- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06581016
Performance Characteristics and Technical Outcomes of Single-use vs. Reusable Gastroscopes Evaluated in the OR
Performance Characteristics and Technical Outcomes of Single-use Versus Reusable Gastroscopes Evaluated in the Operating Room in Acute, Subacute and Elective Patients
The goal of this clinical trial is to investigate whether single-use gastroscopes are as good as reusable gastroscopes when used in the operation theater in all patients where gastroscopy in the operation theater is indicated. The main question it aims to answer is:
- Is the technical success and performance characteristics the same for single-use and reusable gastroscopies?
Researchers will compare single-use gastroscopes with reusable gastroscopes to see if the technical success and performance characteristics are the same in the to groups.
Participants will in the first period have gastroscopy with a single-use gastroscope. In the second period participants will have gastroscopy with a reusable gastroscope.
Study Overview
Status
Conditions
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Camilla Kjelkvist-Born, MD
- Phone Number: +4528263875
- Email: camkj@regionsjaelland.dk
Study Contact Backup
- Name: Marie Louise Malmstrøm, MD, PhD
- Email: malmstroem@gmail.com
Study Locations
-
-
-
Køge, Denmark, 4600
- Recruiting
- Zealand University Hospital
-
Contact:
- Camilla Kjelkvist-Born, MD
- Phone Number: +4528263875
- Email: camkj@regionsjaelland.dk
-
Contact:
- Marie Louise Malmstrøm, MD, PhD
- Email: malmstroem@gmail.com
-
Principal Investigator:
- Camilla Kjelkvist-Born, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Acute, subacute or elective gastroscopies in the operating theater
- Age ≥ 18 years
Exclusion Criteria:
- None
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Single-use gastroscope
In the first period all gastroscopies in the operating theater will be performed with single-use gastroscopes.
|
CE-marked single-use gastroscopes from Ambu are used in the single-use group.
CE-marked single-use gastroscopes from Ambu are used in the single-use group.
|
|
Active Comparator: Reusable gastroscope
In the second period all gastroscopies in the operation theater will be performed with reusable gastroscopes.
|
Reusable gastroscopes from Olympus are used in the reusable group.
Reusable gastroscopes from Olympus are used in the reusable group.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Technical success of single-use gastroscopes vs reusable gastroscopes
Time Frame: From admission to discharge, up to 3 months
|
Technical success is defined as the ability to complete the procedure adequately based on the indication and guidelines.
|
From admission to discharge, up to 3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Complications
Time Frame: 24 hours and 72 hours follow-up after procedure
|
Complications to gastroscopy
|
24 hours and 72 hours follow-up after procedure
|
|
30th day mortality
Time Frame: 30 days
|
Mortality after 30 days after procedure
|
30 days
|
|
Endoscopist's rating of gastroscope
Time Frame: Right after procedure
|
The endoscopist's rating of the gastroscope
|
Right after procedure
|
|
Duration of procedure
Time Frame: During the procedure
|
The time from intubation of gastroscope until gastroscope removed from esophagus.
|
During the procedure
|
|
Time from procedure to discharge
Time Frame: From procedure to discharge, up to 3 months
|
Time from procedure to discharge
|
From procedure to discharge, up to 3 months
|
|
Success of specific therapeutic procedures
Time Frame: During the procedure
|
E.g. success in treating ulcers, banding or stenting
|
During the procedure
|
|
Need of new gastroscopy
Time Frame: During admission, up to 3 months
|
Need of new gastroscopy during admission
|
During admission, up to 3 months
|
|
Readmission
Time Frame: 30 days after procedure
|
Does the patient need readmission after discharge
|
30 days after procedure
|
|
Sufficient ability to target the biopsy if taken
Time Frame: During procedure
|
Successful biopsy which the pathologist can use to either diagnose the patient or to reject a diagnose.
|
During procedure
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Chair: Lasse Bremholm Hansen, PhD,ass.prof, Surgical department of Zealand University Hospital
Publications and helpful links
General Publications
- Rodriguez de Santiago E, Dinis-Ribeiro M, Pohl H, Agrawal D, Arvanitakis M, Baddeley R, Bak E, Bhandari P, Bretthauer M, Burga P, Donnelly L, Eickhoff A, Hayee B, Kaminski MF, Karlovic K, Lorenzo-Zuniga V, Pellise M, Pioche M, Siau K, Siersema PD, Stableforth W, Tham TC, Triantafyllou K, Tringali A, Veitch A, Voiosu AM, Webster GJ, Vienne A, Beilenhoff U, Bisschops R, Hassan C, Gralnek IM, Messmann H. Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement. Endoscopy. 2022 Aug;54(8):797-826. doi: 10.1055/a-1859-3726. Epub 2022 Jul 8.
- Namburar S, von Renteln D, Damianos J, Bradish L, Barrett J, Aguilera-Fish A, Cushman-Roisin B, Pohl H. Estimating the environmental impact of disposable endoscopic equipment and endoscopes. Gut. 2022 Jul;71(7):1326-1331. doi: 10.1136/gutjnl-2021-324729. Epub 2021 Dec 1.
- Turk DJ, Kozarek RA, Botoman VA, Patterson DJ, Ball TJ. Disposable endoscopic biopsy forceps: comparison with standard forceps of sample size and adequacy of specimen. J Clin Gastroenterol. 1991 Feb;13(1):76-8.
- Forbes N, Elmunzer BJ, Allain T, Parkins MD, Sheth PM, Waddell BJ, Du K, Douchant K, Oladipo O, Saleem A, Cartwright S, Chau M, Howarth M, McKay J, Nashad T, Ruan Y, Bishay K, Gonzalez-Moreno E, Meng ZW, Bass S, Bechara R, Cole MJ, Jalink DW, Mohamed R, Turbide C, Belletrutti PJ, Kayal A, Kumar PR, Hilsden RJ, Buret AG, Hookey L, Heitman SJ. Effect of Disposable Elevator Cap Duodenoscopes on Persistent Microbial Contamination and Technical Performance of Endoscopic Retrograde Cholangiopancreatography: The ICECAP Randomized Clinical Trial. JAMA Intern Med. 2023 Mar 1;183(3):191-200. doi: 10.1001/jamainternmed.2022.6394.
- Ross AS, Bruno MJ, Kozarek RA, Petersen BT, Pleskow DK, Sejpal DV, Slivka A, Moore D, Panduro K, Peetermans JA, Insull J, Rousseau MJ, Tirrell GP, Muthusamy VR. Novel single-use duodenoscope compared with 3 models of reusable duodenoscopes for ERCP: a randomized bench-model comparison. Gastrointest Endosc. 2020 Feb;91(2):396-403. doi: 10.1016/j.gie.2019.08.032. Epub 2019 Nov 1.
- Bruno MJ, Beyna T, Carr-Locke D, Chahal P, Costamagna G, Devereaux B, Giovannini M, Goenka MK, Khor C, Lau J, May G, Muthusamy VR, Patel S, Petersen BT, Pleskow DK, Raijman I, Reddy DN, Repici A, Ross AS, Sejpal DV, Sherman S, Siddiqui UD, Ziady C, Peetermans JA, Rousseau MJ, Slivka A; EXALT Single-use Duodenoscope Study Group. Global prospective case series of ERCPs using a single-use duodenoscope. Endoscopy. 2023 Dec;55(12):1103-1114. doi: 10.1055/a-2131-7180. Epub 2023 Jul 18.
- Ramai D, Smit E, Kani HT, Papaefthymiou A, Warner L, Chandan S, Dhindsa B, Facciorusso A, Gkolfakis P, Ofosu A, Barakat M, Adler DG. Cannulation rates and technical performance evaluation of commericially available single-use duodenoscopes for endoscopic retrograde cholangiopancreatography: A systematic review and meta-analysis. Dig Liver Dis. 2024 Jan;56(1):123-129. doi: 10.1016/j.dld.2023.02.022. Epub 2023 Mar 30.
- Luo X, Ji M, Zhang S, Chen X, Zong Y, Zhang X, Hu H, Hao X, Shao L, Sun C, Shi H, Wang J, Wang B, Li P. Disposable versus reusable gastroscopes: a prospective randomized noninferiority trial. Gastrointest Endosc. 2022 Aug;96(2):250-261. doi: 10.1016/j.gie.2022.03.024. Epub 2022 Apr 4.
- Li DF, Shi RY, Tian YH, Xu ZL, Zhou YS, Sun XJ, Cai JW, Fang YY, Peng H, Wang JM, Dong T, Cai YD, Yao J, Wang LS. The feasibility and safety of disposable endoscope vs. conventional endoscope for upper gastrointestinal tract examination: a multicenter, randomized, parallel, non-inferiority trial. Z Gastroenterol. 2022 Sep;60(9):1314-1319. doi: 10.1055/a-1555-0568. Epub 2021 Nov 12.
- van der Ploeg K, de Jonge PJF, Lammers WJ, Koch AD, Vos MC, Paulsen V, Aabakken L, Bruno M. Performance of a single-use gastroscope for esophagogastroduodenoscopy: Prospective evaluation. Endosc Int Open. 2024 Mar 18;12(3):E428-E434. doi: 10.1055/a-2271-2303. eCollection 2024 Mar.
- Ebigbo A, Tadic V, Schlottmann J, Braun G, Prinz F, Wanzl J, Ayoub M, Kraus L, Scheppach M, Nagl S, Schnoy E, Weber T, Probst A, Messmann H, Rommele C. Evaluation of a single-use gastroscope in patients presenting with suspected upper gastrointestinal hemorrhage: a pilot feasibility study (One-Scope I). Endoscopy. 2023 Oct;55(10):940-944. doi: 10.1055/a-2089-5969. Epub 2023 May 9.
- Han ZL, Lin BT, Wang ZJ, Chen X, Xi YY, Wang JF, Qiao WG, Huang Y, Lin ZZ, Huang SH, Chua TY, Liu SD, Luo XB. Evaluation of a novel disposable esophagogastroduodenoscopy system in emergency, bedside, and intraoperative settings: Pilot study (with videos). Dig Endosc. 2023 Nov;35(7):857-865. doi: 10.1111/den.14548. Epub 2023 Apr 5.
- Barakat MT, Banerjee S. Novel Algorithms for Reprocessing, Drying and Storing Endoscopes. Gastrointest Endosc Clin N Am. 2020 Oct;30(4):677-691. doi: 10.1016/j.giec.2020.06.003. Epub 2020 Jul 30.
- Larsen S, Kalloo A, Hutfless S. The hidden cost of colonoscopy including cost of reprocessing and infection rate: the implications for disposable colonoscopes. Gut. 2020 Feb;69(2):197-200. doi: 10.1136/gutjnl-2019-319108. Epub 2019 Aug 14. No abstract available.
- Bang JY, Sutton B, Hawes R, Varadarajulu S. Concept of disposable duodenoscope: at what cost? Gut. 2019 Nov;68(11):1915-1917. doi: 10.1136/gutjnl-2019-318227. Epub 2019 Feb 12. No abstract available.
- Cennamo V, Botter A, Landi S, Graziosi F, Bassi M, Dabizzi E, Ghersi S, Cerone G, Bonfiglioli R. Can single-use versus standard duodenoscope improve ergonomics in ERCP? A comparative, simulation-based pilot study. Endosc Int Open. 2024 Mar 18;12(3):E419-E427. doi: 10.1055/a-2231-7393. eCollection 2024 Mar.
- Le NNT, Hernandez LV, Vakil N, Guda N, Patnode C, Jolliet O. Environmental and health outcomes of single-use versus reusable duodenoscopes. Gastrointest Endosc. 2022 Dec;96(6):1002-1008. doi: 10.1016/j.gie.2022.06.014. Epub 2022 Jun 17.
- Mackiewicz-Pracka A, Nehring P, Przybylkowski A. Emergency Endoscopic Interventions in Acute Upper Gastrointestinal Bleeding: A Cohort Study. Diagnostics (Basel). 2023 Dec 1;13(23):3584. doi: 10.3390/diagnostics13233584.
- Deb A, Perisetti A, Goyal H, Aloysius MM, Sachdeva S, Dahiya D, Sharma N, Thosani N. Gastrointestinal Endoscopy-Associated Infections: Update on an Emerging Issue. Dig Dis Sci. 2022 May;67(5):1718-1732. doi: 10.1007/s10620-022-07441-8. Epub 2022 Mar 9.
Helpful Links
- US Food and Drug Administration. News & Events; FDA Newsroom; Press Announcements. FDA Continues Efforts to Support Innovation in Medical Device Sterilization (August 3, 2022). Accessed: 21 July 2023.
- Sealed Envelope Ltd. 2012. Power calculator for binary outcome non-inferiority trial. [Accessed Fri Jul 05 2024].
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
- SUSUES_COP
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.
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 Upper Gastrointestinal Disorder
-
Zealand University HospitalCompletedUpper Gastrointestinal DisorderDenmark
-
Zealand University HospitalRecruiting
-
Chinese University of Hong KongCompletedUpper Gastrointestinal Disorder | OGDHong Kong
-
Changhai HospitalRecruitingUpper Gastrointestinal Cancer | Upper Gastrointestinal Precancerous Lesions | Upper Gastrointestinal Precancerous ConditionsChina
-
Cheju Halla General HospitalCompletedTolerance | Disorder of Upper Gastrointestinal Tract | C.Medical Procedure; Digestive SystemKorea, Republic of
-
AstraZenecaCompletedNSAIDs | Upper GI SymptomsSweden, United States, Czech Republic, Italy, South Africa, United Kingdom, Poland, Norway, Canada, Slovakia, Australia
-
AstraZenecaCompletedNSAIDs | Upper GI SymptomsSweden, United States, Czech Republic, Italy, South Africa, United Kingdom, Poland, Norway, Canada, Slovakia, Australia
-
Carol Davila University of Medicine and PharmacyCompletedUpper Gastrointestinal EndoscopyRomania
-
Taipei Veterans General Hospital, TaiwanUnknownUpper Gastrointestinal EndoscopyTaiwan
-
Ain Shams UniversityCompletedUpper Gastrointestinal EndoscopyEgypt
Clinical Trials on Ambu aScope Gastro
-
Zealand University HospitalRecruiting
-
Zealand University HospitalCompletedUpper Gastrointestinal DisorderDenmark
-
mahmoud salem solimanCairo UniversityCompletedDifficult IntubationEgypt
-
University of LouisvilleAmbu A/SCompletedIntubation; DifficultUnited States
-
Ambu A/SQserveCROCompletedLower Urinary Tract Symptoms | Bladder Cancer | CystoscopeDenmark
-
University of Lausanne HospitalsCompletedEndotracheal Intubation | Surgical InterventionSwitzerland
-
M.D. Anderson Cancer CenterAmbu A/SCompletedAnesthesiaUnited States
-
The University of Texas Health Science Center,...Ambu A/SCompleted
-
Ambu A/SSahlgrenska University Hospital, Sweden; Skane University HospitalRecruitingLaryngeal DiseaseDenmark
-
Jason BryantCompletedIntracuff PressureUnited States