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Trial registered on ANZCTR
Registration number
ACTRN12621001593820
Ethics application status
Approved
Date submitted
19/10/2021
Date registered
22/11/2021
Date last updated
14/01/2022
Date data sharing statement initially provided
22/11/2021
Date results provided
22/11/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
Impact of insulin resistance, obesity and the metabolic syndrome on time taken to examine the small bowel at capsule endoscopy
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Scientific title
Impact of insulin resistance, obesity and the metabolic syndrome on small bowel transit time at capsule endoscopy
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Secondary ID [1]
305568
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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:
Diabetes
323982
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Insulin resistance
323983
0
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Metabolic syndrome
323984
0
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Obscure gastrointestinal bleeding
323985
0
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Condition category
Condition code
Oral and Gastrointestinal
321483
321483
0
0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Diet and Nutrition
321484
321484
0
0
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Obesity
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Metabolic and Endocrine
321485
321485
0
0
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Diabetes
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This is an observational study. All patients undergoing video capsule endoscopy that are recruited will have clinical parameters recorded (sex, age, height, weight, waist circumference, blood pressure and body mass index). A fasting blood sample will be collected for insulin, glucose and full lipid profile (total cholesterol, triglycerides, high density lipoprotein (HDL), low density lipoprotein (LDL)). Insulin resistance is to be calculated using the validated HOMA-IR (homeostasis model of assessment of insulin resistance) method. Participants are asked about the relevant past medical history (medically diagnosed diabetes, dyslipidaemia, hypertension, ischaemic heart disease, cerebrovascular disease or peripheral vascular disease) and medications.
The capsule endoscope system takes about 10 minutes to be connected and swallowed. The recorder is worn for 10-12 hours. Data and blood test samples are collected before the capsule endoscopy procedure and this takes about 15 minutes.
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Intervention code [1]
321967
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Not applicable
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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]
329262
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Small intestinal transit time which is measured routinely by the clinician reading the study. The value is accessed from the capsule endoscopy report.
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Assessment method [1]
329262
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Timepoint [1]
329262
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At time of capsule endoscopy
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Secondary outcome [1]
401940
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Gastric transit time which is measured routinely by the clinician reading the study. The value is accessed from the capsule endoscopy report.
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Assessment method [1]
401940
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Timepoint [1]
401940
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At time of capsule endoscopy
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Secondary outcome [2]
401941
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Complete enteroscopy which is measured routinely by the clinician reading the study. The value is accessed from the capsule endoscopy report.
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Assessment method [2]
401941
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Timepoint [2]
401941
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At time of capsule endoscopy
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Eligibility
Key inclusion criteria
All patients being referred for capsule endoscopy
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Minimum age
18
Years
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Maximum age
No limit
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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
Unable to provide informed consent
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Consecutive patients undergoing capsule endoscopy during the study period were recruited. The association between study variables and the outcomes were compared using a one-way analysis of the variance with t-testing. P values of less than or equal to 0.05 were considered significant. A multivariate multiple linear regression model was used to calculate the adjusted means of the clinical outcomes. All determinants with p-values of less than or equal to 0.25 were entered together in the full model of linear regression, and the model was reduced by excluding variables with p-values of greater than or equal to 0.05. Statistical analyses were performed using SAS version 9.00 (SAS Institute Inc., Cary, NC, USA).
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
1/09/2009
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Date of last participant enrolment
Anticipated
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Actual
30/09/2010
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Date of last data collection
Anticipated
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Actual
30/09/2010
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Sample size
Target
150
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Accrual to date
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Final
156
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
20771
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Wollongong Hospital - Wollongong
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Recruitment postcode(s) [1]
35582
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2500 - Wollongong
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Funding & Sponsors
Funding source category [1]
309932
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Hospital
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Name [1]
309932
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Department of Gastroenterology
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Address [1]
309932
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Wollongong Hospital
Loftus St, Wollongong NSW 2500
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Country [1]
309932
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Australia
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Primary sponsor type
Individual
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Name
Dr Milan Bassan
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Address
Department of Gastroenterology
Wollongong Hospital
Loftus St, Wollongong NSW 2500
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Country
Australia
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Secondary sponsor category [1]
310968
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None
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Name [1]
310968
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Address [1]
310968
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Country [1]
310968
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
309651
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University of Wollongong/SE Sydney and Illawara Area Health Service Health and Medical HREC
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Ethics committee address [1]
309651
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Research Services Office University of Wollongong Wollongong, NSW, 2522
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Ethics committee country [1]
309651
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Australia
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Date submitted for ethics approval [1]
309651
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Approval date [1]
309651
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07/08/2009
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Ethics approval number [1]
309651
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HE09/136
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Summary
Brief summary
All patients already referred for capsule endoscopy during the study period over the age of 18 years old and are able to provide informed consent are to be invited to participate in the study. Capsule endoscopy is where a camera and wireless transmitter are packaged in a small, pill shaped device. This is swallowed by the patient and images are recorded as the devices passes through the bowel. These images are then interpreted to help diagnose intestinal disorders. This procedure is usually undertaken to investigate anaemia and obscure gastrointestinal bleeding. Incomplete studies can limit the utility of the study and identification of factors that may impact transit will help identify patients at risk of incomplete examination. Those that do consent will have clinical parameters recorded (sex, age, height, weight, waist circumference, blood pressure and body mass index). A fasting blood sample will be collected for insulin, C-peptide, glucose and full lipid profile (total cholesterol, triglycerides, high density lipoprotein (HDL), low density lipoprotein (LDL)). Insulin resistance is to be calculated using the validated HOMA-IR (homeostasis model of assessment of insulin resistance) method. Participants are asked about the relevant past medical history (medically diagnosed diabetes, dyslipidaemia, hypertension, ischaemic heart disease, cerebrovascular disease or peripheral vascular disease) and medications. At capsule endoscopy gastric emptying and small bowel transit time are recorded as well as whether complete small bowel transit occurs and any pathology encountered. All capsule endoscopy studies will be interpreted by an experienced clinician. Standard capsule endoscopy techniques are to be followed. Patient information is to be de-identified before statistical analysis. No individually identifiable information will be included in the final results.
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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
114906
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Dr Milan Bassan
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Address
114906
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Department of Gastroenterology and Hepatology
Liverpool Hospital
Elizabeth Street
Liverpool 2170
New South Wales
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Country
114906
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Australia
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Phone
114906
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+61 0408911125
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Fax
114906
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+610296017789
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Email
114906
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[email protected]
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Contact person for public queries
Name
114907
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Milan Bassan
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Address
114907
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Department of Gastroenterology and Hepatology
Liverpool Hospital
Elizabeth Street
Liverpool 2170
New South Wales
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Country
114907
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Australia
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Phone
114907
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+61 0296017766
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Fax
114907
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+610296017789
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Email
114907
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[email protected]
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Contact person for scientific queries
Name
114908
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Milan Bassan
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Address
114908
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Department of Gastroenterology and Hepatology
Liverpool Hospital
Elizabeth Street
Liverpool 2170
New South Wales
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Country
114908
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Australia
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Phone
114908
0
+61 0296017766
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Fax
114908
0
+610296017789
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Email
114908
0
[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
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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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