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Efficacy and Tolerability of a Simethicone-containing Evacuating Solution for Colorectal Cancer Screening Colonoscopy (CLEAN+)

6 luglio 2026 aggiornato da: Fundacion Clinic per a la Recerca Biomédica

Efficacy and Tolerability of a Simethicone-containing Evacuating Solution for Colorectal Cancer Screening Colonoscopy: a Randomized Parallel Comparative Trial CLEAN+

Study to evaluate the efficacy and tolerability of a simethicone-containing evacuating solution for colorectal cancer screening colonoscopy.

Panoramica dello studio

Stato

Reclutamento

Condizioni

Intervento / Trattamento

Tipo di studio

Interventistico

Iscrizione (Stimato)

818

Fase

  • Fase 4

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Contatto studio

Backup dei contatti dello studio

Luoghi di studio

  • Spagna
    • Barcelona
      • Barcelona, Barcelona, Spagna, 08036
        • Reclutamento
        • Hospital Clínic de Barcelona
        • Investigatore principale:
          • Maria Pellisé
        • Contatto:

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

  • Adulto
  • Adulto più anziano

Accetta volontari sani

No

Descrizione

Inclusion Criteria:

  1. Men and women aged 50 to 69.
  2. Have participated in the early detection program for colorectal cancer.
  3. Positive result in the fecal occult blood test (≥20 μg Hb/g feces).
  4. Scheduled screening colonoscopy at Hospital Clínic de Barcelona.
  5. Signed informed consent form.

Exclusion Criteria:

  1. Severe renal failure (grade IV or V) (Annex 6, Stages of Renal Impairment) and/or congestive heart failure (New York Heart Association Scale Class III and IV) (Annex 7, NYHA Scale).
  2. Colonoscopy within the last year.
  3. Barthel Index of <20 (Annex 5, Barthel Index) and who also meet the Rome IV Criteria for the diagnosis of functional constipation (Annex 8, Rome IV Criteria).
  4. Mental disability or severe mental disorder (schizophrenia and other psychotic disorders, recurrent severe major depressive disorders, severe obsessive-compulsive disorder, severe personality disorders, and bipolar disorders).
  5. Do not understand spoken or written Catalan or Spanish.
  6. Partial or total colon resection.
  7. Personal history of CRC or colorectal pathology that requires specific follow-up (ulcerative colitis, Crohn's disease, or colorectal adenomas).
  8. Terminal illness or serious illness/disability that contraindicates subsequent colon study.
  9. Gastrointestinal disorders that contraindicate the use of study products (gastric emptying disorders, gastrointestinal perforation or obstruction, ileus, toxic megacolon).
  10. Hypermagnesemia.
  11. Rhabdomyolysis.
  12. Phenylketonuria.
  13. Glucose-6-phosphate dehydrogenase deficiency.
  14. Hypersensitivity to the active ingredients of excipients.
  15. Pregnancy or breastfeeding.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Diagnostico
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Separare

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Clensia®
Clensia®, powder for oral solution in sachet. To be taken in two doses, 4 sachets dissolved in 200cc of water 9-12 hours before the examination and 4 sachets dissolved in 200cc of water 4 hours before the examination.
Droga: Clensia®
Participants will take the treatment in two doses, 4 sachets dissolved in 200cc of water 9-12 hours before the examination and 4 sachets dissolved in 200cc of water 4 hours before the examination.
Sperimentale: Citrafleet®
Citrafleet®, powder for oral solution in sachet. To be taken in two doses, 1 sachet dissolved in 200cc of water 9-12 hours before the examination and 1 sachet dissolved in 200cc of water 4 hours before the examination.
Droga: Citrafleet®
Participants will take the treatment in two doses, 1 sachet dissolved in 200cc of water 9-12 hours before the examination and 1 sachet dissolved in 200cc of water 4 hours before the examination.

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Adenoma detection rate
Lasso di tempo: week 2 (Colonoscopy visit)
Adenoma detection rate, defined as the proportion of patients with at least one adenoma in relation to the total number of subjects in each study group (Clensia® Group (Group A); Citrafleet® Group (Group B)).
week 2 (Colonoscopy visit)

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Lesion detection rate
Lasso di tempo: week 2 (Colonoscopy visit)
Lesion detection rate, defined as the proportion of patients with at least one polyp in relation to the total number of subjects in each group.
week 2 (Colonoscopy visit)
Adenomas per colonoscopy
Lasso di tempo: week 2 (Colonoscopy visit)
Adenomas per colonoscopy, defined as the mean number of adenomas detected by colonoscopy in the subjects in each group.
week 2 (Colonoscopy visit)
Presence of foam
Lasso di tempo: week 2 (Colonoscopy visit)
The presence of foam using the CEBuS (Colon Endoscopic Bubble Scale), in which each colonic segment (right colon, transverse colon, left colon) is scored from 0 to 2 (0=no or minimal number of bubbles; 1=moderate amount of bubbles affecting 5-50% of the circumference, affecting the vision of the mucosa and requiring additional time to wash; 2=abundant bubbles occupying >50% of the circumference, obscuring the mucosa and require ring additional time to washing).
week 2 (Colonoscopy visit)
Presence of bubbles
Lasso di tempo: week 2 (Colonoscopy visit)
The presence of bubbles using the CEBuS (Colon Endoscopic Bubble Scale), in which each colonic segment (right colon, transverse colon, left colon) is scored from 0 to 2 (0=no or minimal number of bubbles; 1=moderate amount of bubbles affecting 5-50% of the circumference, affecting the vision of the mucosa and requiring additional time to wash; 2=abundant bubbles occupying >50% of the circumference, obscuring the mucosa and require ring additional time to washing).
week 2 (Colonoscopy visit)
Quality of colon cleansing
Lasso di tempo: week 2 (Colonoscopy visit)
The quality of colon cleansing using the Boston Scale, in which each colonic segment (right colon, transverse colon, and left colon) is scored from 0 to 3 (0=poor, 1=fair, 2=good, 3=excellent). A total score greater than or equal to 6 and greater than or equal to 2 in each segment will be considered adequate.
week 2 (Colonoscopy visit)
Need for washing tools during colonoscopy
Lasso di tempo: week 2 (Colonoscopy visit)
Need for washing tools during colonoscopy. The amount of wash water used during the colonoscopy to complete the test satisfactorily is counted. Likewise, the volume of simethicone used will be counted if it is considered necessary.
week 2 (Colonoscopy visit)
Cecal intubation rate
Lasso di tempo: week 2 (Colonoscopy visit)
Cecal intubation rate. The colonoscopy will be considered complete if the cecum has been reached; otherwise, it will be considered incomplete.
week 2 (Colonoscopy visit)
Cecal intubation time
Lasso di tempo: week 2 (Colonoscopy visit)
Cecal intubation time. Defined as the time elapsed between the introduction of the endoscope and reaching the cecal fundus.
week 2 (Colonoscopy visit)
Endoscope removal time
Lasso di tempo: week 2 (Colonoscopy visit)
Endoscope removal time. Defined as the time elapsed between reaching the cecal fundus and completion of the endoscopy, including the time spent cleaning the colon and excluding endoscopic treatment of lesions.
week 2 (Colonoscopy visit)
Requires repeat colonoscopy due to poor preparation
Lasso di tempo: week 2 (Colonoscopy visit)
Proportion of patients who, after undergoing colonoscopy, require repeat colonoscopy due to poor preparation, defined as a total score of less than 6 or less than 2 in one of the three segments according to the Boston Scale
week 2 (Colonoscopy visit)
Adherence to the intake of the preparation
Lasso di tempo: week 2 (Colonoscopy visit)
Adherence to the intake of the preparation assessed by compliance with the intake in three degrees: completely, more than 50%, less than 50% or not at all (Tolerability and satisfaction questionnaire).
week 2 (Colonoscopy visit)
Ease of taking the preparation
Lasso di tempo: week 2 (Colonoscopy visit)
Ease of taking the preparation assessed with a numerical assessment scale from 0=very difficult to 10=very easy (Tolerability and satisfaction questionnaire).
week 2 (Colonoscopy visit)
Palatability of the preparation
Lasso di tempo: week 2 (Colonoscopy visit)
Palatability of the preparation assessed with a numerical assessment scale from 0=very bad to 10=excellent (Tolerability and satisfaction questionnaire).
week 2 (Colonoscopy visit)
Willingness to repeat the intake of the preparation
Lasso di tempo: week 2 (Colonoscopy visit)
Willingness to repeat the intake of the preparation assessed as yes or no (Tolerability and satisfaction questionnaire).
week 2 (Colonoscopy visit)
Overall satisfaction with the intake of the preparation
Lasso di tempo: week 2 (Colonoscopy visit)
Overall satisfaction with the intake of the preparation assessed with a numerical rating scale from 0=very bad to 10=very good (Tolerability and satisfaction questionnaire).
week 2 (Colonoscopy visit)
Endoscopist's satisfaction with the cleaning of faecal remains and bubbles
Lasso di tempo: week 2 (Colonoscopy visit)
Endoscopist's satisfaction with the cleaning of faecal remains and bubbles, assessed with a numerical assessment scale from 0 = very dissatisfied to 10 = very satisfied (Data collection form).
week 2 (Colonoscopy visit)
Rate of adverse events
Lasso di tempo: week 2 (Colonoscopy visit) and week 4 (visit 2)
Rate of adverse events including symptoms such as nausea, vomiting, abdominal pain, abdominal bloating, headache, chills, dizziness and dry mouth, which will be assessed in the Tolerability and Satisfaction Questionnaire (Tolerability and Satisfaction Questionnaire).
week 2 (Colonoscopy visit) and week 4 (visit 2)

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Fundacion Clinic per a la Recerca Biomédica

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

18 maggio 2026

Completamento primario (Stimato)

1 maggio 2028

Completamento dello studio (Stimato)

1 maggio 2028

Date di iscrizione allo studio

Primo inviato

26 settembre 2025

Primo inviato che soddisfa i criteri di controllo qualità

6 luglio 2026

Primo Inserito (Effettivo)

10 luglio 2026

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

10 luglio 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

6 luglio 2026

Ultimo verificato

1 luglio 2026

Maggiori informazioni

Termini relativi a questo studio

Altri numeri di identificazione dello studio

  • 2025-523748-11-00

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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