Trial Outcomes & Findings for Efficacy of Lubiprostone in Combination With Standard PEG Preparation (NCT NCT00689026)

NCT ID: NCT00689026

Last Updated: 2014-10-20

Results Overview

The quality of colonoscopy preparations as rated by blinded colonoscopists on a 5-point Likert Scale where 1=excellent, 2=good, 3=fair, 4=poor, 5=inadequate. It was expected that at least 100 patients would complete the trial.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

60 participants

Primary outcome timeframe

The outcome was measured at the completion of the colonscopy procedure. Average time to completion two hours

Results posted on

2014-10-20

Participant Flow

Study participation was offered to all adult-onset diabetic outpatients 50 and over who were referred to the Gastroenterology clinic at the Medical College of Georgia in Augusta, Georgia for a screening colonoscopy from July, 2008 to March, 2010.

Participant milestones

Participant milestones
Measure
Experimental
Experimental group received one dose of polyethylene glycol electrolyte (PEG) and one does of lubiprostone two hours prior to and two hours after PED completion on the evening prior to the colonoscopy.
Control
Control group received the standard treatment of polyethylene glycol electrolytes the evening prior to the colonoscopy.
Overall Study
STARTED
30
30
Overall Study
COMPLETED
17
24
Overall Study
NOT COMPLETED
13
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Experimental
Experimental group received one dose of polyethylene glycol electrolyte (PEG) and one does of lubiprostone two hours prior to and two hours after PED completion on the evening prior to the colonoscopy.
Control
Control group received the standard treatment of polyethylene glycol electrolytes the evening prior to the colonoscopy.
Overall Study
Withdrawal by Subject
13
6

Baseline Characteristics

Efficacy of Lubiprostone in Combination With Standard PEG Preparation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental
n=30 Participants
PEG plus lubiprostone colon cleansing
Control
n=30 Participants
PEG colon cleansing
Total
n=60 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
30 Participants
n=99 Participants
30 Participants
n=107 Participants
60 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Continuous
55 years
STANDARD_DEVIATION 7 • n=99 Participants
62 years
STANDARD_DEVIATION 8 • n=107 Participants
58.5 years
STANDARD_DEVIATION 8 • n=206 Participants
Sex: Female, Male
Female
18 Participants
n=99 Participants
17 Participants
n=107 Participants
35 Participants
n=206 Participants
Sex: Female, Male
Male
12 Participants
n=99 Participants
13 Participants
n=107 Participants
25 Participants
n=206 Participants
Region of Enrollment
United States
30 participants
n=99 Participants
30 participants
n=107 Participants
60 participants
n=206 Participants

PRIMARY outcome

Timeframe: The outcome was measured at the completion of the colonscopy procedure. Average time to completion two hours

Population: 13 patients were excluded from the Experimental Arm (12 cancelled their appointment and 1 did not complete the prep) and 6 were excluded from the Control Arm (5 cancelled their procedure and 1 withdrew from the trial) therefore results were analyzed and compared using the chi-square statistics-Validated Aronchik colonoscopy cleansing grading scale.

The quality of colonoscopy preparations as rated by blinded colonoscopists on a 5-point Likert Scale where 1=excellent, 2=good, 3=fair, 4=poor, 5=inadequate. It was expected that at least 100 patients would complete the trial.

Outcome measures

Outcome measures
Measure
Experimental
n=17 Participants
Lubiprostone: Two 24 mcg lubiprostone capsules, which will be taken orally the morning and evening of the day of the 4 Liters PEG prep (before and after the 4 Liters PEG prep).
Control
n=24 Participants
All patients in the control will receive a standard oral 4 Liters PEG colonoscopy preparation the evening prior to their scheduled colonoscopy.
The Percentage of Patients That Received a Quality of Colonoscopy Preparation Rating of <=2 on a 5 Point Likert Scale.
47 percentage of patients
25 percentage of patients

Adverse Events

Treatment

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Treatment
n=17 participants at risk
Patients who were given a two doses of lubiprostone with the PEG colon cleansing solution on the day prior the recorded colonoscopy for cleansing grading
Control
n=24 participants at risk
Patients received a standard oral 4 Liters PEG colonoscopy preparation the evening prior to their scheduled colonoscopy
Cardiac disorders
Atrial Fibrillation
5.9%
1/17 • Number of events 1 • 1 year
0.00%
0/24 • 1 year

Additional Information

Dr. Sherman M. Chamberlain, Professor of Medicine

Georgia Regent University

Phone: 706-721-2238

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place