MoviPrep® Versus GoLYTELY® Bowel Preparation in Hospitalized Patients Undergoing Colonoscopy
Efficacy, Safety, and Tolerability of MoviPrep® Versus GoLYTELY® Bowel Preparation in Hospitalized Patients Undergoing Colonoscopy: a Randomized Control Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: Darrick K Li, MD, PhD
- Phone Number: 203-285-4506
- Email: darrick.li@yale.edu
Study Locations
-
-
Connecticut
-
Bridgeport, Connecticut, United States, 06610
- Bridgeport Hospital
-
New Haven, Connecticut, United States, 06510
- Yale New-Haven Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Provision of signed and dated informed consent form
- Stated willingness to comply with all study procedures and availability for the duration of the study
- Male or female, aged 18 or greater
- Hospitalized patient scheduled to undergo colonoscopy with bowel preparation (not including preparation with enemas alone)
- Ability to take bowel preparation and be willing to adhere to the regimen
Exclusion Criteria:
- Patients presenting to the hospital with ileus, toxic megacolon, evidence of gastrointestinal obstruction
- Receipt of bowel preparation for other reasons during their hospitalization prior to their colonoscopy
- Patients with prior significant gastrointestinal surgeries including colonic resection, subtotal colectomy, abdomino-perineal resection, Hartmann's procedure or other similar surgeries involving structure/function of small intestine or colon
- Unable to give informed consent to the procedure
- Known glucose-6-phosphate dehydrogenase deficiency
- Known phenylketonuria
- Known hypersensitivity to polyethylene glycols or ascorbic acid
- Patients undergoing colonoscopy for foreign body removal and/or decompression
- Pregnancy or lactating women
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: MoviPrep
For MoviPrep, the dose, schedule, and route of administration are as follows:
|
Split-dose MoviPrep bowel preparation
|
|
Active Comparator: GoLYTELY
For GoLYTELY, the dose, schedule, and route of administrate are as follows:
|
Split-dose GoLYTELY bowel preparation
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants With Adequate Bowel Preparation
Time Frame: At time of procedure, approximately 45 minutes
|
The Boston-Bowel-Preparation-Scale (BBPS) is a validated scoring tool that assesses the three segments of the colon (left, transverse, right) and rates them from 1-3 based on the ability to visualize the mucosa.
An adequate bowel preparation is defined as a BBPS of 6 or higher with no individual segment scoring less than a 2.
|
At time of procedure, approximately 45 minutes
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Cecal Intubation Time
Time Frame: At time of procedure, approximately 45 minutes
|
Time from insertion of colonoscopy to reaching the cecum
|
At time of procedure, approximately 45 minutes
|
|
Colonoscopy Withdrawal Time
Time Frame: At time of procedure, approximately 45 minutes
|
Time from reaching the cecum to complete withdrawal of the colonoscope
|
At time of procedure, approximately 45 minutes
|
|
Mean Boston-Bowel-Preparation-Scale (BBPS) Score During Colonoscopy Withdrawal For Each Segment
Time Frame: At time of procedure, approximately 45 minutes
|
BBPS assesses three segments of the colon (left, transverse, right) and scores each segment either a 1, 2, or 3 based on the ability to visualize the mucosa.
Higher scores correspond to improved mucosal visibility.
|
At time of procedure, approximately 45 minutes
|
|
Number of Participants With "Excellent" Bowel Preparation
Time Frame: At time of procedure, approximately 45 minutes
|
The BBPS is a validated scoring tool that assesses the three segments of the colon (left, transverse, right) and rates them from 1-3 based on the ability to visualize the mucosa.
An excellent bowel preparation is defined as a BBPS score of an 8 or 9.
|
At time of procedure, approximately 45 minutes
|
|
Cecal Intubation
Time Frame: At time of procedure, approximately 45 minutes
|
Number of participants with colonoscopies during which the cecum is successfully reached
|
At time of procedure, approximately 45 minutes
|
|
Time to Colonoscopy
Time Frame: From start of prep to time of procedure, up to 21 hours
|
The time from when the patient started the bowel preparation to the colonoscopy procedure itself.
|
From start of prep to time of procedure, up to 21 hours
|
|
Hospital Length of Stay
Time Frame: After study completion, an average of 10 days
|
Time from admission to discharge
|
After study completion, an average of 10 days
|
|
Number of Participants With Treatment-Related Adverse Events as Assessed by CTCAE v5.0
Time Frame: Through study completion, an average of 3 days
|
The National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) is a descriptive terminology which can be utilized for Adverse Event (AE) reporting.
A grading (severity) scale is provided for each AE term from a scale of 1-5, with increasing score corresponding to increasing AE severity.
|
Through study completion, an average of 3 days
|
|
Mayo Clinic Bowel Preparation Questionnaire- Tolerability Question 1
Time Frame: Immediately prior to procedure
|
The Mayo Clinic Bowel Preparation Questionnaire is a survey consisting of questions that relate to symptoms and tolerability of bowel preparation before colonoscopy. Data presented here is for "How much of the bowel preparation was left in the bottle after drinking it to your best effort?" |
Immediately prior to procedure
|
|
Mayo Clinic Bowel Preparation Questionnaire- Tolerability Question 2
Time Frame: Immediately prior to procedure
|
The Mayo Clinic Bowel Preparation Questionnaire is a survey consisting of questions that relate to symptoms and tolerability of bowel preparation before colonoscopy. Data presented here is for "How tolerable did you find the bowel prep?" |
Immediately prior to procedure
|
|
Mayo Clinic Bowel Preparation Questionnaire- Tolerability Question 3
Time Frame: Immediately prior to procedure
|
The Mayo Clinic Bowel Preparation Questionnaire is a survey consisting of questions that relate to symptoms and tolerability of bowel preparation before colonoscopy. Data presented here is for "Based on your current experience, would you be willing to drink the same prep again if you need another colonoscopy in the future?" |
Immediately prior to procedure
|
|
Mayo Clinic Bowel Preparation Questionnaire- Symptom Question 1
Time Frame: Immediately prior to procedure
|
The Mayo Clinic Bowel Preparation Questionnaire is a survey consisting of questions that relate to symptoms and tolerability of bowel preparation before colonoscopy. Data presented here is for "Bad taste in mouth" |
Immediately prior to procedure
|
|
Mayo Clinic Bowel Preparation Questionnaire- Symptom Question 2
Time Frame: Immediately prior to procedure
|
The Mayo Clinic Bowel Preparation Questionnaire is a survey consisting of questions that relate to symptoms and tolerability of bowel preparation before colonoscopy. Data presented here is for "Gastric fullness" |
Immediately prior to procedure
|
|
Mayo Clinic Bowel Preparation Questionnaire- Symptom Question 3
Time Frame: Immediately prior to procedure
|
The Mayo Clinic Bowel Preparation Questionnaire is a survey consisting of questions that relate to symptoms and tolerability of bowel preparation before colonoscopy. Data presented here is for "Lack of sleep from excessive bathroom trips" |
Immediately prior to procedure
|
|
Mayo Clinic Bowel Preparation Questionnaire- Symptom Question 4
Time Frame: Immediately prior to procedure
|
The Mayo Clinic Bowel Preparation Questionnaire is a survey consisting of questions that relate to symptoms and tolerability of bowel preparation before colonoscopy. Data presented here is for "Nausea/vomiting" |
Immediately prior to procedure
|
|
Mayo Clinic Bowel Preparation Questionnaire- Symptom Question 5
Time Frame: Immediately prior to procedure
|
The Mayo Clinic Bowel Preparation Questionnaire is a survey consisting of questions that relate to symptoms and tolerability of bowel preparation before colonoscopy. Data presented here is for "Bloating/abdominal distension/gas" |
Immediately prior to procedure
|
|
Mayo Clinic Bowel Preparation Questionnaire- Symptom Question 6
Time Frame: Immediately prior to procedure
|
The Mayo Clinic Bowel Preparation Questionnaire is a survey consisting of questions that relate to symptoms and tolerability of bowel preparation before colonoscopy. Data presented here is for "Abdominal pain/cramps" |
Immediately prior to procedure
|
|
Mayo Clinic Bowel Preparation Questionnaire- Symptom Question 7
Time Frame: Immediately prior to procedure
|
The Mayo Clinic Bowel Preparation Questionnaire is a survey consisting of questions that relate to symptoms and tolerability of bowel preparation before colonoscopy. Data presented here is for "Headache" |
Immediately prior to procedure
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Darrick K Li, MD, PhD, Yale University
Publications and helpful links
General Publications
- Patel M, Staggs E, Thomas CS, Lukens F, Wallace M, Almansa C. Development and validation of the Mayo Clinic Bowel Prep Tolerability Questionnaire. Dig Liver Dis. 2014 Sep;46(9):808-12. doi: 10.1016/j.dld.2014.05.020. Epub 2014 Jun 19.
- Yadlapati R, Johnston ER, Gregory DL, Ciolino JD, Cooper A, Keswani RN. Predictors of Inadequate Inpatient Colonoscopy Preparation and Its Association with Hospital Length of Stay and Costs. Dig Dis Sci. 2015 Nov;60(11):3482-90. doi: 10.1007/s10620-015-3761-2. Epub 2015 Jun 21.
- Fuccio L, Frazzoni L, Spada C, Mussetto A, Fabbri C, Manno M, Aragona G, Zagari RM, Rondonotti E, Manes G, Occhipinti P, Cadoni S, Bazzoli F, Hassan C, Radaelli F; QIPS study group. Factors That Affect Adequacy of Colon Cleansing for Colonoscopy in Hospitalized Patients. Clin Gastroenterol Hepatol. 2021 Feb;19(2):339-348.e7. doi: 10.1016/j.cgh.2020.02.055. Epub 2020 Mar 18.
- Spadaccini M, Frazzoni L, Vanella G, East J, Radaelli F, Spada C, Fuccio L, Benamouzig R, Bisschops R, Bretthauer M, Dekker E, Dinis-Ribeiro M, Ferlitsch M, Gralnek I, Jover R, Kaminski MF, Pellise M, Triantafyllou K, Van Hooft JE, Dumonceau JM, Marmo C, Alfieri S, Chandrasekar VT, Sharma P, Rex DK, Repici A, Hassan C. Efficacy and Tolerability of High- vs Low-Volume Split-Dose Bowel Cleansing Regimens for Colonoscopy: A Systematic Review and Meta-analysis. Clin Gastroenterol Hepatol. 2020 Jun;18(7):1454-1465.e14. doi: 10.1016/j.cgh.2019.10.044. Epub 2019 Nov 1.
- Garber A, Sarvepalli S, Burke CA, Bhatt A, Ibrahim M, McMichael J, Morris-Stiff G, Rizk MK, Vargo JJ, Rothberg MB. Modifiable Factors Associated with Quality of Bowel Preparation Among Hospitalized Patients Undergoing Colonoscopy. J Hosp Med. 2019 May;14(5):278-283. doi: 10.12788/jhm.3173.
- Xiao K, Khan F, Link R, Dominguez-Diaz A, Ameyaw P, Alexis J, Tai CH, Assalone V, Nasufi M, Hughes ML, Loeser C, Hung K, Li DK. Efficacy and Safety of Low Volume Bowel Preparation for Colonoscopy in Hospitalized Patients: A Randomized Noninferiority Trial. J Clin Gastroenterol. 2025 Oct 24. doi: 10.1097/MCG.0000000000002269. Online ahead of print.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- 2000031169
- 000 (Other Identifier: CTGTY)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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