The Utility of Cap Colonoscopy in Increasing Adenoma Detection Rate

NCT01601431 — Not applicable, Terminated, 440 participants, Texas Tech University Health Sciences Center, El Paso

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RegistryNCT01601431
StatusTerminated - Study was inactivated by the IRB since PI left institution.
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: none, diagnostic
Enrollment440 (Actual)
SponsorTexas Tech University Health Sciences Center, El Paso (Other)
ConditionsAdenoma
InterventionsCap Assisted Colonoscopy, Conventional colonoscopy (Device)
Datesstart 2012-03-29, primary completion 2015-02-02, completion 2015-02-02, first posted 2012-05-18, last updated 2018-06-07
Locations1 site in United States

Related Papers Related Patents Related Grants Related Experts
All trials for Adenoma All trials of Cap Assisted Colonoscopy All trials of Conventional colonoscopy

-Summary

This is a research study about the usefulness of transparent cap during screening colonoscopy. The purpose of the research is to test the usefulness of adding small cap to the tip of the colonoscope. the investigators hypothesis is that Cap assisted colonoscopy will improve the detection of adenomatous polyps (polyps which can become colon cancer later on) in comparison to the standard colonoscopy.

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+Detailed description

This is a prospective, randomized trial comparing the adenoma detection rate between Hispanic patients undergoing a screening colonoscopy with a conventional colonoscope or with a cap-assisted colonoscopy. The aims of the study are:

1. Compare ADR between Hispanic patients undergoing a screening colonoscopy with and without cap.
2. Compare the overall polyp detection rate between Hispanic patients undergoing a screening colonoscopy with and without cap.
3. Compare the cecal intubation rate and cecal intubation time between standard colonoscopy and cap assisted colonoscopy.
4. Compare the complication rate between standard colonoscopy and cap assisted colonoscopy.

+Arms and interventions

ArmTypeInterventionsDescription
Cap Assisted ColonoscopyExperimentalDevice: Cap Assisted ColonoscopyCap Assisted Colonoscopy uses a Cap which is a transparent hood which is attached to the distal end of the colonscope and allows depressing the colon folds in order to visualize hidden polyps behind the folds.
Conventional colonoscopyActive comparatorDevice: Conventional colonoscopyA conventional colonoscopy does not use a Cap in order to perform the procedure
  • Cap Assisted Colonoscopy (Device): Plastic transparent cap added to the distal end of the colonoscope which can increase adenoma detection rate
  • Conventional colonoscopy (Device): Regular colonoscopy as per standard clinical guidelines

+Outcome measures

Primary outcomes

  • ADR Differences in Hispanic Patients Undergoing a Screening Colonoscopy With and Without Cap. [1 year]: 1\. Compare ADR between Hispanic patients undergoing a screening colonoscopy with and without cap.

+Eligibility

Sex: All, ages: 18 Years to 80 Years, accepts healthy volunteers

Inclusion Criteria:

* Adult Hispanic patients (18-80) who are undergoing colonoscopy for screening or surveillance purposes.

Exclusion Criteria:

1. Patients younger than 18 yrs old or older than 80 yrs.
2. Patients with a prior history of colonic surgeries
3. Patient with Crohns colitis or ulcerative colitis.
4. Patient with prior history of colon cancer
5. Patient with poor bowel preparation

+Posted results

Participant flow

MilestoneCap Assisted ColonoscopyConventional Colonoscopy
Started223217
Completed211214
Not completed123

Outcome results

  • ADR Differences in Hispanic Patients Undergoing a Screening Colonoscopy With and Without Cap. (Primary), Count of participants, Participants: Cap Assisted Colonoscopy 66; Conventional Colonoscopy 69

Adverse events

ArmDeathsSerious adverse eventsOther adverse events
Cap Assisted Colonoscopy0/211 (0.0%)1/211 (0.5%)0/211 (0.0%)
Conventional Colonoscopy0/214 (0.0%)0/214 (0.0%)0/214 (0.0%)

Serious adverse events by term

TermOrgan systemCap Assisted ColonoscopyConventional Colonoscopy
PerforationGastrointestinal disorders1/2110/214

Limitations and caveats: single center study

+Locations (1)

FacilityCityCountryStatus
Texas Tech University Health Sciences Center at El PasoEl Paso, TexasUnited States

+Investigators