ClinicalTrials.gg
RecruitingNCT06924489Updated Aug 18, 2026

Advanced Adenoma Detection With 3D Imaging Device During Colonoscopy

An interventional study of Colonoscopy after bowel cleansing with 2D imaging device and Colonoscopy after bowel cleansing with 3D imaging device in Colorectal Adenoma and Colorectal Polyps, sponsored by Xijing Hospital of Digestive Diseases. Recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-18.

Sponsored by Xijing Hospital of Digestive Diseases · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 5 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
1,566
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The goal of this clinical trial is to learn if 3-dimensional (3D) imaging device works to identify patients with high risk adenomas during colonoscopy to guide proper follow-up strategy. It will also learn about the safety of 3-dimensional (3D) imaging device. The main questions it aims to answer are:

Does 3-dimensional (3D) imaging device improve the identification of patients with high risk adenomas? What adverse events do participants experience during colonoscopy? Researchers will compare 3-dimensional (3D) imaging device to traditional 2-dimensional (2D) imaging device to see if 3-dimensional (3D) imaging device works to improve high risk adenoma identification.

Participants will:

Undertake colonoscopy examination using 3-dimensional (3D) imaging device or 2-dimensional (2D) imaging device. Be followed-up to 30 days to record potential colonoscopy-relevant adverse events.

02

Conditions studied

  • Colorectal Adenoma
  • Colorectal Polyps

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03

In context

Polyps

312 studies on the registry are indexed under Polyps; 60 are open to participants now.

This study's planned enrollment of 1,566 is above the median of 150 across 204 interventional studies indexed under Polyps.

Browse Polyps studies →

Lead sponsor

Xijing Hospital of Digestive Diseases is the lead sponsor of 81 studies on the registry; 23 are open to participants now.

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
Yes

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

  • Aged 18-75 years;
  • Patients with indications for colonoscopy and receiving diagnostic colonoscopy, without history of inflammatory bowel disease, colorectal cancer, polypectomy or polyposis syndromes;
  • Signing the written ;

Exclusion criteria

Exclusion Criteria:

  • Patients with polyposis syndromes (e.g., Peutz-Jeghers syndrome, Cronkhite-Canada syndrome, familial adenomatous polyposis [FAP], Lynch syndrome, etc.);
  • Patients with a history of colorectal polypectomy and pathological diagnosed as adenoma;
  • Patients with a history of colorectal adenocarcinoma or alarming symptoms;
  • Patients with a history of inflammatory bowel disease;
  • Patients with mental illness or severe functional disorder who cannot cooperate with colonoscopy;
  • Patients with severe cardiopulmonary insufficiency;
  • Patients with severe coagulation disorders or high bleeding risk ( \<50×10⁹/L, >1.5; discontinuation of antithrombotic drugs should follow the 2012 Japanese Guidelines for Gastroenterological Endoscopy in Patients Undergoing Antithrombotic Treatment and the2017 Appendix on Anticoagulants Including Direct Oral Anticoagulants;
  • Patients with severe electrolyte imbalances;
  • Patients with acute peritonitis or suspected intestinal perforation;
  • Patients with toxic megacolon;
  • Patients with stage 3 or higher hypertension (systolic blood pressure ≥180 mmHg or diastolic blood pressure ≥110 mmHg);
  • Patients with untreated severe abdominal hernia, intestinal obstruction;
  • Patients with intestinal strictures of any cause;
  • Pregnancy and lactation.
Terms in these criteria, in plain language(3)

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
1,566 participants (estimated)

Study arms

  • Active comparator
    2D imaging arm

    participants will undergo colonoscopy examination using 2D imaging colonoscope

    Procedure: Colonoscopy after bowel cleansing with 2D imaging device

  • Experimental
    3D imaging arm

    participants will undergo colonoscopy examination using 3D imaging colonoscope

    Procedure: Colonoscopy after bowel cleansing with 3D imaging device

Interventions

  • ProcedureColonoscopy after bowel cleansing with 2D imaging device

    participants will undergo colonoscopy examination using 2D imaging colonoscope to detect potential adenomas or polyps. The classification of the detected lession will be determined by the edoscopic diagnosis based on the JNET classification system or by the pathological diagnosis with tissues from biopsy or polypectomy.

  • ProcedureColonoscopy after bowel cleansing with 3D imaging device

    participants will undergo colonoscopy examination using 3D imaging colonoscope to detect potential adenomas or polyps. The classification of the detected lession will be determined by the edoscopic diagnosis based on the JNET classification system or by the pathological diagnosis with tissues from biopsy or polypectomy.

06

What researchers measure

Primary outcomes

  1. High-risk adenoma (HRA) detection rate

    HRA were defined with one of the following features:1. diameter ≥10 mm or 2. (tubulo)villous adenomas or 3. with high-grade dysplasia or 4. sessile serrated lesions (SSLs) or 5. ≥ 3 adenomas. SSLs were defined as lesions with at least one crypt showing a characteristic sessile serrated lesion-type appearance. HRA detection rate is defined as the number of participants diagnosed with HRA divided by the total number of participants

    Time frame: 1-7 days after polypectomy

Secondary outcomes

  1. Adenoma detection rate (ADR)

    The number of participants with at least 1 adenoma divided by the total number of participants

    Time frame: 1-7 days after polypectomy

  2. Polyp detection rate (PDR)

    The number of participants with at least 1 polyp divided by the total number of participants

    Time frame: 1-7 days after polypectomy

  3. Clinically relevant serrated polyp detection rate

    Clinically relevant serrated polyps are defined as ≥10 mm serrated polyps (SPs, including hyperplastic polyps, SSLs, and traditional serrated adenomas) and \>5 mm SPs in the proximal colon. Clinically relevant serrated polyp detection rate is defined as the number of participants with at least 1 clinically relevant serrated polyp divided by the total number of participants.

    Time frame: 1-7 days after polypectomy

  4. Modified advanced adenoma detection rate

    Modified advanced adenoma are defined with one of the following features:1. diameter ≥10 mm or 2. (tubulo)villous adenomas or 3. with high-grade dysplasia or 4. sessile serrated lesions (SSLs). SSLs were defined as lesions with at least one crypt showing a characteristic sessile serrated lesion-type appearance. Modified advanced adenoma detection rate is defined as the number of participants diagnosed with modified advanced adenoma divided by the total number of participants

    Time frame: 1-7 days after polypectomy

  5. Advanced adenocarcinoma detection rate

    Advanced adenocarcinoma is defined as adenocarcinoma with submucosal invasion more than 1000μm (SM2). Advanced adenocarcinoma detection rate is defined as the number of participants diagnosed with advanced adenocarcinoma divided by the total number of participants

    Time frame: 1-7 days after polypectomy

  6. The number of lesions per colonoscopy

    The number of lesions per colonoscopy was defined as the number of corresponding lesions (adenoma, polyp, clinically relevant serrated polyps, et al)divided by the total number of colonoscopies or participants

    Time frame: 1-7 days after polypectomy

  7. Lesion detection rate in different location

    Lesion (adenoma, polyp, clinically relevant serrated polyps) detection rate in different location of colon and rectum

    Time frame: 1-7 days after polypectomy

  8. Lesion detection rate in different size

    Lesion (adenoma, polyp, clinically relevant serrated polyps) detection rate in different size (≤3mm, 3-10mm, \>10mm)

    Time frame: 1-7 days after polypectomy

  9. Lesion detection rate in different type

    Lesion (adenoma, polyp, clinically relevant serrated polyps) detection rate in different type (Paris classification)

    Time frame: 1-7 days after polypectomy

  10. Lesion detection rate by endoscopists of different experience

    Lesion (adenoma, polyp, clinically relevant serrated polyps) detection rate by endoscopists of different experience (senior or junior)

    Time frame: 1-7 days after polypectomy

  11. Cecal intubation time

    Cecal intubation time (CIT) is defined as the time from the insertion of the colonoscope tip into the anal verge until reaching the cecal base or cecal end

    Time frame: immediately during the colonoscopy examination procedure

  12. Withdrawal time

    Withdrawal time is defined as the time from reaching the cecal base or cecal end to the endoscope withdrawal to the anal verge, excluding the time of polypectomy

    Time frame: immediately during the colonoscopy examination procedure

  13. The colonoscopy-relevant adverse events

    Aspiration pneumonia, perforation, bleeding, splenic injury/rupture, death, or others requiring hospitalization within 30 days after the colonoscopy

    Time frame: 1-30 days after polypectomy

07

Study locations

1 of 1 sites 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 reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2025 (actual). Primary completion is estimated for Dec 2026, 18 months after the start.

Of 68 non-industry interventional studies with no phase under Polyps, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 42. This study's planned 18 months is below that.

Counting every sponsor, half of 79 studies reached it within 23 months; a quarter within 12 and three quarters within 42.

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

Registered
Apr 4, 2025
First posted
Apr 11, 2025
StartActual
Jun 1, 2025
Primary completionEst.
Dec 1, 2026
CompletionEst.
Dec 1, 2026
Last update
Aug 18, 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 Aug 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06924489
Lead sponsor
Xijing Hospital of Digestive Diseases
Responsible party
Zhiguo Liu (associate professor, Xijing Hospital of Digestive Diseases) — Principal investigator
First posted
Apr 11, 2025
Start date
Jun 1, 2025
Primary completion
Dec 1, 2026 (estimated)
Completion
Dec 1, 2026 (estimated)
Last update
Aug 18, 2026

Study contacts

zhiguo Liu, M.D
Contact
liuzhiguo@fmmu.edu.cn
86-29-84771535
Hui Chen, M.D
Contact
liuzhiguo@fmmu.edu.cn
Zhiguo Liu, M.D
principal investigator · Xijing Hospital of Digestive Disease

Oversight

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

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