- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04457934
Effectiveness of PLENVU in the General Screening Population and Patients With IBD
Study Overview
Detailed Description
PLENVU is effective for bowel preparation and the efficacy and safety of PLENVU has been investigated in randomized controlled trials in patients undergoing gut cleansing prior to colonoscopy. Data on the specific screening population and for patients suffering from IBD however is limited to date. The aim of the current study is to fill this gap and to provide data of the effectiveness of PLENVU for the specific patients groups in order to provide specific recommendations for an adequate bowel preparation in those groups.
In general, bowel-preparation in IBD patients is often more challenging. This might be due to the chronic disease burden but also according to compliance factors of individual patients. Of note, an adequate bowel-preparation is of paramount importance in IBD in order to detect subtle neoplasia and to perform chromoendoscopy, which is still recommended by the updated ESGE guideline.
It is anticipated, that PLENVU will help IBD patients to achieve a better bowel preparation, thereby yielding in more effective screening colonoscopies and higher acceptance rates of patients for surveillance colonoscopies. In order to show that no significant differences are seen in the included IBD cohort compared to the general screening population (bias risk), the investigators aim to also include patients from the normal screening population.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Locations
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-
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Mainz, Germany
- Recruiting
- University Hospital Mainz
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Contact:
- Prof. Helmut Neumann
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Northrine-Westfalia
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Bad Salzuflen, Northrine-Westfalia, Germany, 32105
- Not yet recruiting
- Dr. Helmut Neumann
-
Contact:
- Helmut Neumann, Dr. med.
- Phone Number: 369836 +495222
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Rhenanie-Palatinate
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Koblenz, Rhenanie-Palatinate, Germany, 56068
- Not yet recruiting
- Dr. Horst Hohn
-
Contact:
- Horst Hohn, Dr. med.
- Phone Number: 18553 +49261
- Email: praxis@dr-hohn.de
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
• Suspicion or history of IBD
- Screening colonoscopy
- Indication for colonoscopy
- Age 18-75 years
- Written informed consent
Exclusion Criteria:
• Pregnancy or lactating
- Lower gastrointestinal bleeding with hemodynamic instability
- Bowel obstruction
- ASA >3
- Not sufficiently corrected anticoagulation disorders
Plenvu must not be taken:
- if you are allergic (hypersensitive) to the active ingredients or any of the other ingredients of this medicine;
- if you have a blockage (obstruction) in the digestive tract.
- if you have a breakthrough (perforation) in the wall of the digestive tract;
- if you suffer from intestinal obstruction (Ileus);
- if you suffer from a disturbance of gastric emptying (e.g. gastroparesis, gastric retention);
- if you suffer from phenylketonuria. Phenylketonuria is a congenital metabolic disease in which phenylalanine cannot be processed by your body. Plenvu contains aspartame as a source of phenylalanine;
- if you suffer from glucose-6-phosphate dehydrogenase deficiency;
- if you suffer from acute colon enlargement (toxic megacolon).
Warnings and precautions
o You should tell your doctor about the following circumstances before taking Plenvu:
- if you have heart problems and/or arrhythmias;
- if you have kidney problems and/or suffer from dehydration;
- if you have stomach or intestinal problems, including intestinal inflammation;
- if you have difficulty or discomfort when swallowing liquids;
- if you have high or low levels of electrolyte (e.g. sodium, potassium);
- if you have other diseases (e.g. convulsions).
- Pregnancy and lactation o There are no data on the use of Plenvu during pregnancy or lactation and is therefore not recommended.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
IBD patients
Patients with IBD will undergo preparation for Standard endoscopy with PLENVU, since it is considered to be less affecting for patients. IBD patients have to undergo endoscopy often and mostly suffer from non-efficient preparation. Patients will drink 1 Liter of Plenvu and 1 Liter of water or tea in preparation for endoscopy and will follow the Guidelines for preparation of endoscopy. The only Change from Standard care is that patients will receive Plenvu instead of Movicol. |
All patients in both Groups will drink will drink 1 Liter of Plenvu and 1 Liter of water or tea in preparation for endoscopy according to endoscopy guidelines
|
Screening patients
Screening patients will undergo Standard endoscopy to prevent colon Cancer. Patients will drink 1 Liter of Plenvu and 1 Liter of water or tea in preparation for endoscopy and nd will follow the Guidelines for preparation of endoscopy. The only Change from Standard care is that patients will receive Plenvu instead of Movicol. |
All patients in both Groups will drink will drink 1 Liter of Plenvu and 1 Liter of water or tea in preparation for endoscopy according to endoscopy guidelines
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Boston Bowel Preparation Standard (BBPS)
Time Frame: 1 week
|
Bowel preparation according to international Standard (1 is bad, 9 is good), how many BBPs with 9 can be achieved?
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1 week
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Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Time Frame: 1 day
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How good will patients tolerate endoscopy and preparation
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1 day
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Number of patients with adverse events
Time Frame: up to 1 week
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What Kind of adverse Events can happen during this study
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up to 1 week
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of patients who are willing to accept repeated examination (surveillance);
Time Frame: up to 1 month
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How many patients will come back for another endoscopy
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up to 1 month
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Adenoma and Polyp Detection Rate (ADR and PDR)
Time Frame: 1 day
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How many adenomas and polyps are detected during endoscopy
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1 day
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cecal intubation rate
Time Frame: 1 day
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how many endoscopies will reach the ceacum
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1 day
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procedure time
Time Frame: 3 hours
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how Long will endoscopy take
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3 hours
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Collaborators and Investigators
Investigators
- Principal Investigator: Helmut Neumann, Prof. Dr., University Medical Center Mainz
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 001 (NavyGHB)
- 125 (Norgine)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
- Preliminary data 2020 for: DDW 2021 (Deadline Dec. 1st), preliminary data will be available for Norgine for DGVS (Germany) and APDW (Malaysia).
- Final data: Submission 2021 for DDW, ESGE Days, UEGW, DGVS, APDW
- Final manuscript: Am J Gastro -> Journal Crohn's Colitis -> Endoscopy -> Gastrointest Endos
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- Study Protocol
- Informed Consent Form (ICF)
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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