Status:

COMPLETED

MACCS: Multicenter Australian CE in Patients With Suspected Crohn's Disease Study

Lead Sponsor:

Medtronic - MITG

Conditions:

Inflammatory Bowel Diseases

Eligibility:

All Genders

10+ years

Brief Summary

This is a prospective study aimed to validate the ability of capsule endoscopy to accurately diagnose small bowel Crohn's disease in symptomatic patients who have a non-diagnostic standard workup. Pat...

Detailed Description

In the past few years, capsule endoscopy has sparked renewed interest in the investigation of small bowel Crohn's disease. A PillCam™SB capsule (Given Imaging Ltd, Yoqneam, Israel) is an ingestible, d...

Eligibility Criteria

Inclusion

  • Patient will be 10 years and older
  • Patient suffers from abdominal pain and/or diarrhea for the last 6 weeks and/or expresses extra-intestinal manifestations of CD
  • Patient has at least one of the following over the preceding 6 months (plus symptoms suspicious of small bowel Crohn's Disease):
  • Positive inflammatory marker (ESR, CRP, thrombocytosis, leucocytosis, fecal lactoferrin, fecal α-1 antitrypsin)
  • Unexplained anemia,
  • Recurrent fever,
  • Weight loss (at least 10% of normal body weight in adults),
  • Hypoalbuminaemia (\<3.5 g/dL),
  • Gastro-intestinal bleeding,
  • Chronic perianal disease (fistula, fissure),
  • Abnormal white cell scan
  • Positive ASCA
  • First degree relative of a person suffering from IBD (only for subjects without known IBD),
  • Patient underwent standard evaluation that includes colonoscopy and attempted ileoscopy and also SBFT within six months prior to enrollment, which were non-diagnostic. Blood tests should have been done within one month of enrolment.
  • Patient or legal guardian agrees to sign the Informed Consent Form

Exclusion

  • Patients with indeterminate colitis where the purpose is only to make a definitive diagnosis and where the inclusion criteria are not otherwise met
  • Patient is known to suffer from intestinal obstruction (symptoms such as severe abdominal pain with accompanying nausea or vomiting)
  • Definite stricture seen on SBFT
  • Patient had suspected GI stricture, a Given® Patency capsule was administered and Patient did not pass the Patency capsule.
  • Patient has a pacemaker or other implanted electro-medical device
  • Patient has known history of small bowel Crohn's disease
  • Patient on treatment for active IBD
  • Patient with suspected celiac disease that has not been excluded
  • Patient on non-steroidal anti-inflammatory drugs including Aspirin, (twice weekly or higher) during the 3 months preceding enrolment
  • Patient is pregnant
  • Patient has any condition, which precludes compliance with study and/or device instructions, such as swallowing problems
  • Patient suffers from life threatening conditions
  • Patient is currently participating in another clinical study that may directly or indirectly affect the results of this study

Key Trial Info

Start Date :

February 1 2005

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

February 1 2008

Estimated Enrollment :

119 Patients enrolled

Trial Details

Trial ID

NCT00434551

Start Date

February 1 2005

End Date

February 1 2008

Last Update

July 31 2019

Active Locations (8)

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Page 1 of 2 (8 locations)

1

Royal Prince Alfred Hospital

Camperdown, New South Wales, Australia, 2050

2

Royal Brisbane and Women's Hospital

Herston, Queensland, Australia, 4029

3

Repatriation General Hospital

Daw Park, South Australia, Australia, 5041

4

Eastern Health

Box Hill, Victoria, Australia, 3128