Split Dose Golytely With Amitiza Pretreatment Versus Split Dose Golytely Plus Placebo in Outpatient Colonoscopy

October 3, 2012 updated by: Joel Z. Stengel, Brooke Army Medical Center

Single Dose Lubiprostone Along With Split-dose PEG Solution Without Dietary Restrictions for Bowel Cleansing Prior to Colonoscopy, a Randomized, Double-blind, Placebo Controlled Trial

The primary outcomes of this procedure will be: 1. The cleanliness of the prep as measured by the Ottawa Scale (attachment a). Secondary outcomes will be: 1. Patient satisfaction with the prep measured by 5 point Likert scale (attachment b); 2. Procedure time; 3. The number and size of polyps detected on examination.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

191

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Texas
      • Fort Sam Houston, Texas, United States, 78234
        • Brooke Army Medical Center

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Adult patients referred to our clinic for Average or Increased Risk screening for Colorectal Cancer
  • Ages will be from 18 years of age and older

Exclusion Criteria:

  • Chronic kidney disease
  • Previous diagnosis of congestive heart failure
  • History of bowel obstruction
  • History of solid organ transplant
  • Pregnancy

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: 1
split-dose PEG solution without dietary restrictions plus lubiprostone 24mcg gelcap pretreatment
Drug: lubiprostone
lubiprostone 24mcg gelcap, 1 gelcap taken at noon the day prior to the colonoscopy
Other Names:
  • amitiza
Placebo Comparator: 2
split-dose PEG solution without dietary restrictions plus placebo pretreatment
Drug: placebo
placebo gelcap, taken at noon the day prior to the colonoscopy

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The Overall Cleanliness of the Prep as Measured by the Ottawa Scale
Time Frame: measured upon completion of the colonoscopy, colonoscopies completed during the course of the study (approximately 4 month period)
Bowel cleansing was evaluated with the Ottawa bowel preparation scale by each endoscopist during the endoscopy. Neither the endoscopist nor the endoscopy nurse was aware of the bowel preparation used prior to the colonoscopy. The Ottawa bowel preparation scale is a validated tool and was used in this study to provide a reliable quality assessment of the bowel preparation used for colonoscopy. This validated scale rates each section of the colon, the right, the mid, and the rectosigmoid colon, on a 5-point scale (0-4), as well as a global 3-point rating for overall colonic fluid (0-2). The total score ranges from 0 to 14. An excellent preparation with little fluid would score 0-3, a good preparation 4-6, while scores higher than 7would indicate progressively worsening bowel preparations. A completely unprepared colon would score 11-14, depending on the amount of colonic fluid
measured upon completion of the colonoscopy, colonoscopies completed during the course of the study (approximately 4 month period)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Patient Satisfaction With the Prep Measured by 5 Point Likert Scale
Time Frame: measured after completion of the bowel preparation and prior to the colonoscopy, completed during the course of the study (approximately 4 month period)
The participants completed a survey prior to the colonoscopy that graded their overall satisfaction with the bowel preparation. The subjects rated the survey questions on a 5-point Likert scale where 1 = severely distressing, 2=distressing, 3=bothersome, 4=mild, and 5=none.
measured after completion of the bowel preparation and prior to the colonoscopy, completed during the course of the study (approximately 4 month period)
Procedure Time
Time Frame: measured upon completion of the colonoscopy, colonoscopies completed during the course of the study (approximately 4 month period)
Procedure time refers to the total length of time required to complete the colonoscopy
measured upon completion of the colonoscopy, colonoscopies completed during the course of the study (approximately 4 month period)
The Number of Polyps Detected on Examination
Time Frame: measured upon completion of the colonoscopy, colonoscopies completed during the course of the study (approximately 4 month period)
The number of colon polyps detected during the colonoscopy.
measured upon completion of the colonoscopy, colonoscopies completed during the course of the study (approximately 4 month period)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Brooke Army Medical Center

Collaborators

Takeda

Investigators

  • Principal Investigator: Joel Z Stengel, MD, Brooke Army Medical Center

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

October 1, 2007

Primary Completion (Actual)

January 1, 2008

Study Completion (Actual)

January 1, 2008

Study Registration Dates

First Submitted

January 29, 2008

First Submitted That Met QC Criteria

January 29, 2008

First Posted (Estimate)

February 11, 2008

Study Record Updates

Last Update Posted (Estimate)

November 1, 2012

Last Update Submitted That Met QC Criteria

October 3, 2012

Last Verified

October 1, 2012

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • C.2007.188
  • IND 78254

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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