UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000021129
Receipt number R000024259
Scientific Title A multi-center, randomized controlled trial comparing early versus elective colonoscopy in outpatients with acute lower gastrointestinal bleeding
Date of disclosure of the study information 2016/02/21
Last modified on 2019/09/24 21:48:34

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Basic information

Public title

A multi-center, randomized controlled trial comparing early versus elective colonoscopy in outpatients with acute lower gastrointestinal bleeding

Acronym

Early colonoscopy trial

Scientific Title

A multi-center, randomized controlled trial comparing early versus elective colonoscopy in outpatients with acute lower gastrointestinal bleeding

Scientific Title:Acronym

Early colonoscopy trial

Region

Japan


Condition

Condition

Acute lower gastrointestinal bleeding

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate stigmata recent of hemorrhage rate of early versus elective colonoscopy in outpatient with acute lower gastrointestinal bleeding.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

Stigmata recent of hemorrhage rate in lower gastrointestinal tract

Key secondary outcomes

Success rate of endoscopic treatment, need for additional endoscopic examination, need for interventional radiology, need for surgery, 30 day rebleeding rates, length of stay, 30 day thrombosis events, 30 day mortality, preparation related adverse events (nausea, vomitting, abdominal pain, volume overload, aspiration pnumonia, hemorrhagic shock, exacerbation bleeding, and ileus), and colonoscopy related adverse events (hemorrhagic shock, and perforation).


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Early colonoscopy: performing prepared
colonoscopy within 24 h on arrival.

Interventions/Control_2

Elective colonoscopy: performing prepared colonoscopy between 24 and 96 h on arrival.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Inclusion criteria
1.Adults aged>=20 years presenting
moderate to severe hematochezia or melena
within 24 h on arrival, defined as (i) more than 3 bloody bowel movements within 8 h; (ii)
hemorrhagic shock; or (iii) requiring
transfusion.
2.All patients were able to provide informed
consent.

Key exclusion criteria

Exclusion criteria
1.Patients with hematemesis, black vomiting, or melena.
2.Upper gastrointestinal bleeding patients who diagnosed by nasogastric tube or upper endoscopy.
3.Patients who had impossible consumed the oral bowel preparation solution.
4.Patients who received computed tomography.
5.Patients who diagnosed peptic ulcer diseases within 10 days.
6.Ulcerative colitis, or Crohn diseases patients.
7.Patients who received abdominal surgery.
8.Patients who received polypectomy, endoscopic mucosal resection, or endoscopic submucosal dissection of the colon within 10 days.
9.Patients with suspected perforation, or peritonitis.
10.Patients with suspected intestinal obstruction.
11.Patients with hemorrhagic shock refractory to infusion or blood transfusion.
12.Patients who received total colectomy.
13.Patients with suspected disseminated intravascular coagulation.
14.Patients with end stage malignant disease.
15.Patients with severe cardiac failure.
16.Patients with active thrombosis.
17.Patients with severe respiratory failure.
18.Pregnant patients.

Target sample size

162


Research contact person

Name of lead principal investigator

1st name Atsuo
Middle name
Last name Yamada

Organization

Graduate School of Medicine, The University of Tokyo

Division name

Department of Gastroenterology

Zip code

1138655

Address

7-3-1 Hongo, Bunkyo-ku, Tokyo

TEL

03-3815-5411

Email

yamada-a@umin.ac.jp


Public contact

Name of contact person

1st name Ryota
Middle name
Last name Niikua

Organization

Graduate School of Medicine, The University of Tokyo

Division name

Department of Gastroenterology

Zip code

1138655

Address

7-3-1 Hongo, Bunkyo-ku, Tokyo

TEL

03-3815-5411

Homepage URL


Email

rniikura@triton.ocn.ne.jp


Sponsor or person

Institute

Graduate School of Medicine, The University of Tokyo

Institute

Department

Personal name



Funding Source

Organization

The Japanese Gastroenterological Association

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

The University of Tokyo, Clinical Research Review Board

Address

7-3-1, Hongo, Bunkyo-ku, Tokyo

Tel

03-5800-8743

Email

crctky-office@umin.ac.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

NCT 03098173

Org. issuing International ID_1

ClinicalTrials.gov

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

東京大学医学部附属病院 
国立国際医療研究センター病院
石川県立中央病院
聖路加国際病院 
国立国際医療研究センター国府台病院
小樽掖済会病院 
市立豊中病院
国立病院機構函館病院
斗南病院
福井県立病院
弘前大学医学部附属病院
愛知県がんセンター
長崎みなとメディカルセンター市民病院
周東総合病院
地域医療機能推進機構大阪病院


Other administrative information

Date of disclosure of the study information

2016 Year 02 Month 21 Day


Related information

URL releasing protocol

http://www.todai-shoukakan.com/cont4/29.html

Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2016 Year 01 Month 29 Day

Date of IRB

2016 Year 01 Month 21 Day

Anticipated trial start date

2016 Year 07 Month 13 Day

Last follow-up date

2018 Year 06 Month 26 Day

Date of closure to data entry

2018 Year 06 Month 26 Day

Date trial data considered complete

2018 Year 08 Month 24 Day

Date analysis concluded

2018 Year 11 Month 01 Day


Other

Other related information



Management information

Registered date

2016 Year 02 Month 21 Day

Last modified on

2019 Year 09 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024259


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name