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Colorectal CancerPhase 3NCT02273141

Multicenter Randomized Parallel Group Phase III Study Comparing the Bowel Cleansing Efficacy, Safety and Tolerability of NER1006 Versus a Sodium Picosulfate and Magnesium Salt Solution Using Day Before-Only Dosing Regimen in Adults.

A Phase 3 study testing NER1006, Day Before-Only Dosing and SP+MS, Day Before-Only Dosing in people with Colorectal Cancer and Colorectal Carcinoma, run by Norgine at 19 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study evaluates the efficacy, safety and tolerability of NER1006 versus a sodium picosulfate and magnesium salt solution (SP + MS) in adult patients requiring bowel cleansing prior to any procedure that requires a clean bowel, using a Day Before Only Dosing regimen. Read more about this study

Who is it for?
Ages 18 to 85 years
What is being tested?
NER1006, Day Before-Only Dosing and SP+MS, Day Before-Only Dosing
Could I receive a placebo?
No, everyone receives an active treatment
How many people
515 participants
Where
19 sitesin 6 countries
Study dates
Nov 2014to Aug 2015
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients must provide written informed consent.
  • Male and female outpatients and inpatients aged: ≥18 to ≤85 years undergoing a screening, surveillance or diagnostic colonoscopy.
  • Females of child-bearing potential must have a negative pregnancy test at Screening and at Visit 2 and must be practising one of the following methods of birth control and agree to continue with the regimen throughout the study period (unless postmenopausal or surgically sterile, or whose sole sexual partner has had a successful vasectomy):
  • Oral, implantable, or injectable contraceptives (for a minimum of three months before study entry) in combination with a condom;
  • Intrauterine device in combination with a condom;
  • Double barrier method (condom* and occlusive cap [diaphragm or cervical/vault caps] with spermicidal foam/gel/film/cream/suppository).
  • Willing, able and competent to complete the entire study and to comply with instructions.

Who cannot join

  • Patients with past history within last 12 months or current episode of severe constipation (requiring repeated use of laxatives/enema or physical intervention before resolution), known or suspected ileus, gastrointestinal obstruction, gastric retention, bowel perforation, toxic colitis or megacolon.
  • Patients with ongoing severe acute Inflammatory Bowel Disease.
  • Patients who have had previous significant gastrointestinal surgeries, including colonic resection, sub-total colectomy, abdomino-perineal resection, de-functioning colostomy, Hartmann's procedure and de-functioning ileostomy or other similar surgeries involving structure and function of the small or large colon.
  • Regular use of laxatives or colon motility altering drugs in the last month (i.e. more than 2-3 times per week) and/or laxative use within 72 hours prior to administration of the preparation.
  • Patients with active intestinal bleeding episodes or with a clinically significant low hemoglobin level <9 g/dL for women and <11 g/dL for men at screening.
  • Known glucose-6-phosphate dehydrogenase (G6PD) deficiency.
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  • Known phenylketonuria.
  • Known hypersensitivity to polyethylene glycols, ascorbic acid and sulfates (not including sulfa-based products), sodium picosulfate and magnesium salt compounds, or any other component of the study drug or comparator
  • Past history within the last 12 months or evidence of any on-going clinically relevant electrocardiogram abnormalities (e.g. arrhythmias).
  • History of uncontrolled hypertension with systolic blood pressure >170 mmHg and diastolic blood pressure >100 mmHg.
  • Patients with cardiac insufficiency NYHA grades III or IV.
  • Patients with moderate to severe renal insufficiency (i.e. with GFR, <60 mL/min/1.73m2).
  • Patient with serum albumin <3.4 g/dL.
  • Patients with liver disease of grades B and C according to the Child Pugh classification.
  • Patients suffering from dehydration at screening as evaluated by the Investigator from physical examination and laboratory investigations.
  • Patients with clinically significant electrolyte abnormalities, whether pre-existing or noted at screening, such as hypernatremia, hyponatremia, hyperphosphatemia, hypermagnesemia, hypokalemia, hypocalcaemia, dehydration, or those secondary to the use of diuretics or angiotensin converting enzyme (ACE) inhibitors.
  • Patients with any other clinically significant hematological parameters including coagulation profile at screening.
  • Patients with impaired consciousness that might predispose them to pulmonary aspiration.
  • Patients undergoing colonoscopy for foreign body removal and/or decompression.
  • Patients who are pregnant or lactating, or intending to become pregnant during the study.
  • Clinically relevant findings on physical examination based on the Investigator's judgment.
  • History of drug or alcohol abuse within the 12 months prior to dosing.
  • Concurrent participation in an investigational drug or device study or participation within three months of study entry.
  • Patients who are ordered to live in an institution on court or authority order.
  • Patients with history of rhabdomyolysis

Trial locations and contacts

19 sites in 6 countries.

19 sites in 6 countries

Netherlands4 sites
  • Onze Lieve Vrouwe Gashuis

    Amsterdam

  • Albert Schweitzer Ziekenhuis

    Dordrecht

  • Radboud UMC

    Nijmegen

  • Orbis Medisch Centrum

    Sittard

Other trials in Netherlands

Poland4 sites
  • Centrum Medyczne sw. Lukasza

    Częstochowa

  • Instytut Medycyny Wsi im. Witolda Chodzki w

    Lubliniec

  • Specjalistyczna Praktyka Lekarska dr med. Marek Horynski

    Sopot

  • SPSK Nr 1 im. Prof. Tadeusza Sokolowskiego

    Szczecin

Other trials in Poland

Germany3 sites
  • Charité - Campus Virchow Klinikum

    Berlin

  • University Hospital Schleswig-Holstein

    Kiel, 24105

  • An der Germania Brauerei 6

    Münster

Other trials in Germany

Italy3 sites
  • An der Germania Brauerei 6

    Milan

  • Osp.San Raffaele U.O. Gastroenterologia

    Milan

  • P.T.P.Nuovo Regina Margherita

    Rome

Other trials in Italy

Spain3 sites
  • Hospital de Vinalopó, Unidad de Endoscopia Digestiva

    Elche

  • Hospital Universitario de la Princesa

    Madrid

  • Hospital Universitario La Paz, Unidad Enfermedad Intestinal

    Madrid

Other trials in Spain

United Kingdom2 sites
  • Department of Surgery, Raigmore Hospital

    Inverness

  • Derriford Hospital

    Plymouth

Other trials in United Kingdom

About this study

Official title: A Multicenter Randomized Parallel Group Phase III Study Comparing the Bowel Cleansing Efficacy, Safety and Tolerability of NER1006 (a Low Volume Bowel Cleansing Solution) Versus Sodium Picosulfate and Magnesium Salt (SP+MS) Solution Using Day Before-Only Dosing Regimen in Adults.

This study evaluates the efficacy, safety and tolerability of NER1006 versus a sodium picosulfate and magnesium salt solution (SP + MS) in adult patients requiring bowel cleansing prior to any procedure that requires a clean bowel, using a Day Before Only Dosing regimen. Approximately 484 patients will be randomised with the aim of achieving a minimum of 220 patients in each of the 2 groups.

Being tested
NER1006, Day Before-Only Dosing, SP+MS, Day Before-Only Dosing
Medical subject headings
Colorectal Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NER1006, Day Before-Only DosingDrug

    The subject will self-administer both doses of NER1006 in the evening of Day 1 with 1-2 hours interval. Subject will take mandatory additional clear fluid after each dose.

  • SP+MS, Day Before-Only DosingDrug

    The subject will self-administer SP+MS in the morning of Day 1 and afternoon of Day 1. Subject will take mandatory additional clear fluid after each dose.

Study groups in NCT02273141
Study groupRoleWhat they receive
NER1006, Day Before-Only DosingExperimentalNER1006 1-Day Day Before-Only Split-Dosing Regimen (to commence on the evening of the day before colonoscopy).
Receives: Drug: NER1006, Day Before-Only Dosing
SP+MS, Day Before-Only DosingActive comparatorSP+MS 1-Day Day Before-Only Split-Dosing Regimen (to commence on the morning of the day before colonoscopy).
Receives: Drug: SP+MS, Day Before-Only Dosing

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Patients With Successful Bowel Cleansing (Overall Colon)

    The overall quality of bowel cleansing was assessed by a blinded central reader (an experienced and trained colonoscopist) using the segmental scores of the Harefield Cleansing Scale (HCS). A final HCS grading of A, B, C or D was derived. Grades A and B are classified as successful (i.e. all mucosa could be visualized) and C and D are classified as unsuccessful. Comparison of overall success of cleansing with NER1006 versus SP+MS was evaluated using a non-inferiority study design.

    Measured: One day (day before colonoscopy)

  2. Number of Patients With 'Excellent Plus Good' (Highly Effective) Bowel Cleansing (Colon Ascendens)

    The overall quality of bowel cleansing was assessed by a blinded central reader (an experienced and trained colonoscopist) using the segmental scores of the Harefield Cleansing Scale (HCS). Highly effective cleansing in the colon ascendens corresponded to scores 3 (Good) or 4 (Excellent) of the HCS. Adequate plus failure of cleansing corresponded to score 0-2. Comparison of 'Excellent plus good' cleansing of the colon ascendens using NER1006 versus SP+MS was evaluated using a non-inferiority study design.

    Measured: One day (day before colonoscopy)

Secondary outcomes (4)
  1. Adenoma Detection Rate (Colon Ascendens)

    Comparison of the number of patients with at least one adenoma detected in the colon ascendens when NER1006 is used for bowel cleansing versus SP+MS. Adenoma detection rate (ADR) defined as the number of patients with at least one adenoma in the colon ascendens.

    Measured: One day (day before colonoscopy).

  2. Adenoma Detection Rate (Overall Colon)

    Comparison of the number of patients with at least one adenoma detected in the overall colon when NER1006 is used for bowel cleansing versus SP+MS. Adenoma detection rate (ADR) defined as the number of patients with at least one adenoma in the overall colon.

    Measured: One day (day before colonoscopy)

  3. Polyp Detection Rate (Colon Ascendens)

    Comparison of the number of patients with at least one polyp detected in the colon ascendens when NER1006 is used for bowel cleansing versus SP+MS. Polyp detection rate (PDR) defined as the number of patients with at least one polyp in the colon ascendens.

    Measured: One day (day before colonoscopy)

  4. Polyp Detection Rate (Overall Colon)

    Comparison of the number of patients with at least one polyp detected in the overall colon when NER1006 is used for bowel cleansing versus SP+MS. Polyp detection rate (PDR) defined as the number of patients with at least one polyp in the overall colon.

    Measured: One day (day before colonoscopy)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Oct 2014 (estimated)
  2. Study startNov 2014
  3. Primary completionAug 2015
  4. Study completionAug 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Screening
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Investigator
Enrolment
515 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02273141
Sponsor's protocol ID
NER1006-03/2014 (DAYB)
Status last verified
Apr 2018
First submitted
16 Oct 2014
Last updated
15 May 2018
Data monitoring committee
No

Publications

  • Cash BD, Allen C, Poppers DM. Transient alterations in plasma sodium concentrations with NER1006 bowel preparation: an analysis of three phase III, randomized clinical trials. BMC Gastroenterol. 2022 Sep 5;22(1):412. doi: 10.1186/s12876-022-02484-7.

    PubMed 36064325

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing NER1006, Day Before-Only Dosing and SP+MS, Day Before-Only Dosing in people with Colorectal Cancer and Colorectal Carcinoma, run by Norgine at 19 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 25 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 May 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 19 sites in Netherlands, Poland, Germany, Italy, Spain and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 18 Apr 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Patients With Successful Bowel Cleansing (Overall Colon) (time frame: One day (day before colonoscopy)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02273141, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 May 2018.

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Clinical Trial NCT02273141 | AzTrials