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A Predictive Model for Inadequate Bowel Preparation

NCT03704571 — Not applicable, Completed, 429 participants, Shandong University

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A Predictive Model for Inadequate Bowel Preparation: Development and Validation With a Randomized Controlled Trial

RegistryNCT03704571
StatusCompleted
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: double, other
Enrollment429 (Actual)
SponsorShandong University (Other)
ConditionsBowel Preparation
InterventionsPolyethylene Glycol (Drug)
Datesstart 2018-11-01, primary completion 2019-07-31, completion 2019-08-30, first posted 2018-10-15, last updated 2019-11-01
Locations1 site in China

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-Summary

We aimed to develop a predictive model of inadequate bowel preparation and to further validate it by a randomized controlled trial.

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+Arms and interventions

ArmTypeInterventionsDescription
Tailored GroupExperimentalDrug: Polyethylene GlycolIn the tailored group, high-risk patients are instructed to drink the first 2 L of Polyethylene Glycol (PEG) at 19:00-21:00 hours on the day before colonoscopy at a rate of 250 ml every 15 min. On the day of the procedure, they take another 2 L PEG 4-6 h before colonoscopy. The low-risk patients were given a standard dose of 2 L PEG 4-6 h before colonoscopy.
Control GroupActive comparatorDrug: Polyethylene GlycolIn the control group, all the patients drink single dose of 2 l Polyethylene Glycol (PEG) 4-6 h before colonoscopy at a rate of 250 ml every 15 min.
  • Polyethylene Glycol (Drug): In the Tailored group, high-risk people are given intensified bowel preparation regimens, low-risk people are given routine regimens. In the control group, all the patients are given routine regimens.

+Outcome measures

Primary outcomes

  • Quality of Bowel Preparation [10 months]: The quality of bowel preparation is evaluated using BBPS.

Secondary outcomes

  • Adenoma Detection Rate [10 months]: The proportion of patients from whom at least one adenoma can be detected.
  • Polyp Detection Rate [10 months]: The proportion of patients from whom at least one polyp can be detected.
  • Adverse Events [10 months]: Including nausea, bloating, stomachache, vomiting, vertigo and belching and so on.

+Eligibility

Sex: All, ages: 18 Years to 75 Years

Inclusion Criteria:

* Patients aged 18-75 years undergoing colonoscopy

Exclusion Criteria:

* known or suspected bowel obstruction, stricture or perforation
* compromised swallowing reflex or mental status
* severe chronic renal failure(creatinine clearance < 30 ml/min)
* severe congestive heart failure (New York Heart Association class III or IV)
* uncontrolled hypertension (systolic blood pressure > 170 mm Hg, diastolic blood pressure > 100 mm Hg)
* dehydration
* disturbance of electrolytes
* pregnancy or lactation
* hemodynamically unstable
* unable to give informed consent

+Locations (1)

FacilityCityCountryStatus
Qilu Hospital of Shandong UniversityJinan, ShandongChina

+Investigators

My Notes