Efficacy and Safety of OsrhCT and Dimethicone Emulsion Before Upper Endoscopy on Visualization of the Gastric Mucosa.
A Phase 2 , Randomized, Placebo-Controlled, Double-Blind Study to Evaluate the Safety and Efficacy of Using Premedication With OsrhCT and Dimethicone Emulsion During Upper Gastrointestinal Endoscopy Examination.
Study was designed to evaluate efficacy of OsrhCT and Dimethicone emulsion before upper endoscopy on visibility of gastric mucosa.
A total of 336 subjects (both male and female) are expected to be enrolled in this trial.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Shutian Zhang, MD
- Phone Number: +86010-63138741
- Email: zhangshutian@ccmu.edu.cn
Study Contact Backup
- Name: Fandong Meng, MD
- Phone Number: +86010-63138741
- Email: mfdzhaotianyu@163.com
Study Locations
-
-
Beijing
-
Beijing, Beijing, China
- Beijing Friendship Hospital
-
-
Hubei
-
Wuhan, Hubei, China
- The Central Hospital of Wuhan
-
Wuhan, Hubei, China
- Renmin Hospital of Wuhan University
-
Wuhan, Hubei, China
- Chinese PLA Central Theatre General Hospital
-
-
Inner Mongolia Autonomous Region
-
Huhehot, Inner Mongolia Autonomous Region, China
- Inner Mongolia Autonomous Region People's Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients indicated for gastroscopy examination;
- Subjects fully understand the content, process, and possible adverse reactions of the trial and voluntary participation with signed informed consent;
- Able to complete the research according to the requirements of the experimental plan;
- Subjects (including their spouses) voluntarily have no pregnancy plans and use contraception during the study and within 3 months after the last administration of the study drug;
- Aged 18-75 years (inclusive), male or female;
Exclusion Criteria:
- Known allergy to chymotrypsin; Known to be allergic to preparation or anesthesia medication before gastroscopy examination;
- Patients plan to undergo gastroscopic treatment, such as endoscopic titanium clip for hemostasis, esophagogastric fundal variceal ligation, endoscopic mucosal stripping, etc;
- Subjects accessed not to stand sedation anesthesia or gastroscopy examination;
- Severe cardiovascular, pulmonary, or cerebral diseases, such as angina, heart failure, and new-onset stroke; or severe liver disease, cirrhosis, or esophagogastric fundus varices;
- Suspected or known esophageal fistula, tracheal fistula, intestinal obstruction, active gastrointestinal bleeding, gastric perforation, history of anatomically altered upper GI surgery;
- Abnormal laboratory values:: alanine aminotransferase (ALT)>2 × ULN, aspartate aminotransferase (AST)>2 × ULN, serum creatinine>1.5 × ULN;
- Female subjects who had unprotected sex within 14 days prior to screening;
- Pregnant or breastfeeding women;
- Subjects who have participated in any drug clinical trial and received treatment within the last 3 months;
- Any other conditions deemed unsuitable for the study by the investigator.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Recombinant Human Chymotrypsin(OsrhCT) 4000U
|
Recombinant Human Chymotrypsin (OsrhCT), provided by Wuhan Healthgen Biotechnology Corporation, 4,000U/vial, freeze-dried powder
Recombinant Human Chymotrypsin (OsrhCT), provided by Wuhan Healthgen Biotechnology Corporation, 0 U/vial, freeze-dried powder
Dimethicone emulsion,produced by Sichuan Jian Neng Pharmaceutical Co., Ltd, 6ml/bottle.
|
|
Experimental: Recombinant Human Chymotrypsin(OsrhCT) 8000U
|
Recombinant Human Chymotrypsin (OsrhCT), provided by Wuhan Healthgen Biotechnology Corporation, 4,000U/vial, freeze-dried powder
Dimethicone emulsion,produced by Sichuan Jian Neng Pharmaceutical Co., Ltd, 6ml/bottle.
|
|
Placebo Comparator: Placebo for Recombinant Human Chymotrypsin(OsrhCT)
|
Recombinant Human Chymotrypsin (OsrhCT), provided by Wuhan Healthgen Biotechnology Corporation, 0 U/vial, freeze-dried powder
Dimethicone emulsion,produced by Sichuan Jian Neng Pharmaceutical Co., Ltd, 6ml/bottle.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Total visibility score (TVS) evaluated by blinded endoscopists
Time Frame: Through study completion, an average of 3 months
|
"Total visibility score"counted as the sum of visibility score in lower esophagus, gastric fundus, upper gastric body, lower gastric body and gastric antrum.
|
Through study completion, an average of 3 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Vsibility scores evaluated by blinded endoscopists for mucosain of 5 various anatomical parts of the stomach
Time Frame: Through study completion, an average of 3 months
|
Vsibility scores for the lower esophagus, antrum, lower gastric body, upper gastric body, and fundus.
|
Through study completion, an average of 3 months
|
|
The amount of water flushed for satisfactory observation of the upper gastrointestinal tract
Time Frame: during diagnostic upper endoscopy, up to 1 hour
|
Amount of water used to allow an suitable visualization of gastric mucosa
|
during diagnostic upper endoscopy, up to 1 hour
|
|
Duration of endoscopy
Time Frame: during diagnostic upper endoscopy, up to 1 hour
|
Time to complete the upper endoscopy (from the time of oral intubation until complete removal of the endoscope)
|
during diagnostic upper endoscopy, up to 1 hour
|
|
Incidence of adverse events
Time Frame: up to 1 week
|
Number of gastroscopy procedures with adverse event divided by the number of all gastroscopy procedures.
Number of participants with treatment-related adverse events as assessed by CTCAE V5.0.
|
up to 1 week
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Establishment and method validation of the criteria for mucosal visibility score
Time Frame: Through study completion, an average of 3 months
|
The first 30 cases were collected to establish standards and method validation.
The visibility score was given by the sum of the score 1-4 from 5 defined localities (lower esophagus, gastric fundus, upper gastric body, lower gastric body and gastric antrum) evaluated by a blinded endoscopist and subsequently by two or three blinded endoscopists.
|
Through study completion, an average of 3 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Shutian Zhang, MD, Beijing Friendship Hospital
- Principal Investigator: Fandong Meng, MD, Beijing Friendship Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
Keywords
Other Study ID Numbers
Other Study ID Numbers
- HY1005-1-2024-P2
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.
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