The study was carried out as a randomised, single-blind, active-controlled, multi-centric, phase III study with two parallel treatment groups. The primary efficacy criterion was the frequency of effective gut cleansing in each of the two treatment groups (grade A or B "overall quality of gut cleansing" as judged by a blinded expert panel on the basis of videotapes recorded during the endoscopic procedure).
The study was designed as a randomised, active-controlled, single-blind, multi-centre, pivotal phase III trial with two parallel treatment groups. 15 German hospitals with specialised gastroenterology units were expected to participate in the investigation. Up to 360 hospital in-patients routinely scheduled to undergo complete colonoscopy were to be enrolled one to two days prior to the endoscopic procedure, and to be randomly allocated to one of the two treatment arms in a ratio of 1:1. Bowel preparation was performed using equal split doses of either low-volume NRL994 (two doses of 1,000 mL each) or high-volume PEG+E (two doses of 2,000 mL each). The first dose was to be taken in the evening before the procedure, the second dose on the morning of the day of the colonoscopy. The patients allocated to NRL994 were asked to drink at least 1L of additional clear liquid in addition to the study drug. During colonoscopy the cleansing of each of the five pre-defined gut segments was to be assessed by the physician performing the examination, using a 5-level verbal rating scale. Videotapes were to be recorded of all procedures in order to allow central review by a blinded and independent expert panel whose ratings were the primary basis for the analysis of efficacy. The patients enrolled in the study were asked to fill in a questionnaire concerning the acceptability of the preparation. A patient's participation in the study was terminated upon completion of the intervention by performing a final examination and filling in the study termination page. No interim analysis was to be performed.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
360
1 pack will consist of 2L NRL 994 - 4 (2 x PEG + E/"P" + 2 x Vitamin C/"C") sachets for the 2L of 2 sachets (1 x "P" plus 1 x "C") will be dissolved in 1L of water. Each litre will be drunk within 1 hour followed by at least 500ml of any additional clear fluid.
1 pack will consist of 4L PEG + E - contains 4 sachets for the 4L of PEG + E/"P/E". Each sachet will be dissolved in 1L of water. Each litre will be drunk within 1 hour.
Chefarzt der Abt. Gastroenterologie, Klinikum St. Marien
Amberg, Germany
Chefarzt Innere Medizin, Klinikum Aschaffenburg
Aschaffenburg, Germany
Klinikum Dachau, Innere Medizin - Gastroenterologie
Dachau, Germany
The frequency of effective gut cleansing in each of the two treatment groups (grade A or B "overall quality of gut cleansing" as judged by a blinded expert panel on the basis of videotapes recorded during the endoscopic procedure).
Degree of gut cleansing in each of the five colonic segments
mean degree of gut cleansing
global quality of gut cleansing
overall ease to perform colonoscopy
degree of patient satisfaction
overall acceptability of the gut cleansing regimen
global taste evaluation of the solution,problems drinking the entire volume of gut cleansing solution
acceptability of the diet associated with the intake of the solution
adverse events
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Chefarzt, Katholisches Krankenhaus St. Johann Nepomuk
Erfurt, Germany
Waldkrankenhaus St. Marien,
Erlangen, Germany
Zentrum für Innere Medizin,
Essen, Germany
Bürgerhospital Frankfurt e.V., Abteilung für interventionelle Endoskopie
Frankfurt am Main, Germany
Städtische Kliniken Frankfurt-Höchst
Frankfurt am Main, Germany
Klinikum Fürth, Med. Klinik II
Fürth, Germany
Abteilung für Innere Medizin, Israelitisches Krankenhaus
Hamburg, Germany
...and 2 more locations