Colon Cancer
Conditions
Keywords
colonoscopy, screening
Brief summary
This is a randomized, parallel, multi-center, single-blind study, comparing BLI850 to an FDA approved bowel preparation in adult subjects undergoing colonoscopy.
Interventions
multi-dose preparation for oral administration prior to colonoscopy
multi-dose preparation for oral administration prior to colonoscopy
Sponsors
Study design
Eligibility
Inclusion criteria
1. Male or female outpatients who are undergoing colonoscopy for a routinely accepted indication, including: * Evaluation of barium enema results * GI bleeding * Anemia of unknown etiology * Neoplastic disease surveillance * Abnormal Endosonography * Inflammatory bowel disease * Unknown diarrhea or constipation etiology * Polypectomy * Laser therapy * Routine screening 2. At least 18 years of age. 3. Otherwise in good health, as determined by physical exam and medical history. 4. If female, and of child-bearing potential, is using an acceptable form of birth control (hormonal birth control, intra-uterine device, double-barrier method, depot contraceptive, abstinent, or vasectomized spouse). 5. Negative urine pregnancy test at screening, if applicable. 6. In the Investigator's judgment, subject is mentally competent to provide informed consent to participate in the study.
Exclusion criteria
1. Subjects with known or suspected ileus, severe ulcerative colitis, gastrointestinal obstruction, gastric retention, bowel perforation, toxic colitis, or megacolon. 2. Subjects with impaired consciousness that predisposes them to pulmonary aspiration. 3. Subjects who are undergoing colonoscopy for foreign body removal or decompression. 4. Subjects with clinically significant electrolyte abnormalities based on Visit 1 laboratory results. 5. Subjects who had previous significant gastrointestinal surgeries (e.g. colostomy, colectomy, gastric bypass). 6. Subjects who are pregnant or lactating, or intending to become pregnant during the study. 7. Subjects of childbearing potential who refuse a pregnancy test. 8. Subjects who are allergic to any preparation components 9. Subjects who, in the opinion of the Investigator, should not be included in the study for any reason, including inability to follow study procedures. 10. Subjects who have participated in an investigational surgical, drug, or device study within the past 30 days.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy - Preparation Quality Using a 4 Point Scale | 2 days | Percentage of patients with a successful preparation (cleaning rated as Good or Excellent) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hematology Results (%) | 2 days | Change from Baseline |
| Serum Chemistry Results (U/L) | 2 days | Change from Baseline |
| Serum Chemistry Results (mg/dL) | 2 days | Change from Baseline |
| Serum Chemistry Results (g/dL) | 2 days | Change from Baseline |
| Serum Chemistry Results (mEq/L) | 2 days | Change from Baseline |
| Hematology Results - Hemoglobin | 2 days | Change from Baseline |
| Hematology Results (1000/MCL) | 2 days | Change from Baseline |
| Hematology Results - Red Blood Cells | 2 days | Change from Baseline |
| Serum Chemistry Results (Osmolality) | 2 days | Change from Baseline |
| Serum Chemistry Results - Glomerular Filtration Rate | 2 days | Change from Baseline |
Countries
United States
Participant flow
Pre-assignment details
386 subjects were randomized. 15 patients did not take the preparation are were excluded from the Intent-to-treat population.
Participants by arm
| Arm | Count |
|---|---|
| BLI850 | 186 |
| Polyethylene Glycol 3350 Based Bowel Preparation | 185 |
| Total | 371 |
Baseline characteristics
| Characteristic | Polyethylene Glycol 3350 Based Bowel Preparation | BLI850 | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 49 Participants | 42 Participants | 91 Participants |
| Age, Categorical Between 18 and 65 years | 136 Participants | 144 Participants | 280 Participants |
| Age, Continuous | 56.8 years STANDARD_DEVIATION 11 | 56.9 years STANDARD_DEVIATION 11.4 | 56.9 years STANDARD_DEVIATION 11.2 |
| Region of Enrollment United States | 185 participants | 186 participants | 371 participants |
| Sex: Female, Male Female | 108 Participants | 85 Participants | 193 Participants |
| Sex: Female, Male Male | 77 Participants | 101 Participants | 178 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 155 / 186 | 147 / 185 |
| serious Total, serious adverse events | 1 / 186 | 0 / 185 |
Outcome results
Efficacy - Preparation Quality Using a 4 Point Scale
Percentage of patients with a successful preparation (cleaning rated as Good or Excellent)
Time frame: 2 days
Population: 186 patients were included in the BLI850 intent-to-treat population. One patient took the preparation but did not undergo colonoscopy due to insurance coverage issues. This patient is excluded from all efficacy analyses.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| BLI850 | Efficacy - Preparation Quality Using a 4 Point Scale | 94 percentage of participants |
| Polyethylene Glycol 3350 Based Bowel Preparation | Efficacy - Preparation Quality Using a 4 Point Scale | 94 percentage of participants |
Hematology Results (%)
Change from Baseline
Time frame: 2 days
Population: Intent to treat population
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| BLI850 | Hematology Results (%) | Basophils | -0.00 Percentage of cells | Standard Deviation 0.48 |
| BLI850 | Hematology Results (%) | Eosinophils | -0.06 Percentage of cells | Standard Deviation 0.98 |
| BLI850 | Hematology Results (%) | Hematocrit | 0.31 Percentage of cells | Standard Deviation 2.9 |
| BLI850 | Hematology Results (%) | Lymphocytes | -0.83 Percentage of cells | Standard Deviation 6.4 |
| BLI850 | Hematology Results (%) | Monocytes | 0.04 Percentage of cells | Standard Deviation 1.87 |
| BLI850 | Hematology Results (%) | Neutrophils | 0.82 Percentage of cells | Standard Deviation 7.3 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Hematology Results (%) | Monocytes | 0.07 Percentage of cells | Standard Deviation 1.91 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Hematology Results (%) | Basophils | -0.01 Percentage of cells | Standard Deviation 0.48 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Hematology Results (%) | Lymphocytes | 0.05 Percentage of cells | Standard Deviation 6.1 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Hematology Results (%) | Eosinophils | -0.08 Percentage of cells | Standard Deviation 0.88 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Hematology Results (%) | Neutrophils | -0.03 Percentage of cells | Standard Deviation 7.1 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Hematology Results (%) | Hematocrit | 0.33 Percentage of cells | Standard Deviation 2.5 |
Hematology Results (1000/MCL)
Change from Baseline
Time frame: 2 days
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| BLI850 | Hematology Results (1000/MCL) | White Blood Cells | -0.39 1000/MCL | Standard Deviation 1.65 |
| BLI850 | Hematology Results (1000/MCL) | Platelets | 0.69 1000/MCL | Standard Deviation 38 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Hematology Results (1000/MCL) | White Blood Cells | -0.48 1000/MCL | Standard Deviation 1.42 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Hematology Results (1000/MCL) | Platelets | -1.00 1000/MCL | Standard Deviation 34 |
Hematology Results - Hemoglobin
Change from Baseline
Time frame: 2 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| BLI850 | Hematology Results - Hemoglobin | 0.22 g/dL | Standard Deviation 0.72 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Hematology Results - Hemoglobin | 0.12 g/dL | Standard Deviation 0.65 |
Hematology Results - Red Blood Cells
Change from Baseline
Time frame: 2 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| BLI850 | Hematology Results - Red Blood Cells | 0.07 million/microliter | Standard Deviation 0.24 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Hematology Results - Red Blood Cells | 0.03 million/microliter | Standard Deviation 0.22 |
Serum Chemistry Results (g/dL)
Change from Baseline
Time frame: 2 days
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| BLI850 | Serum Chemistry Results (g/dL) | Albumin | 0.07 g/dL | Standard Deviation 0.22 |
| BLI850 | Serum Chemistry Results (g/dL) | Total protein | 0.13 g/dL | Standard Deviation 0.34 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (g/dL) | Albumin | 0.05 g/dL | Standard Deviation 0.2 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (g/dL) | Total protein | 0.10 g/dL | Standard Deviation 0.32 |
Serum Chemistry Results - Glomerular Filtration Rate
Change from Baseline
Time frame: 2 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| BLI850 | Serum Chemistry Results - Glomerular Filtration Rate | -0.53 ml/min | Standard Deviation 12.6 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results - Glomerular Filtration Rate | -0.23 ml/min | Standard Deviation 11.1 |
Serum Chemistry Results (mEq/L)
Change from Baseline
Time frame: 2 days
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| BLI850 | Serum Chemistry Results (mEq/L) | Anion Gap (mEq/L) | 0.39 milliequivalent/L | Standard Deviation 3.21 |
| BLI850 | Serum Chemistry Results (mEq/L) | Bicarbonate (mEq/L) | -0.23 milliequivalent/L | Standard Deviation 2.9 |
| BLI850 | Serum Chemistry Results (mEq/L) | Chloride (mEq/L) | -0.01 milliequivalent/L | Standard Deviation 2.6 |
| BLI850 | Serum Chemistry Results (mEq/L) | Magnesium (mEq/L) | -0.01 milliequivalent/L | Standard Deviation 0.12 |
| BLI850 | Serum Chemistry Results (mEq/L) | Potassium (mEq/L) | -0.15 milliequivalent/L | Standard Deviation 0.43 |
| BLI850 | Serum Chemistry Results (mEq/L) | Sodium (mEq/L) | 0.15 milliequivalent/L | Standard Deviation 2.4 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (mEq/L) | Potassium (mEq/L) | -0.11 milliequivalent/L | Standard Deviation 0.43 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (mEq/L) | Anion Gap (mEq/L) | 0.92 milliequivalent/L | Standard Deviation 2.66 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (mEq/L) | Magnesium (mEq/L) | -0.04 milliequivalent/L | Standard Deviation 0.14 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (mEq/L) | Bicarbonate (mEq/L) | -1.69 milliequivalent/L | Standard Deviation 2.8 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (mEq/L) | Sodium (mEq/L) | 0.81 milliequivalent/L | Standard Deviation 2.4 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (mEq/L) | Chloride (mEq/L) | 1.58 milliequivalent/L | Standard Deviation 2.3 |
Serum Chemistry Results (mg/dL)
Change from Baseline
Time frame: 2 days
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| BLI850 | Serum Chemistry Results (mg/dL) | Blood urea nitrogen | -3.91 mg/dL | Standard Deviation 3.9 |
| BLI850 | Serum Chemistry Results (mg/dL) | Calcium | -0.14 mg/dL | Standard Deviation 0.46 |
| BLI850 | Serum Chemistry Results (mg/dL) | Creatinine | 0.05 mg/dL | Standard Deviation 0.14 |
| BLI850 | Serum Chemistry Results (mg/dL) | Direct bilirubin | 0.05 mg/dL | Standard Deviation 0.07 |
| BLI850 | Serum Chemistry Results (mg/dL) | Glucose | -3.78 mg/dL | Standard Deviation 24 |
| BLI850 | Serum Chemistry Results (mg/dL) | Phosphate | -0.20 mg/dL | Standard Deviation 0.62 |
| BLI850 | Serum Chemistry Results (mg/dL) | Total bilirubin | 0.28 mg/dL | Standard Deviation 0.34 |
| BLI850 | Serum Chemistry Results (mg/dL) | Uric acid | 0.33 mg/dL | Standard Deviation 0.74 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (mg/dL) | Uric acid | 0.00 mg/dL | Standard Deviation 0.73 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (mg/dL) | Blood urea nitrogen | -3.01 mg/dL | Standard Deviation 3.4 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (mg/dL) | Glucose | -4.98 mg/dL | Standard Deviation 30 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (mg/dL) | Calcium | -0.17 mg/dL | Standard Deviation 0.47 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (mg/dL) | Total bilirubin | 0.15 mg/dL | Standard Deviation 0.2 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (mg/dL) | Creatinine | 0.00 mg/dL | Standard Deviation 0.11 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (mg/dL) | Phosphate | -0.13 mg/dL | Standard Deviation 0.62 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (mg/dL) | Direct bilirubin | 0.04 mg/dL | Standard Deviation 0.06 |
Serum Chemistry Results (Osmolality)
Change from Baseline
Time frame: 2 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| BLI850 | Serum Chemistry Results (Osmolality) | -2.12 mOsm/kg | Standard Deviation 8.6 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (Osmolality) | -0.11 mOsm/kg | Standard Deviation 7.9 |
Serum Chemistry Results (U/L)
Change from Baseline
Time frame: 2 days
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| BLI850 | Serum Chemistry Results (U/L) | Amylase | -9.98 U/L | Standard Deviation 11.8 |
| BLI850 | Serum Chemistry Results (U/L) | Alkaline phosphatase | 2.13 U/L | Standard Deviation 10.5 |
| BLI850 | Serum Chemistry Results (U/L) | ALT | 4.34 U/L | Standard Deviation 23.9 |
| BLI850 | Serum Chemistry Results (U/L) | AST | 4.11 U/L | Standard Deviation 8.4 |
| BLI850 | Serum Chemistry Results (U/L) | Creatine kinase | -5.1 U/L | Standard Deviation 72 |
| BLI850 | Serum Chemistry Results (U/L) | GGT | 0.01 U/L | Standard Deviation 6.6 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (U/L) | Creatine kinase | 4.2 U/L | Standard Deviation 165 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (U/L) | AST | 4.22 U/L | Standard Deviation 7.4 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (U/L) | Alkaline phosphatase | 0.67 U/L | Standard Deviation 8.3 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (U/L) | GGT | 1.95 U/L | Standard Deviation 10.4 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (U/L) | ALT | 3.86 U/L | Standard Deviation 8.6 |
| Polyethylene Glycol 3350 Based Bowel Preparation | Serum Chemistry Results (U/L) | Amylase | -6.55 U/L | Standard Deviation 13.7 |