Mini-sized MCE for Detection of Small Bowel in Children Under the Age of 10 Years
Mini-sized Magnetically Controlled Capsule Endoscopy vs. Normal-sized CE for Detection of Small Bowel in Children Under the Age of 10 Years:A Prospective,Multi-center,Randomized Controlled Trial
1 other identifier
interventional
158
1 country
4
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2022
Shorter than P25 for not_applicable
4 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
First Submitted
Initial submission to the registry
August 4, 2022
CompletedFirst Posted
Study publicly available on registry
August 30, 2022
CompletedStudy Start
First participant enrolled
October 20, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 20, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
July 20, 2023
CompletedOctober 14, 2022
October 1, 2022
9 months
August 4, 2022
October 12, 2022
Conditions
Keywords
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
EXPERIMENTALAKES-31SW Capsule Endoscopy
Normal sized CE
PLACEBO COMPARATORPillCam Capsule Endoscopy
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
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.
Eligibility Criteria
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
- Changhai Hospitallead
- Shanghai Children's Hospitalcollaborator
- Xian Children's Hospitalcollaborator
Study Sites (4)
Qilu Children's Hospital
Jinan, China
Shanghai Changhai Hospital
Shanghai, China
Shanghai Children's Hospital
Shanghai, China
Xi'an Children's Hospital
Xi'an, China
Related Publications (17)
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PMID: 20155845BACKGROUNDArguelles-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: 26671584BACKGROUNDUrs 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: 24126830BACKGROUNDGu 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: 30747810BACKGROUNDCardey 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: 30184608BACKGROUNDPai 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: 31365487BACKGROUNDOliva 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: 24777427BACKGROUNDXie 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: 31205466BACKGROUNDFritscher-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: 19625281BACKGROUNDRadhakrishnan 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: 33469272BACKGROUNDOhmiya 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: 34379849BACKGROUNDBurgess 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: 30483526BACKGROUNDDan 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: 30981792BACKGROUNDMelson 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: 33642034BACKGROUNDJiang 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: 31981648BACKGROUNDEliakim 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: 28567382BACKGROUNDMeltzer 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
- PRINCIPAL INVESTIGATOR
Zhuan Liao
Changhai Hospital
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
- 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.
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).