Clinical trial on the assessment of mucosal visualization quality and diagnostic performance in small bowel capsule endoscopy using different preparation protocols

2025-520671-38-00 Phase III and Phase IV (Integrated) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 2 sites

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Authorised, recruitment pending
Participants planned 156
Countries 1
Sites 2

Comparison of diagnostic tools

To evaluate and compare the degree of cleaning and visualization of the small intestine mucosa in patients undergoing capsule endoscopy

Key facts

Sponsor
Hospital Universitario La Paz
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Digestive System Diseases [C06]
Decision date (initial)
2025-01-21
Transition trial
Yes
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2025-520671-38-00
EudraCT number
2021-000985-14

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Diagnosis

To evaluate and compare the degree of cleaning and visualization of the small intestine mucosa in patients undergoing capsule endoscopy

Secondary objectives 5

  1. To establish whether the finding of clinically significant lesions (diagnostic yield) in capsule endoscopy is increased with the use of the preparation
  2. Quantify gastric transit time (GTT) in different preparation regimens
  3. Quantifying small bowel transit time (STT) in different preparation regimens
  4. Investigate patient tolerability and acceptance of different preparations
  5. Quantify the percentage of completed studies

Conditions and MedDRA coding

Comparison of diagnostic tools

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Patients aged 18 years or older who are indicated to undergo a small bowel study using capsule endoscopy and whose indication is included in standard clinical practice
  2. They will provide signed informed consent for performing capsule endoscopy.
  3. Provide signed and dated informed consent for entry into the clinical trial

Exclusion criteria 7

  1. Suspected or diagnosed gastrointestinal obstruction/perforation.
  2. Known small bowel strictures
  3. Patients with severe gastroparesis
  4. In case of previous Patency® capsule production: Deformed retention or expulsion of the capsule.
  5. pregnant
  6. Patients with severe liver, cardiovascular or kidney disease that contraindicates preparation with polyethylene glycol (Movipep®).
  7. Patients who present or have presented any adverse reaction or allergy to polyethylene glycol (Moviprep ®) or simethicone.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Degree of small bowel cleansing using an accepted cleansing scale.

Secondary endpoints 6

  1. Diagnostic yield of capsule endoscopy defined as: finding of clinically significant lesions.
  2. Gastric transit time (GTT): Defined as the time elapsed from the first gastric image to the first duodenal image. This value will be expressed in minutes.
  3. Small bowel transit time (STT): This is defined as the time elapsed from the first duodenal image to the first cecal image. When the study does not reach the cecum, the last image of the study will be considered as the first cecal image and it will be indicated that the cecum has not been reached. This value will be expressed in minutes.
  4. Tolerability of the preparation: Expresses the degree of acceptance or non-acceptance by the patient of the preparation. For this purpose, a questionnaire will be used, which is not validated, and will be completed at the time the capsule is administered.
  5. Percentage of complete studies: A study is considered complete when it has reached the blind spot during the recording time.
  6. Other variables: Demographic variables: age, gender, personal history. Reason for requesting capsule endoscopy and diagnosis found. Previous treatment with antiplatelet agents, anticoagulants, non-steroidal anti-inflammatory drugs and/or prokinetics.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Aero-red 100 mg/ml gotas orales en solución

PRD308197 · Product

Active substance
Simeticone
Substance synonyms
ANTIFOAM AF EMULSION, SIMETHICONE, SILICONE S 184, DIMETICONE ACTIVATED, SIMETHICONE ANTIFOAM, ACTIVATED DIMETICONE
Pharmaceutical form
ORAL DROPS, SOLUTION
Route of administration
ORAL USE
Max daily dose
480 mg milligram(s)
Max total dose
480 mg milligram(s)
Max treatment duration
4 Week(s)
Authorisation status
Authorised
ATC code
A03AX13 — SILICONES
Marketing authorisation
39560
MA holder
URIACH CONSUMER HEALTHCARE, S.L.
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Moviprep

PRD1849119 · Product

Active substance
Ascorbic Acid
Pharmaceutical form
ORAL SOLUTION
Route of administration
ORAL USE
Max daily dose
2 l litre(s)
Max total dose
2 l litre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
A06AD — OSMOTICALLY ACTING LAXATIVES
Marketing authorisation
10-7632
MA holder
NORGINE B.V.
MA country
Norway
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Hospital Universitario La Paz

Sponsor organisation
Hospital Universitario La Paz
Address
Paseo De La Castellana 261
City
Madrid
Postcode
28046
Country
Spain

Scientific contact point

Organisation
Hospital Universitario La Paz
Contact name
Visualization quality and diagnostic performance in smal

Public contact point

Organisation
Hospital Universitario La Paz
Contact name
Visualization quality and diagnostic performance in smal

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Authorised, recruitment pending 156 2
Rest of world 0

Investigational sites

Spain

2 sites · Authorised, recruitment pending
Hospital Universitario De Guadalajara SESCAM
DIGESTIVE DISEASE, Calle De Los Donantes De Sangre S/n, 19002, Guadalajara
Hospital Universitario Principe De Asturias
DIGESTIVE DISEASE, Carretera Meco S/n, 28805, Alcala De Henares

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 6 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) EC CEI PROYECTO DE INVESTIGACION 2.0
Recruitment arrangements (for publication) Reclutamiento 2.0
Subject information and informed consent form (for publication) Consentimiento informado 2.0
Subject information and informed consent form (for publication) Hoja de informacion al participante 2.0
Summary of Product Characteristics (SmPC) (for publication) Ficha tecnica moviprep 1
Summary of Product Characteristics (SmPC) (for publication) ficha tecnica simeticona 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-01-20 Spain Acceptable
2025-01-21
2025-01-21