NCT Number: NCT02910440
A Safety and Efficacy Study of DCL-101 Compared to GoLYTELY
The primary objective of this Phase 2 Study was to compare the safety of 3 liter(L) and 4 liter(L) split dose DCL-101 to split dose 4L GoLYTELY in patients preparing for colonoscopy, with secondary objectives to assess tolerability and bowel cleansing efficacy.
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Notify MeKey information
Conditions
Age range
18 year–75 year
Sex eligibility
All sexes
Study type
Interventional
Phase
Phase 2
Primary location
Anaheim Clinical Trials, LLC, Anaheim, California, United States
Who can participate
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
- Male or non-pregnant, non-lactating females, 18 to 75 years of age. Females of child bearing potential must have a negative urine pregnancy test prior to randomization, and must use a hormonal (oral, implantable or injectable) or barrier method of birth control throughout the study. Females unable to bear children must have documentation of such in the source records (i.e., tubal ligation, hysterectomy, or post-menopausal [defined as a minimum of one year since the last menstrual period]).
- Routine, non-urgent, screening or surveillance colonoscopy is indicated and scheduled.
- Ability of subject to participate fully in all aspects of this clinical trial, including ability and willingness to swallow capsules.
- Informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization will be obtained and documented from all subjects prior to the start of any study-specific procedures.
Exclusion criteria
- Known hypersensitivity or allergy to any of the components of GoLYTELY or DCL-101
- Actual or suspected ileus, gastrointestinal obstruction or other major structural gastrointestinal disorders, esophageal stricture, gastric retention, bowel perforation, toxic colitis, ischemic colitis, infectious colitis, toxic mega-colon, or inflammatory bowel disease. Diverticulitis within the past 6 weeks
- Current or former tobacco users
- Prior colorectal surgery, esophageal surgery, or gastric surgery. This includes colectomy in the past, colostomy, ulcer surgery (antrectomy or pyloroplasty) or bariatric surgery, including lap band or fundoplication
- Chronic constipation, gastroparesis, esophageal motility disorders or other gut dysmotility disorders
- Requiring medications that cannot have the administration schedule safely altered to be compatible with bowel preparation
- Current or history within the past year of any ongoing clinically relevant electrocardiogram abnormalities
- Clinically significant electrolyte abnormalities during Screening, defined by the range of normal of the central laboratory
- Significant psychiatric illness
- Renal failure or chronic kidney disease (creatinine clearance less than 50 mL/min, unstable angina, acute coronary syndrome/congestive heart failure (New York Heart Association Functional Classification grade III or IV), ascites
- Received any investigational therapy within 60 days of randomization
- Blood donation within 56 days prior to randomization
- Plasma donation within 7 days prior to randomization
- Received luminal contrast agents such as barium or water-soluble oral contrast agent within 21 days prior to randomization
- Known to have an impaired gag reflex, or prone to regurgitation or aspiration
- Serious underlying disease that in the opinion of the investigator may interfere with the subject's ability to participate fully in the study
- History of alcohol or drug abuse that in the opinion of the investigator may interfere with the subject's ability to comply with the study procedures
- Pregnant or lactating women
- Prior enrolment in the current study and had received study treatment
- Cognitive barriers that in the opinion of the investigator may interfere with the subject's ability to participate fully in the study
- Inability to either read or understand English
Treatment and study plan
Primary outcomes
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Incidence of Graded Adverse Events
Time frame: 2-6 hours after completion of investigational agent administration
Scale: Common Terminology Criteria for Adverse Events, a 5-point scale with Grade 1 equal to "mild" and Grade 5 equal to "death"
Secondary outcomes
-
Incidence of Graded Adverse Events
Time frame: 1-2 days after completion of investigational agent administration
Scale: Common Terminology Criteria for Adverse Events, a 5-point scale with Grade 1 equal to "mild" and Grade 5 equal to "death"
-
Incidence of Graded Adverse Events
Time frame: 7 days after completion of investigational agent administration
Scale: Common Terminology Criteria for Adverse Events, a 5-point scale with Grade 1 equal to "mild" and Grade 5 equal to "death"
-
Incidence of Serious Adverse Events
Time frame: 2-6 hours after completion of investigational agent administration
Scale: Events that are life-threatening, lead to hospitalization, cause permanent injury, or death
-
Incidence of Serious Adverse Events
Time frame: 1-2 days after completion of investigational agent administration
Scale: Events that are life-threatening, lead to hospitalization, cause permanent injury, or death
-
Incidence of Serious Adverse Events
Time frame: 7 days after completion of investigational agent administration
Scale: Events that are life-threatening, lead to hospitalization, cause permanent injury, or death
-
Incidence of abnormal blood chemistries
Time frame: 2-6 hours after completion of investigational agent administration
Scale: Normal range, as established by study reference laboratory
-
Incidence of abnormal blood chemistries
Time frame: 1-2 days after completion of investigational agent administration
Scale: Normal range, as established by study reference laboratory
-
Incidence of abnormal blood chemistries
Time frame: 7 days after completion of investigational agent administration
Scale: Normal range, as established by study reference laboratory
-
Incidence of abnormal urinalysis
Time frame: 2-6 hours after completion of investigational agent administration
Scale: Normal range, as established by study reference laboratory
-
Incidence of abnormal urinalysis
Time frame: 1-2 days after completion of investigational agent administration
Scale: Normal range, as established by study reference laboratory
-
Incidence of abnormal urinalysis
Time frame: 7 days after completion of investigational agent administration
Scale: Normal range, as established by study reference laboratory
-
Incidence of clinically significant electrocardiogram (ECG) changes
Time frame: 2-6 hours after completion of investigational agent administration
Scale: Comparison with baseline ECG
-
Incidence of clinically significant electrocardiogram (ECG) changes
Time frame: 7 days after completion of investigational agent administration
Scale: Comparison with baseline ECG
-
Incidence of orthostatic hypotension
Time frame: 2-6 hours after completion of investigational agent administration
Scale: Defined as a drop of >20 mmHg of the systolic blood pressure, or a drop of > 10 mm Hg of the diastolic blood pressure, when going from a supine position to standing for 2 minutes, and measured standing.
-
Incidence of orthostatic hypotension
Time frame: 1-2 days after completion of investigational agent administration
Scale: Defined as a drop of >20 mmHg of the systolic blood pressure, or a drop of > 10 mm Hg of the diastolic blood pressure, when going from a supine position to standing for 2 minutes, and measured standing.
-
Incidence of orthostatic hypotension
Time frame: 7 days after completion of investigational agent administration
Scale: Defined as a drop of >20 mmHg of the systolic blood pressure, or a drop of > 10 mm Hg of the diastolic blood pressure, when going from a supine position to standing for 2 minutes, and measured standing.
-
Between group difference in the aggregate tolerability score (ATS) of the Lawrance Colonoscopy Preparation Patient Tolerability Questionnaire
Time frame: 2-6 hours after completion of investigational agent administration
The Bowel-Preparation Tolerability Questionnaire by Lawrance et. al. (Lawrance Instrument) is a validated questionnaire asking patients to score nine symptoms during bowel preparation on a 5-point Likert scale. These symptom scores are summed for all nine symptoms to arrive at an aggregate tolerability score (ATS), with a lower ATS indicating better tolerability.
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Between group difference in score in individual aspects of the Lawrance Colonoscopy Preparation Patient Tolerability Questionnaire
Time frame: 2-6 hours after completion of investigational agent administration
Nine symptoms during bowel preparation on a 5-point Likert scale by patient
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Between group difference in the Symptom Score of the Mayo Clinic Bowel Prep Tolerability Questionnaire
Time frame: 2-6 hours after completion of investigational agent administration
The Mayo Clinic Bowel Prep Tolerability Questionnaire (Mayo Instrument) is a validated questionnaire containing 8 items including questions addressing tolerability, ability to consume the entire dose, and willingness to use again. Patients are also asked to score seven symptoms during bowel preparation on a 4-point Likert scale, which are averaged to determine a Symptom Score.
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Proportion of subjects compliant with 90% of the study treatment regimen
Time frame: At time of colonoscopy
Consumption of a minimum of 90% of GoLYTELY solution or 90% of DCL-101 kit, as applicable
-
Proportion of subjects compliant with 100% of the study treatment regimen
Time frame: At time of colonoscopy
Consumption of 100% of GoLYTELY solution or 100% of DCL-101 kit, as applicable.
-
The mean total score on the centrally read Ottawa Bowel Preparation Quality Scale (OBPQS)
Time frame: At time of colonoscopy
-
The proportion of subjects achieving an OBPQS score of 2 or less (excellent), with no segment score greater than 1, on the centrally read OBPQS
Time frame: At time of colonoscopy
-
The mean segmental scores and the mean colonic fluid quantity score from the centrally read OBPQS
Time frame: At time of colonoscopy
-
The proportion of subjects achieving a score of 8 or greater on the Boston Bowel Preparation Scale (BBPS)
Time frame: At time of colonoscopy
-
The proportion of subjects with segmental scores of 2 or greater on the BBPS for every one of the segments
Time frame: At time of colonoscopy
-
The mean total score on the BBPS
Time frame: At time of colonoscopy
-
The Aronchick score (excellent, good, fair, poor, unsatisfactory)
Time frame: At time of colonoscopy
Sponsors and collaborators
Lead sponsor
Dark Canyon Laboratories, LLC
Industry
Registry information
Official study title
A Randomized, Investigator-blinded, Non-inferiority, Multicenter Study Evaluating the Safety and Efficacy of DCL-101 Compared to GoLYTELY in Adult Outpatients Undergoing Routine Colonoscopy
Important dates
- Study start
- 2017
- Primary completion
- 2017
- Study completion
- 2017
- First posted
- Sep 22, 2016
- Registry last updated
- May 13, 2020
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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