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N/A N=74 Diagnostic

Monitoring Disease Activity Using Video Capsule Endoscopy (VCE) in Crohn's Disease (CD) Subjects

Known Crohn Disease Subjects

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

OutcomeResultp-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.
View full record on ClinicalTrials.gov →

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.

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