Trial Outcomes & Findings for A Study Comparing the Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid Oral Solution With PREPOPIK® for Colon Cleansing in Preparation for Colonoscopy (NCT NCT03017235)

NCT ID: NCT03017235

Last Updated: 2018-11-14

Results Overview

The efficacy of overall colon cleansing in terms of responders was measured by a blinded endoscopist using the Modified Aronchick Scale. Modified Aronchick scale is a 4-point scale that grades colon cleansing as Excellent (\>90% of mucosa seen, mostly liquid stool, minimal suctioning needed for adequate visualization), Good (\>90% of mucosa seen, mostly liquid stool, significant suctioning needed for adequate visualization), Fair (\>90% of mucosa seen, mixture of liquid and semisolid stool, could be suctioned and/or washed) or Inadequate (\<90% of mucosa seen, mixture of semisolid and solid stool which could not be suctioned or washed).The participant is considered to be a responder if overall colon cleansing is "excellent" or "good" on this 4-point scale.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

917 participants

Primary outcome timeframe

During colonoscopy procedure (5-9 hours after completed treatment)

Results posted on

2018-11-14

Participant Flow

Participant milestones

Participant milestones
Measure
NaP/MC Oral Solution
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration. Split dose regimen: Subjects began treatment (first dose) the evening before colonoscopy between 5:00 PM and 9:00 PM, and completed treatment (second dose) the following day, at least 5 hours, but no more than 9 hours, prior to the colonoscopy.
PREPOPIK®
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Split dose regimen :Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes. Subjects began treatment (first dose) the evening before colonoscopy between 5:00 PM and 9:00 PM, and completed treatment (second dose) the following day, at least 5 hours, but no more than 9 hours, prior to the colonoscopy.
Overall Study
STARTED
456
461
Overall Study
COMPLETED
444
447
Overall Study
NOT COMPLETED
12
14

Reasons for withdrawal

Reasons for withdrawal
Measure
NaP/MC Oral Solution
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration. Split dose regimen: Subjects began treatment (first dose) the evening before colonoscopy between 5:00 PM and 9:00 PM, and completed treatment (second dose) the following day, at least 5 hours, but no more than 9 hours, prior to the colonoscopy.
PREPOPIK®
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Split dose regimen :Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes. Subjects began treatment (first dose) the evening before colonoscopy between 5:00 PM and 9:00 PM, and completed treatment (second dose) the following day, at least 5 hours, but no more than 9 hours, prior to the colonoscopy.
Overall Study
Withdrawal by Subject
4
3
Overall Study
Lost to Follow-up
2
7
Overall Study
Adverse Event
0
1
Overall Study
Protocol Violation
2
1
Overall Study
Cancer, emergency, allergy, active UTI
4
2

Baseline Characteristics

A Study Comparing the Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid Oral Solution With PREPOPIK® for Colon Cleansing in Preparation for Colonoscopy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid Oral Solution: Supplied as ready-to-drink without further reconstitution before administration
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Total
n=901 Participants
Total of all reporting groups
Age, Continuous
57.2 Years
STANDARD_DEVIATION 11.04 • n=99 Participants
57.1 Years
STANDARD_DEVIATION 10.85 • n=107 Participants
57.2 Years
STANDARD_DEVIATION 10.94 • n=206 Participants
Sex: Female, Male
Female
252 Participants
n=99 Participants
250 Participants
n=107 Participants
502 Participants
n=206 Participants
Sex: Female, Male
Male
196 Participants
n=99 Participants
203 Participants
n=107 Participants
399 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
68 Participants
n=99 Participants
71 Participants
n=107 Participants
139 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
380 Participants
n=99 Participants
381 Participants
n=107 Participants
761 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Asian
13 Participants
n=99 Participants
5 Participants
n=107 Participants
18 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
49 Participants
n=99 Participants
41 Participants
n=107 Participants
90 Participants
n=206 Participants
Race (NIH/OMB)
White
376 Participants
n=99 Participants
394 Participants
n=107 Participants
770 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=99 Participants
2 Participants
n=107 Participants
4 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
7 Participants
n=99 Participants
9 Participants
n=107 Participants
16 Participants
n=206 Participants
Child-bearing potential
Child bearing potential
252 Participants
n=99 Participants
250 Participants
n=107 Participants
502 Participants
n=206 Participants
Child-bearing potential
Yes
49 Participants
n=99 Participants
47 Participants
n=107 Participants
96 Participants
n=206 Participants
Child-bearing potential
No
203 Participants
n=99 Participants
203 Participants
n=107 Participants
406 Participants
n=206 Participants

PRIMARY outcome

Timeframe: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The primary efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

The efficacy of overall colon cleansing in terms of responders was measured by a blinded endoscopist using the Modified Aronchick Scale. Modified Aronchick scale is a 4-point scale that grades colon cleansing as Excellent (\>90% of mucosa seen, mostly liquid stool, minimal suctioning needed for adequate visualization), Good (\>90% of mucosa seen, mostly liquid stool, significant suctioning needed for adequate visualization), Fair (\>90% of mucosa seen, mixture of liquid and semisolid stool, could be suctioned and/or washed) or Inadequate (\<90% of mucosa seen, mixture of semisolid and solid stool which could not be suctioned or washed).The participant is considered to be a responder if overall colon cleansing is "excellent" or "good" on this 4-point scale.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Percentage of Subjects Classified as a Responder Defined by "Excellent" or "Good"
87.7 Percentage of participants
Interval 84.3 to 90.6
81.5 Percentage of participants
Interval 77.6 to 84.9

SECONDARY outcome

Timeframe: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

The percentage of subjects classified as responders, defined by a Boston Bowel Preparation Scale (BBPS) score ≥2 in the right segment of the colon was determined. The BBPS scale: 0= Unprepared colon segment with mucosa not seen due to solid stool that cannot be cleared; 1= Portion of mucosa of the colon segment seen, but other areas of the colon segment not well seen due to staining, residual stool, and/or opaque liquid; 2= Minor amount of residual staining, small fragments of stool and/or opaque liquid, but mucosa of colon segment seen well; 3= Entire mucosa of colon segment seen well with no residual staining, small fragments of stool or opaque liquid.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Percentage of Subjects Classified as a Responder Defined by a Score ≥2 in the Right Segment of the Colon
94.2 Percentage of subjects
Interval 91.6 to 96.2
89.6 Percentage of subjects
Interval 86.4 to 92.3

SECONDARY outcome

Timeframe: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

The percentage of subjects classified as responders, defined by a Boston Bowel Preparation Scale (BBPS) score ≥2 in the transverse segment of the colon was determined. The BBPS scale: 0= Unprepared colon segment with mucosa not seen due to solid stool that cannot be cleared; 1= Portion of mucosa of the colon segment seen, but other areas of the colon segment not well seen due to staining, residual stool, and/or opaque liquid; 2= Minor amount of residual staining, small fragments of stool and/or opaque liquid, but mucosa of colon segment seen well; 3= Entire mucosa of colon segment seen well with no residual staining, small fragments of stool or opaque liquid.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Percentage of Subjects Classified as a Responder Defined by a Score ≥2 in the Transverse Segment of the Colon
96.0 Percentage of subjects
Interval 93.7 to 97.6
94.0 Percentage of subjects
Interval 91.4 to 96.0

SECONDARY outcome

Timeframe: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

The percentage of subjects classified as responders, defined by a Boston Bowel Preparation Scale (BBPS) score ≥2 in the left segment of the colon was determined. The BBPS scale: 0= Unprepared colon segment with mucosa not seen due to solid stool that cannot be cleared; 1= Portion of mucosa of the colon segment seen, but other areas of the colon segment not well seen due to staining, residual stool, and/or opaque liquid; 2= Minor amount of residual staining, small fragments of stool and/or opaque liquid, but mucosa of colon segment seen well; 3= Entire mucosa of colon segment seen well with no residual staining, small fragments of stool or opaque liquid.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Percentage of Subjects Classified as a Responder Defined by a Score ≥2 in the Left Segment of the Colon
94.6 Percentage of subjects
Interval 92.1 to 96.5
91.2 Percentage of subjects
Interval 88.2 to 93.6

SECONDARY outcome

Timeframe: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Frequency of Each Category on the Subject Tolerability Questionnaire (How Many Bowel Movements Did You Have in the Week Prior to Starting Colon Preparation?)
≤3/week
63 Participants
47 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Many Bowel Movements Did You Have in the Week Prior to Starting Colon Preparation?)
4 to 8/week
264 Participants
299 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Many Bowel Movements Did You Have in the Week Prior to Starting Colon Preparation?)
≥9/week
120 Participants
105 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Many Bowel Movements Did You Have in the Week Prior to Starting Colon Preparation?)
Response not provided
0 Participants
1 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Many Bowel Movements Did You Have in the Week Prior to Starting Colon Preparation?)
Not applicable
1 Participants
1 Participants

SECONDARY outcome

Timeframe: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Frequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)
<25%
443 Participants
448 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)
25% - 50%
1 Participants
1 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)
50% - 75%
0 Participants
2 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)
≥75%
1 Participants
0 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)
Response not provided
2 Participants
1 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)
Not applicable
1 Participants
1 Participants

SECONDARY outcome

Timeframe: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Frequency of Each Category on the Subject Tolerability Questionnaire (Was the Bowel Preparation Tolerable?)
Easy to acceptable
400 Participants
433 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (Was the Bowel Preparation Tolerable?)
Somewhat difficult
41 Participants
17 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (Was the Bowel Preparation Tolerable?)
Very difficult
4 Participants
1 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (Was the Bowel Preparation Tolerable?)
Unacceptable
2 Participants
1 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (Was the Bowel Preparation Tolerable?)
Not applicable
1 Participants
1 Participants

SECONDARY outcome

Timeframe: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Frequency of Each Category on the Subject Tolerability Questionnaire (How Willing Are You to Use This Preparation in the Future?)
Somewhat willing
75 Participants
38 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Willing Are You to Use This Preparation in the Future?)
Not willing at all
11 Participants
6 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Willing Are You to Use This Preparation in the Future?)
Mostly willing
361 Participants
408 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Willing Are You to Use This Preparation in the Future?)
Not applicable
1 Participants
1 Participants

SECONDARY outcome

Timeframe: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure. Subjects in response to questions could provide multiple response if applicable.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Frequency of Each Category on the Subject Tolerability Questionnaire (If Difficulties Existed, Were They Due to Your Current Health Status?)
Yes
11 Participants
8 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (If Difficulties Existed, Were They Due to Your Current Health Status?)
No
104 Participants
93 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (If Difficulties Existed, Were They Due to Your Current Health Status?)
No difficulties
310 Participants
320 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (If Difficulties Existed, Were They Due to Your Current Health Status?)
No health issues
84 Participants
109 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (If Difficulties Existed, Were They Due to Your Current Health Status?)
Response not provided
0 Participants
3 Participants

SECONDARY outcome

Timeframe: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bad Taste in Mouth?)
Not bothered-Mildly bothered
371 Participants
426 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bad Taste in Mouth?)
Moderately bothered
63 Participants
22 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bad Taste in Mouth?)
Severely bothered
11 Participants
2 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bad Taste in Mouth?)
No response
1 Participants
3 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bad Taste in Mouth?)
Not applicable
2 Participants
0 Participants

SECONDARY outcome

Timeframe: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Gastric Fullness?)
Not bothered-Mildly bothered
382 Participants
387 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Gastric Fullness?)
Moderately bothered
53 Participants
57 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Gastric Fullness?)
Severely bothered
10 Participants
6 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Gastric Fullness?)
No response
2 Participants
3 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Gastric Fullness?)
Not applicable
1 Participants
0 Participants

SECONDARY outcome

Timeframe: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Lack of Sleep From Excessive Bathroom Trips?)
Not bothered-Mildly bothered
335 Participants
328 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Lack of Sleep From Excessive Bathroom Trips?)
Moderately bothered
86 Participants
85 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Lack of Sleep From Excessive Bathroom Trips?)
Severely bothered
25 Participants
37 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Lack of Sleep From Excessive Bathroom Trips?)
No response
1 Participants
3 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Lack of Sleep From Excessive Bathroom Trips?)
Not applicable
1 Participants
0 Participants

SECONDARY outcome

Timeframe: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Nausea, Vomiting?)
Not bothered-Mildly bothered
416 Participants
435 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Nausea, Vomiting?)
Moderately bothered
23 Participants
11 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Nausea, Vomiting?)
Severely bothered
6 Participants
2 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Nausea, Vomiting?)
No response
2 Participants
4 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Nausea, Vomiting?)
Not applicable
1 Participants
0 Participants

SECONDARY outcome

Timeframe: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bloating/Abdominal Distension/Gas?)
Not bothered-Mildly bothered
403 Participants
402 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bloating/Abdominal Distension/Gas?)
Moderately bothered
35 Participants
40 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bloating/Abdominal Distension/Gas?)
Severely bothered
7 Participants
6 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bloating/Abdominal Distension/Gas?)
No response
2 Participants
4 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bloating/Abdominal Distension/Gas?)
Not applicable
1 Participants
1 Participants

SECONDARY outcome

Timeframe: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Abdominal Pain/Cramps?)
Not bothered-Mildly bothered
427 Participants
432 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Abdominal Pain/Cramps?)
Moderately bothered
15 Participants
15 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Abdominal Pain/Cramps?)
Severely bothered
3 Participants
3 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Abdominal Pain/Cramps?)
No response
1 Participants
2 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Abdominal Pain/Cramps?)
Not applicable
2 Participants
1 Participants

SECONDARY outcome

Timeframe: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Headache?)
Not bothered-Mildly bothered
396 Participants
396 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Headache?)
Moderately bothered
38 Participants
47 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Headache?)
Severely bothered
13 Participants
7 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Headache?)
No response
0 Participants
2 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Headache?)
Not applicable
1 Participants
1 Participants

SECONDARY outcome

Timeframe: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Frequency of Each Category on the Subject Tolerability Questionnaire (Was This Your First Colonoscopy?)
No
261 Participants
281 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (Was This Your First Colonoscopy?)
Yes
185 Participants
171 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (Was This Your First Colonoscopy?)
Response not provided
1 Participants
2 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (Was This Your First Colonoscopy?)
Not applicable
1 Participants
0 Participants

SECONDARY outcome

Timeframe: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Frequency of Each Category on the Subject Tolerability Questionnaire (Previous Bowel Preparation)
GoLytely
56 Participants
52 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (Previous Bowel Preparation)
Moviprep
14 Participants
17 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (Previous Bowel Preparation)
MiraLax
20 Participants
20 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (Previous Bowel Preparation)
Other
34 Participants
39 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (Previous Bowel Preparation)
Do not remember
137 Participants
53 Participants

SECONDARY outcome

Timeframe: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Frequency of Each Category on the Subject Tolerability Questionnaire (Tolerability Compared to Previous Bowel Prepreparations)
Better than before
190 Participants
209 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (Tolerability Compared to Previous Bowel Prepreparations)
Worse than before
5 Participants
5 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (Tolerability Compared to Previous Bowel Prepreparations)
About the same as before
62 Participants
67 Participants
Frequency of Each Category on the Subject Tolerability Questionnaire (Tolerability Compared to Previous Bowel Prepreparations)
Response not provided
4 Participants
0 Participants

SECONDARY outcome

Timeframe: From baseline (screening) up to day 28 after colonoscopy

Population: The Safety analysis set comprised all subjects who received any amount of study medication. The Safety analysis set was analyzed according to the actual treatment received

Collected as any AE that begins during the treatment period defined as the period during which a subject receives IMP. All endoscopy findings were reported as AEs while cancers/malignancies detected on endoscopy were reported as SAEs.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Percentage of Treatment-emergent Adverse Events(AEs)
84.4 Percentage of adverse events
84.8 Percentage of adverse events

SECONDARY outcome

Timeframe: From baseline (screening) up to day 28 after colonoscopy

Population: The Safety analysis set comprised all subjects who received any amount of study medication. The Safety analysis set was analyzed according to the actual treatment received

Blood pressure and pulse will be measured after at least 5 minutes of rest in supine position and after 3 minutes in standing position

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Clinically Significant Changes in Vital Signs
Hypertension
0 Participants
4 Participants
Clinically Significant Changes in Vital Signs
Orthostatic hypotension
1 Participants
2 Participants
Clinically Significant Changes in Vital Signs
Blood pressure increased
2 Participants
0 Participants
Clinically Significant Changes in Vital Signs
Hypotension
1 Participants
1 Participants

SECONDARY outcome

Timeframe: At baseline (screening), on the day of colonoscopy, 1-2 days after colonoscopy, 7 days after colonoscopy and 28 days after colonoscopy

Population: The Safety analysis set comprised all subjects who received any amount of study medication. The Safety analysis set was analyzed according to the actual treatment received

Measured by standard 12-lead ECG. At each visit when an ECG was done, the investigator reviewed and initialed the tracing, which was then stored with the subject's source documents. The baseline ECG performed at the Screening Visit was reviewed for major abnormalities before dosing.

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Clinically Significant Changes in Electrocardiogram (ECG)
Bradycardia
3 Participants
0 Participants
Clinically Significant Changes in Electrocardiogram (ECG)
Bundle branch block left
0 Participants
2 Participants
Clinically Significant Changes in Electrocardiogram (ECG)
Extrasystoles
0 Participants
2 Participants
Clinically Significant Changes in Electrocardiogram (ECG)
Ventricular extrasystoles
2 Participants
0 Participants
Clinically Significant Changes in Electrocardiogram (ECG)
Atrial fibrillation
1 Participants
0 Participants
Clinically Significant Changes in Electrocardiogram (ECG)
Bundle branch block right
1 Participants
0 Participants
Clinically Significant Changes in Electrocardiogram (ECG)
Palpitations
1 Participants
0 Participants
Clinically Significant Changes in Electrocardiogram (ECG)
Sinus bradycardia
0 Participants
1 Participants
Clinically Significant Changes in Electrocardiogram (ECG)
Tachycardia
0 Participants
1 Participants
Clinically Significant Changes in Electrocardiogram (ECG)
Cardiac murmur
1 Participants
0 Participants

SECONDARY outcome

Timeframe: At baseline (screening), on the day of colonoscopy, 1-2 days after colonoscopy, 7 days after colonoscopy and 28 days after colonoscopy

Population: The Safety analysis set comprised all subjects who received any amount of study medication. The Safety analysis set was analyzed according to the actual treatment received.

Rated by the investigator based on out of range laboratory values

Outcome measures

Outcome measures
Measure
NaP/MC Oral Solution
n=448 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles, per subject without further reconstitution, before administration.
PREPOPIK®
n=453 Participants
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Clinically Significant Changes in Laboratory Values
Hematology: Anaemia
1 Participants
1 Participants
Clinically Significant Changes in Laboratory Values
Clinical chemistry: Blood potassium decreased
1 Participants
0 Participants
Clinically Significant Changes in Laboratory Values
Clinical chemistry: Hypochloraemia
0 Participants
1 Participants
Clinically Significant Changes in Laboratory Values
Hematology: Leukopenia
1 Participants
0 Participants
Clinically Significant Changes in Laboratory Values
Hematology: Lymphocytosis
0 Participants
1 Participants
Clinically Significant Changes in Laboratory Values
Hematology: Neutropenia
1 Participants
0 Participants
Clinically Significant Changes in Laboratory Values
Hematology: Normocytic anaemia
1 Participants
0 Participants
Clinically Significant Changes in Laboratory Values
Hemotology: Platelet count decreased
0 Participants
1 Participants
Clinically Significant Changes in Laboratory Values
Clinical Chemistry: Hypermagnesaemia
9 Participants
23 Participants
Clinically Significant Changes in Laboratory Values
Clinical chemistry:Blood bicarbonate decreased
6 Participants
3 Participants
Clinically Significant Changes in Laboratory Values
Clinical chemistry: Hypokalemia
4 Participants
0 Participants
Clinically Significant Changes in Laboratory Values
Clinical chemistry: Hyperglycaemia
2 Participants
1 Participants
Clinically Significant Changes in Laboratory Values
Clinical chemistry: Hypoglycaemia
3 Participants
0 Participants
Clinically Significant Changes in Laboratory Values
Clinical chemistry: Hyperkalaemia
0 Participants
2 Participants
Clinically Significant Changes in Laboratory Values
Clinical chemistry: Hypomagnasaemia
2 Participants
0 Participants
Clinically Significant Changes in Laboratory Values
Clinical chemistry: Blood creatinine increased
0 Participants
1 Participants
Clinically Significant Changes in Laboratory Values
Clinical chemistry: Hyperbilirubinaemia
0 Participants
1 Participants
Clinically Significant Changes in Laboratory Values
Urinalysis
0 Participants
0 Participants

Adverse Events

NaP/MC Oral Solution

Serious events: 9 serious events
Other events: 378 other events
Deaths: 0 deaths

PREPOPIK®

Serious events: 6 serious events
Other events: 384 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
NaP/MC Oral Solution
n=448 participants at risk
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles per subject without further reconstitution before administration.
PREPOPIK®
n=453 participants at risk
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Cardiac disorders
Atrial fibrillation
0.22%
1/448 • Number of events 1 • From baseline (screening) upto 28 days after colonoscopy.
0.00%
0/453 • From baseline (screening) upto 28 days after colonoscopy.
Gastrointestinal disorders
Ascites
0.22%
1/448 • Number of events 1 • From baseline (screening) upto 28 days after colonoscopy.
0.00%
0/453 • From baseline (screening) upto 28 days after colonoscopy.
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.00%
0/448 • From baseline (screening) upto 28 days after colonoscopy.
0.22%
1/453 • Number of events 1 • From baseline (screening) upto 28 days after colonoscopy.
Infections and infestations
Influenza
0.00%
0/448 • From baseline (screening) upto 28 days after colonoscopy.
0.22%
1/453 • Number of events 1 • From baseline (screening) upto 28 days after colonoscopy.
Injury, poisoning and procedural complications
Post procedural haemorrhage
0.22%
1/448 • Number of events 1 • From baseline (screening) upto 28 days after colonoscopy.
0.00%
0/453 • From baseline (screening) upto 28 days after colonoscopy.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adenocarcinoma of colon
0.89%
4/448 • Number of events 4 • From baseline (screening) upto 28 days after colonoscopy.
0.00%
0/453 • From baseline (screening) upto 28 days after colonoscopy.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rectal adenocarcinoma
0.45%
2/448 • Number of events 2 • From baseline (screening) upto 28 days after colonoscopy.
0.22%
1/453 • Number of events 1 • From baseline (screening) upto 28 days after colonoscopy.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
0.00%
0/448 • From baseline (screening) upto 28 days after colonoscopy.
0.22%
1/453 • Number of events 1 • From baseline (screening) upto 28 days after colonoscopy.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer metastatic
0.22%
1/448 • Number of events 1 • From baseline (screening) upto 28 days after colonoscopy.
0.00%
0/453 • From baseline (screening) upto 28 days after colonoscopy.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Carcinoid tumour of the gastrointestinal tract
0.00%
0/448 • From baseline (screening) upto 28 days after colonoscopy.
0.22%
1/453 • Number of events 1 • From baseline (screening) upto 28 days after colonoscopy.
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
0.00%
0/448 • From baseline (screening) upto 28 days after colonoscopy.
0.22%
1/453 • Number of events 1 • From baseline (screening) upto 28 days after colonoscopy.

Other adverse events

Other adverse events
Measure
NaP/MC Oral Solution
n=448 participants at risk
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Supplied as two 160 mL ready-to-drink bottles per subject without further reconstitution before administration.
PREPOPIK®
n=453 participants at risk
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
Gastrointestinal disorders
Haemorrhoids
33.5%
150/448 • Number of events 162 • From baseline (screening) upto 28 days after colonoscopy.
34.2%
155/453 • Number of events 167 • From baseline (screening) upto 28 days after colonoscopy.
Gastrointestinal disorders
Large intestine polyp
20.8%
93/448 • Number of events 157 • From baseline (screening) upto 28 days after colonoscopy.
23.2%
105/453 • Number of events 181 • From baseline (screening) upto 28 days after colonoscopy.
Gastrointestinal disorders
Diverticulum intestinal
15.6%
70/448 • Number of events 75 • From baseline (screening) upto 28 days after colonoscopy.
15.5%
70/453 • Number of events 73 • From baseline (screening) upto 28 days after colonoscopy.
Gastrointestinal disorders
Diverticulum
14.3%
64/448 • Number of events 64 • From baseline (screening) upto 28 days after colonoscopy.
13.0%
59/453 • Number of events 59 • From baseline (screening) upto 28 days after colonoscopy.
Infections and infestations
Investigations
5.6%
25/448 • Number of events 26 • From baseline (screening) upto 28 days after colonoscopy.
5.1%
23/453 • Number of events 26 • From baseline (screening) upto 28 days after colonoscopy.
Metabolism and nutrition disorders
Hypermagnesaemia
2.0%
9/448 • Number of events 9 • From baseline (screening) upto 28 days after colonoscopy.
5.1%
23/453 • Number of events 26 • From baseline (screening) upto 28 days after colonoscopy.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon adenoma
29.7%
133/448 • Number of events 237 • From baseline (screening) upto 28 days after colonoscopy.
28.3%
128/453 • Number of events 211 • From baseline (screening) upto 28 days after colonoscopy.
Infections and infestations
Infections and infestations
6.0%
27/448 • Number of events 29 • From baseline (screening) upto 28 days after colonoscopy.
7.7%
35/453 • Number of events 35 • From baseline (screening) upto 28 days after colonoscopy.
Nervous system disorders
Nervous system disorders
6.0%
27/448 • Number of events 27 • From baseline (screening) upto 28 days after colonoscopy.
6.6%
30/453 • Number of events 34 • From baseline (screening) upto 28 days after colonoscopy.

Additional Information

Global Clinical Compliance

Ferring Pharmaceuticals

Phone: +1 833-548-1402

Results disclosure agreements

  • Principal investigator is a sponsor employee The only disclosure restriction on the PI is that the sponsor can review the draft manuscript prior to publication and can request delay of publication where any contents are deemed patentable by the sponsor or confidential to the sponsor. Comments will be given within four weeks from receipt of the draft manuscript. Additional time may be required to allow Ferring to seek patent protection of the invention.
  • Publication restrictions are in place

Restriction type: OTHER