Comparison Between Chromoendoscopy and Conventional Colonoscopy to Improve the Detection of Neoplasia in Patients With Ulcerative Colitis (UC)
Recruitment status was Recruiting
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Purpose
The primary endpoint of the study will be to compare the accuracy of two procedures (FICE with target biopsies only, versus conventional white light colonoscopy with recommended targeted and random biopsies) in the endoscopic surveillance of patient with long-standing UC. Accuracy will be measured based on the number of patients with confirmed neoplasia using each technique. The combined histological outcome following the two procedures will represent the gold-standard diagnosis for each patient. Secondary outcomes will be the number of patients with false-positive findings, the number of neoplastic lesions detected, the number of false-positive lesions per patient for each technique and the total time required for each procedure.
| Condition | Intervention |
|---|---|
|
Ulcerative Colitis |
Device: conventional white light colonoscopy Device: FICE (Fujinon Intelligent Chromoendoscopy) |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Crossover Assignment Masking: Open Label Primary Purpose: Diagnostic |
| Official Title: | Comparaison de la Chromo Endoscopie Virtuelle FICE (Fujinon Intelligent Chromoendoscopy) Avec la Coloscopie Conventionnelle Dans la détection de la Dysplasie Chez Patients Porteurs de Recto Colite ulcéro hémorragique (RCH). |
- The primary endpoint of the study will be to compare the accuracy of two procedures (FICE with target biopsies only, versus conventional white light colonoscopy) [ Time Frame: 3 months between FICE and Conventional white light colonoscopy ] [ Designated as safety issue: Yes ]
- The goal is to detect more and earlier neoplastic lesions in order to influence patient management in terms of treatment (potential colectomy) and surveillance. [ Time Frame: 3 months between FICE and Conventional white light colonoscopy ] [ Designated as safety issue: Yes ]
- To quantify the number of true positive and false positive lesions by comparing the number of targeted biopsies performed for suspicious lesions and the resulting histological findings. [ Time Frame: 3 months between FICE and Conventional white light colonoscopy ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 80 |
| Study Start Date: | October 2008 |
| Estimated Study Completion Date: | October 2010 |
| Estimated Primary Completion Date: | October 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: A
Conventional white light colonoscopy
|
Device: conventional white light colonoscopy
conventional white light colonoscopy
|
|
Experimental: B
Chromoendoscopy
|
Device: FICE (Fujinon Intelligent Chromoendoscopy)
chromoendoscopy
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Clinically and histologically verified UC
- Disease duration ≥ 8 years
- A Mayo score ≤ 8 with an endoscopic sub score ≤ 2
- CPAM affiliation
- Able to give written informed consent to participate in the study
Exclusion Criteria:
- Known intraepithelial neoplasia or colorectal cancer or any other active malignancy
- Previous colo-rectal surgery
- Non-treatable coagulopathy or hemostatic dysfunction (prothrombin index < 50% of control or/and partial thromboplastin time > 50 seconds and/or thrombopenia < 60000 / mm3)
- Pregnancy
- Inability to give informed consent
Contacts and Locations| Contact: Geoffrey VANBIERVLIET, PH | vanbiervliet.g@chu-nice.fr |
| France | |
| Departement d'Endoscopie digestive - Hopital Archet 2, CHU de Nice | Recruiting |
| Nice, France, 06202 | |
| Contact: Cynthia GIRAN 0492034589 giran.c@chu-nice.fr | |
| Contact: Djedjiga NAUDIN 0492035481 naudin.d@chu-nice.fr | |
| Principal Investigator: | Geoffrey VANBIERVLIET, PH | Departement d'Endoscopie digestive, CHU de Nice |
More Information
No publications provided
| Responsible Party: | Departement de la Recherche Clinique et de l'Innovation, CHU de Nice |
| ClinicalTrials.gov Identifier: | NCT00816491 History of Changes |
| Other Study ID Numbers: | 08-PP-06 |
| Study First Received: | December 31, 2008 |
| Last Updated: | January 15, 2009 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) France: French Data Protection Authority France: Institutional Ethical Committee France: Ministry of Health |
Keywords provided by Centre Hospitalier Universitaire de Nice:
|
patient with long-standing UC |
Additional relevant MeSH terms:
|
Colitis Colitis, Ulcerative Ulcer Gastroenteritis Gastrointestinal Diseases |
Digestive System Diseases Colonic Diseases Intestinal Diseases Inflammatory Bowel Diseases Pathologic Processes |
ClinicalTrials.gov processed this record on May 19, 2013