N/A
N=74
Monitoring Disease Activity Using Video Capsule Endoscopy (VCE) in Crohn's Disease (CD) Subjects
Known Crohn Disease Subjects
Bottom Line
View on ClinicalTrials.gov: NCT01942720 ↗Enrolled (actual)
74
Serious AEs
4.1%
Results posted
May 2017
Primary outcome: Primary: Mucosal Change in VCE (Video Capsule Endoscopy) Mucosal Scores and PGA (Physician Global Assessment) — -0.3; -382.9; -2.7 units on a scale — p=0.631
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Capsule endoscopy and Ileocolonoscopy tests (Device)
- Age
- Pediatric, Adult, Older Adult · 2+ yrs
- Sex
- All
- Sponsor
- Medtronic - MITG
- Primary completion
- Jul 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Mucosal Change in VCE (Video Capsule Endoscopy) Mucosal Scores and PGA (Physician Global Assessment) |
-0.3; -382.9; -2.7 | 0.631 |
| SECONDARY Correlation Between SES CD (Simple Endoscopic Score for Chron's Disease) Score and Capsule Scoring Indexes |
3.2; 11941.1; 14 | <0.001 sig |
| SECONDARY Correlation Between the Change in SES CD Score and the Change in Capsule Scoring Indexes- in Terminal Ileum |
-0.4; -410.8; -3.1 | 0.002 sig |
| SECONDARY Evaluate the Entire SB CE Scores |
-382.9; -410.8; -2.7; -3.1 | <0.001 sig |
| SECONDARY Adverse Events (AE) |
5; 59; 0; 5 | — |
Summary
This study is designed to evaluate the performance of VCE in the assessment of mucosal inflammation 6 months after the first VCE procedure
Eligibility Criteria
Inclusion Criteria
- Subject ages 2-75 years, inclusive
- Subjects with a diagnosis of known Crohn disease
- Referred to ileocolonoscopy (up to 4 weeks before the CE procedure)
- Proven patency by the Agile capsule or another approach deemed clinically acceptable by the investigator, e.g. CT enterography, MRE (Magenetic Resonance Enteroscopy), performed within the 90 days prior to enrollment.
- Subject or parent agrees to sign consent form
Exclusion Criteria
The presence of any of the following will exclude a subject from study enrollment:
- Subjects with change in IBD (Inflammatory Bowel Disease) drug therapy between the baseline ileocolonoscopy and VCE
- Subjects with a history of prior ileocecectomy, Ileal Pouch-Anal Anastomosis (IPAA) and J pouch or an ostomy
- Stricture seen on radiological exam.
- Indeterminate Colitis
- Ulcerative Colitis
- Antibiotic Associated Colitis
- Known history of intestinal obstruction or current obstructive symptoms, such as severe abdominal pain with accompanying nausea or vomiting, based on investigator judgment.
- Non-steroidal anti-inflammatory drugs including aspirin (twice weekly or more), not including aspirin up to 81mg daily, during the 4 weeks preceding enrollment
- Suspected GI stricture, followed by PillCam® Patency study or other imaging study that could not prove patency of the GI tract.
- Subject is expected to undergo MRI examination within 7 days after ingestion of the capsule.
- Subjects with known or suspected delayed gastric emptying
- Subjects with known or suspected delayed Small bowel motility
- Subject has any allergy or other known contraindication to the medications used in the study.
- Women who are either pregnant or nursing at the time of screening, or are of child-bearing potential and do not agree to practice medically acceptable methods of contraception.
- Unwillingness to use a medically accepted method of contraception throughout duration of study
- Concurrent participation in another clinical trial using any investigational drug or device.
- Subject has cardiac pacemaker or other implanted electromedical devices
- Subject suffers from a life threatening condition.
- Subject with a history or clinical evidence of renal disease and/or previous clinically significant laboratory abnormalities of renal function parameters.
- Subject suffers from any condition, such as swallowing problems, which precludes compliance with study and/or device instructions.
Data sourced from ClinicalTrials.gov (NCT01942720). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.