Evaluation of the effectiveness and tolerance of the macrogol 3350 and electrolytes combination, as a second-line intestinal preparation regimen for colonoscopy with sodium picosulfate/magnesium citrate: a randomized, placebo-controlled, study (PICO-TRAT STUDY)

2025-520818-65-00 Protocol PICO-TRAT Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 10 Nov 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 4 sites · Protocol PICO-TRAT

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 188
Countries 1
Sites 4

Second line treatment for colonoscopy preparation

The aim of the study is to evaluate the efficacy of the combination of CLINITRAT and PICOPREP medicinal products in bowel preparation before colonoscopy in patients with inadequate preparation at reference colonoscopy.

Key facts

Sponsor
Uni-Pharma Kleon Tsetis Pharmaceutical Laboratories S.A.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Analytical,Diagnostic,Therapeutic Techniques and Equipment [E]-Surgical Procedures, Operative [E04]
Trial duration
10 Nov 2025 → ongoing
Decision date (initial)
2025-07-18
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
Uni-Pharma Kleon Tsetis Pharmaceutical Laboratories S.A.

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Others

The aim of the study is to evaluate the efficacy of the combination of CLINITRAT and PICOPREP medicinal products in bowel preparation before colonoscopy in patients with inadequate preparation at reference colonoscopy.

Secondary objectives 1

  1. Patient tolerance which will be assessed on the basis of a questionnaire

Conditions and MedDRA coding

Second line treatment for colonoscopy preparation

VersionLevelCodeTermSystem organ class
21.1 PT 10066943 Bowel preparation 100000004865

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Treatment period
The treatment period will last up to 2 days. The follow-up visit will be 2 weeks after the initial visit and no later than 12 weeks after V0 (initial visit).
Randomised Controlled Double [{"id":134648,"code":1,"name":"Subject"},{"id":134647,"code":2,"name":"Investigator"}] Group 1: CLINITRAT®
Group 2: PLACEBO

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Women and/or men at least 18 years old
  2. Women and/or men with inadequate preparation on reference colonoscopy, score <6 points according to the Boston Bowel Preparation Scale (BBPS)
  3. Patients who are legally competent and capable of understanding the information provided about the study, have been informed about the nature, scope and utility of the study, voluntarily agree to participate and have signed the informed consent form (ICF).

Exclusion criteria 20

  1. Common contraindications for colonoscopy (suspected perforation, toxic megacolon, pyloric stenosis, severe colitis, pregnancy, lactation)
  2. Allergy or hypersensitivity to study drugs
  3. Non-compliance with instructions for bowel preparation during reference colonoscopy (receiving <75% of bowel preparation)
  4. Polyposis syndrome and refusal to participate in the study
  5. Pregnancy
  6. Lactation
  7. Participation in another study of an investigational medicinal product or investigational medical device
  8. Severe heart failure (NYHA III/IV)
  9. Severe chronic kidney disease (eGFR<30)
  10. Type I diabetes
  11. Patients with colon segmental resection
  12. Patients suffering from severe dehydration
  13. Rhabdomyolysis
  14. Hypermagnesemia
  15. Patients suffering from active inflammatory bowel disease
  16. Intestinal obstruction or perforation
  17. Ileus, gastric retention, acute intestinal or gastric ulceration
  18. Acute abdominal conditions requiring immediate surgery, such as acute appendicitis
  19. Nausea and vomiting
  20. Toxic megacolon

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Adequate bowel preparation, as defined by a total BBPS score ≥6 and a score per segment ≥2.

Secondary endpoints 5

  1. Average BBPS total score
  2. Partial BBPS sub-score for the right (ascending) colon
  3. Polyp detection rate
  4. Percentage of colonoscopies reaching the cecum
  5. Patient tolerance, which will be assessed based on a questionnaire assessing the tolerance of the preparation translated and updated in Greek

Investigational products

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

Test 1

CLINITRAT® (6.563+175,4+89,3+23,3) mg/sachet ή stick, Κόνις για πόσιμο διάλυμα

PRD5078570 · Product

Active substance
Sodium Hydrogen Carbonate
Pharmaceutical form
ORAL SOLUTION
Route of administration
ORAL USE
Max daily dose
41.4 g gram(s)
Max total dose
82.8 g gram(s)
Max treatment duration
2 Day(s)
Authorisation status
Authorised
ATC code
A06AD65 — MACROGOL, COMBINATIONS
Marketing authorisation
3109301
MA holder
UNI-PHARMA KLEON TSETIS PHARMACEUTICAL LABORATORIES S.A.
MA country
Greece
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Uni-Pharma Kleon Tsetis Pharmaceutical Laboratories S.A.

Sponsor organisation
Uni-Pharma Kleon Tsetis Pharmaceutical Laboratories S.A.
Address
Building A And B, 14th Km Athina Lamia National Road 1 14th Km Athina Lamia National Road 1
City
Kifisia
Postcode
145 64
Country
Greece

Scientific contact point

Organisation
Uni-Pharma Kleon Tsetis Pharmaceutical Laboratories S.A.
Contact name
Georgios-Stefanos Soumelas

Public contact point

Organisation
Uni-Pharma Kleon Tsetis Pharmaceutical Laboratories S.A.
Contact name
Uni-Pharma S.A.

Locations

1 EU/EEA country · 4 investigational sites

By country

CountryMS statusPlanned subjectsSites
Greece Ongoing, recruiting 188 4
Rest of world 0

Investigational sites

Greece

4 sites · Ongoing, recruiting
Evangelismos S.A.
Gastroenterology Department, Ipsiladou 45-47, 106 76, Athens
Alexandra Hospital
Gastroenterology Clinic, Vassilissas Sofias Avenue 80, 115 28, Athens
Geniko Nosokomeio Nikaias Peiraia Ag. Panteleimon Geniko Nosokomeio Dytikis Attikis I
Gastroenterology Clinic, Dimitrios Mantouvalos Str. 3, 184 54, Νikaia
University General Hospital Of Heraklion
Gastroenterology Clinic, Stavrakia And Voutes, 715 00, Heraklion

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Greece 2025-11-10 2025-11-28

Results and documents

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

Documents 5 files

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

TypeTitleVersion
Protocol (for publication) PICO_TRAT_final protocol 1.1
Recruitment arrangements (for publication) Recruitment arrangements 1
Subject information and informed consent form (for publication) ICF 1
Summary of Product Characteristics (SmPC) (for publication) SPC_CLINITRAT 2
Synopsis of the protocol (for publication) PICOTRAT_protocol synopsis 1.1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-03-31 Greece No conclusion
2025-07-14
2025-07-18