Artificial Intelligence for Leaving in Situ Colorectal Polyps.
NCT05500248 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 919
Last updated 2025-04-18
Summary
This two parallel-arms, randomized, multicenter trial is aimed at investigating safety and effectiveness of a Computer-Aided-Diagnosis (CADx)-assisted leave-in-situ strategy (Leave-In-Situ Arm) as opposed to a resect-all strategy (Standard Arm) as implemented by endoscopists in a real-world setting.
With this study it will be possible to understand the impact of CADx in patient treatment and management both in terms of clinical outcome and costs.
Conditions
- Colonic Neoplasms
Interventions
- BEHAVIORAL
-
Leave In Situ
Polyps will be left in situ if diminutive (≤5 mm) in size, located in the rectum or sigma and optically diagnosed by the endoscopist using the system to be hyperplastic with high confidence, otherwise resected and sent to pathology. This behaviour is recommended by guidelines if the endoscopist is expert in optical diagnosis. In this case the endoscopists will be experts and they will also be helped by the CADx system that has shown to exceed the thresholds requested for use in clinical practice in previous trials.
- BEHAVIORAL
-
Standard
All identified polyps will be removed and sent to pathology.
Sponsors & Collaborators
-
University of Roma La Sapienza
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2022-10-01
- Primary Completion
- 2023-12-31
- Completion
- 2024-08-30
Countries
- Italy
Study Locations
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