Evaluation of the Efficacy, Safety and Tolerance of Experimental Morning-only MOVIPREP® Bowel Preparation in Comparison With Split-dose With Nocturnal Pause MOVIPREP® Bowel Preparation
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Purpose
Study aim is to assess non-inferiority of the efficacy and to evaluate the tolerability and safety of experimental morning-only MOVIPREP® bowel preparation (full dose in the early morning of the colonoscopy procedure) in comparison with split-dose with nocturnal pause preparation (1/2 of dose in the evening before + 1/2 of dose in the morning of the colonoscopy procedure day).
| Condition | Intervention | Phase |
|---|---|---|
|
Bowel Preparation Prior to Endoscopic, Radiological and Other Examinations as Well as to Surgical Procedures Which Require Empty Bowel. |
Drug: MOVIPREP |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Caregiver) Primary Purpose: Treatment |
| Official Title: | Multicenter Endoscopist-blinded Randomized Parallel-group Comparative Study to Assess Efficacy, Safety and Tolerance of Morning-only Dosing Compared to Control Split-dosing With Nocturnal Pause in MOVIPREP® Bowel Preparation Prior to Colonoscopy |
- To compare the percentage of patients on the morning only regimen arm who have a successful colon cleansing against the proportion of patients on the split dose arm who have a successful colon cleansing. [ Time Frame: 1 day (the day of colonoscopy) ] [ Designated as safety issue: No ]Bowel cleansing defined by blinded endoscopist through visual evaluation of 5 colon segments will be summed up as success or failure. Quality of the cleansing classified on 4-level scale (A=success, all segments clean/all segments scored 4 or 3; B=success, at least 1 segment with remaining liquid/semi-solid amounts of stool, fully removable, at least 1 segment scored 2; C=failure, at least 1 segment with semi-solid or solid amounts of stool, at least 1 segment scored 1; and D=failure, at least 1 segment with irremovable, heavy, hard stools, at least 1 segment scored 0).
- Patient satisfaction of colonoscopy preparation based on verbal response scale (VRS) and visual analogous scale (VAS). [ Time Frame: 1 day (the day of colonoscopy) ] [ Designated as safety issue: No ]Patient satisfaction will be measured on a 4-level verbal response scale which has the following grades - very good, good, acceptable, and unacceptable. Based on a patient mark placed in VRS a patient satisfaction of colonoscopy preparation will be measured.
- Patient satisfaction of colonoscopy preparation (VAS) [ Time Frame: 1 day (the day of colonoscopy) ] [ Designated as safety issue: No ]Patient satisfaction measured on VAS. The VAS is 100 mm long and positioned horizontally. VAS starts from score 0 (Totally unacceptable) which reflects the lowest patient satisfaction of colonoscopy preparation and finishes with the score 100 (Fully acceptable) which shows the highest patient satisfaction with the procedure. Based on a patient mark placed on the VAS a patient satisfaction of colonoscopy preparation will be measured. If the mark is closer to score 0, the less patient satisfaction is and vice versa the mark closer to score 100 means the better patient satisfaction.
- Patient compliance to the treatment. The patient's adherence to a recommended volume of MOVIPREP® to be taken for successful bowel preparation. [ Time Frame: 1 day (the day of colonoscopy) ] [ Designated as safety issue: No ]Amount of Moviprep solution consumed in Litres.
- Patient compliance - additional clear liquid consumed. [ Time Frame: 1 day (the day of colonoscopy) ] [ Designated as safety issue: No ]Amount of additional clear liquid consumed in Litres. To prevent any potential dehydration risk the patients are recommended the intake of at least 500 ml of additional clear liquid (juices without pulp, tea, water) per liter of the MOVIPREP® solution.
- Percentage of patients who experience each treatment-emergent adverse event reported by ≥5% of patients during the study. [ Time Frame: Per Incidence (until the end of colonoscopy procedure) ] [ Designated as safety issue: Yes ]A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug (AE start date ≥ first dose date) and until the end of colonoscopy procedure (AE start date - last dose date ≤ the colonoscopy procedure).
| Enrollment: | 140 |
| Study Start Date: | November 2012 |
| Study Completion Date: | April 2013 |
| Primary Completion Date: | April 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: MOVIPREP (Morning-only dose)
MOVIPREP 250 ml solution every 15 minutes for up to one hour (4 doses in 1 hour=1 litre of solution), twice within same morning of colonoscopy.
|
Drug: MOVIPREP
MOVIPREP solution
|
|
MOVIPREP (Split-dose)
MOVIPREP 250 ml solution every 15 minutes for up to one hour (4 doses in 1 hour=1 litre of solution), once the evening before colonoscopy and once the morning of colonoscopy.
|
Drug: MOVIPREP
MOVIPREP solution
|
Detailed Description:
All subjects enrolled to the study will be allocated to one of two arms. Patients of the experimental morning-only regimen arm will prepare and take MOVIPREP® solution in the full dose - 2 litres of MOVIPREP® preparation in the early morning of the late morning or afternoon colonoscopy clinical procedure. Patients of the standard split-dose regimen arm will prepare and take MOVIPREP® solution in split doses - ½ of dose (1 litre) the evening before + ½ of dose (1 litre) of MOVIPREP® preparation in the morning of the morning or afternoon colonoscopy clinical procedure.
The study consists of three visits:
visit 1 /screening visit 2 /baseline visit 3 /day of colonoscopy
The participation of a patient in the study lasts no more than 11 days; 3 days as minimum.
There is no follow-up period planned except in case of any AEs when the follow-up period will last until the subject has recovered or until all AE-related queries for the subject have been resolved.
Eligibility| Ages Eligible for Study: | 18 Years to 85 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- male or female subjects in the age ≥18 years and ≤85 years
- colonoscopy procedure indicated
- willing to stay in the outpatient clinical site for colonoscopy and questionnaire completion
- willing and able to undergo study-related procedures
- informed consent signed by a patient for participation in the study
- negative pregnancy test in women with childbearing potential and consent for double barrier method birth control for subjects, men and women, during the study
Exclusion Criteria:
- ileus
- suspected colonic tumor with manifestations of intestinal obstruction
- delayed gastric emptying (gastroparesis), weak vomiting reflex, tendency to aspiration and regurgitation
- toxic megacolon which is a result of severe inflammatory conditions of the colon including Crohn's disease and ulcerative colitis
- suspected intestinal perforation or risk of gastrointestinal perforation
- signs of severe intestinal bleeding
- acute inflammatory anal or perianal pathology
- severe concomitant diseases of internal organs
- psychiatric diseases in aggravation stage
- hypersensitivity to polyethylene glycol and/or any component of MOVIPREP® preparation
- phenylketonuria or diagnosed glucose-6-phosphate dehydrogenate deficiency
- unconsciousness
- dehydration
- severe inflammatory diseases
- acute abdominal pain of unknown etiology
- pregnancy and lactation period
- participation in any other clinical study (including studies of experimental devices) in 30 days prior participation in the present trial
- patients who test positive for HIV/AID, RW or HBC
- any condition or circumstance that, in the opinion of the Investigator, would compromise the safety of the subject or the quality of study data
Contacts and Locations| Kazakhstan | |
| Alma Ata, Kazakhstan | |
| Russian Federation | |
| Moscow, Russian Federation | |
| Saint-Petersburg, Russian Federation | |
| Saint-Petersburg,, Russian Federation | |
| Study Director: | Study Director | Nycomed: A Takeda Company |
More Information
No publications provided
| Responsible Party: | Takeda ( Nycomed: A Takeda Company ) |
| ClinicalTrials.gov Identifier: | NCT01732692 History of Changes |
| Other Study ID Numbers: | MV-9999-301-RU, U1111-1135-2011 |
| Study First Received: | October 19, 2012 |
| Last Updated: | June 6, 2013 |
| Health Authority: | Russian Federation: The Ministry of Healthcare of the Russian Federation Republic of Kazakhstan: The Ministry of Healthcare of the Republic of Kazakhstan |
Keywords provided by Takeda:
|
Bowel preparation, MOVIPREP® |
ClinicalTrials.gov processed this record on June 18, 2013