Trial Outcomes & Findings for Effect of Simethicone on Screening Colonoscopy (NCT NCT03119168)

NCT ID: NCT03119168

Last Updated: 2019-06-05

Results Overview

The number of adenomatous polyps removed at colonoscopy

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

268 participants

Primary outcome timeframe

25 minutes

Results posted on

2019-06-05

Participant Flow

Participant milestones

Participant milestones
Measure
Simethicone Solution + Polyethylenglycol
This arm of the study will include the patients assigned to take simethicone solution with their colon preparation (4L Polyethylenglycol) Simethicone Solution: Patients will be assigned randomly to take Simethicone Solution plus 4 L of polyethylenglycol
Polyethylenglycol
This arm of the study will include the patients assigned to take a regular bowel preparation with 4L Polyethylenglycol Polyethylenglycol: All patients were assigned to take 4L polyethylenglycol as their regular bowel preparation
Overall Study
STARTED
129
139
Overall Study
COMPLETED
129
139
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effect of Simethicone on Screening Colonoscopy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Simethicone Solution + Polyethylenglycol
n=129 Participants
This arm of the study will include the patients assigned to take simethicone solution with their colon preparations Simethicone Solution: Patients will be assigned randomly to take Simethicone Solution plus polyethylenglycol
Polyethylenglycol
n=139 Participants
This arm of the study will include the patients assigned to take a regular bowel preparation with Polyethylenglycol Polyethylenglycol: Patients in this arm will be randomly assigned to take polyethylenglycol as their regular bowel preparation
Total
n=268 Participants
Total of all reporting groups
Age, Continuous
56.3 years
STANDARD_DEVIATION 7.55 • n=99 Participants
57 years
STANDARD_DEVIATION 6.02 • n=107 Participants
57 years
STANDARD_DEVIATION 6.3 • n=206 Participants
Sex: Female, Male
Female
81 Participants
n=99 Participants
92 Participants
n=107 Participants
173 Participants
n=206 Participants
Sex: Female, Male
Male
48 Participants
n=99 Participants
47 Participants
n=107 Participants
95 Participants
n=206 Participants
Race/Ethnicity, Customized
Hispanic
111 Participants
n=99 Participants
124 Participants
n=107 Participants
235 Participants
n=206 Participants
Race/Ethnicity, Customized
Non Hispanic
18 Participants
n=99 Participants
15 Participants
n=107 Participants
33 Participants
n=206 Participants
Region of Enrollment
United States
129 participants
n=99 Participants
139 participants
n=107 Participants
268 participants
n=206 Participants
Count of participants
129 Participants
n=99 Participants
139 Participants
n=107 Participants
268 Participants
n=206 Participants

PRIMARY outcome

Timeframe: 25 minutes

The number of adenomatous polyps removed at colonoscopy

Outcome measures

Outcome measures
Measure
Polyethylenglycol
n=139 Participants
The number of colonoscopies during which the endoscopist requested simethicone to be flushed through the endoscope
Simethicone Solution + Polyethylenglycol
n=129 Participants
This arm of the study will include the patients assigned to take simethicone solution with their colon preparations Simethicone Solution: Patients will be assigned randomly to take Simethicone Solution plus polyethylenglycol
Adenoma Detection Rate
54 adenomas
43 adenomas

SECONDARY outcome

Timeframe: 6-10 minutes

Amount spent withdrawing the scope during the colonoscopy

Outcome measures

Outcome measures
Measure
Polyethylenglycol
n=139 Participants
The number of colonoscopies during which the endoscopist requested simethicone to be flushed through the endoscope
Simethicone Solution + Polyethylenglycol
n=129 Participants
This arm of the study will include the patients assigned to take simethicone solution with their colon preparations Simethicone Solution: Patients will be assigned randomly to take Simethicone Solution plus polyethylenglycol
Withdrawal Times
399 seconds
Standard Deviation 76.7
395.7 seconds
Standard Deviation 69.2

SECONDARY outcome

Timeframe: 25 minutes

Boston Bowel Preparation Scale (BBPS): scale that rates the quality of the colon preparation based on the amount of stool present. 0:solid stool that cannot be cleared; 1:areas not well seen due to residual stool and/or opaque liquid; 2:small fragments of stool and/or opaque liquid, but mucosa seen well; 3:no residual stool or opaque liquid seen. Score determined by adding the score of each individual segment of the colon (right side, transverse and left side). Scores range from 0 to 3 in each segment, therefore, a total composite score ranges from 0 (poor) to 9 (excellent). Bubble Score (BS): scale that rates the amount of bubbles present in the colon. 0:no or minimal bubbles; 1:bubbles covering up to half the luminal diameter; 2:bubbles covering the circumference of the lumen; 3:bubbles filling the entire lumen. Score determined the same way as BBPS score but in this case a total score of 0 is excellent and 9 is poor.

Outcome measures

Outcome measures
Measure
Polyethylenglycol
n=139 Participants
The number of colonoscopies during which the endoscopist requested simethicone to be flushed through the endoscope
Simethicone Solution + Polyethylenglycol
n=129 Participants
This arm of the study will include the patients assigned to take simethicone solution with their colon preparations Simethicone Solution: Patients will be assigned randomly to take Simethicone Solution plus polyethylenglycol
Colon Preparation
Boston Bowel Preparation Scale
8.9 score on a scale
Standard Deviation 0.4
8.9 score on a scale
Standard Deviation 0.4
Colon Preparation
Bubble Scale
2.1 score on a scale
Standard Deviation 2.1
0.1 score on a scale
Standard Deviation 0.2

SECONDARY outcome

Timeframe: 6-10 minutes

The number of colonoscopies during which the endoscopist requested simethicone to be flushed through the endoscope.

Outcome measures

Outcome measures
Measure
Polyethylenglycol
n=139 Participants
The number of colonoscopies during which the endoscopist requested simethicone to be flushed through the endoscope
Simethicone Solution + Polyethylenglycol
n=129 Participants
This arm of the study will include the patients assigned to take simethicone solution with their colon preparations Simethicone Solution: Patients will be assigned randomly to take Simethicone Solution plus polyethylenglycol
Intraprocedural Use of Simethicone
68 colonoscopies
2 colonoscopies

Adverse Events

Simethicone Solution + Polyethylenglycol

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

Polyethylenglycol

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

The Effect Of Adding High Dose Simethicone To A Standard Polyethylene Glycol Preparation On Adenoma

Texas Tech University Health Sciences Center at El Paso

Phone: 915-215-4678

Results disclosure agreements

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