PillCam Colon Capsule 2® (PCC2) in the Setting of Colorectal Cancer Screening Program
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Purpose
In this study the investigators evaluate the sensitivity of PCC2 (PillCam Colon Capsule 2 (R)) in identifying significant polyps in a CRC (Colo Recatal Cancer) screening program (primary outcome measure).
Each enrolled patient underwent three procedures: colon capsule endoscopy, CT-colonography and optical colonoscopy. In this study the reference standard is represented by the segmental unblinded colonoscopy (the unblinding is based on results of both capsule endoscopy and Ct colonography) The investigators also evaluated the tolerability of PCC2 as compared to optical colonoscopy (OC) and CT-colonography (CTC).
| Condition | Intervention |
|---|---|
|
Colon Cancer |
Device: Capsule colonoscopy; |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Diagnostic |
| Official Title: | PillCam Colon Capsule 2® (PCC2) in the Setting of Colorectal Cancer Screening (CRC) Program: Comparison With a New Integrated Reference Standard |
- Sensitivity of PillCam Colon Capsule 2 (R) in identifying significant colonic polyps [ Time Frame: participants are followed for about 1 month ] [ Designated as safety issue: No ]The number, size and location of significant polyps (>6mm) identified by each procedure were compared with the reference standard (RS), which was represented by the segmental unblinded colonoscopy.
- to evaluate the tolerability of PCC2 as compared to optical colonoscopy (OC) and CT-colonography (CTC). [ Time Frame: participants are followed for about 1 month ] [ Designated as safety issue: No ]In order to evaluate the tolerability, each subject was asked to identify, among the 3 procedures performed, which was the less tolerated one and which one he would be willing to repeat.
| Estimated Enrollment: | 35 |
| Study Start Date: | March 2011 |
| Estimated Study Completion Date: | April 2013 |
| Estimated Primary Completion Date: | April 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Diagnosis of CRC
All the patients enrolled received all the 3 procedures: capsule colonoscopy; CT-colonography and optical colonoscopy.
|
Device: Capsule colonoscopy;
All the enrolled patients underwent all the three study procedures; the colon capsule is the intervention under evaluation; the other 2 procedures (Ct colonography and optcal colonoscopy contribute to build the composite reference standard)
Other Name: Capsule colonoscopy: PillCam Coln Capsule 2
|
Detailed Description:
Asymptomatic average risk subjects with positive iFOBT (immunochemical Fecal Occult Blood Test), participating the regional screening program, were offered to undergo PCC2 (PillCam Colon Capsule 2 (R)) followed, 21 days later, by CTC and OC performed on the same day. The number, size and location of significant polyps (>6mm) identified by each procedure were compared with the reference standard (RS), which was represented by the segmental unblinded colonoscopy. The unblinding was based on the integration of CTC and PCC2 results. For the PPC2 the quality of the bowel preparation (adequate/inadequate) and the completeness of the examination (capsule excreted still working or visualization of the anal verge) were also reported. In order to evaluate the tolerability, each subject was asked to identify, among the 3 procedures performed, which was the less tolerated one and which one he would be willing to repeat.
Eligibility| Ages Eligible for Study: | 50 Years to 85 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- asymptomatic average risk subjects, participating the regional colon cancer screening program, with positive iFOBT referred for colonoscopy
Exclusion Criteria:
- presence of obstructive symptoms
- swallowing disorders
- presence of cardiac pacemaker
Contacts and Locations| Italy | |
| Ospedale Valduce | Recruiting |
| Como, Italy, 22100 | |
| Contact: Giancarlo Spinzi, MD 0039031324145 gispinz@tin.it | |
| Principal Investigator: Giancarlo Spinzi, MD | |
| Sub-Investigator: Emanuele Rondonotti, MD | |
| Sub-Investigator: Vittorio Terruzzi | |
| Sub-Investigator: Franco Radaelli | |
| Principal Investigator: Silvia Paggi | |
| Sub-Investigator: Arnaldo Amato | |
| Sub-Investigator: Giovanna Mandelli | |
| Principal Investigator: Natalia Terreni | |
| Sub-Investigator: Lenoci Nicoletta | |
| Sub-Investigator: Gianni Imperiali | |
| Sub-Investigator: Claudia Borghi | |
| Sub-Investigator: Alberto Martegani | |
| Principal Investigator: | Giancarlo Spinzi | Gastroenterology Unit; Ospedale Valduce |
More Information
No publications provided
| Responsible Party: | Emanuele Rondonotti, MD, PhD, Valduce Hospital |
| ClinicalTrials.gov Identifier: | NCT01744509 History of Changes |
| Other Study ID Numbers: | 25-2011 |
| Study First Received: | December 3, 2012 |
| Last Updated: | December 5, 2012 |
| Health Authority: | Italy: Ethics Committee |
Additional relevant MeSH terms:
|
Colonic Neoplasms Colorectal Neoplasms Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site |
Neoplasms Digestive System Diseases Gastrointestinal Diseases Colonic Diseases Intestinal Diseases Rectal Diseases |
ClinicalTrials.gov processed this record on May 23, 2013