- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01879943
Capsule Versus Conventional Colonoscopy in Patient Following Colorectal Surgery
The study will compare the diagnostic efficacy of the VCC (PillCam COLON 2) to standard colonoscopy in patients with prior colorectal surgery.
The hypothesis is to validate the VCC as a means of screening for colonic polyps after resection, which would avoid a colonoscopy with its associated general anesthesia and potential side effects.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Standard care after colorectal surgery is colon surveillance by standard colonoscopy with its benefits (gold standard examination, resection of lesions) and disadvantages (acceptability, general anesthesia, availability of qualified personnel, risk of perforation and associated gastrointestinal bleeding).
Use of a video-capsule (VCC) is a new, non-invasive technique, that allows to visualize the colon as a whole. This technique has the advantage of not requiring general anesthesia or air insufflation. The examination is performed as an outpatient procedure and therefore does not require hospitalization.
In previous studies, PillCam COLON 2 showed a good sensitivity and specificity in detecting colorectal lesions. However, its use requires an excellent bowel preparation.
To date, no study has been conducted using the VCC in monitoring patients with prior colorectal surgery, especially on the passage of the VCC through surgical anastomosis. No information on VCC capabilities to view and recognize surgical anastomoses and VCC transit time in surgically modified colon is available. The possibility to precisely locate a colorectal lesion prior to surgery, using the VCC, also remains to be studied.
The study requires a 2-month patient participation. The planned total study duration is 2 years.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Strasbourg, France, 67000
- Department of Hepato-Gastroenterology, Nouvel Hopital Civil
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- patient between 18 and 85 years old
- patient with greater than 3 month follow-up for colorectal resection with ileo-colic , colo-colic or colorectal anastomosis, regardless of etiology
- patient requiring a colonoscopy for regular medical care
- absence of contra-indication to anesthesia and to colonoscopy conduct
- patient able to understand the study related information and to provide written informed consent
- patient registered with the French social security regime
Non-inclusion Criteria:
- absence of written informed consent
- patient having had a total colectomy
- patient with terminal stoma
- patient with clinical suspicion of intestinal stenosis and/or anastomotic stenosis
- patient with known Zenker diverticulum
- patient wearing a pacemaker or any other internal electronic medical device
- patient with deglutition disorders and/or altered state of consciousness
- patient with serious disease preventing planned study procedures
- pregnant or breast-feeding woman
- patient within exclusion period from other clinical trial
- patient having forfeited their freedom of an administrative or legal obligation
- patient being under guardianship
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: PillCam COLON 2 and Standard Colonoscopy
Patients will have videocapsule colonoscopy after bowel preparation, followed by standard colonoscopy the next day. Interventions:
|
PillCam® COLON 2 capsule endoscopy is a minimally invasive tool for direct visualization of the colon, including identifying the occurrence of polyps.
Standard colonoscopy is the standard against which capsule endoscopy is compared.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of patients with full colonic exploration and detection of lesions
Time Frame: By the end of both procedures (Day 1)
|
Number of patients for whom the capsule allowed for full colonic exploration and presence/absence of colorectal lesions detected by VCC compared to conventional colonoscopy
|
By the end of both procedures (Day 1)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Anastomosis visualization
Time Frame: Prior to colonoscopy on Day 1
|
Anastomosis visualization by VCC and type (latero-lateral, termino-lateral, latero-terminal and termino-terminal)
|
Prior to colonoscopy on Day 1
|
Number and size of detected lesions
Time Frame: By the end of both procedures (Day 1)
|
Number and size of detected lesions with VCC compared to conventional colonoscopy
|
By the end of both procedures (Day 1)
|
Quality of colic preparation
Time Frame: By the end of both procedures (Day 1)
|
Assessment of the quality of colic preparation for VCC (D0) and colonoscopy (D1)
|
By the end of both procedures (Day 1)
|
Times related to videocapsule
Time Frame: Prior to colonoscopy on Day 1
|
Assessment of times related to videocapsule:
|
Prior to colonoscopy on Day 1
|
Adverse events related to VCC exam and colonoscopy
Time Frame: Until end of Day 1
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Assessment of safety of each method.
Recording of adverse events.
|
Until end of Day 1
|
Patient's assessment of tolerability and acceptance
Time Frame: Follow up visit (between Day 15 and Day 30)
|
Patient ranking of tolerability and acceptance of each of the procedures using a visual analog scale
|
Follow up visit (between Day 15 and Day 30)
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Health-economic assessment
Time Frame: End of follow-up (between D15 and D30)
|
Assessment of costs associated to each of the exams:
|
End of follow-up (between D15 and D30)
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Michel Delvaux, MD, Department of Hepato-Gastroenterology, Nouvel Hopital Civil, Strasbourg, France
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 12-003
- 2012-A01475-38 (Other Identifier: ANSM France)
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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