Trial Outcomes & Findings for Adenoma Detection Rate With a New Pediatric Colonoscope With a Short Turn Radius (Pentax Retroview) Compared With a Standard Pentax Pediatric Colonoscope (NCT NCT03807089)

NCT ID: NCT03807089

Last Updated: 2019-07-16

Results Overview

Compare adenoma detection rate between patients undergoing a colonoscopy with Pentax Retroview colonoscope and pediatric colonoscope.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

283 participants

Primary outcome timeframe

1 hour

Results posted on

2019-07-16

Participant Flow

89 subjects were excluded (poor bowel preparation \[n = 45\], prior colonic resection \[n = 3\], difficult first insertion \[n=45\], not over 40 \[n = 1\], no history of adenomatous colorectal polyps \[n = 1\], device related reasons \[n = 1\])

Participant milestones

Participant milestones
Measure
Short-Turn Radius Colonoscope
Colonoscopy performed with Short-Turn Radius Colonoscope. The colonoscope will provide a forward-facing view of the colon during advancement to the cecum (standard of care). The scope will then be withdrawn all the way to the rectum and the colon will be inspected using the forward-facing view (standard of care). The colonoscope will then be re-advanced to the cecum and be withdrawn using the retrograde view. Short-Turn Radius Colonoscope
Conventional Pediatric Colonoscope
Colonoscopy will be performed with a conventional pediatric colonoscope. During withdrawal, the colon will be inspected using the forward-facing view (standard of care). The colonoscope will then be re-advanced to the cecum and again withdrawn using the forward-facing view. Conventional Pediatric Colonoscope
Overall Study
STARTED
101
93
Overall Study
COMPLETED
101
93
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Short-Turn Radius Colonoscope
n=101 Participants
Colonoscopy performed with Short-Turn Radius Colonoscope. The colonoscope will provide a forward-facing view of the colon during advancement to the cecum (standard of care). The scope will then be withdrawn all the way to the rectum and the colon will be inspected using the forward-facing view (standard of care). The colonoscope will then be re-advanced to the cecum and be withdrawn using the retrograde view. Short-Turn Radius Colonoscope
Conventional Pediatric Colonoscope
n=93 Participants
Colonoscopy will be performed with a conventional pediatric colonoscope. During withdrawal, the colon will be inspected using the forward-facing view (standard of care). The colonoscope will then be re-advanced to the cecum and again withdrawn using the forward-facing view. Conventional Pediatric Colonoscope
Total
n=194 Participants
Total of all reporting groups
Age, Continuous
66.2 years
STANDARD_DEVIATION 8.13 • n=101 Participants
65.8 years
STANDARD_DEVIATION 8.38 • n=93 Participants
65.9 years
STANDARD_DEVIATION 8.2 • n=194 Participants
Sex: Female, Male
Female
59 Participants
n=101 Participants
59 Participants
n=93 Participants
118 Participants
n=194 Participants
Sex: Female, Male
Male
42 Participants
n=101 Participants
34 Participants
n=93 Participants
76 Participants
n=194 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
101 participants
n=101 Participants
93 participants
n=93 Participants
194 participants
n=194 Participants

PRIMARY outcome

Timeframe: 1 hour

Compare adenoma detection rate between patients undergoing a colonoscopy with Pentax Retroview colonoscope and pediatric colonoscope.

Outcome measures

Outcome measures
Measure
Short-Turn Radius Colonoscope
n=101 Participants
Colonoscopy performed with Short-Turn Radius Colonoscope. The colonoscope will provide a forward-facing view of the colon during advancement to the cecum (standard of care). The scope will then be withdrawn all the way to the rectum and the colon will be inspected using the forward-facing view (standard of care). The colonoscope will then be re-advanced to the cecum and be withdrawn using the retrograde view. Short-Turn Radius Colonoscope
Conventional Pediatric Colonoscope
n=93 Participants
Colonoscopy will be performed with a conventional pediatric colonoscope. During withdrawal, the colon will be inspected using the forward-facing view (standard of care). The colonoscope will then be re-advanced to the cecum and again withdrawn using the forward-facing view. Conventional Pediatric Colonoscope
Percentage of Patients With At Least One Adenoma
63 Participants
68 Participants

SECONDARY outcome

Timeframe: 1 hour

Compare polyp detection rate (percent of patients with at least one polyp detected) between patients undergoing a colonoscopy with Pentax Retroview colonoscope and pediatric colonoscope.

Outcome measures

Outcome measures
Measure
Short-Turn Radius Colonoscope
n=101 Participants
Colonoscopy performed with Short-Turn Radius Colonoscope. The colonoscope will provide a forward-facing view of the colon during advancement to the cecum (standard of care). The scope will then be withdrawn all the way to the rectum and the colon will be inspected using the forward-facing view (standard of care). The colonoscope will then be re-advanced to the cecum and be withdrawn using the retrograde view. Short-Turn Radius Colonoscope
Conventional Pediatric Colonoscope
n=93 Participants
Colonoscopy will be performed with a conventional pediatric colonoscope. During withdrawal, the colon will be inspected using the forward-facing view (standard of care). The colonoscope will then be re-advanced to the cecum and again withdrawn using the forward-facing view. Conventional Pediatric Colonoscope
Overall Polyp Detection Rate
72 Participants
78 Participants

SECONDARY outcome

Timeframe: 1 hour

Compare average number of adenomas found per patient with polyps between patients undergoing a colonoscopy with Pentax Retroview colonoscope and pediatric colonoscope.

Outcome measures

Outcome measures
Measure
Short-Turn Radius Colonoscope
n=101 Participants
Colonoscopy performed with Short-Turn Radius Colonoscope. The colonoscope will provide a forward-facing view of the colon during advancement to the cecum (standard of care). The scope will then be withdrawn all the way to the rectum and the colon will be inspected using the forward-facing view (standard of care). The colonoscope will then be re-advanced to the cecum and be withdrawn using the retrograde view. Short-Turn Radius Colonoscope
Conventional Pediatric Colonoscope
n=93 Participants
Colonoscopy will be performed with a conventional pediatric colonoscope. During withdrawal, the colon will be inspected using the forward-facing view (standard of care). The colonoscope will then be re-advanced to the cecum and again withdrawn using the forward-facing view. Conventional Pediatric Colonoscope
Mean Number of Adenomas Identified Per Patient With Polyps
2.48 Number of Adenomas Per Patient
Standard Deviation 2.05
2.50 Number of Adenomas Per Patient
Standard Deviation 1.56

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 hour

Polyp size was estimated prior to polypectomy by comparing the polyp with objects of known dimension (biopsy forceps, polypectomy snares).

Outcome measures

Outcome measures
Measure
Short-Turn Radius Colonoscope
n=101 Participants
Colonoscopy performed with Short-Turn Radius Colonoscope. The colonoscope will provide a forward-facing view of the colon during advancement to the cecum (standard of care). The scope will then be withdrawn all the way to the rectum and the colon will be inspected using the forward-facing view (standard of care). The colonoscope will then be re-advanced to the cecum and be withdrawn using the retrograde view. Short-Turn Radius Colonoscope
Conventional Pediatric Colonoscope
n=93 Participants
Colonoscopy will be performed with a conventional pediatric colonoscope. During withdrawal, the colon will be inspected using the forward-facing view (standard of care). The colonoscope will then be re-advanced to the cecum and again withdrawn using the forward-facing view. Conventional Pediatric Colonoscope
Size of Polyps Detected
4.89 mm
Standard Deviation 2.92
4.50 mm
Standard Deviation 2.30

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 hour

Outcome measures

Outcome measures
Measure
Short-Turn Radius Colonoscope
n=101 Participants
Colonoscopy performed with Short-Turn Radius Colonoscope. The colonoscope will provide a forward-facing view of the colon during advancement to the cecum (standard of care). The scope will then be withdrawn all the way to the rectum and the colon will be inspected using the forward-facing view (standard of care). The colonoscope will then be re-advanced to the cecum and be withdrawn using the retrograde view. Short-Turn Radius Colonoscope
Conventional Pediatric Colonoscope
n=93 Participants
Colonoscopy will be performed with a conventional pediatric colonoscope. During withdrawal, the colon will be inspected using the forward-facing view (standard of care). The colonoscope will then be re-advanced to the cecum and again withdrawn using the forward-facing view. Conventional Pediatric Colonoscope
Size of Adenomas Detected
5.15 mm
Standard Deviation 3.04
4.69 mm
Standard Deviation 2.40

Adverse Events

Short-Turn Radius Colonoscope

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

Conventional Pediatric Colonoscope

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

Dr. Norman Nishioka

Massachusetts General Hospital

Phone: 617-726-4422

Results disclosure agreements

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