Clinical Study Comparing PillCam® Crohn's Capsule Endoscopy to Ileocolonoscopy (IC) Plus MRE for Detection of Active CD in the Small Bowel and Colon in Subjects With Known CD and Mucosal Disease.
Status: | Recruiting |
---|---|
Conditions: | Gastrointestinal, Crohns Disease |
Therapuetic Areas: | Gastroenterology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 3/10/2019 |
Start Date: | December 21, 2017 |
End Date: | November 30, 2019 |
Contact: | Jessica Carlson |
Email: | jessica.a.carlson@medtronic.com |
Phone: | 203-640-9644 |
Multicenter, Prospective, Study Comparing PillCam® Crohn's Capsule Endoscopy (CE) to Ileocolonoscopy (IC) Plus MRE for Detection of Active Crohn's Disease (CD) in the Small Bowel and Colon in Subjects With Known CD and Mucosal Disease
This study will evaluate the efficacy of capsule endoscopy (CE) versus ileocolonoscopy (IC)
plus MRE for detection of active Crohn's disease (CD) in the small bowel in subjects with
known CD and mucosal disease.
The primary objective of the study is to assess the accuracy of CE versus IC plus MRE for
detecting active CD, by visualizing the small bowel and colon in subjects with known CD and
mucosal disease.
There will be assessment of mucosal disease activity at baseline. Patient satisfaction
questionnaire will be completed at baseline.
plus MRE for detection of active Crohn's disease (CD) in the small bowel in subjects with
known CD and mucosal disease.
The primary objective of the study is to assess the accuracy of CE versus IC plus MRE for
detecting active CD, by visualizing the small bowel and colon in subjects with known CD and
mucosal disease.
There will be assessment of mucosal disease activity at baseline. Patient satisfaction
questionnaire will be completed at baseline.
This is a multicenter, prospective, study, evaluating the efficacy of CE versus IC plus MRE
for detecting active Crohn's Disease (CD) in the small bowel and colon in subjects with known
CD and mucosal disease.
A screening visit will be performed within 30 days prior to baseline procedures to assess
pre-procedure eligibility. At this visit the following assessments will be performed:
Informed Consent, Inclusion/Exclusion Criteria, Demographics, Montreal Classification,
Medical History, Previous GI procedures, Surgical history, Laboratory tests and pregnancy
tests.
At baseline, subjects with known CD on routine evaluation (e.g. history, physical exams,
labs) and a recent history of mucosal disease (within the last 2 years and diagnosis based on
radiologic, endoscopic, or histologic findings) OR subjects with known CD and active disease
based on clinical judgment based on symptoms, laboratory data or other clinical information
will undergo Magnetic Resonance Enterography (MRE), Capsule Endoscopy (CE) and
Ileocolonoscopy (IC), to assess presence or absence of CD across the small and large bowel.
Also, at baseline the following assessments will take place: Laboratory tests, Pregnancy
test, Concomitant medications, Patient satisfaction questionnaire and Adverse Events.
Subjects will be exited from the study once all Baseline Procedures have been completed and
AEs resolved.
All CE videos, IC videos and MRE images will be evaluated by central readers.
The planned number of subjects is 352. Subjects will be enrolled at up to 40 sites in the
United States, Israel, and Austria. Study duration is expected to be up to approximately 1.5
years. The expected duration of each subject's participation is approximately 1 month.
for detecting active Crohn's Disease (CD) in the small bowel and colon in subjects with known
CD and mucosal disease.
A screening visit will be performed within 30 days prior to baseline procedures to assess
pre-procedure eligibility. At this visit the following assessments will be performed:
Informed Consent, Inclusion/Exclusion Criteria, Demographics, Montreal Classification,
Medical History, Previous GI procedures, Surgical history, Laboratory tests and pregnancy
tests.
At baseline, subjects with known CD on routine evaluation (e.g. history, physical exams,
labs) and a recent history of mucosal disease (within the last 2 years and diagnosis based on
radiologic, endoscopic, or histologic findings) OR subjects with known CD and active disease
based on clinical judgment based on symptoms, laboratory data or other clinical information
will undergo Magnetic Resonance Enterography (MRE), Capsule Endoscopy (CE) and
Ileocolonoscopy (IC), to assess presence or absence of CD across the small and large bowel.
Also, at baseline the following assessments will take place: Laboratory tests, Pregnancy
test, Concomitant medications, Patient satisfaction questionnaire and Adverse Events.
Subjects will be exited from the study once all Baseline Procedures have been completed and
AEs resolved.
All CE videos, IC videos and MRE images will be evaluated by central readers.
The planned number of subjects is 352. Subjects will be enrolled at up to 40 sites in the
United States, Israel, and Austria. Study duration is expected to be up to approximately 1.5
years. The expected duration of each subject's participation is approximately 1 month.
Inclusion Criteria:
- Subject has provided informed consent.
- Subject is ≥ 18 years of age
- Subject is willing and able to comply with all aspects of treatment and evaluation
schedule.
- Subject has known CD and a recent history (within last 2 years) of mucosal disease
(based on radiologic, endoscopic, or histologic evidence) OR known CD and active
disease, based on clinical judgment based on symptoms, laboratory data or other
clinical information.
Exclusion Criteria:
- Subject has indeterminate, ulcerative, antibiotic-associated colitis.
- Subject has stool positive for ova and parasite and for Clostridium difficule toxins
within 3 months prior to enrollment.
- Subject with other known infectious cause of abdominal symptoms.
- Subject with clinical evidence of renal disease with the past 6 months, defined as
estimated glomerular filtration rate (GFR) outside the normal reference range.
- Subject with known history of intestinal obstruction or current obstructive symptoms,
such as severe abdominal pain with accompanying nausea or vomiting, based on
investigator judgment.
- Subject with a diagnosis of gastroparesis or small bowel or large bowel dysmotility.
- Subject with suspected or known bowel obstruction, stricture (defined as unequivocal
proximal upstream dilation equal ≥ 2.5 cm), or fistula.
- Subject has used non-steroidal anti-inflammatory drugs including aspirin, two times
per week, during the 4 weeks preceding enrollment. Low dose aspirin regimens (≤ 100 mg
daily) are acceptable and not exclusionary.
- Subject suffers from any condition, such as swallowing problems, that precludes
compliance with study and/or device instructions.
- Subject with cardiac pacemaker or other implanted electromedical device.
- Subject has an allergy or other known contraindication to the medications used in the
study.
- Subject is pregnant (documented by a positive pregnancy test) or is actively
breast-feeding.
- Subject is considered to be a part of a vulnerable population (eg. prisoners or those
without sufficient mental capacity).
- Subject has a known contraindication to MRE or IC.
- Subject has participated in a drug or device research study within 30 days of
enrollment that may interfere with the subject's safety or ability to participate in
the study.
- Subject has any medical condition that would make it unsafe for them to participate,
per Investigator's discretion
- Subject with ileostomy or colostomy, history of total or subtotal colectomy (including
those with ileosigmoidostomy, and ileorectostomy)
We found this trial at
26
sites
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112 Gainsborough Square
Chesapeake, Virginia 23320
Chesapeake, Virginia 23320
757-547-0798
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425 University Blvd.
Indianapolis, Indiana 46202
Indianapolis, Indiana 46202
(317) 274-4591
Phone: 317-948-9212
Indiana University INDIANA UNIVERSITY is a major multi-campus public research institution, grounded in the liberal...
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3400 Spruce St
Philadelphia, Pennsylvania 19104
Philadelphia, Pennsylvania 19104
(215) 662-4000
Phone: 215-349-8556
Hospital of the University of Pennsylvania The Hospital of the University of Pennsylvania (HUP) is...
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701 West Morse Boulevard
Winter Park, Florida 32789
Winter Park, Florida 32789
Phone: 407-629-8121
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University of Michigan The University of Michigan was founded in 1817 as one of the...
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8701 W Watertown Plank Rd
Milwaukee, Wisconsin
Milwaukee, Wisconsin
(414) 955-8296
Phone: 414-805-7372
Medical College of Wisconsin The Medical College (MCW) of Wisconsin is a major national research...
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307 N University Blvd
Mobile, Alabama 36688
Mobile, Alabama 36688
(251) 460-6101
Phone: 251-660-5555
University of South Alabama "University of South Alabama is a public institution that was founded...
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3366 Northwest Expressway
Oklahoma City, Oklahoma 73112
Oklahoma City, Oklahoma 73112
Phone: 405-702-1300
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Virginia Mason Medical Center Established in 1920, Virginia Mason began as an 80-bed hospital with...
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2790 Godwin Boulevard
Suffolk, Virginia 23434
Suffolk, Virginia 23434
Phone: 757-469-4163
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Worcester, Massachusetts 01655
Phone: 774-442-4098
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