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Trial registered on ANZCTR
Registration number
ACTRN12618001131246
Ethics application status
Approved
Date submitted
29/05/2018
Date registered
10/07/2018
Date last updated
21/10/2021
Date data sharing statement initially provided
9/05/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
A prospective study of the feasibility of capsule colonoscopy in Crohn’s Disease and its correlation with conventional colonoscopy and Faecal Calprotectin.
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Scientific title
A prospective study of the feasibility of capsule colonoscopy in Crohn’s Disease and its correlation with conventional colonoscopy and Faecal Calprotectin.
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Secondary ID [1]
287909
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NONE
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Crohn's Disease
296786
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Condition category
Condition code
Oral and Gastrointestinal
297020
297020
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0
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Crohn's disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The following investigations will be performed on participants: 1. capsule colonoscopy, 2. conventional colonoscopy and 3. faecal calprotectin (stool sample). The day before the procedure, patients will be asked to ingest bowel prep as per standard regime. Patients will be asked to come in early to clinic and have extra bowel prep before patient swallows a small capsule (pillcam colon) which will take photos of their colon. They will need to wear a small device around their hip for the duration of the day which captures the photos. It is best to wear lose fitting clothing. The participants conventional colonoscopy will be booked for the same day, last on the list to make sure there is adequate time for the pillcam colon to take photos. The pill cam colon will be administered by a nurse. The conventional colonoscopy will be conducted by a Gastroenterologist and usually takes approximately 20 minutes. The stool sample will be need before the colonoscopy. The patient can complete one at home and bring it with them on the day of the procedure. The whole study takes around 24 hours.
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Intervention code [1]
301365
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Diagnosis / Prognosis
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Quality of colonoscopy as assessed by blinded review of procedure recording by independent panel of 3 gastroenterologists
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Assessment method [1]
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Timepoint [1]
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Assessed approximately within a 1 month of the colonoscopy.
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Secondary outcome [1]
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Faecal calprotectin as assessed by laboratory ELISA of stool sample
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Assessment method [1]
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Timepoint [1]
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After the colonoscopy
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Secondary outcome [2]
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Mucosal Healing. Mucosal healing will be assessed using the Simple Endoscopic Score for Crohn's Disease (SES- CD).
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Assessment method [2]
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Timepoint [2]
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After the colonoscopy
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Eligibility
Key inclusion criteria
Adults with established diagnosis of CD with ileal, colonic or ileo-colonic disease aged 18-75 years
Gender: both male and female
Patients of RMH IBD clinic and other specialty clinics where assessment of mucosal healing is clinically indicated this includes:
a) Patients who have had Anti TNF induction therapy 6-12 months prior to commencement of this study.
b) Patients referred for colonoscopy to assess mucosal disease status with a view to treatment escalation based on the findings.
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients must not:
Have known/suspected gastrointestinal obstruction
Have swallowing disorder
Have a known oesophageal stricture
Have severe gastroparesis
Have dementia
Have a cardiac pacemaker or other implanted medical device
Have sever cardiac or renal insufficiency
Have a previous allergy or contraindication to bowel preparation
Be pregnant
Prior major abdominal surgery
Colonoscopy is contraindicated
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
27/02/2015
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Date of last participant enrolment
Anticipated
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Actual
7/06/2019
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Date of last data collection
Anticipated
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Actual
31/12/2020
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Sample size
Target
64
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Accrual to date
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Final
47
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Royal Melbourne Hospital - City campus - Parkville
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Recruitment postcode(s) [1]
22803
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3050 - Parkville
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Covidien/Medtronic
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Address [1]
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3555 Koger Blvd., Suite 200,
Duluth, GA 30096 USA
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Country [1]
299613
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United States of America
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Primary sponsor type
Hospital
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Name
Melbourne Health
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Address
Royal Melbourne Hospital
300 Grattan Street
Parkville VIC 3050
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
298935
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Country [1]
298935
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Melbourne Health Human Research Ethics Committee
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Ethics committee address [1]
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Office for Research The Royal Melbourne Hospital Level 2 South West 300 Grattan Street Parkville VIC 3050
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
300516
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Approval date [1]
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01/02/2015
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Ethics approval number [1]
300516
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2014.214
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Summary
Brief summary
To study the feasibility of capsule colonoscopy in patients with Crohn's Disease (CD). To compare the results of capsule colonoscopy with conventional colonoscopy in assessing mucosal healing. To correlate the level of faecal calprotectin with the results of capsule colonoscopy and conventional colonoscopy. To document changes in clinical practice attributable to the capsule colonoscopy findings a) concordant with and b) in addition to the parallel findings at colonoscopy and ileoscopy. Patients of the Royal Melbourne Hospital (RMH) and other associated speciality clinics with an established diagnosis of CD who need assessment of mucosal healing and have consented to be part of the study will undergo capsule colonoscopy and conventional colonoscopy after undergoing bowel preparation. The images of both the conventional and capsule colonoscopies will be recorded. In addition calprotectin (an inflammatory marker in faeces) will be measured in a sample of faeces collected by the patients prior to the colonoscopy day. Recorded images will be assessed once the images have been deidentified. Assessment will include the level of mucosal disease. To assess the level of mucosal disease they will use the Simple Endoscopic Score for CD (SESCD). The results of the assessment of mucosal healing obtained from conventional colonoscopy will be compared with those of capsule colonoscopy and levels of faecal calprotectin will then be correlated.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Finlay Macrae
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Address
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Colorectal Medicine & Genetics
Level 3 Centre, Main Building
300 Grattan Street
The Royal Melbourne Hospital Parkville Victoria 3050
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Country
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Australia
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Phone
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+61393427580
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Fax
61578
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+61393427848
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Email
61578
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[email protected]
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Contact person for public queries
Name
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Finlay Macrae
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Address
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Colorectal Medicine & Genetics
Level 3 Centre, Main Building
300 Grattan Street
The Royal Melbourne Hospital Parkville Victoria 3050
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Country
61579
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Australia
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Phone
61579
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+61393427580
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Fax
61579
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+61393427848
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Email
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[email protected]
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Contact person for scientific queries
Name
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Finlay Macrae
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Address
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Colorectal Medicine & Genetics
Level 3 Centre, Main Building
300 Grattan Street
The Royal Melbourne Hospital Parkville Victoria 3050
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Country
61580
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Australia
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Phone
61580
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+61393427580
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Fax
61580
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+61393427848
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Email
61580
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
It is not planned that IPD sharing will be available publically for this study.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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