ClinicalTrials.gg
RecruitingNCT07696793CLEAN+Updated Jul 10, 2026

Efficacy and Tolerability of a Simethicone-containing Evacuating Solution for Colorectal Cancer Screening Colonoscopy

A Phase 4 interventional study of Clensia® and Citrafleet® in Colorectal Cancer Early Detection, sponsored by Fundacion Clinic per a la Recerca Biomédica. Recruiting at 1 site in Spain. Open to participants aged 50 Years to 69 Years. Per ClinicalTrials.gov, last updated 2026-07-10.

Sponsored by Fundacion Clinic per a la Recerca Biomédica · Phase 4, Interventional, and Diagnostic

From the registry’s dates

  • Started May 2026; still recruiting 5 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
818
Allocation
Randomized
Ages
50 Years to 69 Years
Sex
All
01

Study summary

Study to evaluate the efficacy and tolerability of a simethicone-containing evacuating solution for colorectal cancer screening colonoscopy.

02

Conditions studied

  • Colorectal Cancer Early Detection
03

In context

Colorectal Neoplasms

6,541 studies on the registry are indexed under Colorectal Neoplasms; 1,667 are open to participants now.

This study's planned enrollment of 818 is above the median of 76 across 4,800 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Fundacion Clinic per a la Recerca Biomédica is the lead sponsor of 64 studies on the registry; 27 are open to participants now.

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

04

Who can participate

Ages eligible
50 Years to 69 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

  1. Men and women aged 50 to 69.
  2. Have participated in the early detection program for colorectal cancer.
  3. Positive result in the fecal occult blood test (≥20 μg /g feces).
  4. Scheduled screening colonoscopy at Hospital Clínic de Barcelona.
  5. Signed form.

Exclusion criteria

Exclusion Criteria:

  1. Severe renal failure (grade IV or V) (Annex 6, Stages of Renal Impairment) and/or congestive heart failure ( Scale Class III and IV) (Annex 7, NYHA Scale).
  2. Colonoscopy within the last year.
  3. Barthel Index of \<20 (Annex 5, Barthel Index) and who also meet the Rome IV Criteria for the diagnosis of functional constipation (Annex 8, Rome IV Criteria).
  4. Mental disability or severe mental disorder (schizophrenia and other psychotic disorders, recurrent severe major depressive disorders, severe obsessive-compulsive disorder, severe personality disorders, and bipolar disorders).
  5. Do not understand spoken or written Catalan or Spanish.
  6. Partial or total colon resection.
  7. Personal history of CRC or colorectal pathology that requires specific follow-up (ulcerative colitis, Crohn's disease, or colorectal adenomas).
  8. Terminal illness or serious illness/disability that contraindicates subsequent colon study.
  9. Gastrointestinal disorders that contraindicate the use of study products (gastric emptying disorders, gastrointestinal perforation or obstruction, ileus, toxic megacolon).
  10. Hypermagnesemia.
  11. Rhabdomyolysis.
  12. Phenylketonuria.
  13. Glucose-6-phosphate dehydrogenase deficiency.
  14. to the active ingredients of .
  15. Pregnancy or breastfeeding.
Terms in these criteria, in plain language(5)

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 4
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
818 participants (estimated)

Study arms

  • Experimental
    Clensia®

    Clensia®, powder for oral solution in sachet. To be taken in two doses, 4 sachets dissolved in 200cc of water 9-12 hours before the examination and 4 sachets dissolved in 200cc of water 4 hours before the examination.

    Drug: Clensia®

  • Experimental
    Citrafleet®

    Citrafleet®, powder for oral solution in sachet. To be taken in two doses, 1 sachet dissolved in 200cc of water 9-12 hours before the examination and 1 sachet dissolved in 200cc of water 4 hours before the examination.

    Drug: Citrafleet®

Interventions

  • DrugClensia®

    Participants will take the treatment in two doses, 4 sachets dissolved in 200cc of water 9-12 hours before the examination and 4 sachets dissolved in 200cc of water 4 hours before the examination.

  • DrugCitrafleet®

    Participants will take the treatment in two doses, 1 sachet dissolved in 200cc of water 9-12 hours before the examination and 1 sachet dissolved in 200cc of water 4 hours before the examination.

06

What researchers measure

Primary outcomes

  1. Adenoma detection rate

    Adenoma detection rate, defined as the proportion of patients with at least one adenoma in relation to the total number of subjects in each study group (Clensia® Group (Group A); Citrafleet® Group (Group B)).

    Time frame: week 2 (Colonoscopy visit)

Secondary outcomes

  1. Lesion detection rate

    Lesion detection rate, defined as the proportion of patients with at least one polyp in relation to the total number of subjects in each group.

    Time frame: week 2 (Colonoscopy visit)

  2. Adenomas per colonoscopy

    Adenomas per colonoscopy, defined as the mean number of adenomas detected by colonoscopy in the subjects in each group.

    Time frame: week 2 (Colonoscopy visit)

  3. Presence of foam

    The presence of foam using the CEBuS (Colon Endoscopic Bubble Scale), in which each colonic segment (right colon, transverse colon, left colon) is scored from 0 to 2 (0=no or minimal number of bubbles; 1=moderate amount of bubbles affecting 5-50% of the circumference, affecting the vision of the mucosa and requiring additional time to wash; 2=abundant bubbles occupying \>50% of the circumference, obscuring the mucosa and require ring additional time to washing).

    Time frame: week 2 (Colonoscopy visit)

  4. Presence of bubbles

    The presence of bubbles using the CEBuS (Colon Endoscopic Bubble Scale), in which each colonic segment (right colon, transverse colon, left colon) is scored from 0 to 2 (0=no or minimal number of bubbles; 1=moderate amount of bubbles affecting 5-50% of the circumference, affecting the vision of the mucosa and requiring additional time to wash; 2=abundant bubbles occupying \>50% of the circumference, obscuring the mucosa and require ring additional time to washing).

    Time frame: week 2 (Colonoscopy visit)

  5. Quality of colon cleansing

    The quality of colon cleansing using the Boston Scale, in which each colonic segment (right colon, transverse colon, and left colon) is scored from 0 to 3 (0=poor, 1=fair, 2=good, 3=excellent). A total score greater than or equal to 6 and greater than or equal to 2 in each segment will be considered adequate.

    Time frame: week 2 (Colonoscopy visit)

  6. Need for washing tools during colonoscopy

    Need for washing tools during colonoscopy. The amount of wash water used during the colonoscopy to complete the test satisfactorily is counted. Likewise, the volume of simethicone used will be counted if it is considered necessary.

    Time frame: week 2 (Colonoscopy visit)

  7. Cecal intubation rate

    Cecal intubation rate. The colonoscopy will be considered complete if the cecum has been reached; otherwise, it will be considered incomplete.

    Time frame: week 2 (Colonoscopy visit)

  8. Cecal intubation time

    Cecal intubation time. Defined as the time elapsed between the introduction of the endoscope and reaching the cecal fundus.

    Time frame: week 2 (Colonoscopy visit)

  9. Endoscope removal time

    Endoscope removal time. Defined as the time elapsed between reaching the cecal fundus and completion of the endoscopy, including the time spent cleaning the colon and excluding endoscopic treatment of lesions.

    Time frame: week 2 (Colonoscopy visit)

  10. Requires repeat colonoscopy due to poor preparation

    Proportion of patients who, after undergoing colonoscopy, require repeat colonoscopy due to poor preparation, defined as a total score of less than 6 or less than 2 in one of the three segments according to the Boston Scale

    Time frame: week 2 (Colonoscopy visit)

  11. Adherence to the intake of the preparation

    Adherence to the intake of the preparation assessed by compliance with the intake in three degrees: completely, more than 50%, less than 50% or not at all (Tolerability and satisfaction questionnaire).

    Time frame: week 2 (Colonoscopy visit)

  12. Ease of taking the preparation

    Ease of taking the preparation assessed with a numerical assessment scale from 0=very difficult to 10=very easy (Tolerability and satisfaction questionnaire).

    Time frame: week 2 (Colonoscopy visit)

  13. Palatability of the preparation

    Palatability of the preparation assessed with a numerical assessment scale from 0=very bad to 10=excellent (Tolerability and satisfaction questionnaire).

    Time frame: week 2 (Colonoscopy visit)

  14. Willingness to repeat the intake of the preparation

    Willingness to repeat the intake of the preparation assessed as yes or no (Tolerability and satisfaction questionnaire).

    Time frame: week 2 (Colonoscopy visit)

  15. Overall satisfaction with the intake of the preparation

    Overall satisfaction with the intake of the preparation assessed with a numerical rating scale from 0=very bad to 10=very good (Tolerability and satisfaction questionnaire).

    Time frame: week 2 (Colonoscopy visit)

  16. Endoscopist's satisfaction with the cleaning of faecal remains and bubbles

    Endoscopist's satisfaction with the cleaning of faecal remains and bubbles, assessed with a numerical assessment scale from 0 = very dissatisfied to 10 = very satisfied (Data collection form).

    Time frame: week 2 (Colonoscopy visit)

  17. Rate of adverse events

    Rate of adverse events including symptoms such as nausea, vomiting, abdominal pain, abdominal bloating, headache, chills, dizziness and dry mouth, which will be assessed in the Tolerability and Satisfaction Questionnaire (Tolerability and Satisfaction Questionnaire).

    Time frame: week 2 (Colonoscopy visit) and week 4 (visit 2)

07

Study locations

1 of 1 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07696793
Lead sponsor
Fundacion Clinic per a la Recerca Biomédica
Responsible party
Sponsor
First posted
Jul 10, 2026
Start date
May 18, 2026
Primary completion
May 2028 (estimated)
Completion
May 2028 (estimated)
Last update
Jul 10, 2026

Study contacts

Maria Pellisé
Contact
MPELLISE@clinic.cat
+34 932275400
Judit Pich
Contact
JPICH@recerca.clinic.cat
+34 932275400 ext. 2815

Oversight

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

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