Artificial Intelligence Performance in Colonoscopy in Daily Practice
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| ClinicalTrials.gov Identifier: NCT04837599 |
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Recruitment Status :
Not yet recruiting
First Posted : April 8, 2021
Last Update Posted : April 19, 2021
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randomized, controlled single center, single investigator study mainly in colorectal screening population in daily practice with and without artificial intelliegence (AI) named DiscoveryTM from Pentax medical. Patient randomly are allocated to one of four groups: Pentax i10 colonoscopes without any additional device, Pentax i 10 with DiscoveryTM (AI), Pentax i 10 with EndocuffTM and Pentax i10 with EndocuffTM and DiscoveryTM (AI).
The different groups are compared in terms of the different parameters: e.g. time of endoscopy, polyps (PDR) and adenoma detected (ADR).
| Condition or disease | Intervention/treatment | Phase |
|---|---|---|
| Colonic Polyp Adenoma | Device: Discovery TM of Pentax medical on/off in colonoscopy | Not Applicable |
From August 2021 through August 2022 all patients undergoing a colonoscopy in a gastroenterologist's private practice are assigned using randomization tables to one or the other above mentioned groups. Time of the endoscopy (ascent, descent and intervention time), polyps detected and their histology are written down real time with a tablet computer anonymized with the patient number. Furthermore dosage of sedatives and over all satisfaction is traced.
- endpoint is time gain in the different phase of the colonoscopy
- endpoint is adenoma detection rate (ADR)
| Study Type : | Interventional (Clinical Trial) |
| Estimated Enrollment : | 1100 participants |
| Allocation: | Randomized |
| Intervention Model: | Parallel Assignment |
| Masking: | None (Open Label) |
| Primary Purpose: | Diagnostic |
| Official Title: | Artificial Intelligence Performance in Colonoscopy in Daily Practice: Randomised, Comparative Study of Pentax i10 Colonoscopes With or Without Endocuff Combined With Discovery™ or Without |
| Estimated Study Start Date : | August 1, 2021 |
| Estimated Primary Completion Date : | July 31, 2022 |
| Estimated Study Completion Date : | October 31, 2022 |
| Arm | Intervention/treatment |
|---|---|
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No Intervention: Pentax i 10
Patient gets normal colonoscopy without Endocuff or activation of artifical intelligence
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Active Comparator: Pentax i 10 with artificial intelligence Discovery TM
Normal Pentax i 10 colonoscope with on the special monitor acitvated artificial intelligence
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Device: Discovery TM of Pentax medical on/off in colonoscopy
on the monitor artificial integlligence Discovery can be switched on or off.
Other Name: Endocuff mounted yes/no |
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Active Comparator: Pentax i 10 with Endocuff TM
Endocuff cap is mounted on the tip of the endoscope a cheap assistance device proven in former studies to increase adenoma detection rate.
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Device: Discovery TM of Pentax medical on/off in colonoscopy
on the monitor artificial integlligence Discovery can be switched on or off.
Other Name: Endocuff mounted yes/no |
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Active Comparator: Pentax i 10 with Endocuff TM and artificial intelligence Discovery TM
Endocuff cap is mounted on the tip of the endoscope and artificial intelligence is activated on the monitor. hypothesis is that probably artificial intelligence and Endocuff combined potentiate their effect.
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Device: Discovery TM of Pentax medical on/off in colonoscopy
on the monitor artificial integlligence Discovery can be switched on or off.
Other Name: Endocuff mounted yes/no |
- Endoscopy time [ Time Frame: within 45 minutes of examination ]measurement of ascent, descent and intervention time during colonoscopy
- polyp and adenoma detetction rate PDR and ADR [ Time Frame: within 45 minutes of examination ]counts of polypes and their location in the colon and their histology
- Medication dosage [ Time Frame: withn 45 minutes of examination ]Dosage of Propofol and Buscopan
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| Ages Eligible for Study: | 15 Years and older (Child, Adult, Older Adult) |
| Sexes Eligible for Study: | All |
| Gender Based Eligibility: | Yes |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- all patients referred and fit for an ambulant colonoscopy
Exclusion Criteria:
- none
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04837599
| Switzerland | |
| Martin Geyer | |
| Wettingen, Aargau, Switzerland, 5430 | |
| Contact: Martin Geyer, MD 0562227292 geyer@gastro-bw.ch | |
| Responsible Party: | Geyer Martin, Dr med. Geyer Martin, Principal investigator, Gastroenterologie Baden-Wettingen |
| ClinicalTrials.gov Identifier: | NCT04837599 |
| Other Study ID Numbers: |
Gastro BW 1 |
| First Posted: | April 8, 2021 Key Record Dates |
| Last Update Posted: | April 19, 2021 |
| Last Verified: | April 2021 |
| Individual Participant Data (IPD) Sharing Statement: | |
| Plan to Share IPD: | No |
| Studies a U.S. FDA-regulated Drug Product: | No |
| Studies a U.S. FDA-regulated Device Product: | No |
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artificial intelligence |
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Adenoma Colonic Polyps Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type |
Neoplasms Intestinal Polyps Polyps Pathological Conditions, Anatomical |

