ClinicalTrials.gg
RecruitingNCT04113382PICCOLOUpdated Sep 4, 2026

Study Assessing CLENPIQ as Bowel Preparation for Pediatric Colonoscopy

A Phase 1/2 interventional study of CLENPIQ and MIRALAX in Bowel Preparation, sponsored by Ferring Pharmaceuticals. Recruiting at 4 sites in United States. Open to participants aged 12 Months to 8 Years. Per ClinicalTrials.gov, last updated 2026-09-04.

Sponsored by Ferring Pharmaceuticals · Phase 1/2, Interventional, and Screening

From the registry’s dates

  • Started Jun 2022; still recruiting 4 years 4 months later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
39
Allocation
Randomized
Ages
12 Months to 8 Years
Sex
All
01

Study summary

Bowel preparation for pediatric colonoscopy.

02

Conditions studied

  • Bowel Preparation

Keywords

  • Colon Cleansing
  • Preparation for Colonoscopy
03

In context

Lead sponsor

Ferring Pharmaceuticals is the lead sponsor of 249 studies on the registry; 4 are open to participants now.

Of its 15 completed or terminated interventional studies of FDA-regulated products, 14 (93%) have results posted.

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

04

Who can participate

Ages eligible
12 Months to 8 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female, aged 12 months to \<9 years being scheduled to undergo elective colonoscopy.
  • Weight ≥10 kg (≥22 lbs).
  • Participants must have had regular spontaneous bowel movements (SBM) weekly for 1 month prior to the colonoscopy.
  • Written (by parent(s)/ caregiver(s)/ guardian(s)) and assent (if applicable) obtained at screening.

Exclusion criteria

Exclusion Criteria:

  • History of significant liver, cardiovascular, or renal disease (including recent or ongoing oliguria).
  • Acute surgical abdominal conditions (e.g., acute obstruction or perforation) during the screening period.
  • Concern for obstipation or fecal impaction.
  • Severe acute inflammatory bowel disease (IBD) defined as subjects with a Pediatric Ulcerative Colitis Activity Index (PUCAI) score >65 or a Short Pediatric Crohn's Disease Activity Index (short PCDAI) score >40, at the time of screening, or development of severe IBD between (Visit 1) and medicinal product (IMP) dispensation (Visit 2).
  • Any prior colorectal surgery, excluding appendectomy and polyp removal.
  • History of colon disease (e.g., Hirschsprung disease, volvulus, idiopathic pseudo-obstruction, or hypomotility syndrome).
  • History of or ongoing intestinal ulceration, toxic megacolon or other toxic colitis.
  • History of upper gastrointestinal disorder (e.g., active ulcer, pyloric stenosis or other cause of gastric retention, gastroparesis, or ileus).
  • History of upper gastrointestinal surgery (e.g., gastric resection or gastric bypass), excluding cholecystectomy.
  • Chronic or persistent, severe nausea or vomiting during the screening period.
  • Moderate to severe dehydration during the screening period.
  • Prior history of epileptic reaction, convulsions, or seizures.
  • Any neurological events with or without association with hyponatremia during the screening period.
  • Serum creatinine, estimated (eGFR), potassium, or sodium outside normal limits during the screening period.
  • Hypermagnesemia during the screening period.
  • Use of the following prohibited medication: lithium (within 48 hours prior to procedure), laxatives (within 24 hours prior to procedure), drugs that in the opinion of the investigator are causing constipation in the participant (within 48 hours prior to procedure), antidiarrheal drugs (within 72 hours prior to procedure), or oral iron preparations (within 1 week prior to procedure).
  • Participation in an interventional investigational trial requiring administration of an investigational drug within 30 days prior to receiving trial medication (or within 60 days for investigational drugs with an elimination half-life >15 days).
  • Any clinically relevant abnormal findings in medical history, physical examination, vital signs, (ECG), clinical chemistry, hematology, coagulation, or urinalysis at screening which in the opinion of the investigator(s), might put the participant at risk because of his/her participation in the trial.
  • to any of the ingredients of the trial medications.
  • Inability to comply with the dietary restrictions in the trial or the fluid requirements before and after investigational medicinal product (IMP) administration.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Screening
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
39 participants (estimated)

Study arms

  • Experimental
    Participants aged 2 to <4 years: CLENPIQ

    CLENPIQ administered using "split-dose" method and consists of two separate doses: the first dose (½ bottle \[approximately 80 mL\]) one day before colonoscopy between 5:00 PM and 9:00 PM, and the second dose (½ bottle \[approximately 80 mL\]) the next day, at least 5 hours prior but no more than 9 hours prior to the colonoscopy. Following each dose, participants will consume 50 mL/kg of clear liquids, up to a limit of 1,000 mL.

    Drug: CLENPIQ

  • Active comparator
    Participants aged 2 to <4 years: MIRALAX+SENNA

    MIRALAX 3.4 to 4.9 g/kg up to a maximum of 238 g is reconstituted with non-carbonated, clear beverage, or water and administered in increments of 4 ounce (oz) for every 30 minutes, one day before colonoscopy between 5:00 PM and 9:00 PM. Following dosing, participants will consume 50 mL/kg of clear liquids, up to a limit of 1,000 mL total weight-based maximum.

    Drug: MIRALAX · Drug: SENNA

  • Experimental
    Participants aged 4 to <9 years: CLENPIQ

    CLENPIQ administered using "split-dose" method and consists of two separate doses: the first dose (1 bottle \[approximately 160 mL\]) one day before colonoscopy between 5:00 PM and 9:00 PM, and the second dose (½ bottle \[approximately 80 mL\]) the next day, at least 5 hours prior but no more than 9 hours prior to the colonoscopy. Following each dose, participants will consume 50 mL/kg of clear liquids, up to a limit of 1,000 mL total weight-based maximum.

    Drug: CLENPIQ

  • Active comparator
    Participants aged 4 to <9 years: MIRALAX+SENNA

    MIRALAX 3.4 to 4.9 g/kg up to a maximum of 238 g is reconstituted with non-carbonated, clear beverage, or water and administered in increments of 8 oz for every 30 minutes one day before colonoscopy between 5:00 PM and 9:00 PM. Following dosing, participants will consume 50 mL/kg of clear liquids, up to a limit of 1,000 mL total weight-based maximum.

    Drug: MIRALAX · Drug: SENNA

  • Experimental
    Participants aged 12 months to <2 years: CLENPIQ

    CLENPIQ administered using "split-dose" method and consists of two separate doses: the first dose (1/4 bottle \[approximately 40 mL\]) one day before colonoscopy between 5:00 PM and 9:00 PM, and the second dose (1/4 bottle \[approximately 40 mL\]) the next day, at least 5 hours prior but no more than 9 hours prior to the colonoscopy. Following each dose, participants will consume 50 mL/kg of clear liquids, up to a limit of 1,000 mL.

    Drug: CLENPIQ

  • Active comparator
    Participants aged 12 months to <2 years: MIRALAX+SENNA

    MIRALAX 3.4 to 4.9 g/kg up to a maximum of 238 g is reconstituted with non-carbonated, clear beverage, or water and administered in increments of 8 oz for every 30 minutes one day before colonoscopy between 5:00 PM and 9:00 PM. Following dosing, participants will consume 50 mL/kg of clear liquids, up to a limit of 1,000 mL total weight-based maximum.

    Drug: MIRALAX · Drug: SENNA

Interventions

  • DrugCLENPIQ

    CLENPIQ consists of sodium picosulfate 10.0 mg + magnesium oxide 3.5 g + citric acid, anhydrous 12.0 g. Supplied as a pre-mixed, ready-to-drink oral solution in two bottles, each containing 160 mL.

  • MIRALAX powder for oral solution, supplied in a 8.3 oz multi-dose bottle containing 238 g of laxative powder (polyethylene glycol \[PEG\] 3350). MIRALAX is mixed with non-carbonated, clear beverage, or water and consumed at specified intervals until the total required dose.

  • DrugSENNA

    SENNA Liquid (chocolate flavor) is an oral solution to be taken according to body weight (8.8 mg for 10-22 kg, 17.6 mg for 22-34 kg and 26.4 mg for \>34 kg) prior to MIRALAX.

06

What researchers measure

Primary outcomes

  1. Percentage of participants classified as responders, defined by "excellent" or "good" in the Modified Aronchick scale

    The efficacy of overall colon cleansing in terms of responders will be graded by a blinded endoscopist using the Modified Aronchick Scale. It is a 4-point scale that grades colon cleansing as Excellent (\>90% of mucosa seen, mostly liquid stool, minimal suctioning needed for adequate visualization), Good (\>90% of mucosa seen, mostly liquid stool, significant suctioning needed for adequate visualization), Fair (\>90% of mucosa seen, mixture of liquid and semisolid stool, could be suctioned and/or washed) or Inadequate (\<90% of mucosa seen, mixture of semisolid and solid stool which could not be suctioned or washed).The participant is considered to be a responder if overall colon cleansing is "excellent" or "good" on this 4-point scale.

    Time frame: On the day of colonoscopy (Day 1)

Secondary outcomes

  1. Percentage of participants classified as "excellent" in the Modified Aronchick scale

    The efficacy of overall colon cleansing in terms of responders will be graded by a blinded endoscopist using the Modified Aronchick Scale. It is a 4-point scale that grades colon cleansing as Excellent (\>90% of mucosa seen, mostly liquid stool, minimal suctioning needed for adequate visualization), Good (\>90% of mucosa seen, mostly liquid stool, significant suctioning needed for adequate visualization), Fair (\>90% of mucosa seen, mixture of liquid and semisolid stool, could be suctioned and/or washed) or Inadequate (\<90% of mucosa seen, mixture of semisolid and solid stool which could not be suctioned or washed). Percentage of participants classified as "excellent" in the Modified Aronchick scale will be reported.

    Time frame: On the day of colonoscopy (Day 1)

  2. Percentage of participants who completed the assigned dose of CLENPIQ among participants in whom nasogastric tube was not utilized to assist with CLENPIQ dosing

    A nasogastric tube may be inserted if the participant is likely to fail to drink the prescribed amount of cleanout preparation within the required time. Percentage of participants who completed the assigned dose of CLENPIQ without utilizing nasogastric tube will be reported.

    Time frame: From randomization (Day -1) up to second dose of CLENPIQ (Day 1)

  3. Frequency of each category of the Modified Tolerability and Satisfaction Questionnaire: How easy was it for you/the child to drink the bowel cleanout medicine?

    The tolerability and satisfaction of colon cleansing preparation for colonoscopy will be assessed by the child/ parent(s)/caregiver(s)/guardian(s) using modified tolerability and satisfaction questionnaire. The above question will be answered on a 6-point scale: (1=very easy, 2=easy, 3=okay, 4=difficult, 5=very difficult, 6=do not know).

    Time frame: On the day of colonoscopy (Day 1)

  4. Frequency of each category of the Modified Tolerability and Satisfaction Questionnaire: How did the bowel cleanout medicine taste?

    The tolerability and satisfaction of colon cleansing preparation for colonoscopy will be assessed by the child/ parent(s)/caregiver(s)/guardian(s) using modified tolerability and satisfaction questionnaire. The above question will be answered on a 6-point scale: (1=very well, 2=well, 3=okay, 4=bad, 5=very bad, 6=do not know).

    Time frame: On the day of colonoscopy (Day 1)

  5. Frequency of each category of the Modified Tolerability and Satisfaction Questionnaire: How often did your/the child's tummy hurt since you/the child started the cleanout?

    The tolerability and satisfaction of colon cleansing preparation for colonoscopy will be assessed by the child/parent(s)/caregiver(s)/guardian(s) using modified tolerability and satisfaction questionnaire. The above question will be answered on a 6-point scale: (1=never, 2=rarely, 3=sometimes, 4=often, 5=very often, 6=do not know).

    Time frame: On the day of colonoscopy (Day 1)

  6. Frequency of each category of the Modified Tolerability and Satisfaction Questionnaire: How often did you/the child feel fullness in your/the child's tummy since you/the child started the cleanout?

    The tolerability and satisfaction of colon cleansing preparation for colonoscopy will be assessed by the child/ parent(s)/caregiver(s)/guardian(s) using modified tolerability and satisfaction questionnaire. The above question will be answered on a 6-point scale: (1=never, 2=rarely, 3=sometimes, 4=often, 5=very often, 6=do not know).

    Time frame: On the day of colonoscopy (Day 1)

  7. Frequency of each category of the Modified Tolerability and Satisfaction Questionnaire: How often did you/the child wake up last night?

    The tolerability and satisfaction of colon cleansing preparation for colonoscopy will be assessed by the child/ parent(s)/caregiver(s)/guardian(s) using modified tolerability and satisfaction questionnaire. The above question will be answered on a 6-point scale: (1=never, 2=rarely, 3=sometimes, 4=often, 5=very often, 6=do not know).

    Time frame: On the day of colonoscopy (Day 1)

  8. Frequency of each category of the Modified Tolerability and Satisfaction Questionnaire: How often did you/the child feel sick to your/the child's stomach (nausea) since you/the child started the cleanout?

    The tolerability and satisfaction of colon cleansing preparation for colonoscopy will be assessed by the child/ parent(s)/caregiver(s)/guardian(s) using modified tolerability and satisfaction questionnaire. The above question will be answered on a 6-point scale: (1=never, 2=rarely, 3=sometimes, 4=often, 5=very often, 6=do not know).

    Time frame: On the day of colonoscopy (Day 1)

  9. Frequency of each category of the Modified Tolerability and Satisfaction Questionnaire: How much were you/the child bothered by going to the bathroom since you/the child started the cleanout?

    The tolerability and satisfaction of colon cleansing preparation for colonoscopy will be assessed by the child/parent(s)/caregiver(s)/guardian(s) using modified tolerability and satisfaction questionnaire. The above question will be answered on a 6-point scale: (1=never, 2=rarely, 3=sometimes, 4=often, 5=very often, 6=do not know).

    Time frame: On the day of colonoscopy (Day 1)

  10. Systemic concentrations of picosulfate and bis-(p-hydroxyphenyl)-pyridyl-2-methane (BHPM, active metabolite of picosulfate)

    Time frame: 3 to 6 hours after the second dose of CLENPIQ prior to colonoscopy (Day 1).

  11. Systemic concentrations of magnesium at screening

    At screening, PK assessments of magnesium concentrations will be performed for all participants.

    Time frame: Screening (≤21 days before scheduled colonoscopy)

  12. Systemic concentrations of magnesium after randomization

    After randomisation, PK assessments of magnesium concentrations will be performed only for the participants randomized to CLENPIQ.

    Time frame: 3 to 6 hours after second dose of CLENPIQ prior to colonoscopy (Day 1); 1 or 2 days after the colonoscopy (Day 2 or 3)

  13. Percentage of participants with adverse events (AEs)

    An AE is defined as any untoward medical occurrence in a participant participating in a clinical study. Percentage of participants with any AE (serious or non-serious) will be presented.

    Time frame: From screening (≤21 days before scheduled colonoscopy) up to Day 28±7 after colonoscopy

  14. Percentage of participants with abnormal findings in vital signs

    Percentage of participants with abnormal findings (clinically significant) in vital signs will be reported.

    Time frame: From screening (≤21 days before scheduled colonoscopy) up to Day 28±7 after colonoscopy

  15. Percentage of participants with abnormal findings in clinical laboratory tests

    Percentage of participants with abnormal findings (clinically significant) in clinical laboratory tests will be reported.

    Time frame: From screening (≤21 days before scheduled colonoscopy) up to Day 28±7 after colonoscopy

07

Study locations

4 of 4 sites recruiting
  • South Alabama Medical Science Foundation
    Mobile, Alabama 36604, United States
    Recruiting
  • Rady Children's Hospital (San Diego)
    San Diego, California 92123, United States
    Recruiting
  • University of Maryland, Baltimore
    Baltimore, Maryland 21201, United States
    Recruiting
  • Johns Hopkins Children's Medical Center
    Baltimore, Maryland 21287, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2022 (actual). Primary completion is estimated for Dec 2027, 66 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 1, 2019
First posted
Oct 2, 2019
StartActual
Jun 23, 2022
Primary completionEst.
Dec 2027
CompletionEst.
Dec 2027
Last update
Sep 4, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04113382
Responsible party
Sponsor
First posted
Oct 2, 2019
Start date
Jun 23, 2022
Primary completion
Dec 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Sep 4, 2026

Study contacts

Ferring Pharmaceuticals
Contact
Disclosure@ferring.com
+1 833-548-1402 (US/Canada)
Ferring Pharmaceuticals A/S
study director · Ferring Pharmaceuticals

Oversight

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

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