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A 4-arm Clinical Trial of Fuse®, EndoCuff™, EndoRings™ and Standard Colonoscopy

A 4-arm Randomized Controlled Trial of Fuse®, EndoCuff™, EndoRings™ and Standard Colonoscopy

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02345889
Enrollment
1262
Registered
2015-01-26
Start date
2015-02-28
Completion date
2017-12-31
Last updated
2019-03-12

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

Conditions

Colorectal Neoplasms

Brief summary

Adenoma detection rate (ADR) is a validated marker for reducing the risk of interval colorectal cancer after a screening colonoscopy. Recent studies suggest that novel devices attached to the colonoscope tip may improve the ADR of doctors performing a screening procedure

Detailed description

Recent studies indicate that continuing medical education, time of colonoscopy during the day, forced longer withdrawal time, use of high definition colonoscopes all result in improving ADR although the gains have only been modest. To this end, adding novel devices to the tip of colonoscope may improve the ability of doctors to perform a better procedure. We therefore propose to identify the increase in ADR with 3 of these devices compared to standard colonoscopy. Fuse colonoscopy (2 cameras embedded at the side of the colonoscope tip providing an increased angle of view), EndoCuff (a plastic cap to fit the tip with flexible arms which hold the mucosa back aiding in inspection), EndoRings (similar to EndoCuff but the arms are wider) have been shown in tandem colonoscopy studies to improve the adenoma miss rates to 7-15% instead of the miss rates seen with standard colonoscopy which is usually about 40%. All these devices are FDA approved and are distributed in the United States.

Interventions

DEVICEColonoscopy with EndoCuff™

colonoscopy performed with an EndoCuff™ device at the tip of a standard colonoscope

DEVICEFUSE® Colonoscopy

colonoscopy performed with the FUSE® (full spectrum endoscopy) system

DEVICEColonoscopy with EndoRings™

colonoscopy performed with an EndoRings™ device at the tip of a standard colonoscope

DEVICEStandard Colonoscopy

Current standard of care colonoscopy

Sponsors

Indiana University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Screening or Surveillance Colonoscopy

Exclusion criteria

* Personal history of Colorectal cancer or Inflammatory bowel disease * Surgical resection of the colon or known colonic stricture * Personal or family history of Polyposis syndromes or Lynch syndrome * Referral for incomplete colonoscopy or known therapeutic polyp clearance * Severe diverticular disease * Referral for a positive hemoccult test in the past 6 months * Known coagulopathy * Inability to provide informed consent

Design outcomes

Primary

MeasureTime frame
Adenomas Per ColonoscopyDuring Procedure

Secondary

MeasureTime frameDescription
Number of Participants With Detected AdenomaDuring Procedure
Percentage of Participants With Detected AdenomaDuring Procedure
Sessile Serrated Polyps Per ColonoscopyDuring Procedure
Percent of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.During Procedure
Number of Sessile Serrated Polyps by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.During Procedure
Percent of Sessile Serrated Polyps in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.During Procedure
Number of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.During Procedure
Percentage of Participants With Detected Sessile Serrated PolypDuring Procedure
Number of Participants With a Detected PolypDuring Procedure
Percentage of Participants With a Detected PolypDuring Procedure
Cecal Insertion TimeDuring Procedure
Cecal Insertion Times When no Gastroenterology Fellow Was Involved in InsertionDuring Procedure
Inspection TimeDuring Procedure
Number of Participants With Detected Sessile Serrated PolypDuring ProcedureNumber of patients with 1 or more sessile serrated polyps

Countries

United States

Participant flow

Participants by arm

ArmCount
Standard Colonoscopy
A standard colonoscope will be used to complete the procedure Standard Colonoscopy: Current standard of care colonoscopy
295
Colonoscopy With EndoCuff™
An EndoCuff™ distal attachment will be placed at the distal end of a standard colonoscope Colonoscopy with EndoCuff™: colonoscopy performed with an EndoCuff™ device at the tip of a standard colonoscope
299
Colonoscopy With EndoRings™
An EndoRings™ distal attachment will be placed at the distal end of a standard colonoscope Colonoscopy with EndoRings™: colonoscopy performed with an EndoRings™ device at the tip of a standard colonoscope
295
FUSE® Colonoscopy
A FUSE® system with 3 HD (high-definition) monitors will be used to perform the colonoscopy FUSE® Colonoscopy: colonoscopy performed with the FUSE® (full spectrum endoscopy) system
299
Total1,188

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyCecum not intubated1000
Overall StudyInadequate Bowel Prep17161814
Overall StudyPolyposis identified during procedure1101
Overall StudyRecognized ineligible post-randomization1021
Overall StudyUlcerative Colitis identified1000

Baseline characteristics

CharacteristicColonoscopy With EndoCuff™Standard ColonoscopyTotalFUSE® ColonoscopyColonoscopy With EndoRings™
Age, Continuous63.2 years
STANDARD_DEVIATION 8.2
62.6 years
STANDARD_DEVIATION 8.3
62.6 years
STANDARD_DEVIATION 8.3
62.3 years
STANDARD_DEVIATION 8.7
62.3 years
STANDARD_DEVIATION 7.9
Indication
Diagnostic
23 Participants16 Participants75 Participants16 Participants20 Participants
Indication
Screening
126 Participants127 Participants504 Participants128 Participants123 Participants
Indication
Surveillance
150 Participants151 Participants607 Participants154 Participants152 Participants
Indication
Unknown
0 Participants1 Participants2 Participants1 Participants0 Participants
Race/Ethnicity, Customized
Asian
2 Participants4 Participants12 Participants5 Participants1 Participants
Race/Ethnicity, Customized
Black or African American
15 Participants13 Participants61 Participants20 Participants13 Participants
Race/Ethnicity, Customized
Hispanic or Latino
6 Participants5 Participants20 Participants4 Participants5 Participants
Race/Ethnicity, Customized
Other
0 Participants1 Participants1 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Unknown
0 Participants0 Participants1 Participants1 Participants0 Participants
Race/Ethnicity, Customized
White
276 Participants272 Participants1093 Participants269 Participants276 Participants
Sex: Female, Male
Female
141 Participants139 Participants582 Participants146 Participants156 Participants
Sex: Female, Male
Male
158 Participants156 Participants606 Participants153 Participants139 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 2950 / 2990 / 2950 / 299
other
Total, other adverse events
0 / 2950 / 2990 / 2950 / 299
serious
Total, serious adverse events
0 / 2950 / 2990 / 2950 / 299

Outcome results

Primary

Adenomas Per Colonoscopy

Time frame: During Procedure

Population: The number of adenomas was calculated overall for all three sites and then broken down into individual sites. The number of participants in each arm differed at each site, which is why the number analyzed differs depending on site and randomization.

ArmMeasureGroupValue (MEAN)Dispersion
Standard ColonoscopyAdenomas Per ColonoscopyAll Sites1.53 Adenomas per ColonoscopyStandard Deviation 2.33
Standard ColonoscopyAdenomas Per ColonoscopyIndianapolis1.89 Adenomas per ColonoscopyStandard Deviation 2.69
Standard ColonoscopyAdenomas Per ColonoscopyMilan0.83 Adenomas per ColonoscopyStandard Deviation 1.18
Standard ColonoscopyAdenomas Per ColonoscopyNew York0.92 Adenomas per ColonoscopyStandard Deviation 1.15
Colonoscopy With EndoCuff™Adenomas Per ColonoscopyIndianapolis2.17 Adenomas per ColonoscopyStandard Deviation 2.88
Colonoscopy With EndoCuff™Adenomas Per ColonoscopyMilan0.80 Adenomas per ColonoscopyStandard Deviation 1.25
Colonoscopy With EndoCuff™Adenomas Per ColonoscopyNew York2.00 Adenomas per ColonoscopyStandard Deviation 2.34
Colonoscopy With EndoCuff™Adenomas Per ColonoscopyAll Sites1.82 Adenomas per ColonoscopyStandard Deviation 2.58
Colonoscopy With EndoRings™Adenomas Per ColonoscopyMilan0.72 Adenomas per ColonoscopyStandard Deviation 1.17
Colonoscopy With EndoRings™Adenomas Per ColonoscopyIndianapolis1.97 Adenomas per ColonoscopyStandard Deviation 2.77
Colonoscopy With EndoRings™Adenomas Per ColonoscopyNew York0.75 Adenomas per ColonoscopyStandard Deviation 0.94
Colonoscopy With EndoRings™Adenomas Per ColonoscopyAll Sites1.55 Adenomas per ColonoscopyStandard Deviation 2.42
FUSE® ColonoscopyAdenomas Per ColonoscopyNew York0.80 Adenomas per ColonoscopyStandard Deviation 1.32
FUSE® ColonoscopyAdenomas Per ColonoscopyIndianapolis1.59 Adenomas per ColonoscopyStandard Deviation 2.18
FUSE® ColonoscopyAdenomas Per ColonoscopyAll Sites1.30 Adenomas per ColonoscopyStandard Deviation 1.96
FUSE® ColonoscopyAdenomas Per ColonoscopyMilan0.68 Adenomas per ColonoscopyStandard Deviation 1.19
Secondary

Cecal Insertion Time

Time frame: During Procedure

Population: The mean insertion time was calculated overall for all three sites and then broken down into individual sites. The number of participants in each arm differed at each site, which is why the number analyzed differs depending on site and randomization.

ArmMeasureGroupValue (MEAN)Dispersion
Standard ColonoscopyCecal Insertion TimeAll Sites422 SecondsStandard Deviation 319
Standard ColonoscopyCecal Insertion TimeIndianapolis366 SecondsStandard Deviation 243
Standard ColonoscopyCecal Insertion TimeMilan642 SecondsStandard Deviation 405
Standard ColonoscopyCecal Insertion TimeNew York170 SecondsStandard Deviation 62
Colonoscopy With EndoCuff™Cecal Insertion TimeIndianapolis320 SecondsStandard Deviation 179
Colonoscopy With EndoCuff™Cecal Insertion TimeMilan503 SecondsStandard Deviation 254
Colonoscopy With EndoCuff™Cecal Insertion TimeNew York193 SecondsStandard Deviation 93
Colonoscopy With EndoCuff™Cecal Insertion TimeAll Sites354 SecondsStandard Deviation 216
Colonoscopy With EndoRings™Cecal Insertion TimeMilan581 SecondsStandard Deviation 356
Colonoscopy With EndoRings™Cecal Insertion TimeIndianapolis352 SecondsStandard Deviation 191
Colonoscopy With EndoRings™Cecal Insertion TimeNew York251 SecondsStandard Deviation 110
Colonoscopy With EndoRings™Cecal Insertion TimeAll Sites403 SecondsStandard Deviation 263
FUSE® ColonoscopyCecal Insertion TimeNew York242 SecondsStandard Deviation 80
FUSE® ColonoscopyCecal Insertion TimeIndianapolis395 SecondsStandard Deviation 225
FUSE® ColonoscopyCecal Insertion TimeAll Sites468 SecondsStandard Deviation 311
FUSE® ColonoscopyCecal Insertion TimeMilan731 SecondsStandard Deviation 385
Secondary

Cecal Insertion Times When no Gastroenterology Fellow Was Involved in Insertion

Time frame: During Procedure

Population: Gastroenterology fellows were allowed to assist in inserting the scope, but times included in this analysis were from insertions done completely by the physician. This is why the overall number analyzed differs from the number analyzed in other outcome measure as well as why the numbers differ depending on site and randomization arm.

ArmMeasureGroupValue (MEAN)Dispersion
Standard ColonoscopyCecal Insertion Times When no Gastroenterology Fellow Was Involved in InsertionAll Sites320 SecondsStandard Deviation 256
Standard ColonoscopyCecal Insertion Times When no Gastroenterology Fellow Was Involved in InsertionIndianapolis283 SecondsStandard Deviation 185
Standard ColonoscopyCecal Insertion Times When no Gastroenterology Fellow Was Involved in InsertionMilan556 SecondsStandard Deviation 378
Standard ColonoscopyCecal Insertion Times When no Gastroenterology Fellow Was Involved in InsertionNew York170 SecondsStandard Deviation 62
Colonoscopy With EndoCuff™Cecal Insertion Times When no Gastroenterology Fellow Was Involved in InsertionIndianapolis239 SecondsStandard Deviation 127
Colonoscopy With EndoCuff™Cecal Insertion Times When no Gastroenterology Fellow Was Involved in InsertionMilan438 SecondsStandard Deviation 269
Colonoscopy With EndoCuff™Cecal Insertion Times When no Gastroenterology Fellow Was Involved in InsertionNew York193 SecondsStandard Deviation 93
Colonoscopy With EndoCuff™Cecal Insertion Times When no Gastroenterology Fellow Was Involved in InsertionAll Sites265 SecondsStandard Deviation 173
Colonoscopy With EndoRings™Cecal Insertion Times When no Gastroenterology Fellow Was Involved in InsertionMilan588 SecondsStandard Deviation 345
Colonoscopy With EndoRings™Cecal Insertion Times When no Gastroenterology Fellow Was Involved in InsertionIndianapolis277 SecondsStandard Deviation 127
Colonoscopy With EndoRings™Cecal Insertion Times When no Gastroenterology Fellow Was Involved in InsertionNew York251 SecondsStandard Deviation 110
Colonoscopy With EndoRings™Cecal Insertion Times When no Gastroenterology Fellow Was Involved in InsertionAll Sites331 SecondsStandard Deviation 222
FUSE® ColonoscopyCecal Insertion Times When no Gastroenterology Fellow Was Involved in InsertionNew York242 SecondsStandard Deviation 80
FUSE® ColonoscopyCecal Insertion Times When no Gastroenterology Fellow Was Involved in InsertionIndianapolis340 SecondsStandard Deviation 169
FUSE® ColonoscopyCecal Insertion Times When no Gastroenterology Fellow Was Involved in InsertionAll Sites380 SecondsStandard Deviation 252
FUSE® ColonoscopyCecal Insertion Times When no Gastroenterology Fellow Was Involved in InsertionMilan718 SecondsStandard Deviation 401
Secondary

Inspection Time

Time frame: During Procedure

Population: The mean inspection time of all three sites overall was calculated as well as the mean inspection time for each individual site. The number of participants in each arm differed at each site, which is why the number analyzed differs depending on site and randomization.

ArmMeasureGroupValue (MEAN)Dispersion
Standard ColonoscopyInspection TimeIndianapolis418 SecondsStandard Deviation 91
Standard ColonoscopyInspection TimeMilan501 SecondsStandard Deviation 109
Standard ColonoscopyInspection TimeNew York467 SecondsStandard Deviation 95
Standard ColonoscopyInspection TimeAll Sites444 SecondsStandard Deviation 103
Colonoscopy With EndoCuff™Inspection TimeAll Sites419 SecondsStandard Deviation 95
Colonoscopy With EndoCuff™Inspection TimeIndianapolis392 SecondsStandard Deviation 89
Colonoscopy With EndoCuff™Inspection TimeMilan492 SecondsStandard Deviation 78
Colonoscopy With EndoCuff™Inspection TimeNew York414 SecondsStandard Deviation 84
Colonoscopy With EndoRings™Inspection TimeAll Sites417 SecondsStandard Deviation 147
Colonoscopy With EndoRings™Inspection TimeMilan484 SecondsStandard Deviation 92
Colonoscopy With EndoRings™Inspection TimeIndianapolis388 SecondsStandard Deviation 160
Colonoscopy With EndoRings™Inspection TimeNew York438 SecondsStandard Deviation 96
FUSE® ColonoscopyInspection TimeIndianapolis378 SecondsStandard Deviation 83
FUSE® ColonoscopyInspection TimeAll Sites421 SecondsStandard Deviation 112
FUSE® ColonoscopyInspection TimeMilan522 SecondsStandard Deviation 120
FUSE® ColonoscopyInspection TimeNew York454 SecondsStandard Deviation 81
Secondary

Number of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.

Time frame: During Procedure

ArmMeasureGroupValue (NUMBER)
Standard ColonoscopyNumber of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.All205 Adenomas
Standard ColonoscopyNumber of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.1-5mm160 Adenomas
Standard ColonoscopyNumber of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.6-9mm28 Adenomas
Standard ColonoscopyNumber of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.greater than or equal to 10mm17 Adenomas
Colonoscopy With EndoCuff™Number of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.1-5mm199 Adenomas
Colonoscopy With EndoCuff™Number of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.6-9mm37 Adenomas
Colonoscopy With EndoCuff™Number of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.greater than or equal to 10mm17 Adenomas
Colonoscopy With EndoCuff™Number of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.All253 Adenomas
Colonoscopy With EndoRings™Number of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.6-9mm31 Adenomas
Colonoscopy With EndoRings™Number of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.1-5mm162 Adenomas
Colonoscopy With EndoRings™Number of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.greater than or equal to 10mm20 Adenomas
Colonoscopy With EndoRings™Number of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.All213 Adenomas
FUSE® ColonoscopyNumber of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.greater than or equal to 10mm14 Adenomas
FUSE® ColonoscopyNumber of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.1-5mm145 Adenomas
FUSE® ColonoscopyNumber of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.All194 Adenomas
FUSE® ColonoscopyNumber of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.6-9mm35 Adenomas
Secondary

Number of Participants With a Detected Polyp

Time frame: During Procedure

Population: The number of participants with a detected polyp was calculated overall for all three sites and then broken down into individual sites. The number of participants in each arm differed at each site, which is why the number analyzed differs depending on site and randomization.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Standard ColonoscopyNumber of Participants With a Detected PolypAll Sites226 Participants
Standard ColonoscopyNumber of Participants With a Detected PolypIndianapolis162 Participants
Standard ColonoscopyNumber of Participants With a Detected PolypMilan46 Participants
Standard ColonoscopyNumber of Participants With a Detected PolypNew York18 Participants
Colonoscopy With EndoCuff™Number of Participants With a Detected PolypIndianapolis175 Participants
Colonoscopy With EndoCuff™Number of Participants With a Detected PolypMilan50 Participants
Colonoscopy With EndoCuff™Number of Participants With a Detected PolypNew York22 Participants
Colonoscopy With EndoCuff™Number of Participants With a Detected PolypAll Sites247 Participants
Colonoscopy With EndoRings™Number of Participants With a Detected PolypMilan42 Participants
Colonoscopy With EndoRings™Number of Participants With a Detected PolypIndianapolis171 Participants
Colonoscopy With EndoRings™Number of Participants With a Detected PolypNew York18 Participants
Colonoscopy With EndoRings™Number of Participants With a Detected PolypAll Sites231 Participants
FUSE® ColonoscopyNumber of Participants With a Detected PolypNew York19 Participants
FUSE® ColonoscopyNumber of Participants With a Detected PolypIndianapolis155 Participants
FUSE® ColonoscopyNumber of Participants With a Detected PolypAll Sites212 Participants
FUSE® ColonoscopyNumber of Participants With a Detected PolypMilan38 Participants
Secondary

Number of Participants With Detected Adenoma

Time frame: During Procedure

Population: The number of participants with detected adenomas was calculated overall for all three sites and then broken down into individual sites. The number of participants in each arm differed at each site, which is why the number analyzed differs depending on site and randomization.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Standard ColonoscopyNumber of Participants With Detected AdenomaAll Sites166 Participants
Standard ColonoscopyNumber of Participants With Detected AdenomaIndianapolis117 Participants
Standard ColonoscopyNumber of Participants With Detected AdenomaMilan37 Participants
Standard ColonoscopyNumber of Participants With Detected AdenomaNew York12 Participants
Colonoscopy With EndoCuff™Number of Participants With Detected AdenomaIndianapolis137 Participants
Colonoscopy With EndoCuff™Number of Participants With Detected AdenomaMilan35 Participants
Colonoscopy With EndoCuff™Number of Participants With Detected AdenomaNew York19 Participants
Colonoscopy With EndoCuff™Number of Participants With Detected AdenomaAll Sites191 Participants
Colonoscopy With EndoRings™Number of Participants With Detected AdenomaMilan29 Participants
Colonoscopy With EndoRings™Number of Participants With Detected AdenomaIndianapolis127 Participants
Colonoscopy With EndoRings™Number of Participants With Detected AdenomaNew York11 Participants
Colonoscopy With EndoRings™Number of Participants With Detected AdenomaAll Sites167 Participants
FUSE® ColonoscopyNumber of Participants With Detected AdenomaNew York11 Participants
FUSE® ColonoscopyNumber of Participants With Detected AdenomaIndianapolis115 Participants
FUSE® ColonoscopyNumber of Participants With Detected AdenomaAll Sites154 Participants
FUSE® ColonoscopyNumber of Participants With Detected AdenomaMilan28 Participants
Secondary

Number of Participants With Detected Sessile Serrated Polyp

Number of patients with 1 or more sessile serrated polyps

Time frame: During Procedure

Population: The number of participants with detected sessile serrated polyps was calculated overall for all three sites and then broken down into individual sites. The number of participants in each arm differed at each site, which is why the number analyzed differs depending on site and randomization.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Standard ColonoscopyNumber of Participants With Detected Sessile Serrated PolypAll Sites36 Participants
Standard ColonoscopyNumber of Participants With Detected Sessile Serrated PolypIndianapolis33 Participants
Standard ColonoscopyNumber of Participants With Detected Sessile Serrated PolypMilan2 Participants
Standard ColonoscopyNumber of Participants With Detected Sessile Serrated PolypNew York1 Participants
Colonoscopy With EndoCuff™Number of Participants With Detected Sessile Serrated PolypIndianapolis29 Participants
Colonoscopy With EndoCuff™Number of Participants With Detected Sessile Serrated PolypMilan2 Participants
Colonoscopy With EndoCuff™Number of Participants With Detected Sessile Serrated PolypNew York2 Participants
Colonoscopy With EndoCuff™Number of Participants With Detected Sessile Serrated PolypAll Sites33 Participants
Colonoscopy With EndoRings™Number of Participants With Detected Sessile Serrated PolypMilan1 Participants
Colonoscopy With EndoRings™Number of Participants With Detected Sessile Serrated PolypIndianapolis31 Participants
Colonoscopy With EndoRings™Number of Participants With Detected Sessile Serrated PolypNew York1 Participants
Colonoscopy With EndoRings™Number of Participants With Detected Sessile Serrated PolypAll Sites33 Participants
FUSE® ColonoscopyNumber of Participants With Detected Sessile Serrated PolypNew York1 Participants
FUSE® ColonoscopyNumber of Participants With Detected Sessile Serrated PolypIndianapolis27 Participants
FUSE® ColonoscopyNumber of Participants With Detected Sessile Serrated PolypAll Sites30 Participants
FUSE® ColonoscopyNumber of Participants With Detected Sessile Serrated PolypMilan2 Participants
Secondary

Number of Sessile Serrated Polyps by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.

Time frame: During Procedure

ArmMeasureGroupValue (NUMBER)
Standard ColonoscopyNumber of Sessile Serrated Polyps by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.All20 Sessile Serrated Polyps
Standard ColonoscopyNumber of Sessile Serrated Polyps by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.1-5mm9 Sessile Serrated Polyps
Standard ColonoscopyNumber of Sessile Serrated Polyps by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.6-9mm6 Sessile Serrated Polyps
Standard ColonoscopyNumber of Sessile Serrated Polyps by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.greater than or equal to 10mm5 Sessile Serrated Polyps
Colonoscopy With EndoCuff™Number of Sessile Serrated Polyps by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.1-5mm11 Sessile Serrated Polyps
Colonoscopy With EndoCuff™Number of Sessile Serrated Polyps by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.6-9mm10 Sessile Serrated Polyps
Colonoscopy With EndoCuff™Number of Sessile Serrated Polyps by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.greater than or equal to 10mm11 Sessile Serrated Polyps
Colonoscopy With EndoCuff™Number of Sessile Serrated Polyps by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.All32 Sessile Serrated Polyps
Colonoscopy With EndoRings™Number of Sessile Serrated Polyps by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.6-9mm8 Sessile Serrated Polyps
Colonoscopy With EndoRings™Number of Sessile Serrated Polyps by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.1-5mm8 Sessile Serrated Polyps
Colonoscopy With EndoRings™Number of Sessile Serrated Polyps by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.greater than or equal to 10mm13 Sessile Serrated Polyps
Colonoscopy With EndoRings™Number of Sessile Serrated Polyps by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.All29 Sessile Serrated Polyps
FUSE® ColonoscopyNumber of Sessile Serrated Polyps by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.greater than or equal to 10mm12 Sessile Serrated Polyps
FUSE® ColonoscopyNumber of Sessile Serrated Polyps by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.1-5mm9 Sessile Serrated Polyps
FUSE® ColonoscopyNumber of Sessile Serrated Polyps by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.All25 Sessile Serrated Polyps
FUSE® ColonoscopyNumber of Sessile Serrated Polyps by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.6-9mm4 Sessile Serrated Polyps
Secondary

Percentage of Participants With a Detected Polyp

Time frame: During Procedure

Population: The number of participants analyzed for each site differed because the percentage of patients with a polyp was calculated for each site specifically. Thus, only patients randomized to the treatment arm at that site were included in the calculation instead of including the total number of patients randomized to the treatment arm.

ArmMeasureGroupValue (NUMBER)
Standard ColonoscopyPercentage of Participants With a Detected PolypAll Sites77 Percentage of Participants
Standard ColonoscopyPercentage of Participants With a Detected PolypIndianapolis84 Percentage of Participants
Standard ColonoscopyPercentage of Participants With a Detected PolypMilan59 Percentage of Participants
Standard ColonoscopyPercentage of Participants With a Detected PolypNew York72 Percentage of Participants
Colonoscopy With EndoCuff™Percentage of Participants With a Detected PolypIndianapolis89 Percentage of Participants
Colonoscopy With EndoCuff™Percentage of Participants With a Detected PolypMilan68 Percentage of Participants
Colonoscopy With EndoCuff™Percentage of Participants With a Detected PolypNew York79 Percentage of Participants
Colonoscopy With EndoCuff™Percentage of Participants With a Detected PolypAll Sites83 Percentage of Participants
Colonoscopy With EndoRings™Percentage of Participants With a Detected PolypMilan56 Percentage of Participants
Colonoscopy With EndoRings™Percentage of Participants With a Detected PolypIndianapolis87 Percentage of Participants
Colonoscopy With EndoRings™Percentage of Participants With a Detected PolypNew York75 Percentage of Participants
Colonoscopy With EndoRings™Percentage of Participants With a Detected PolypAll Sites78 Percentage of Participants
FUSE® ColonoscopyPercentage of Participants With a Detected PolypNew York76 Percentage of Participants
FUSE® ColonoscopyPercentage of Participants With a Detected PolypIndianapolis78 Percentage of Participants
FUSE® ColonoscopyPercentage of Participants With a Detected PolypAll Sites71 Percentage of Participants
FUSE® ColonoscopyPercentage of Participants With a Detected PolypMilan51 Percentage of Participants
Secondary

Percentage of Participants With Detected Adenoma

Time frame: During Procedure

Population: The number of participants analyzed differed because the calculation was done for all three sites overall and then broken down into each specific site. Thus, only patients randomized to the treatment arm at that site were included in the specific site calculations instead of including the total number of patients randomized to that treatment arm.

ArmMeasureGroupValue (NUMBER)
Standard ColonoscopyPercentage of Participants With Detected AdenomaAll Sites56 Percentage of Participants
Standard ColonoscopyPercentage of Participants With Detected AdenomaIndianapolis61 Percentage of Participants
Standard ColonoscopyPercentage of Participants With Detected AdenomaMilan47 Percentage of Participants
Standard ColonoscopyPercentage of Participants With Detected AdenomaNew York48 Percentage of Participants
Colonoscopy With EndoCuff™Percentage of Participants With Detected AdenomaIndianapolis70 Percentage of Participants
Colonoscopy With EndoCuff™Percentage of Participants With Detected AdenomaMilan47 Percentage of Participants
Colonoscopy With EndoCuff™Percentage of Participants With Detected AdenomaNew York68 Percentage of Participants
Colonoscopy With EndoCuff™Percentage of Participants With Detected AdenomaAll Sites64 Percentage of Participants
Colonoscopy With EndoRings™Percentage of Participants With Detected AdenomaMilan39 Percentage of Participants
Colonoscopy With EndoRings™Percentage of Participants With Detected AdenomaIndianapolis65 Percentage of Participants
Colonoscopy With EndoRings™Percentage of Participants With Detected AdenomaNew York46 Percentage of Participants
Colonoscopy With EndoRings™Percentage of Participants With Detected AdenomaAll Sites57 Percentage of Participants
FUSE® ColonoscopyPercentage of Participants With Detected AdenomaNew York44 Percentage of Participants
FUSE® ColonoscopyPercentage of Participants With Detected AdenomaIndianapolis58 Percentage of Participants
FUSE® ColonoscopyPercentage of Participants With Detected AdenomaAll Sites52 Percentage of Participants
FUSE® ColonoscopyPercentage of Participants With Detected AdenomaMilan37 Percentage of Participants
Secondary

Percentage of Participants With Detected Sessile Serrated Polyp

Time frame: During Procedure

Population: The number of participants analyzed for each site differed because the percentage of patients with a sessile serrated polyp was calculated specifically for the site. Thus, only patients randomized to the treatment arm at that site were included in the calculation instead of including the total number of patients randomized to the treatment arm.

ArmMeasureGroupValue (NUMBER)
Standard ColonoscopyPercentage of Participants With Detected Sessile Serrated PolypAll Sites12 Percentage of Participants
Standard ColonoscopyPercentage of Participants With Detected Sessile Serrated PolypIndianapolis17 Percentage of Participants
Standard ColonoscopyPercentage of Participants With Detected Sessile Serrated PolypMilan3 Percentage of Participants
Standard ColonoscopyPercentage of Participants With Detected Sessile Serrated PolypNew York4 Percentage of Participants
Colonoscopy With EndoCuff™Percentage of Participants With Detected Sessile Serrated PolypIndianapolis15 Percentage of Participants
Colonoscopy With EndoCuff™Percentage of Participants With Detected Sessile Serrated PolypMilan3 Percentage of Participants
Colonoscopy With EndoCuff™Percentage of Participants With Detected Sessile Serrated PolypNew York7 Percentage of Participants
Colonoscopy With EndoCuff™Percentage of Participants With Detected Sessile Serrated PolypAll Sites11 Percentage of Participants
Colonoscopy With EndoRings™Percentage of Participants With Detected Sessile Serrated PolypMilan1 Percentage of Participants
Colonoscopy With EndoRings™Percentage of Participants With Detected Sessile Serrated PolypIndianapolis16 Percentage of Participants
Colonoscopy With EndoRings™Percentage of Participants With Detected Sessile Serrated PolypNew York4 Percentage of Participants
Colonoscopy With EndoRings™Percentage of Participants With Detected Sessile Serrated PolypAll Sites11 Percentage of Participants
FUSE® ColonoscopyPercentage of Participants With Detected Sessile Serrated PolypNew York4 Percentage of Participants
FUSE® ColonoscopyPercentage of Participants With Detected Sessile Serrated PolypIndianapolis14 Percentage of Participants
FUSE® ColonoscopyPercentage of Participants With Detected Sessile Serrated PolypAll Sites10 Percentage of Participants
FUSE® ColonoscopyPercentage of Participants With Detected Sessile Serrated PolypMilan3 Percentage of Participants
Secondary

Percent of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.

Time frame: During Procedure

ArmMeasureGroupValue (NUMBER)
Standard ColonoscopyPercent of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.1-5mm78 Percentage of Adenomas
Standard ColonoscopyPercent of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.greater than or equal to 10mm7 Percentage of Adenomas
Standard ColonoscopyPercent of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.6-9mm14 Percentage of Adenomas
Colonoscopy With EndoCuff™Percent of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.1-5mm79 Percentage of Adenomas
Colonoscopy With EndoCuff™Percent of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.greater than or equal to 10mm7 Percentage of Adenomas
Colonoscopy With EndoCuff™Percent of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.6-9mm15 Percentage of Adenomas
Colonoscopy With EndoRings™Percent of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.6-9mm15 Percentage of Adenomas
Colonoscopy With EndoRings™Percent of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.1-5mm76 Percentage of Adenomas
Colonoscopy With EndoRings™Percent of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.greater than or equal to 10mm9 Percentage of Adenomas
FUSE® ColonoscopyPercent of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.1-5mm75 Percentage of Adenomas
FUSE® ColonoscopyPercent of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.greater than or equal to 10mm7 Percentage of Adenomas
FUSE® ColonoscopyPercent of Conventional Adenomas by Size in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.6-9mm18 Percentage of Adenomas
Secondary

Percent of Sessile Serrated Polyps in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.

Time frame: During Procedure

ArmMeasureGroupValue (NUMBER)
Standard ColonoscopyPercent of Sessile Serrated Polyps in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.1-5mm45 Percentage of Sessile Serrated Polyps
Standard ColonoscopyPercent of Sessile Serrated Polyps in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.greater than or equal to 10mm25 Percentage of Sessile Serrated Polyps
Standard ColonoscopyPercent of Sessile Serrated Polyps in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.6-9mm30 Percentage of Sessile Serrated Polyps
Colonoscopy With EndoCuff™Percent of Sessile Serrated Polyps in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.1-5mm34 Percentage of Sessile Serrated Polyps
Colonoscopy With EndoCuff™Percent of Sessile Serrated Polyps in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.greater than or equal to 10mm34 Percentage of Sessile Serrated Polyps
Colonoscopy With EndoCuff™Percent of Sessile Serrated Polyps in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.6-9mm31 Percentage of Sessile Serrated Polyps
Colonoscopy With EndoRings™Percent of Sessile Serrated Polyps in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.6-9mm28 Percentage of Sessile Serrated Polyps
Colonoscopy With EndoRings™Percent of Sessile Serrated Polyps in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.1-5mm28 Percentage of Sessile Serrated Polyps
Colonoscopy With EndoRings™Percent of Sessile Serrated Polyps in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.greater than or equal to 10mm45 Percentage of Sessile Serrated Polyps
FUSE® ColonoscopyPercent of Sessile Serrated Polyps in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.1-5mm36 Percentage of Sessile Serrated Polyps
FUSE® ColonoscopyPercent of Sessile Serrated Polyps in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.greater than or equal to 10mm48 Percentage of Sessile Serrated Polyps
FUSE® ColonoscopyPercent of Sessile Serrated Polyps in the Right Side of the Colon, Which Includes the Cecum, Ascending Colon, and Hepatic Flexure.6-9mm16 Percentage of Sessile Serrated Polyps
Secondary

Sessile Serrated Polyps Per Colonoscopy

Time frame: During Procedure

Population: The number of sessile serrated polyps per colonoscopy was calculated overall for all three sites and then broken down into individual sites. The number of participants in each arm differed at each site, which is why the number analyzed differs depending on site and randomization.

ArmMeasureGroupValue (MEAN)Dispersion
Standard ColonoscopySessile Serrated Polyps Per ColonoscopyAll Sites0.17 Sessile Serrated Polyps per colonoscopyStandard Deviation 0.54
Standard ColonoscopySessile Serrated Polyps Per ColonoscopyIndianapolis0.24 Sessile Serrated Polyps per colonoscopyStandard Deviation 0.64
Standard ColonoscopySessile Serrated Polyps Per ColonoscopyMilan0.03 Sessile Serrated Polyps per colonoscopyStandard Deviation 0.16
Standard ColonoscopySessile Serrated Polyps Per ColonoscopyNew York0.04 Sessile Serrated Polyps per colonoscopyStandard Deviation 0.2
Colonoscopy With EndoCuff™Sessile Serrated Polyps Per ColonoscopyIndianapolis0.23 Sessile Serrated Polyps per colonoscopyStandard Deviation 0.63
Colonoscopy With EndoCuff™Sessile Serrated Polyps Per ColonoscopyMilan0.04 Sessile Serrated Polyps per colonoscopyStandard Deviation 0.26
Colonoscopy With EndoCuff™Sessile Serrated Polyps Per ColonoscopyNew York0.07 Sessile Serrated Polyps per colonoscopyStandard Deviation 0.26
Colonoscopy With EndoCuff™Sessile Serrated Polyps Per ColonoscopyAll Sites0.17 Sessile Serrated Polyps per colonoscopyStandard Deviation 0.54
Colonoscopy With EndoRings™Sessile Serrated Polyps Per ColonoscopyMilan0.01 Sessile Serrated Polyps per colonoscopyStandard Deviation 0.12
Colonoscopy With EndoRings™Sessile Serrated Polyps Per ColonoscopyIndianapolis0.29 Sessile Serrated Polyps per colonoscopyStandard Deviation 0.98
Colonoscopy With EndoRings™Sessile Serrated Polyps Per ColonoscopyNew York0.04 Sessile Serrated Polyps per colonoscopyStandard Deviation 0.2
Colonoscopy With EndoRings™Sessile Serrated Polyps Per ColonoscopyAll Sites0.20 Sessile Serrated Polyps per colonoscopyStandard Deviation 0.81
FUSE® ColonoscopySessile Serrated Polyps Per ColonoscopyNew York0.04 Sessile Serrated Polyps per colonoscopyStandard Deviation 0.2
FUSE® ColonoscopySessile Serrated Polyps Per ColonoscopyIndianapolis0.25 Sessile Serrated Polyps per colonoscopyStandard Deviation 0.89
FUSE® ColonoscopySessile Serrated Polyps Per ColonoscopyAll Sites0.18 Sessile Serrated Polyps per colonoscopyStandard Deviation 0.74
FUSE® ColonoscopySessile Serrated Polyps Per ColonoscopyMilan0.03 Sessile Serrated Polyps per colonoscopyStandard Deviation 0.16

Source: ClinicalTrials.gov · Data processed: Mar 7, 2026