weeks

Secondary Outcomes (20)

  • Completion rate of capsule endoscopy gastric examination in two groups

    2 weeks

  • Completion rate of small bowel examination by capsule endoscopy in two groups

    2 weeks

  • Success rate of instrument-assisted examination in the two groups

    2 weeks

  • Two groups of capsule endoscopy swallowing time

    2 weeks

  • Two groups of capsule endoscopy swallowing intake of water

    2 weeks

  • +15 more secondary outcomes

Study Arms (2)

Mini-sized MCE

EXPERIMENTAL

AKES-31SW Capsule Endoscopy

Device: Mini-sized MCE

Normal sized CE

PLACEBO COMPARATOR

PillCam Capsule Endoscopy

Device: Normal-sized MCE

Interventions

AKES-31SW capsule endoscopy(Mini-sized MCE), its diameter is 9.5mm, length is 24.5mm, weight is 3.0g, shooting frequency is 0.5-6fps, image resolution is 480\*480, working time is not less than 8 hours. Mini-sized MCE is 0.6 times of traditional MCE in volume and weight, which is the smallest capsule in clinical application

Mini-sized MCE

Pillcam SB 3 capsule endoscopy(Normal-sized MCE), its diameter is 11.4mm, length is 26.2mm, weight is 3.0g, shooting frequency is 2-6fps, image resolution is 340\*340, working time is not less than 8 hours.

Normal sized CE

Eligibility Criteria

Age2 Years - 9 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Patients and their legal guardians agreed to participate in the study and signed informed consent;
  • years ≤ age \< 10 years;
  • Pediatric patients with suspected small bowel disease who are scheduled for small bowel capsule endoscopy

You may not qualify if:

  • Intestinal obstruction, stenosis, or fistula is known or suspected;
  • Dysphagia or gastric emptying dysfunction;
  • Severe asthma, dysphagia or gastroparesis and other emptying disorders;
  • Known or suspected possibility of major bleeding from active digestive tract;
  • The presence of a pacemaker in the body, except where the pacemaker is a new MRI-compatible product;
  • Implanted cochlear implants, magnetic metal drug infusion pumps, nerve stimulators and other electronic devices, as well as magnetic metal foreign bodies;
  • Those who plan to undergo magnetic resonance imaging (MRI) examination before capsule endoscopy discharge;
  • Previous history of abdominal surgery affecting the normal structure of the digestive tract;
  • Patients with mental illness;
  • Allergic to macromolecular materials such as dimethyl silicone oil;
  • Refuse to use electronic gastroscopy to deliver the capsule to the duodenum if the capsule cannot be swallowed by itself;
  • Contraindications of intravenous anesthesia;
  • Patients who have participated in or are participating in other clinical trials within three months;
  • Any other factors considered by the investigator to be inappropriate for enrollment or to affect the participant's participation in the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

Qilu Children's Hospital

Jinan, China

Location

Shanghai Changhai Hospital

Shanghai, China

Location

Shanghai Children's Hospital

Shanghai, China

Location

Xi'an Children's Hospital

Xi'an, China

Location

Related Publications (17)

  • Swaminath A, Legnani P, Kornbluth A. Video capsule endoscopy in inflammatory bowel disease: past, present, and future redux. Inflamm Bowel Dis. 2010 Jul;16(7):1254-62. doi: 10.1002/ibd.21220.

    PMID: 20155845BACKGROUND
  • Arguelles-Arias F, Donat E, Fernandez-Urien I, Alberca F, Arguelles-Martin F, Martinez MJ, Molina M, Varea V, Herrerias-Gutierrez JM, Ribes-Koninckx C. Guideline for wireless capsule endoscopy in children and adolescents: A consensus document by the SEGHNP (Spanish Society for Pediatric Gastroenterology, Hepatology, and Nutrition) and the SEPD (Spanish Society for Digestive Diseases). Rev Esp Enferm Dig. 2015 Dec;107(12):714-31. doi: 10.17235/reed.2015.3921/2015.

    PMID: 26671584BACKGROUND
  • Urs AN, Martinelli M, Rao P, Thomson MA. Diagnostic and therapeutic utility of double-balloon enteroscopy in children. J Pediatr Gastroenterol Nutr. 2014 Feb;58(2):204-12. doi: 10.1097/MPG.0000000000000192.

    PMID: 24126830BACKGROUND
  • Gu Z, Wang Y, Lin K, Wang X, Cheng W, Wang L, Zhang T, Liu H. Magnetically Controlled Capsule Endoscopy in Children: A Single-center, Retrospective Cohort Study. J Pediatr Gastroenterol Nutr. 2019 Jul;69(1):13-17. doi: 10.1097/MPG.0000000000002292.

    PMID: 30747810BACKGROUND
  • Cardey J, Le Gall C, Michaud L, Dabadie A, Talbotec C, Bellaiche M, Lamireau T, Mas E, Bridoux-Henno L, Viala J, Restier-Miron L, Lachaux A. Screening of esophageal varices in children using esophageal capsule endoscopy: a multicenter prospective study. Endoscopy. 2019 Jan;51(1):10-17. doi: 10.1055/a-0647-1709. Epub 2018 Sep 5.

    PMID: 30184608BACKGROUND
  • Pai AK, Jonas MM, Fox VL. Esophageal Capsule Endoscopy in Children and Young Adults With Portal Hypertension. J Pediatr Gastroenterol Nutr. 2019 Dec;69(6):641-647. doi: 10.1097/MPG.0000000000002455.

    PMID: 31365487BACKGROUND
  • Oliva S, Di Nardo G, Hassan C, Spada C, Aloi M, Ferrari F, Redler A, Costamagna G, Cucchiara S. Second-generation colon capsule endoscopy vs. colonoscopy in pediatric ulcerative colitis: a pilot study. Endoscopy. 2014 Jun;46(6):485-92. doi: 10.1055/s-0034-1365413. Epub 2014 Apr 28.

    PMID: 24777427BACKGROUND
  • Xie M, Qian Y, Cheng S, Wang L, Shen R. Magnetically Guided Capsule Endoscopy in Pediatric Patients with Abdominal Pain. Gastroenterol Res Pract. 2019 May 8;2019:7172930. doi: 10.1155/2019/7172930. eCollection 2019.

    PMID: 31205466BACKGROUND
  • Fritscher-Ravens A, Scherbakov P, Bufler P, Torroni F, Ruuska T, Nuutinen H, Thomson M, Tabbers M, Milla P. The feasibility of wireless capsule endoscopy in detecting small intestinal pathology in children under the age of 8 years: a multicentre European study. Gut. 2009 Nov;58(11):1467-72. doi: 10.1136/gut.2009.177774. Epub 2009 Jul 21.

    PMID: 19625281BACKGROUND
  • Radhakrishnan C, Sefidani Forough A, Cichero JAY, Smyth HE, Raidhan A, Nissen LM, Steadman KJ. A Difficult Pill to Swallow: An Investigation of the Factors Associated with Medication Swallowing Difficulties. Patient Prefer Adherence. 2021 Jan 11;15:29-40. doi: 10.2147/PPA.S277238. eCollection 2021.

    PMID: 33469272BACKGROUND
  • Ohmiya N, Oka S, Nakayama Y, Iwama I, Nakamura M, Shimizu H, Sumioka A, Abe N, Kudo T, Osawa S, Honma H, Okuhira T, Mtsufuji S, Imaeda H, Ota K, Matsuoka R, Hotta N, Inoue M, Nakaji K, Takamaru H, Ozeki K, Kobayashi T, Hosoe N, Tajiri H, Tanaka S. Safety and efficacy of the endoscopic delivery of capsule endoscopes in adult and pediatric patients: Multicenter Japanese study (AdvanCE-J study). Dig Endosc. 2022 Mar;34(3):543-552. doi: 10.1111/den.14104. Epub 2021 Sep 10.

    PMID: 34379849BACKGROUND
  • Burgess CJ, McIntyre EC, Withers GD, Ee LC. Comparing swallowing of capsule to endoscopic placement of capsule endoscopy in children. JGH Open. 2017 Sep 18;1(1):11-14. doi: 10.1002/jgh3.12001. eCollection 2017 Sep.

    PMID: 30483526BACKGROUND
  • Dan 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: 30981792BACKGROUND
  • Melson J, Trikudanathan G, Abu Dayyeh BK, Bhutani MS, Chandrasekhara V, Jirapinyo P, Krishnan K, Kumta NA, Pannala R, Parsi MA, Sethi A, Trindade AJ, Watson RR, Maple JT, Lichtenstein DR. Video capsule endoscopy. Gastrointest Endosc. 2021 Apr;93(4):784-796. doi: 10.1016/j.gie.2020.12.001. Epub 2021 Feb 26. No abstract available.

    PMID: 33642034BACKGROUND
  • Jiang B, Qian YY, Pan J, Jiang X, Wang YC, Zhu JH, Zou WB, Zhou W, Li ZS, Liao Z. Second-generation magnetically controlled capsule gastroscopy with improved image resolution and frame rate: a randomized controlled clinical trial (with video). Gastrointest Endosc. 2020 Jun;91(6):1379-1387. doi: 10.1016/j.gie.2020.01.027. Epub 2020 Jan 22.

    PMID: 31981648BACKGROUND
  • Eliakim R. Where do I see minimally invasive endoscopy in 2020: clock is ticking. Ann Transl Med. 2017 May;5(9):202. doi: 10.21037/atm.2017.04.17.

    PMID: 28567382BACKGROUND
  • Meltzer EO, Welch MJ, Ostrom NK. Pill swallowing ability and training in children 6 to 11 years of age. Clin Pediatr (Phila). 2006 Oct;45(8):725-33. doi: 10.1177/0009922806292786.

    PMID: 16968958BACKGROUND

Study Officials

  • Zhuan Liao

    Changhai Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

August 4, 2022

First Posted

August 30, 2022

Study Start

October 20, 2022

Primary Completion

July 20, 2023

Study Completion

July 20, 2023

Last Updated

October 14, 2022

Record last verified: 2022-10

Data Sharing

IPD Sharing
Will share

After finishing this study,We will make the data available to other researchers:including protocol,statistical analysis plan (SAP),informed consent form (ICF) and clinical study report (CSR).

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR
Time Frame
3 years
Access Criteria
The website of the journal where the results published,and ClinicalTrials.gov web site.

Locations