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CompletedNCT02540031Updated Jul 20, 2018

The Impact of Additional Oral Preparation on the Quality of Bowel Preparation for Colonoscopy

A Phase 3 interventional study of Additional oral preparation (3L of PEG+Asc, "Coolprep®") and Standard oral preparation (2L of PEG+Asc, "Coolprep®") in Bowel Preparation Quality, sponsored by Kyungpook National University Hospital. Completed at 1 site in Korea, Republic of. Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-07-20.

Sponsored by Kyungpook National University Hospital · Phase 3, Interventional, and Diagnostic

Phase
Phase 3
Study type
Interventional
Enrollment
156
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
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Study summary

Although adequate bowel preparation is essential for successful colonoscopy, the 23% of patients had shown inadequate bowel preparation. Inadequate bowel preparation may results in incomplete examination, increased patient's discomfort, decreased polyp detection rates, ultimately leading to repeated colonoscopies. One prior study showed that patients reporting their last rectal effluents as brown color or solid stool had a 54% chance of having fair or poor preparation. Thus, recent consensus guideline suggested consideration of additional oral preparation in patients presenting brown effluents on the day of colonoscopy. However, the data supporting additional oral preparation is still spares. Therefore, the investigators aimed to examine the impact of additional oral preparation on the quality of bowel preparation for colonoscopy in patients showing brown effluents on the day of colonoscopy.

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Conditions studied

  • Bowel Preparation Quality
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In context

Lead sponsor

Kyungpook National University Hospital is the lead sponsor of 76 studies on the registry; 8 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 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • patients who reporting their last rectal effluents as brown color or solid stool on the day colonoscopy

Exclusion criteria

Exclusion Criteria:

  • known hypersensitivity to polyethylene glycol
  • severe congestive heart failure [New York Heart Association (NYHA) grade III or grade IV]
  • severe renal insufficiency (creatinine clearance \<30 ml/min)
  • hemodynamic instability
  • suspected intestinal obstruction or perforation
  • compromised swallowing reflex or altered mental status
  • pregnancy or lactating woman
  • patients who declined to participate
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Study design

Phase
Phase 3
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
156 participants (actual)

Study arms

  • Experimental
    Additional oral preparation

    The investigational or experimental arm will receive standard oral preparation plus additional oral preparation (1l of polyethylene glycol (PEG)+ascorbic acid (Asc)) for colonoscopy. \* Compositions/1L : Sodium Chloride 2.691g Potassium Chloride 1.015g Anhydrous sodium sulfate 7.5g PEG 3350 100g ascorbic acid 4.7g sodium ascorbate 5.9g

    Drug: Additional oral preparation (3L of PEG+Asc, "Coolprep®")

  • Active comparator
    Standard oral preparation

    The control arm will receive currently used oral preparation (2L of polyethylene glycol+ascorbic acid) for colonoscopy. \* Compositions/1L : Sodium Chloride 2.691g Potassium Chloride 1.015g Anhydrous sodium sulfate 7.5g PEG 3350 100g ascorbic acid 4.7g sodium ascorbate 5.9g

    Drug: Standard oral preparation (2L of PEG+Asc, "Coolprep®")

Interventions

  • DrugAdditional oral preparation (3L of PEG+Asc, "Coolprep®")

    The interventional or experimental arm will receive 1l of additional PEG+Asc, "Coolprep®" on the day of colonoscopy \* Compositions/1L : Sodium Chloride 2.691g Potassium Chloride 1.015g Anhydrous sodium sulfate 7.5g PEG 3350 100g ascorbic acid 4.7g sodium ascorbate 5.9g

    Also known as: Coolprep® (TaeJoon Pharmaceuticals, Seoul, Korea):3L

  • DrugStandard oral preparation (2L of PEG+Asc, "Coolprep®")

    The control arm will receive currently used oral preparation (2l of PEG+Asc, "Coolprep®") for colonoscopy \* Compositions/1L : Sodium Chloride 2.691g Potassium Chloride 1.015g Anhydrous sodium sulfate 7.5g PEG 3350 100g ascorbic acid 4.7g sodium ascorbate 5.9g

    Also known as: Coolprep® (TaeJoon Pharmaceuticals, Seoul, Korea) : 2L

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What researchers measure

Primary outcomes

  1. Quality of bowel preparation

    The primary outcome will be the endoscopist's assessment of the quality of preparation using a standardized bowel preparation scale

    Time frame: Day 1

Secondary outcomes

  1. Adenoma detection rate

    Number of adenomatous polyps

    Time frame: Day 1

  2. Patient compliance

    Patient compliance with preparation instructions self-reported in a pre-procedure questionnaire

    Time frame: Baseline

  3. Patient satisfaction

    Patient's perception of the preparation method as self-reported on a pre-procedure questionnaire.

    Time frame: Baseline

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Study locations

1 site
  • Keimyung University Dongsan Medical Center
    Daegu, 700-712, Korea, Republic of
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References and documents

Publications

  • Fatima H, Johnson CS, Rex DK. Patients' description of rectal effluent and quality of bowel preparation at colonoscopy. Gastrointest Endosc. 2010 Jun;71(7):1244-1252.e2. doi: 10.1016/j.gie.2009.11.053. Epub 2010 Apr 1. PubMed 20362286 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 20, 2018, 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
NCT02540031
Lead sponsor
Kyungpook National University Hospital
Responsible party
Eun Soo Kim, MD, PhD (Professor, Kyungpook National University Hospital) — Principal investigator
First posted
Sep 3, 2015
Start date
Sep 2015
Primary completion
Apr 2018
Completion
Jun 2018
Last update
Jul 20, 2018

Study contacts

Eun Soo Kim
principal investigator · Keimyung University Dongsan Medical Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2018. You cannot join it, but the record below documents what was studied.

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