A Study to Investigate Bowel Cleansing With PLENVU® Compared to Sodium Picosulfate in Participants Aged 1 to < 18 Years of Age in Preparation for Colonoscopy
CLARITY
A Phase 3, Multicentre, Randomised (1:1), Parallel-group, Active-controlled, Central Reader Colonoscopist-blind Study to Evaluate the Bowel Cleansing Efficacy, Safety, Tolerability, Palatability, and Acceptability of PLENVU® as Compared to Sodium Picosulfate in Paediatric Participants From 1 to < 18 Years of Age in Preparation for Colonoscopy (CLARITY)
2 other identifiers
interventional
212
8 countries
40
Brief Summary
The purpose of the study is to assess the efficacy, safety and tolerability of PLENVU® by measuring its bowel cleansing success rate compared to sodium picosulfate in paediatric participants aged less than 18 years who are scheduled to undergo a colonoscopy. Colonoscopy is a crucial procedure that helps to diagnose and manage various gastrointestinal (GI) conditions in paediatric patients. An adequate level of bowel preparation and cleansing is essential for effective colonoscopy to allow proper visualisation of the bowel.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Dec 2025
Shorter than P25 for phase_3
40 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
October 16, 2025
CompletedFirst Posted
Study publicly available on registry
October 20, 2025
CompletedStudy Start
First participant enrolled
December 29, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 6, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 6, 2027
January 21, 2026
January 1, 2026
1 year
October 16, 2025
January 19, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of participants achieving adequate bowel cleansing based on Boston Bowel Preparation Scale (BBPS)
To describe the success rate of bowel cleansing in paediatric participants after administration of PLENVU® or sodium picosulfate as measured by the BBPS. The BBPS is a scoring system used to assess bowel cleanliness during colonoscopy. The scale ranges from 0 to 3, evaluating the three colonic segments (i.e. right colon, transverse colon, and left colon) where a score of 0 indicates an unprepared colon segment with mucosa not visible due to solid stool, and 3 indicates mucosa of colon segment seen well, with bowel cleansing success defined as a score of ≥2 in all three segments.
Day 2
Secondary Outcomes (3)
Percentage of participants achieving successful bowel cleansing based on Harefield Cleansing Scale (HCS)
Day 2
Number of participants with Adverse events (AEs) and Serious adverse events (SAEs)
From Screening (Day -28 to Day -1) to safety follow-up (Day 9 ± 2 days)
Number of participants with a response on the Likert Scale
Day 1 and Day 2
Study Arms (2)
PLENVU®
EXPERIMENTALParticipants will receive PLENVU® in a 2-day split dosing regimen.
Sodium picosulfate
ACTIVE COMPARATORParticipants will receive sodium picosulfate in a 2-day split dosing regimen according to the local label.
Interventions
Sodium picosulfate will be administered as an oral solution.
Eligibility Criteria
You may qualify if:
- Participants who require a colonoscopy.
- Must weigh a minimum of 10 kg, and participants aged 1 to \< 4 years of age must be above the 10th percentile of weight for age.
- Must have a negative urine pregnancy test (or serum if a urine pregnancy test cannot be confirmed as negative \[e.g. three ambiguous results\]) within 24 hours before the first dose of study intervention.
- Must use a highly effective method of contraception (failure rate \< 1% per year) from Day 1 and throughout the Safety Follow-up Period.
- Must not be breastfeeding.
- Participant is able to receive regular external feeding without breastfeeding.
You may not qualify if:
- Has a past history within last 12 months or current episode of severe constipation (requiring repeated use of laxatives/enema or physical intervention before resolution).
- Has known or suspected ileus, GI obstruction, gastric retention, bowel perforation, toxic colitis, ischaemic colitis, or megacolon.
- Has ongoing severe acute inflammatory bowel disease that contraindicates colonoscopy.
- Participant has history of significant GI surgeries.
- Has known glucose-6-phosphate dehydrogenase (G6PD) deficiency or phenylketonuria.
- Participant has a past history within the last 12 months or evidence of any ongoing clinically relevant electrocardiogram (ECG) abnormalities (e.g. arrhythmias).
- Has a history of uncontrolled hypertension.
- Participant has regularly used laxatives or colon motility altering drugs in the last month (i.e. more than two times per week) and/or has used one or more laxatives within 72 hours prior to administration of the preparation.
- Has known hypersensitivity or allergic reaction to PEG, ascorbic acid, sodium picosulfate, magnesium oxide, or any other component of the investigational product or comparator.
- Received or scheduled to receive any vaccines or devices within one week prior to first dose of study intervention.
- Has a significant neurological disorder or a past history of seizures (excluding simple febrile seizures) or is currently on medication lowering seizure threshold (e.g. tricyclic antidepressants) or has used seizure threshold lowering medication within 14 days prior to administration of the preparation.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (40)
Universitair Ziekenhuis Antwerpen (UZA)
Edegem, Antwerp, 2650, Belgium
Universitair Ziekenhuis Brussel (AZ-VUB - Academisch Ziekenhuis der Vrije Universiteit Brussel)
Jette, Brussels Capital, 1090, Belgium
Clinique CHC MontLegia
Alleur, Liege, 4000, Belgium
Krankenhaus Barmherzige Brueder Regensburg - Klinik fuer Kinder- und Jugendmedizin
Regensburg, Bavaria, 93049, Germany
Universitaetsklinikum Muenster (UKM) - Klinik fuer Kinder- und Jugendmedizin - Allgemeine Paediatrie
Münster, North Rhine-Westphalia, 48149, Germany
Helios Uniklinikum Wuppertal
Wuppertal, North Rhine-Westphalia, 42283, Germany
Universitätsmedizin Der Johannes Gutenberg-Universität Mainz KöR
Mainz, Rhineland-Palatinate, 55131, Germany
Charité Universitätsmedizin Berlin
Berlin, 049006, Germany
Semmelweis Egyetem Gyermekgyogyaszati Klinika Bokay Utcai Reszleg
Budapest, 1083, Hungary
Heim Pal Orszagos Gyermekgyogyaszati Intezet
Budapest, 1089, Hungary
Borsod-Abauj-Zemplen Megyei Kozponti Korhaz es Egyetemi Oktato Korhaz
Miskolc, 3526, Hungary
Azienda Ospedaliera Universitaria Meyer IRCCS
Florence, Firenze, 50139, Italy
Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII
Bergamo, 24127, Italy
Azienda Ospedaliera Universitaria Gaetano Martino
Messina, 98124, Italy
Ospedale Maggiore Policlinico, Fondazione IRCCS Ca' Granda
Milan, 20122, Italy
Azienda Ospedaliera Universitaria Federico II - Pediatria Generale
Naples, 80131, Italy
AOU Università degli studi della Campania Luigi Vanvitelli, Policlinico di Napoli - Pediatria
Naples, 80138, Italy
Azienda Ospealiero Universitaria Policlinico Umberto I
Roma, 00161, Italy
Policlinico Gemelli - Endoscopia Digestiva Chirurgica
Roma, 00168, Italy
Azienda Ospedaliero-Universitaria Sant'Andrea - Pediatria
Roma, 00189, Italy
Amphia Hospital - Pediatrics
Breda, North Brabant, 4818 CK, Netherlands
Amsterdam UMC - Pediatrics
Amsterdam, North Holland, 1105 AZ, Netherlands
Isala Klinieken
Zwolle, Overijssel, 8025 AB, Netherlands
Wojewodzki Szpital Zespolony im. L. Rydygiera w Toruniu - Oddzial Pediatrii i Gastroenterologii
Torun, Kuyavian-Pomeranian Voivodeship, 87-100, Poland
Uniwersytecki Szpital Dzieciecy w Krakowie
Krakow, Lesser Poland Voivodeship, 30-663, Poland
Instytut "Pomnik - Centrum Zdrowia Dziecka" - Oddzial Gastroenterologii, Hepatologii, Zaburzen Odzywiania i Pediatrii
Warsaw, Masovian Voivodeship, 04-730, Poland
Uniwersytecki Dzieciecy Szpital Kliniczny Imienia Ludwika Zamenhofa w Bialymstoku - Klinika Pediatrii, Gastroenterologii, Hepato
Bialystok, Podlaskie Voivodeship, 15-274, Poland
Gdanski Uniwersytet Medyczny (GUMed) - Katedra i Klinika Pediatrii, Gastroenterologii, Alergologii i Zywienia Dzieci
Gdansk, Pomeranian Voivodeship, 80-803, Poland
Samodzielny Publiczny Szpital Kliniczny Nr 1 im. prof. Stanislawa Szyszko SUM w Katowicach Oddzial Gastroenterologii i Hepatolog
Zabrze, Silesian Voivodeship, 41-800, Poland
Complejo Hospitalario Universitario de Ferrol
Ferrol, A Coruña, 15405, Spain
Hospital Universitario Son Espases
Palma de Mallorca, Balearic Islands, 07120, Spain
Parc Tauli Hospital Universitarli
Sabadell, Barcelona, 08208, Spain
Hospital Infantil Universitario Niño Jesús
Madrid, 28009, Spain
Hospital Materno Infantil de Málaga
Málaga, 29011, Spain
NHS Lothian - Royal Hospital for Children & Young People
Edinburgh, Edinburgh, City of, EH16 4TJ, United Kingdom
King's College Hospital NHS Foundation Trust
London, York, SE5 9RS, United Kingdom
Birmingham Women's and Children's NHS Foundation Trust - Birmingham Children's Hospital
Birmingham, B4 6NH, United Kingdom
Barts Health NHS Trust
London, E1 1FR, United Kingdom
Great North Children's Hospital - Royal Victoria Infirmary
Newcastle upon Tyne, NE1 4LP, United Kingdom
Sheffield Children's NHS Foundation Trust - Sheffield Children's Hospital
Sheffield, S10 2TH, United Kingdom
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Masking Details
- The central reader colonoscopist will be blinded to the study intervention.
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 16, 2025
First Posted
October 20, 2025
Study Start
December 29, 2025
Primary Completion (Estimated)
January 6, 2027
Study Completion (Estimated)
January 6, 2027
Last Updated
January 21, 2026
Record last verified: 2026-01