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Investigation of PicoPrep Versus HalfLytely for Bowel Preparation for Colonoscopy - Day Before PicoPrep

A Randomized, Assessor-Blinded, Multi-Center Study Investigating the Efficacy, Safety and Tolerability of Day Before PicoPrep™ for Oral Administration Versus HalfLytely® for Colon Cleansing in Preparation for Colonoscopy

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01073943
Enrollment
603
Registered
2010-02-23
Start date
2010-05-31
Completion date
2010-10-31
Last updated
2012-10-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Bowel Preparation

Keywords

Bowel Preparation, Colonoscopy

Brief summary

Subjects undergoing an elective complete colonoscopy will randomly receive either PicoPrep: 2-sachets for oral solution in two divided doses given in the afternoon (first dose - sachet) and 6 hours later in the evening (second dose - sachet), given the day before the procedure or HalfLytely: for oral solution and two 5 mg Bisacodyl tablets, given the day before the procedure to evaluate its effectiveness, tolerability and safety.

Interventions

PicoPrep (sodium picosulfate, magnesium oxide and citric acid) powder for oral solution consisted of 2 pouches of powder administered in a divided dose. Each PicoPrep pouch was reconstituted by mixing the contents in a cup with 5 ounces of cold water. Subjects randomized to the PicoPrep group will begin treatment (1st sachet) one day before colonoscopy between 4:00 and 6:00 PM, and will complete the treatment (2nd sachet) at least 6 hours later, between 10:00 PM and 12:00 AM. Subjects will consume approximately (5) 8 oz. glasses of clear liquids following the first sachet administration in the afternoon and (3) 8 oz. glasses of clear liquids following the second sachet administration in the evening, one day before colonoscopy.

HalfLytely contains polyethylene glycol electrolyte solution (PEG-EL), sodium chloride, sodium bicarbonate and potassium chloride. The day prior to the colonoscopy procedure and after the first bowel movement or after 6 hours following administration of the bisacodyl tablets, whichever occurred first, subjects were to drink the 2 liter HalfLytely at a rate of one 8-ounce glass every 10 minutes. The entire solution was to be consumed.

DRUGbisacodyl

Two 5 mg bisacodyl tablets were taken in the afternoon on the day prior to the colonoscopy procedure.

Sponsors

Ferring Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Male or female, age 18 to 80 years, inclusive, being scheduled to undergo elective colonoscopy * Female patients should be post menopausal (women ≥ 45yrs with no menstrual period for at least 12 months without an alternative medical cause), be surgically sterile, or be using medically approved contraception, throughout the trial period * Females of childbearing potential must undergo a pregnancy test at screening and again at randomization * Subjects must have had more than or equal to 3 spontaneous bowel movements per week for one month prior to the colonoscopy * Subjects should be willing, able and competent to complete the entire procedure and to comply with study instructions * Written informed consent obtained prior to study

Exclusion criteria

* Acute surgical abdominal conditions (e.g. acute obstruction or perforation, etc.) * Active (acute/exacerbation of/severe/uncontrolled) Inflammatory Bowel Disease (IBD) * Any prior colorectal surgery, excluding appendectomy, hemorrhoid surgery or prior endoscopic procedures * Colon disease (history of colonic cancer, toxic megacolon, toxic colitis, idiopathic pseudo-obstruction, hypomotility syndrome) * Ascites * Gastrointestinal disorder (active ulcer, outlet obstruction, retention, gastroparesis, ileus) * Upper gastrointestinal surgery (gastric resection, gastric banding, gastric by-pass) * Uncontrolled angina and/or Myocardial Infarction (MI) within last 3 months, Congestive Heart Failure (CHF), or uncontrolled hypertension * Renal insufficiency (serum creatinine and potassium must be within normal limits) * Participation in an investigational study within 30 days prior to receiving study medication (or within 60 days for investigational drugs with an elimination half-life greater than 15 days) * Any clinically significant laboratory value at the screening, including pre-existing electrolyte abnormality, based on clinical history that the Investigator feels may affect the study evaluation * Hypersensitivity to active ingredients

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Classified as Successes (Excellent and Good Ratings) According to the Aronchick Scale As Assessed by a Blinded GastroenterologistDay 2Overall colon cleansing was assessed by a blinded gastroenterologist during the colonoscopy using the Aronchick scale. The Aronchick scale is a 4-step rating scale: inadequate, fair, good, and excellent. Excellent is defined as \>90% of mucosa seen, mostly liquid stool, minimal suctioning needed for adequate visualization. Good is defined as \>90% of mucosa seen, mostly liquid stool, significant suctioning needed for adequate visualization.

Secondary

MeasureTime frameDescription
Percentage of Participants Classified as Successes (Excellent, Good and Fair Ratings) For Ascending Colon Cleansing According to the Ottawa Scale As Assessed by a Blinded GastroenterologistDay 2Cleansing of the ascending colon was assessed by a blinded gastroenterologist during the colonoscopy using the Ottawa scale, a 5-step rating scale: inadequate, poor, fair, good, and excellent. Excellent is defined as mucosal detail clearly visible; if fluid is present, it is clear and there is almost no stool residue. Good - some turbid fluid or stool residue but mucosal detail still visible; washing and suctioning is not necessary. Fair - turbid fluid or stool residue obscuring mucosal detail. However, mucosal detail becomes visible with suctioning and washing is not necessary.
Percentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: How Easy or Difficult Was It To Consume the Study Drug?Day 2Participants answered the question above on Day 2 prior to the colonoscopy procedure. Answers were on a 5-point scale: very easy, easy, tolerable, difficult, very difficult
Percentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Were You Able to Consume the Entire Prep As Instructed?Day 2Participants answered the question above on Day 2 prior to the colonoscopy procedure. Answers were on a 2-point scale: yes, no
Percentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Please Describe Your Overall Experience With the Study PreparationDay 2Participants answered the question above on Day 2 prior to the colonoscopy procedure. Answers were on a 5-point scale: Excellent, Good, Fair, Poor, Bad
Percentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Would You Ask Your Doctor for This Preparation Again if You Need Another Colonoscopy in the Future?Day 2Participants answered the question above on Day 2 prior to the colonoscopy procedure. Answers were on a 2-point scale: yes, no
Percentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Would You Refuse the Same Preparation Again if it Were to be Prescribed to You in the Future?Day 2Participants answered the question above on Day 2 prior to the colonoscopy procedure. Answers were on a 2-point scale: yes, no
Participants With Treatment-Emergent Adverse Events (TEAEs)up to one monthCounts of participants who had TEAEs are summarized in a variety of categories. Severity and relatedness to study drug are in the opinion of the investigator. Severity is rated on a 3-point scale: mild (awareness of signs or symptoms, but no disruption of usual activity), moderate (event sufficient to affect usual activity), and severe (inability to work or perform usual activities). Only severe TEAEs are summarized. Relatedness is assessed on a 4-point scale: unrelated, unlikely, possibly and probably. Both possibly and probably answers are reported as 'related' to study medication.
Percentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: The Taste of This Study Preparation WasDay 2Participants answered the question above on Day 2 prior to the colonoscopy procedure. Answers were on a 5-point scale: Excellent, Good, Tolerable, Poor, Bad

Other

MeasureTime frameDescription
Percentage of Participants Classified as Successes (Excellent, Good and Fair Ratings) For Colon Cleansing According to the Ottawa Scale As Assessed by a Blinded GastroenterologistDay 2Colon cleansing was assessed by a blinded gastroenterologist during the colonoscopy using the Ottawa scale, a 5-step rating scale: inadequate, poor, fair, good, and excellent. See Outcome #2 for definitions of the scale. Assessment of mid colon, recto-sigmoid, and overall (ascending, mid, and recto-sigmoid) cleansing is summarized here.

Countries

United States

Participant flow

Participants by arm

ArmCount
PicoPrep
Day Before method and consists of two separate doses: the first dose during the afternoon or early evening before the colonoscopy and the second dose 6 hours later during the evening before the colonoscopy
296
HalfLytely
HalfLytely and Bisacodyl Tablets Bowel Prep Kit was used according to the approved labeled dosage and administration instructions. The two bisacodyl tablets were taken the day prior to the procedure and the HalfLytely was taken following the first bowel movement or 6 hours after the bisacodyl tablets.
302
Total598

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event11
Overall StudyCould not tolerate prep10
Overall StudyLost to Follow-up02
Overall StudyPower outage; colonoscopy not done10
Overall StudyProtocol Violation21
Overall StudySubject forgot01
Overall StudyUnable to return for follow-up01
Overall StudyWithdrawal by Subject82

Baseline characteristics

CharacteristicPicoPrepHalfLytelyTotal
Age Continuous56.8 years
STANDARD_DEVIATION 9.66
56.2 years
STANDARD_DEVIATION 10.11
56.5 years
STANDARD_DEVIATION 9.89
Body Mass Index29.185 kg/m^2
STANDARD_DEVIATION 5.3209
29.541 kg/m^2
STANDARD_DEVIATION 6.1688
29.365 kg/m^2
STANDARD_DEVIATION 5.7634
Ethnicity (NIH/OMB)
Hispanic or Latino
8 Participants15 Participants23 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
288 Participants287 Participants575 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 participants1 participants1 participants
Race/Ethnicity, Customized
Asian
0 participants1 participants1 participants
Race/Ethnicity, Customized
Black or African American
22 participants32 participants54 participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 participants0 participants0 participants
Race/Ethnicity, Customized
Other
0 participants0 participants0 participants
Race/Ethnicity, Customized
White
274 participants268 participants542 participants
Sex: Female, Male
Female
192 Participants189 Participants381 Participants
Sex: Female, Male
Male
104 Participants113 Participants217 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
167 / 296194 / 302
serious
Total, serious adverse events
2 / 2961 / 302

Outcome results

Primary

Percentage of Participants Classified as Successes (Excellent and Good Ratings) According to the Aronchick Scale As Assessed by a Blinded Gastroenterologist

Overall colon cleansing was assessed by a blinded gastroenterologist during the colonoscopy using the Aronchick scale. The Aronchick scale is a 4-step rating scale: inadequate, fair, good, and excellent. Excellent is defined as \>90% of mucosa seen, mostly liquid stool, minimal suctioning needed for adequate visualization. Good is defined as \>90% of mucosa seen, mostly liquid stool, significant suctioning needed for adequate visualization.

Time frame: Day 2

Population: Intent-to-treat population of randomized and treated participants with efficacy assessments performed.

ArmMeasureValue (NUMBER)
PicoPrepPercentage of Participants Classified as Successes (Excellent and Good Ratings) According to the Aronchick Scale As Assessed by a Blinded Gastroenterologist83.0 percentage of participants
HalfLytelyPercentage of Participants Classified as Successes (Excellent and Good Ratings) According to the Aronchick Scale As Assessed by a Blinded Gastroenterologist79.7 percentage of participants
Secondary

Participants With Treatment-Emergent Adverse Events (TEAEs)

Counts of participants who had TEAEs are summarized in a variety of categories. Severity and relatedness to study drug are in the opinion of the investigator. Severity is rated on a 3-point scale: mild (awareness of signs or symptoms, but no disruption of usual activity), moderate (event sufficient to affect usual activity), and severe (inability to work or perform usual activities). Only severe TEAEs are summarized. Relatedness is assessed on a 4-point scale: unrelated, unlikely, possibly and probably. Both possibly and probably answers are reported as 'related' to study medication.

Time frame: up to one month

Population: Safety population of participants who were treated.

ArmMeasureGroupValue (NUMBER)
PicoPrepParticipants With Treatment-Emergent Adverse Events (TEAEs)Any TEAE218 participants
PicoPrepParticipants With Treatment-Emergent Adverse Events (TEAEs)Deaths0 participants
PicoPrepParticipants With Treatment-Emergent Adverse Events (TEAEs)Serious AE2 participants
PicoPrepParticipants With Treatment-Emergent Adverse Events (TEAEs)TEAEs leading to discontinuation of study drug0 participants
PicoPrepParticipants With Treatment-Emergent Adverse Events (TEAEs)Severe TEAEs5 participants
PicoPrepParticipants With Treatment-Emergent Adverse Events (TEAEs)Related TEAEs33 participants
HalfLytelyParticipants With Treatment-Emergent Adverse Events (TEAEs)Severe TEAEs6 participants
HalfLytelyParticipants With Treatment-Emergent Adverse Events (TEAEs)Any TEAE241 participants
HalfLytelyParticipants With Treatment-Emergent Adverse Events (TEAEs)TEAEs leading to discontinuation of study drug1 participants
HalfLytelyParticipants With Treatment-Emergent Adverse Events (TEAEs)Deaths0 participants
HalfLytelyParticipants With Treatment-Emergent Adverse Events (TEAEs)Related TEAEs29 participants
HalfLytelyParticipants With Treatment-Emergent Adverse Events (TEAEs)Serious AE1 participants
Secondary

Percentage of Participants Classified as Successes (Excellent, Good and Fair Ratings) For Ascending Colon Cleansing According to the Ottawa Scale As Assessed by a Blinded Gastroenterologist

Cleansing of the ascending colon was assessed by a blinded gastroenterologist during the colonoscopy using the Ottawa scale, a 5-step rating scale: inadequate, poor, fair, good, and excellent. Excellent is defined as mucosal detail clearly visible; if fluid is present, it is clear and there is almost no stool residue. Good - some turbid fluid or stool residue but mucosal detail still visible; washing and suctioning is not necessary. Fair - turbid fluid or stool residue obscuring mucosal detail. However, mucosal detail becomes visible with suctioning and washing is not necessary.

Time frame: Day 2

Population: Intent-to-treat population of randomized and treated participants with efficacy assessments performed.

ArmMeasureValue (NUMBER)
PicoPrepPercentage of Participants Classified as Successes (Excellent, Good and Fair Ratings) For Ascending Colon Cleansing According to the Ottawa Scale As Assessed by a Blinded Gastroenterologist81.3 percentage of participants
HalfLytelyPercentage of Participants Classified as Successes (Excellent, Good and Fair Ratings) For Ascending Colon Cleansing According to the Ottawa Scale As Assessed by a Blinded Gastroenterologist84.0 percentage of participants
Secondary

Percentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: How Easy or Difficult Was It To Consume the Study Drug?

Participants answered the question above on Day 2 prior to the colonoscopy procedure. Answers were on a 5-point scale: very easy, easy, tolerable, difficult, very difficult

Time frame: Day 2

Population: Intent-to-treat population of randomized and treated participants with efficacy assessments performed. Three participants either did not complete the questionnaire or did not answer this question.

ArmMeasureGroupValue (NUMBER)
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: How Easy or Difficult Was It To Consume the Study Drug?Easy29.0 percentage of participants
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: How Easy or Difficult Was It To Consume the Study Drug?Difficult1.0 percentage of participants
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: How Easy or Difficult Was It To Consume the Study Drug?Tolerable11.6 percentage of participants
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: How Easy or Difficult Was It To Consume the Study Drug?Very difficult0 percentage of participants
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: How Easy or Difficult Was It To Consume the Study Drug?Very easy58.4 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: How Easy or Difficult Was It To Consume the Study Drug?Very difficult5.7 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: How Easy or Difficult Was It To Consume the Study Drug?Very easy16.1 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: How Easy or Difficult Was It To Consume the Study Drug?Easy21.1 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: How Easy or Difficult Was It To Consume the Study Drug?Tolerable45.3 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: How Easy or Difficult Was It To Consume the Study Drug?Difficult11.7 percentage of participants
p-value: <0.0001Wilcoxon (Mann-Whitney)
Secondary

Percentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Please Describe Your Overall Experience With the Study Preparation

Participants answered the question above on Day 2 prior to the colonoscopy procedure. Answers were on a 5-point scale: Excellent, Good, Fair, Poor, Bad

Time frame: Day 2

Population: Intent-to-treat population of randomized and treated participants with efficacy assessments performed. Four participants either did not complete the questionnaire or did not answer this question.

ArmMeasureGroupValue (NUMBER)
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Please Describe Your Overall Experience With the Study PreparationGood43.8 percentage of participants
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Please Describe Your Overall Experience With the Study PreparationPoor0.7 percentage of participants
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Please Describe Your Overall Experience With the Study PreparationFair9.2 percentage of participants
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Please Describe Your Overall Experience With the Study PreparationBad0.7 percentage of participants
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Please Describe Your Overall Experience With the Study PreparationExcellent45.5 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Please Describe Your Overall Experience With the Study PreparationBad3.4 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Please Describe Your Overall Experience With the Study PreparationExcellent19.1 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Please Describe Your Overall Experience With the Study PreparationGood48.7 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Please Describe Your Overall Experience With the Study PreparationFair25.5 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Please Describe Your Overall Experience With the Study PreparationPoor3.4 percentage of participants
p-value: <0.0001Wilcoxon (Mann-Whitney)
Secondary

Percentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: The Taste of This Study Preparation Was

Participants answered the question above on Day 2 prior to the colonoscopy procedure. Answers were on a 5-point scale: Excellent, Good, Tolerable, Poor, Bad

Time frame: Day 2

Population: Intent-to-treat population of randomized and treated participants with efficacy assessments performed. Three participants either did not complete the questionnaire or did not answer this question.

ArmMeasureGroupValue (NUMBER)
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: The Taste of This Study Preparation WasGood48.1 percentage of participants
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: The Taste of This Study Preparation WasPoor1.7 percentage of participants
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: The Taste of This Study Preparation WasTolerable23.9 percentage of participants
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: The Taste of This Study Preparation WasBad0.7 percentage of participants
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: The Taste of This Study Preparation WasExcellent25.6 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: The Taste of This Study Preparation WasBad7.7 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: The Taste of This Study Preparation WasExcellent4.0 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: The Taste of This Study Preparation WasGood23.8 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: The Taste of This Study Preparation WasTolerable52.3 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: The Taste of This Study Preparation WasPoor12.1 percentage of participants
p-value: <0.0001Wilcoxon (Mann-Whitney)
Secondary

Percentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Were You Able to Consume the Entire Prep As Instructed?

Participants answered the question above on Day 2 prior to the colonoscopy procedure. Answers were on a 2-point scale: yes, no

Time frame: Day 2

Population: Intent-to-treat population of randomized and treated participants with efficacy assessments performed. Three participants either did not complete the questionnaire or did not answer this question.

ArmMeasureGroupValue (NUMBER)
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Were You Able to Consume the Entire Prep As Instructed?Yes99.7 percentage of participants
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Were You Able to Consume the Entire Prep As Instructed?No0.3 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Were You Able to Consume the Entire Prep As Instructed?Yes92.3 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Were You Able to Consume the Entire Prep As Instructed?No7.7 percentage of participants
p-value: <0.0001Fisher Exact
Secondary

Percentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Would You Ask Your Doctor for This Preparation Again if You Need Another Colonoscopy in the Future?

Participants answered the question above on Day 2 prior to the colonoscopy procedure. Answers were on a 2-point scale: yes, no

Time frame: Day 2

Population: Intent-to-treat population of randomized and treated participants with efficacy assessments performed. Three participants either did not complete the questionnaire or did not answer this question.

ArmMeasureGroupValue (NUMBER)
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Would You Ask Your Doctor for This Preparation Again if You Need Another Colonoscopy in the Future?Yes93.2 percentage of participants
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Would You Ask Your Doctor for This Preparation Again if You Need Another Colonoscopy in the Future?No6.8 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Would You Ask Your Doctor for This Preparation Again if You Need Another Colonoscopy in the Future?Yes59.4 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Would You Ask Your Doctor for This Preparation Again if You Need Another Colonoscopy in the Future?No40.6 percentage of participants
p-value: <0.0001Fisher Exact
Secondary

Percentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Would You Refuse the Same Preparation Again if it Were to be Prescribed to You in the Future?

Participants answered the question above on Day 2 prior to the colonoscopy procedure. Answers were on a 2-point scale: yes, no

Time frame: Day 2

Population: Intent-to-treat population of randomized and treated participants with efficacy assessments performed. Three participants either did not complete the questionnaire or did not answer this question.

ArmMeasureGroupValue (NUMBER)
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Would You Refuse the Same Preparation Again if it Were to be Prescribed to You in the Future?Yes4.8 percentage of participants
PicoPrepPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Would You Refuse the Same Preparation Again if it Were to be Prescribed to You in the Future?No95.2 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Would You Refuse the Same Preparation Again if it Were to be Prescribed to You in the Future?No85.6 percentage of participants
HalfLytelyPercentage of Participants' Responses to the Acceptability and Tolerability Questionnaire: Would You Refuse the Same Preparation Again if it Were to be Prescribed to You in the Future?Yes14.4 percentage of participants
p-value: <0.0001Fisher Exact
Other Pre-specified

Percentage of Participants Classified as Successes (Excellent, Good and Fair Ratings) For Colon Cleansing According to the Ottawa Scale As Assessed by a Blinded Gastroenterologist

Colon cleansing was assessed by a blinded gastroenterologist during the colonoscopy using the Ottawa scale, a 5-step rating scale: inadequate, poor, fair, good, and excellent. See Outcome #2 for definitions of the scale. Assessment of mid colon, recto-sigmoid, and overall (ascending, mid, and recto-sigmoid) cleansing is summarized here.

Time frame: Day 2

Population: Intent-to-treat population of randomized and treated participants with efficacy assessments performed.

ArmMeasureGroupValue (NUMBER)
PicoPrepPercentage of Participants Classified as Successes (Excellent, Good and Fair Ratings) For Colon Cleansing According to the Ottawa Scale As Assessed by a Blinded GastroenterologistMid-colon93.2 percentage of participants
PicoPrepPercentage of Participants Classified as Successes (Excellent, Good and Fair Ratings) For Colon Cleansing According to the Ottawa Scale As Assessed by a Blinded GastroenterologistRecto-sigmoid colon92.2 percentage of participants
PicoPrepPercentage of Participants Classified as Successes (Excellent, Good and Fair Ratings) For Colon Cleansing According to the Ottawa Scale As Assessed by a Blinded GastroenterologistOverall: ascending, mid, and recto-sigmoid colon78.9 percentage of participants
HalfLytelyPercentage of Participants Classified as Successes (Excellent, Good and Fair Ratings) For Colon Cleansing According to the Ottawa Scale As Assessed by a Blinded GastroenterologistMid-colon88.7 percentage of participants
HalfLytelyPercentage of Participants Classified as Successes (Excellent, Good and Fair Ratings) For Colon Cleansing According to the Ottawa Scale As Assessed by a Blinded GastroenterologistRecto-sigmoid colon89.0 percentage of participants
HalfLytelyPercentage of Participants Classified as Successes (Excellent, Good and Fair Ratings) For Colon Cleansing According to the Ottawa Scale As Assessed by a Blinded GastroenterologistOverall: ascending, mid, and recto-sigmoid colon78.0 percentage of participants
Comparison: Mid colon comparison
Comparison: Recto-sigmoid colon comparison
Comparison: Overall comparison: ascending colon, mid colon and recto-sigmoid colon

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026