The Clinical Application of MCCES in Examination of Human Colon

August 26, 2015 updated by: Nanfang Hospital of Southern Medical University

The Clinical Application of Magnetic-controlled Capsule Endoscopy System in Examination of Human Colon

This study is to determine the feasibility and safety of magnetic-controlled capsule endoscopy system in examination of human colon under the real time monitoring by colonoscopy in the clinical application.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

Colorectal cancer (CRC) is the second leading cause of cancer-related deaths in the Western world. The screening tests include flexible sigmoidoscopy, optical colonoscopy (OC), double-contrast barium enema , or CT colonography . Such screening can reduce CRC incidence and mortality but its effectiveness depends on its quality, ease of use, and patient adherence .Colon capsule endoscopy(CCE) is being actively evaluated as an emerging complementary or alternative procedure for evaluation of the colon. magnetic -controlled capsule endoscopy system is a new ingestible colon capsule robot provided by Chongqing Jinshan Science & Technology. While Screening the colon, the capsule is drove by magnetic-manipulator outside the body, which means it can move from the cecum to anus step by step under the control of the doctor. However, there's little data report on this colon capsule robot system in clinical application. The investigators plan to conduct this prospective study to determine the feasibility and safety of magnetic-controlled capsule endoscopy system in examination of human colon under the real time monitoring by colonoscopy.

Study Type

Interventional

Enrollment (Anticipated)

80

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 Contact

  • Name: Hongxiang Gu, doctor
  • Phone Number: +86 15975625636
  • Email: Redkind@126.com

Study Contact Backup

  • Name: huiling Zheng, master
  • Phone Number: +86 15013113215
  • Email: bywxling@163.com

Study Locations

  • China
    • Guangdong
      • Guangzhou, Guangdong, China, 510515
        • Recruiting
        • Nanfang Hospital of Southern Medical University
        • Contact:

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 to 75 years (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Patients who repeatedly have the symptom such as abdominal pain, diarrhea, hematochezia and so on, or
  • Patients who volunteer to the colonoscopy screening.

Exclusion Criteria:

  • Dysphagia or swallowing disorder,
  • Congestive heart failure,
  • Renal insufficiency,
  • Prior major abdominal surgery of the gastrointestinal tract,
  • Known or suspected bowel obstruction,
  • Presence of a cardiac pacemaker or other implanted electromedical devices,
  • Allergy or contraindication to the medications used in the study.

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: Diagnostic
  • Allocation: Non-Randomized
  • Interventional Model: Crossover Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: MCCES
Magnetic -controlled capsule endoscopy system (MCCES) is a robot system that the capsule would be swallowed to observe the mucosa of the human alimentary canal especially the colon under the control of the magnetic-manipulator.
Procedure: magnetic-controlled capsule endoscopy system
  1. A magnetic-controlled capsule endoscopy(MCCE) included camera,magnet,batter and high polymer material shell.
  2. The MCCE would be turned to sleeping mode capturing picture at a rate of 0.5 frame per second after being swallowed.
  3. While reaching cecum, the MCCE would be turned to a working mode capturing picture at a rate of 2 frame per second.
  4. The MCCE would be controlled by the Magnetic-manipulator out of body to finish the motion of e rotation, somersault, Bird's-eye view, worm's eye view from cecum to anus.
Active Comparator: Colonoscopy
Colonoscopy has now been in use for many years to visualize and diagnose abnormalities of the colon and it is the gold standard for detecting colorectal lesions.In this study,the additional utility of the colonoscopy is to monitor the movement of the Magnetic -controlled capsule endoscopy.
Procedure: Colonoscopy
  1. Bowel preparation should be well done before the examination.
  2. A tube with illumination and camera system would insert into colon from anus.
  3. From the pictures captured by the camera ,the doctor would see the mucous of the colon.
Other Names:
  • colonoscope

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Maneuverability
Time Frame: From the MCCES examination began until the capsule excreted, an expected average of 24h
The Maneuverability was defined as the rotation, somersault, Bird's-eye view, worm's eye view of the capsule, and completing any motion would gain 1 point, eventually ,4 point was good,2-3 point moderate,0-1point poor.
From the MCCES examination began until the capsule excreted, an expected average of 24h

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Migration length of anus direction
Time Frame: From the MCCES examination began until the capsule excreted, an expected average of 24h
Migration length of anus direction was defined as how long was the distance the capsule controlled by the Magnetic-manipulator moved from cecum to anus in 25 minutes.
From the MCCES examination began until the capsule excreted, an expected average of 24h
The movement of mouth direction
Time Frame: From the MCCES examination began until the capsule excreted, an expected average of 24h
The movement of mouth direction was defined as if the capsule controlled by the Magnetic-manipulator could move from any point of the colon towards mouth direction.
From the MCCES examination began until the capsule excreted, an expected average of 24h
Nidus of colon
Time Frame: During the procedure
From date of the examination until the date of pathological diagnosis, an expected average of 7 days
During the procedure
The level of cleanliness
Time Frame: From the MCCES examination began until the capsule excreted, an expected average of 24h
The cleanliness of the colon was graded as excellent (No more than small bits of adherent feces),good(Small amount of feces or dark fluid,but not enough to interfere with the examination ),fair(Enough feces or dark fluid present to preclude a completely reliable examination),poor(large amount of fecal residue).
From the MCCES examination began until the capsule excreted, an expected average of 24h
Procedure related complication
Time Frame: From the day of the examination until the follow up ended ,access up to 7 days.
Perforation, capsule retention, abdominal pain and so .etc.
From the day of the examination until the follow up ended ,access up to 7 days.

Collaborators and Investigators

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

Sponsor

Nanfang Hospital of Southern Medical University

Investigators

  • Principal Investigator: Bo Jiang, doctor, Nanfang Hospital of Southern Medical University

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

Helpful Links

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

August 1, 2015

Primary Completion (Anticipated)

September 1, 2015

Study Completion (Anticipated)

September 1, 2015

Study Registration Dates

First Submitted

August 24, 2015

First Submitted That Met QC Criteria

August 26, 2015

First Posted (Estimate)

August 31, 2015

Study Record Updates

Last Update Posted (Estimate)

August 31, 2015

Last Update Submitted That Met QC Criteria

August 26, 2015

Last Verified

August 1, 2015

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • NFEK-2015-046

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.

Clinical Trials on Abdominal Pain

Clinical Trials on magnetic-controlled capsule endoscopy system

Search Similar Trials

Sponsors and Collaborators

Medical Conditions

Drug Interventions

CROs by country

CROs in Bangladesh

Conditions

Rare Diseases

Drug Interventions

Dietary Supplements

Sponsor/Collaborators

Locations

3
Subscribe