CClinicalTrials.gg
CompletedNCT05570669ERACLESUpdated Oct 6, 2022

Evaluation of Two Different Regimens of Colon Preparations for Advanced Cleaning.

A Phase 4 interventional study of (Macrogol 4000 52,500 g + Sodium sulphate anhydrous 3,750 g + Simethicone 0,080 g) full dose and (Macrogol 4000 52,500 g + Sodium sulphate anhydrous 3,750 g + Simethicone 0,080 g) split dose in Colonoscopy, sponsored by Societa Italiana di Endoscopia Digestiva. Completed at 10 sites in Italy. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2022-10-06.

Sponsored by Societa Italiana di Endoscopia Digestiva · Phase 4, Interventional, and Screening

From the registry’s dates

  • Registered 1 year 4 months after the study started (first participant enrolled May 2021, registered Sep 2022).
Phase
Phase 4
Study type
Interventional
Enrollment
321
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Multicenter, prospective, randomized, checked, open label, with blind evaluation, for compare the intestinal cleansing effectiveness of the regimen full-dose delayed (A) of Clensia vs split regimen (B) of Clensia, in patients undergoing endoscopy.

Read the detailed description

Enrolled patients, after providing written informed consent, are randomized to the CLENSIA preparation scheme, delayed full-dose or split-dose regimen. The delayed full-dose regimen will constitute study arm A while the split-dose regimen will constitute the control arm B.

Participants will follow a slag-free diet in the three days preceding the colonoscopy (reduction in the consumption of fruit, vegetables and legumes). On the day before the colonoscopy, patients will be able to have a normal breakfast and lunch that are both free of fiber. The dietary indications will be delivered in writing to the patient by the health staff of the center involved in the trial. From the moment the preparation begins with the intake of the product, the intake of solid foods will no longer be allowed while clear liquids of the patient's choice can be taken freely up to two hours before the colonoscopy.

The study ends for each patient with the execution of each procedure / examination planned for the visit 2 The effectiveness of the preparation in terms of intestinal cleansing is assessed blindly (by the endoscopist) using the scale (Boston Bowel Preparation Scale).

02

Conditions studied

  • Colonoscopy
03

In context

Lead sponsor

This is the only study on the registry with Societa Italiana di Endoscopia Digestiva as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male / female patients
  • outpatient, consecutively subjected to colonoscopy with an exam scheduled from 8.00 to 10.00
  • Age between 18 and 75 years
  • Written informed consent

Exclusion criteria

Exclusion Criteria:

  • Hypersensitivity and contraindications to the product under study, to the active ingredients or to any of the excipients.

Known severe renal insufficiency (Glomerular Filtration Rate (eGFR) \<30 ml / min / 1.73 m2)

  • Presence of known chronic inflammatory bowel disease
  • Previous digestive tract surgery
  • Suspected gastrointestinal perforation
  • History of congestive heart failure (NYHA class III or IV)
  • Severe hepatic insufficiency or impairment (in the case of Child-Pugh Class C accurate verification of the patient's condition) indicated by transaminase values greater than 3 times the maximum normal value.
  • Toxic colitis or toxic megacolon
  • Suspected intestinal obstruction
  • Patients enrolled in colorectal cancer screening programs
  • Intestinal paralysis
  • Documented electrolyte disturbances (Na, Cl, K, Ca or P outside normal limits)
  • Recent symptomatic acute ischemic heart disease (\<6 months). Acute myocardial infarction and recent unstable angina within six months antecedents.
  • Participation in a clinical trial in which an investigational drug was administered within 30 days or 5 half-lives of the study drug, whichever is longer.
  • Documented state of pregnancy ascertained through positive pregnancy test
05

Study design

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

Study arms

  • Experimental
    full dose

    Group A "delayed full-dose" regimen (study arm): intake of two large A sachets and 2 small B sachets from 20:30 to 22:00 the evening before the exam. Taking the remaining 2 envelopes A large e 2 small B envelopes from 10.30 pm to midnight the evening before the exam.

    Drug: (Macrogol 4000 52,500 g + Sodium sulphate anhydrous 3,750 g + Simethicone 0,080 g) full dose

  • Other
    split dose

    Group B "split-dose" regimen (control arm): intake of two large A sachets and two small B sachets from 20.30 to 22:00 the evening before the exam. The remaining two large A envelopes and two small B envelopes will be taken 5 hours earlier than the time when the exam is scheduled on the same day as the exam.

    Drug: (Macrogol 4000 52,500 g + Sodium sulphate anhydrous 3,750 g + Simethicone 0,080 g) split dose

Interventions

  • Drug(Macrogol 4000 52,500 g + Sodium sulphate anhydrous 3,750 g + Simethicone 0,080 g) full dose

    Taking the colonoscopy preparation drug (Clensia) in a single administration

    Also known as: Clensia in full dose

  • Drug(Macrogol 4000 52,500 g + Sodium sulphate anhydrous 3,750 g + Simethicone 0,080 g) split dose

    Taking the colonoscopy preparation drug (Clensia) in two stages of administration

    Also known as: Clensia in Split dose

06

What researchers measure

Primary outcomes

  1. Percentage of colonoscopies with adequate preparation

    Percentage of colonoscopies with adequate preparation (according to BBPS score ≥ 2) in each colonic segment, in patient group A vs patient group B

    Time frame: 1 day - the day of the colonoscopy

Secondary outcomes

  1. Quantity of bubbles

    Quantity of bubbles and / or foam according to IBS, in patient group A vs patient group B

    Time frame: 1 day - the day of the colonoscopy

  2. tollerability and compliance

    Degree of acceptability, tolerability and compliance, by questionnaire, in the group of patients A vs the group of patients B

    Time frame: 2 days - the day of the drug administration + the day of the colonoscopy

07

Study locations

10 sites
  • Presidio Ospedaliero Sant'Ottone Frangipane
    Ariano Irpino, Avellino 83031, Italy
  • Reparto di Gastroenterologia IRRCS Saverio de Bellis
    Castellana Grotte, Bari, Italy
  • SSD Endoscopia digestiva - Ospedale Manerbio
    Manerbio, Brescia, Italy
  • SC Gastroenterologia Endoscopia Digestiva. Ospedale di Baggiovara
    Baggiovara, Modena, Italy
  • SC Gastroenterologia ed Endoscopia Digestiva - Ospedale S. Martino
    Belluno, Italy
  • Dipartimento di scienze mediche e chirurgiche, Università di Bologna - Policlinico Sant'Orsola
    Bologna, Italy
  • Reparto Gastroenterologia ed Endoscopia dell'Ospedale Civile San Giovanni di Dio
    Crotone, Italy
  • Servizio Centralizzato di Endoscopia Digestiva Operatoria - AOU Federico II
    Napoli, Italy
  • S.S. Endoscopia Digestiva/ P.O. S. Jacopo
    Pistoia, Italy
  • Chirurgia Generale AOU Policlinico Umberto I
    Rome, Italy
08

References and documents

Individual participant data

Plan to share: Yes — THE STUDY IS PROMOTED BY THE ITALIAN SOCIETY OF DIGESIVE ENDOSCOPY as part of research activities for the improvement of clinical practices

Supporting information: Study protocol, Sap, Icf, Csr

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 6, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05570669
Lead sponsor
Societa Italiana di Endoscopia Digestiva
Collaborators
Presidio Ospedaliero Sant Ottone Frangipane Avellino, Azienda Ospedaliera Specializzata in Gastroenterologia Saverio de Bellis, Azienda Policlinico Umberto I, Ospedale di Manerbio ASST Garda, Ospedale Civile San Giovanni di Dio Crotone, Ospedale di Baggiovara Modena, Ospedale S. Jacopo Pistoia, Ospedale S. Martino Belluno, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Federico II University
Responsible party
Sponsor
First posted
Oct 6, 2022
Start date
May 25, 2021
Primary completion
Dec 28, 2021
Completion
Dec 28, 2021
Last update
Oct 6, 2022

Study contacts

LUIGI PASQUALE, PROF
study chair · Societa Italiana di Endoscopia Digestiva

Oversight

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

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This study is completed, as verified in Sep 2022. You cannot join it, but the record below documents what was studied.

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