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SuspendedNCT03839277SinoEVADRUpdated Sep 28, 2020

Adenoma Detection Rate Using Endocuff Vision in China

An interventional study of Endocuff Vision in Colorectal Neoplasms, Colonic Polyp and Adenoma, sponsored by Changhai Hospital. Suspended at 5 sites in China. Open to participants aged 45 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-09-28.

Sponsored by Changhai Hospital · Not applicable, Interventional, and Diagnostic

Why this study was suspended
One investigator is out-of-service due to carrying out another task.
Phase
Not applicable
Study type
Interventional
Enrollment
1,200
Allocation
Randomized
Ages
45 Years to 80 Years
Sex
All
01

Study summary

The primary aim of this study is

  • to explore the usefulness of Endocuff Vision in colonoscopy on adenoma detection rate (ADR).

Other aims include to explore the data below when Endocuff Vision is used.

Mean adenomas detected per procedure, MAP Proximal Adenoma detection rate, pADR Polyp detection rate, PDR Proximal polyp detection rate, pPDR Mean polyps detected per procedure, MPP Withdrawal time, WT Cecal intubation rate, CIR Cecal intubation time, CIT

Read the detailed description

Colorectal cancer is common in China. Most colorectal cancers happen when an adenoma becomes cancerous. Doctors use colonoscopy to look inside the colon and rectum and find adenomas and remove them. Removing adenomas is known to reduce the chances of a person developing colorectal cancers. The ability of colonoscopists finding adenomas varies, and there is a lot of researches into how to improve "adenoma detection rates".

A new device, called the Endocuff Vision has been shown to improve the rate of polyp detection at colonoscopy, and to make polyp removal easier. Previous studies have shown that there is a significant improvement in detection of adenomas when an Endocuff Vision is used (with the rate of detection of adenomas rising from 49% to 66%). Colonoscopists who have used the Endocuff Vision before also feel that polyp removal is easier when it is on the colonoscope. This study will randomise patients coming for colonoscopy to have their procedure performed as usual or as an Endocuff Vision-assisted colonoscopy. The investigators will record polyp and adenoma detection rates, duration of procedure, participant comfort levels, and complications. All patients referred for colonoscopy will be invited in 5 centres, recruiting a total of 1200 participants.

02

Conditions studied

  • Colorectal Neoplasms
  • Colonic Polyp
  • Adenoma

Keywords

  • adenoma detection rate
03

In context

Adenoma

657 studies on the registry are indexed under Adenoma; 98 are open to participants now.

This study's planned enrollment of 1,200 is above the median of 250 across 412 interventional studies indexed under Adenoma.

Browse Adenoma studies →

Lead sponsor

Changhai Hospital is the lead sponsor of 342 studies on the registry; 133 are open to participants now.

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

04

Who can participate

Ages eligible
45 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • All patients referred for screening, surveillance, or diagnostic colonoscopy
  • All patients must be able to give informed consent

Exclusion criteria

Exclusion Criteria:

  • Patients with any absolute contraindications to colonoscopy
  • Patients with established or suspicion of large bowel obstruction or pseudo-obstruction
  • Patients with known colon cancer or polyposis syndromes
  • Patients with known colonic strictures
  • Patients with known severe diverticular segments (that is likely to impede colonoscope passage)
  • Patients with active colitis (ulcerative colitis, Crohn's colitis, diverticulitis, infective colitis)
  • Patients lacking capacity to give informed consent
  • Pregnancy
  • Patients who are on clopidogrel, warfarin, or other new generation anticoagulants who have not stopped this for the procedure.
  • Patients who are attending for a therapeutic procedure or assessment of a known lesion
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,200 participants (estimated)

Study arms

  • Active comparator
    Endocuff Vision-assisted Colonoscopy

    Participants in this arm undergo Endocuff Vision-assisted colonoscopy

    Device: Endocuff Vision

  • No intervention
    Standard Colonoscopy

    Participants in this arm undergo standard colonoscopy

Interventions

  • DeviceEndocuff Vision

    Endocuff Vision is attached to the tip of colonoscope before intubation.

06

What researchers measure

Primary outcomes

  1. Adenoma detection rate, ADR

    ADR refer to the rate of adenoma detection, calculated as the proportion of subjects with at least one adenoma.

    Time frame: At the end of the procedure, up to 1 hour.

Secondary outcomes

  1. Polyp detection rate, PDR

    PDR refer to the rate of polyp detection, calculated as the proportion of subjects with at least one polyp.

    Time frame: At the end of the procedure, up to 1 hour.

07

Study locations

5 sites
  • Sixth affiliated Hospital, Sun Yat-Sen University
    Guangzhou, Guangdong 510655, China
  • Shanghai Zhongshan Hospital
    Shanghai, Shanghai 200032, China
  • Changhai Hospital
    Shanghai, Shanghai 200433, China
  • Tianjin Nankai Hospital
    Tianjin, Tianjin 300100, China
  • Tianjin People's Hospital
    Tianjin, Tianjin 300121, China
08

References and documents

Publications

  • Ngu WS, Bevan R, Tsiamoulos ZP, Bassett P, Hoare Z, Rutter MD, Clifford G, Totton N, Lee TJ, Ramadas A, Silcock JG, Painter J, Neilson LJ, Saunders BP, Rees CJ. Improved adenoma detection with Endocuff Vision: the ADENOMA randomised controlled trial. Gut. 2019 Feb;68(2):280-288. doi: 10.1136/gutjnl-2017-314889. Epub 2018 Jan 23. PubMed 29363535 ↗

Related links

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 28, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03839277
Lead sponsor
Changhai Hospital
Collaborators
Sixth Affiliated Hospital, Sun Yat-sen University, Shanghai Zhongshan Hospital, Tianjin People's Hospital, Tianjin Nankai Hospital
Responsible party
En-Da Yu (Director of Department of Colorectal Surgery and Vice Director of GI Endoscopy, Changhai Hospital) — Principal investigator
First posted
Feb 15, 2019
Start date
Jun 12, 2019
Primary completion
Dec 1, 2020 (estimated)
Completion
Dec 1, 2020 (estimated)
Last update
Sep 28, 2020

Study contacts

En-Da YU
principal investigator · Changhai Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is suspended, as verified in Sep 2020. You cannot join it, but the record below documents what was studied.

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