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CompletedNCT02040285Updated Jan 20, 2014

Low-dose Laxative Improves Performance and Feasibility of Computed Tomography Colonography (CTC)

A Phase 4 interventional study of Bisacodyl & PEG-CS and Iopamidol in Gastrointestinal Complication, sponsored by Azienda Policlinico Umberto I. Completed at 1 site in Italy. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2014-01-20.

Sponsored by Azienda Policlinico Umberto I · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
52
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
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Study summary

The aim of this study is to evaluate a low-dose of bowel preparation for Computed Tomography Colonography (CTC) versus free laxative CTC with regard to performance, feasibility, patient tolerability and acceptance.

Read the detailed description

Computed Tomography Colonography (CTC) is a valid alternative to colonoscopy in the detection of cancer, polyps and other colon lesions.

High volume cathartic preparations, low volume cathartic solutions with oral tagging agent and tagging agent only are the procedures available for CTC.

High volume preparations are a considerable burden for patients. Low volume cathartic solutions are more accepted by the patients, reduce the amount of tagging agent and the waiting time to the exam. Tagging agent only preparations represent a risk if they are taken without medical supervision.

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Conditions studied

  • Gastrointestinal Complication

Keywords

  • CT colonography
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In context

Lead sponsor

Azienda Policlinico Umberto I is the lead sponsor of 27 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Out-patients undergoing a CTC
  • Patient written informed consent

Exclusion criteria

Exclusion Criteria:

  • Pregnant or lactating women or at a risk of becoming pregnant
  • Known or suspected gastrointestinal obstruction or perforation, toxic megacolon, ileo, major colonic surgery
  • History of anaphylaxis to Iopamidol or allergic reactions to drugs
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
52 participants (actual)

Study arms

  • Active comparator
    Free laxative CTC

    Drug: Iopamidol

  • Experimental
    Low-dose laxative bowel preparation for CTC

    Drug: Bisacodyl & PEG-CS

Interventions

  • DrugBisacodyl & PEG-CS

    the day before the CTC: * low fiber diet * at 15.00: 2 tablets of bisacodyl (5 mg) * at 17.00: 1 litre of PEG-CS * liquid diet the day of the exam: * at home: 2 tablets of bisacodyl (5 mg) * at the Hospital (3 hours after tablets intake): 90 ml of Iopamidol in 500 ml of water * at the Hospital (5 minutes after Iopamidol intake): 10 mg of Metoclopramide mono chlorohydrate monohydrate im

    Also known as: Lovoldyl (Bisacodyl), Lovolesse (PEG-CS), Gastromiro (Iopamidol), Plasil (Metoclopramide mono chlorohydrate monohydrate)

  • DrugIopamidol

    the day before CTC: * low fiber diet * at 15.00: 90 ml of Iopamidol in 250 ml of water * at 17.00: 90 ml of Iopamidol in 250 ml of water * at 20.00: start liquid diet

    Also known as: Gastromiro (Iopamidol)

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What researchers measure

Primary outcomes

  1. Efficacy

    Tagging. In prone and supine position, each colon segment (caecum, ascending, transverse, descending, sigma and rectum) will be graded by using a 4 point scale (from 0= greater than 75% of residuals to 3= minor than 25% of residuals).

    Time frame: 20 min

Secondary outcomes

  1. Efficacy

    Residual fluid evaluation. In prone and supine position, each colon segment (caecum, ascending, transverse, descending, sigma and rectum) will be graded by using a 4 point scale (from 1= minor than 25% of the ap axis to 4= greater than 75% of the ap axis).

    Time frame: 20 minutes

  2. Efficacy

    Bowel distension. In prone and supine position, each colon segment (caecum, ascending, transverse, descending, sigma and rectum) will be graded by using a 4 point scale (from 0= greater than 75% of the maximal distension to 3= minor than 25% of the maximal distension)

    Time frame: 20 min

  3. Safety

    Recording of all Adverse Events (AEs) occurring during the 2 days of treatment

    Time frame: 2 days (the day before and the day of CTC)

  4. Safety

    Tolerability. Recording of gastrointestinal (GI) symptoms occurring during the 2 days of treatment. Intensity of GI symptoms will be evaluated by a Visual Analgic Scale (VAS) ranging from 0=no symptoms to 10=severe, as much as possible.

    Time frame: 2 days (the day before and the day of the exam)

  5. Acceptability

    Evaluation of the patient discomfort related to bowel preparation. A 4 point scale is used: 1=none; 2=mild distress; 3=moderate distress; 4=severe distress.

    Time frame: 2 days (the day before and the day of the exam)

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Study locations

1 site
  • Policlinico Umberto I
    Roma, Italy
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 20, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02040285
Lead sponsor
Azienda Policlinico Umberto I
Responsible party
Andrea Laghi (Prof., MD, Azienda Policlinico Umberto I) — Principal investigator
First posted
Jan 20, 2014
Start date
Feb 2012
Primary completion
Jul 2012
Completion
Jul 2012
Last update
Jan 20, 2014
View the source record on ClinicalTrials.gov ↗

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