Skip to content

A Study Comparing the Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid Oral Solution With PREPOPIK® for Colon Cleansing in Preparation for Colonoscopy

A Randomized, Assessor-Blinded, Multi-Center Study Investigating the Efficacy, Safety, and Tolerability of Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid Oral Solution Versus Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid Powder for Oral Solution (PREPOPIK®) for Colon Cleansing in Preparation for Colonoscopy

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03017235
Enrollment
917
Registered
2017-01-11
Start date
2017-02-20
Completion date
2017-10-12
Last updated
2018-11-14

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

Conditions

Bowel Preparation

Brief summary

The purpose of this study is to compare the Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid Oral Solution with PREPOPIK® for colon cleansing in adult subjects undergoing colonoscopy.

Interventions

DRUGSodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid Oral Solution

Supplied as two 160 mL ready-to-drink bottles, per subject, without further reconstitution, before administration.

DRUGSodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder

Supplied as two sachets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.

Sponsors

Ferring Pharmaceuticals
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

* Male or non-pregnant female subjects aged 18 to 80 years, inclusive, being scheduled to undergo elective colonoscopy * Females of childbearing potential must agree to use an adequate contraception during the course of the trial. Accepted forms of contraception are: i.e., implants, injectables, hormonal intrauterine device, combined hormonal contraceptives, sexual abstinence, and vasectomized sexual partner. Premenopausal women who are of childbearing potential must have a negative serum pregnancy test result at screening and a negative urine pregnancy test result at randomization prior to colonoscopy. In the case of oral contraceptive use, women should have been taking the same pill consistently for a minimum of twelve (12) weeks before taking study medication. Sterilized or postmenopausal women may also participate. Women are considered to be postmenopausal and are not considered to be of childbearing potential if they have had twelve (12) months of natural (spontaneous) amenorrhea with an appropriate clinical profile (e.g. age appropriate, history of vasomotor symptoms) or have had surgical bilateral oophorectomy (with or without hysterectomy) or tubal ligation. * An average of at least 3 spontaneous bowel movements per week for one month prior to the colonoscopy

Exclusion criteria

* Known or suspected gastrointestinal obstruction, perforation, ileus, or gastric retention * Acute intestinal or gastric ulceration * Severe acute inflammatory bowel disease (IBD), toxic colitis, or toxic megacolon * Undergoing colonoscopy for foreign body removal or decompression * Reduced level of consciousness or inability to swallow without aspiration * Any prior colorectal surgery, excluding appendectomy, hemorrhoid surgery, or prior endoscopic procedures * Upper gastrointestinal surgery (gastrectomy, gastric banding, gastric by-pass) * Uncontrolled angina and/or myocardial infarction (MI) within last three months, congestive heart failure (CHF), uncontrolled hypertension, or ascites * Severely reduced renal function (\<30 mL/min/1.73 m2) * Pregnant or lactating women * Any clinically relevant abnormal findings in medical history, physical examination, vital signs, ECG, clinical chemistry, hematology, coagulation, or urinalysis at Screening Visit 1 * Rhabdomyolysis * Chronic nausea and vomiting * Hypermagnesemia * Undergoing treatment with Lithium

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Subjects Classified as a Responder Defined by Excellent or GoodDuring colonoscopy procedure (5-9 hours after completed treatment)The efficacy of overall colon cleansing in terms of responders was measured by a blinded endoscopist using the Modified Aronchick Scale. Modified Aronchick scale is a 4-point scale that grades colon cleansing as Excellent (\>90% of mucosa seen, mostly liquid stool, minimal suctioning needed for adequate visualization), Good (\>90% of mucosa seen, mostly liquid stool, significant suctioning needed for adequate visualization), Fair (\>90% of mucosa seen, mixture of liquid and semisolid stool, could be suctioned and/or washed) or Inadequate (\<90% of mucosa seen, mixture of semisolid and solid stool which could not be suctioned or washed).The participant is considered to be a responder if overall colon cleansing is excellent or good on this 4-point scale.

Secondary

MeasureTime frameDescription
Percentage of Subjects Classified as a Responder Defined by a Score ≥2 in the Transverse Segment of the ColonDuring colonoscopy procedure (5-9 hours after completed treatment)The percentage of subjects classified as responders, defined by a Boston Bowel Preparation Scale (BBPS) score ≥2 in the transverse segment of the colon was determined. The BBPS scale: 0= Unprepared colon segment with mucosa not seen due to solid stool that cannot be cleared; 1= Portion of mucosa of the colon segment seen, but other areas of the colon segment not well seen due to staining, residual stool, and/or opaque liquid; 2= Minor amount of residual staining, small fragments of stool and/or opaque liquid, but mucosa of colon segment seen well; 3= Entire mucosa of colon segment seen well with no residual staining, small fragments of stool or opaque liquid.
Percentage of Subjects Classified as a Responder Defined by a Score ≥2 in the Left Segment of the ColonDuring colonoscopy procedure (5-9 hours after completed treatment)The percentage of subjects classified as responders, defined by a Boston Bowel Preparation Scale (BBPS) score ≥2 in the left segment of the colon was determined. The BBPS scale: 0= Unprepared colon segment with mucosa not seen due to solid stool that cannot be cleared; 1= Portion of mucosa of the colon segment seen, but other areas of the colon segment not well seen due to staining, residual stool, and/or opaque liquid; 2= Minor amount of residual staining, small fragments of stool and/or opaque liquid, but mucosa of colon segment seen well; 3= Entire mucosa of colon segment seen well with no residual staining, small fragments of stool or opaque liquid.
Frequency of Each Category on the Subject Tolerability Questionnaire (How Many Bowel Movements Did You Have in the Week Prior to Starting Colon Preparation?)During colonoscopy procedure (5-9 hours after completed treatment)Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.
Frequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)During colonoscopy procedure (5-9 hours after completed treatment)Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.
Frequency of Each Category on the Subject Tolerability Questionnaire (Was the Bowel Preparation Tolerable?)During colonoscopy procedure (5-9 hours after completed treatment)Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.
Frequency of Each Category on the Subject Tolerability Questionnaire (How Willing Are You to Use This Preparation in the Future?)During colonoscopy procedure (5-9 hours after completed treatment)Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.
Frequency of Each Category on the Subject Tolerability Questionnaire (If Difficulties Existed, Were They Due to Your Current Health Status?)During colonoscopy procedure (5-9 hours after completed treatment)Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure. Subjects in response to questions could provide multiple response if applicable.
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bad Taste in Mouth?)During colonoscopy procedure (5-9 hours after completed treatment)Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Gastric Fullness?)During colonoscopy procedure (5-9 hours after completed treatment)Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Lack of Sleep From Excessive Bathroom Trips?)During colonoscopy procedure (5-9 hours after completed treatment)Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.
Percentage of Subjects Classified as a Responder Defined by a Score ≥2 in the Right Segment of the ColonDuring colonoscopy procedure (5-9 hours after completed treatment)The percentage of subjects classified as responders, defined by a Boston Bowel Preparation Scale (BBPS) score ≥2 in the right segment of the colon was determined. The BBPS scale: 0= Unprepared colon segment with mucosa not seen due to solid stool that cannot be cleared; 1= Portion of mucosa of the colon segment seen, but other areas of the colon segment not well seen due to staining, residual stool, and/or opaque liquid; 2= Minor amount of residual staining, small fragments of stool and/or opaque liquid, but mucosa of colon segment seen well; 3= Entire mucosa of colon segment seen well with no residual staining, small fragments of stool or opaque liquid.
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bloating/Abdominal Distension/Gas?)During colonoscopy procedure (5-9 hours after completed treatment)Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Abdominal Pain/Cramps?)During colonoscopy procedure (5-9 hours after completed treatment)Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Headache?)During colonoscopy procedure (5-9 hours after completed treatment)Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.
Frequency of Each Category on the Subject Tolerability Questionnaire (Was This Your First Colonoscopy?)During colonoscopy procedure (5-9 hours after completed treatment)Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.
Frequency of Each Category on the Subject Tolerability Questionnaire (Previous Bowel Preparation)During colonoscopy procedure (5-9 hours after completed treatment)Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.
Frequency of Each Category on the Subject Tolerability Questionnaire (Tolerability Compared to Previous Bowel Prepreparations)During colonoscopy procedure (5-9 hours after completed treatment)Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.
Percentage of Treatment-emergent Adverse Events(AEs)From baseline (screening) up to day 28 after colonoscopyCollected as any AE that begins during the treatment period defined as the period during which a subject receives IMP. All endoscopy findings were reported as AEs while cancers/malignancies detected on endoscopy were reported as SAEs.
Clinically Significant Changes in Vital SignsFrom baseline (screening) up to day 28 after colonoscopyBlood pressure and pulse will be measured after at least 5 minutes of rest in supine position and after 3 minutes in standing position
Clinically Significant Changes in Electrocardiogram (ECG)At baseline (screening), on the day of colonoscopy, 1-2 days after colonoscopy, 7 days after colonoscopy and 28 days after colonoscopyMeasured by standard 12-lead ECG. At each visit when an ECG was done, the investigator reviewed and initialed the tracing, which was then stored with the subject's source documents. The baseline ECG performed at the Screening Visit was reviewed for major abnormalities before dosing.
Clinically Significant Changes in Laboratory ValuesAt baseline (screening), on the day of colonoscopy, 1-2 days after colonoscopy, 7 days after colonoscopy and 28 days after colonoscopyRated by the investigator based on out of range laboratory values
Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Nausea, Vomiting?)During colonoscopy procedure (5-9 hours after completed treatment)Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Countries

Canada, United States

Participant flow

Participants by arm

ArmCount
NaP/MC Oral Solution
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid (NaP/MC) Oral Solution Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid Oral Solution: Supplied as ready-to-drink without further reconstitution before administration
448
PREPOPIK®
Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Powder: Supplied as two packets per subject. Subjects will be instructed to reconstitute the medication by combining the contents of one packet with approximately five (5) ounces of cold water and stirring for two to three minutes.
453
Total901

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event01
Overall StudyCancer, emergency, allergy, active UTI42
Overall StudyLost to Follow-up27
Overall StudyProtocol Violation21
Overall StudyWithdrawal by Subject43

Baseline characteristics

CharacteristicNaP/MC Oral SolutionPREPOPIK®Total
Age, Continuous57.2 Years
STANDARD_DEVIATION 11.04
57.1 Years
STANDARD_DEVIATION 10.85
57.2 Years
STANDARD_DEVIATION 10.94
Child-bearing potential
Child bearing potential
252 Participants250 Participants502 Participants
Child-bearing potential
No
203 Participants203 Participants406 Participants
Child-bearing potential
Yes
49 Participants47 Participants96 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
68 Participants71 Participants139 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
380 Participants381 Participants761 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants1 Participants1 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Asian
13 Participants5 Participants18 Participants
Race (NIH/OMB)
Black or African American
49 Participants41 Participants90 Participants
Race (NIH/OMB)
More than one race
2 Participants2 Participants4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants1 Participants2 Participants
Race (NIH/OMB)
Unknown or Not Reported
7 Participants9 Participants16 Participants
Race (NIH/OMB)
White
376 Participants394 Participants770 Participants
Sex: Female, Male
Female
252 Participants250 Participants502 Participants
Sex: Female, Male
Male
196 Participants203 Participants399 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 4480 / 453
other
Total, other adverse events
378 / 448384 / 453
serious
Total, serious adverse events
9 / 4486 / 453

Outcome results

Primary

Percentage of Subjects Classified as a Responder Defined by Excellent or Good

The efficacy of overall colon cleansing in terms of responders was measured by a blinded endoscopist using the Modified Aronchick Scale. Modified Aronchick scale is a 4-point scale that grades colon cleansing as Excellent (\>90% of mucosa seen, mostly liquid stool, minimal suctioning needed for adequate visualization), Good (\>90% of mucosa seen, mostly liquid stool, significant suctioning needed for adequate visualization), Fair (\>90% of mucosa seen, mixture of liquid and semisolid stool, could be suctioned and/or washed) or Inadequate (\<90% of mucosa seen, mixture of semisolid and solid stool which could not be suctioned or washed).The participant is considered to be a responder if overall colon cleansing is excellent or good on this 4-point scale.

Time frame: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The primary efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

ArmMeasureValue (NUMBER)
NaP/MC Oral SolutionPercentage of Subjects Classified as a Responder Defined by Excellent or Good87.7 Percentage of participants
PREPOPIK®Percentage of Subjects Classified as a Responder Defined by Excellent or Good81.5 Percentage of participants
Comparison: Difference in the percentage of subjects on NaP/MC or PREPOPIK (NaP/MC - PREPOPIK)p-value: 0.006795% CI: [1.8, 10.9]Weighted Percentage Difference
Secondary

Clinically Significant Changes in Electrocardiogram (ECG)

Measured by standard 12-lead ECG. At each visit when an ECG was done, the investigator reviewed and initialed the tracing, which was then stored with the subject's source documents. The baseline ECG performed at the Screening Visit was reviewed for major abnormalities before dosing.

Time frame: At baseline (screening), on the day of colonoscopy, 1-2 days after colonoscopy, 7 days after colonoscopy and 28 days after colonoscopy

Population: The Safety analysis set comprised all subjects who received any amount of study medication. The Safety analysis set was analyzed according to the actual treatment received

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NaP/MC Oral SolutionClinically Significant Changes in Electrocardiogram (ECG)Atrial fibrillation1 Participants
NaP/MC Oral SolutionClinically Significant Changes in Electrocardiogram (ECG)Bradycardia3 Participants
NaP/MC Oral SolutionClinically Significant Changes in Electrocardiogram (ECG)Bundle branch block left0 Participants
NaP/MC Oral SolutionClinically Significant Changes in Electrocardiogram (ECG)Extrasystoles0 Participants
NaP/MC Oral SolutionClinically Significant Changes in Electrocardiogram (ECG)Ventricular extrasystoles2 Participants
NaP/MC Oral SolutionClinically Significant Changes in Electrocardiogram (ECG)Bundle branch block right1 Participants
NaP/MC Oral SolutionClinically Significant Changes in Electrocardiogram (ECG)Palpitations1 Participants
NaP/MC Oral SolutionClinically Significant Changes in Electrocardiogram (ECG)Sinus bradycardia0 Participants
NaP/MC Oral SolutionClinically Significant Changes in Electrocardiogram (ECG)Tachycardia0 Participants
NaP/MC Oral SolutionClinically Significant Changes in Electrocardiogram (ECG)Cardiac murmur1 Participants
PREPOPIK®Clinically Significant Changes in Electrocardiogram (ECG)Sinus bradycardia1 Participants
PREPOPIK®Clinically Significant Changes in Electrocardiogram (ECG)Ventricular extrasystoles0 Participants
PREPOPIK®Clinically Significant Changes in Electrocardiogram (ECG)Bundle branch block right0 Participants
PREPOPIK®Clinically Significant Changes in Electrocardiogram (ECG)Bradycardia0 Participants
PREPOPIK®Clinically Significant Changes in Electrocardiogram (ECG)Cardiac murmur0 Participants
PREPOPIK®Clinically Significant Changes in Electrocardiogram (ECG)Bundle branch block left2 Participants
PREPOPIK®Clinically Significant Changes in Electrocardiogram (ECG)Palpitations0 Participants
PREPOPIK®Clinically Significant Changes in Electrocardiogram (ECG)Extrasystoles2 Participants
PREPOPIK®Clinically Significant Changes in Electrocardiogram (ECG)Tachycardia1 Participants
PREPOPIK®Clinically Significant Changes in Electrocardiogram (ECG)Atrial fibrillation0 Participants
Secondary

Clinically Significant Changes in Laboratory Values

Rated by the investigator based on out of range laboratory values

Time frame: At baseline (screening), on the day of colonoscopy, 1-2 days after colonoscopy, 7 days after colonoscopy and 28 days after colonoscopy

Population: The Safety analysis set comprised all subjects who received any amount of study medication. The Safety analysis set was analyzed according to the actual treatment received.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NaP/MC Oral SolutionClinically Significant Changes in Laboratory ValuesHematology: Anaemia1 Participants
NaP/MC Oral SolutionClinically Significant Changes in Laboratory ValuesHematology: Leukopenia1 Participants
NaP/MC Oral SolutionClinically Significant Changes in Laboratory ValuesHematology: Lymphocytosis0 Participants
NaP/MC Oral SolutionClinically Significant Changes in Laboratory ValuesHematology: Neutropenia1 Participants
NaP/MC Oral SolutionClinically Significant Changes in Laboratory ValuesHematology: Normocytic anaemia1 Participants
NaP/MC Oral SolutionClinically Significant Changes in Laboratory ValuesHemotology: Platelet count decreased0 Participants
NaP/MC Oral SolutionClinically Significant Changes in Laboratory ValuesClinical Chemistry: Hypermagnesaemia9 Participants
NaP/MC Oral SolutionClinically Significant Changes in Laboratory ValuesClinical chemistry:Blood bicarbonate decreased6 Participants
NaP/MC Oral SolutionClinically Significant Changes in Laboratory ValuesClinical chemistry: Hypokalemia4 Participants
NaP/MC Oral SolutionClinically Significant Changes in Laboratory ValuesClinical chemistry: Hyperglycaemia2 Participants
NaP/MC Oral SolutionClinically Significant Changes in Laboratory ValuesClinical chemistry: Hypoglycaemia3 Participants
NaP/MC Oral SolutionClinically Significant Changes in Laboratory ValuesClinical chemistry: Hyperkalaemia0 Participants
NaP/MC Oral SolutionClinically Significant Changes in Laboratory ValuesClinical chemistry: Hypomagnasaemia2 Participants
NaP/MC Oral SolutionClinically Significant Changes in Laboratory ValuesClinical chemistry: Blood creatinine increased0 Participants
NaP/MC Oral SolutionClinically Significant Changes in Laboratory ValuesClinical chemistry: Blood potassium decreased1 Participants
NaP/MC Oral SolutionClinically Significant Changes in Laboratory ValuesClinical chemistry: Hypochloraemia0 Participants
NaP/MC Oral SolutionClinically Significant Changes in Laboratory ValuesClinical chemistry: Hyperbilirubinaemia0 Participants
NaP/MC Oral SolutionClinically Significant Changes in Laboratory ValuesUrinalysis0 Participants
PREPOPIK®Clinically Significant Changes in Laboratory ValuesClinical chemistry: Blood creatinine increased1 Participants
PREPOPIK®Clinically Significant Changes in Laboratory ValuesHematology: Anaemia1 Participants
PREPOPIK®Clinically Significant Changes in Laboratory ValuesClinical chemistry: Hyperglycaemia1 Participants
PREPOPIK®Clinically Significant Changes in Laboratory ValuesHematology: Leukopenia0 Participants
PREPOPIK®Clinically Significant Changes in Laboratory ValuesUrinalysis0 Participants
PREPOPIK®Clinically Significant Changes in Laboratory ValuesHematology: Lymphocytosis1 Participants
PREPOPIK®Clinically Significant Changes in Laboratory ValuesClinical chemistry: Hypoglycaemia0 Participants
PREPOPIK®Clinically Significant Changes in Laboratory ValuesHematology: Neutropenia0 Participants
PREPOPIK®Clinically Significant Changes in Laboratory ValuesClinical chemistry: Blood potassium decreased0 Participants
PREPOPIK®Clinically Significant Changes in Laboratory ValuesHematology: Normocytic anaemia0 Participants
PREPOPIK®Clinically Significant Changes in Laboratory ValuesClinical chemistry: Hyperkalaemia2 Participants
PREPOPIK®Clinically Significant Changes in Laboratory ValuesHemotology: Platelet count decreased1 Participants
PREPOPIK®Clinically Significant Changes in Laboratory ValuesClinical chemistry: Hyperbilirubinaemia1 Participants
PREPOPIK®Clinically Significant Changes in Laboratory ValuesClinical Chemistry: Hypermagnesaemia23 Participants
PREPOPIK®Clinically Significant Changes in Laboratory ValuesClinical chemistry: Hypomagnasaemia0 Participants
PREPOPIK®Clinically Significant Changes in Laboratory ValuesClinical chemistry:Blood bicarbonate decreased3 Participants
PREPOPIK®Clinically Significant Changes in Laboratory ValuesClinical chemistry: Hypochloraemia1 Participants
PREPOPIK®Clinically Significant Changes in Laboratory ValuesClinical chemistry: Hypokalemia0 Participants
Secondary

Clinically Significant Changes in Vital Signs

Blood pressure and pulse will be measured after at least 5 minutes of rest in supine position and after 3 minutes in standing position

Time frame: From baseline (screening) up to day 28 after colonoscopy

Population: The Safety analysis set comprised all subjects who received any amount of study medication. The Safety analysis set was analyzed according to the actual treatment received

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NaP/MC Oral SolutionClinically Significant Changes in Vital SignsHypertension0 Participants
NaP/MC Oral SolutionClinically Significant Changes in Vital SignsOrthostatic hypotension1 Participants
NaP/MC Oral SolutionClinically Significant Changes in Vital SignsBlood pressure increased2 Participants
NaP/MC Oral SolutionClinically Significant Changes in Vital SignsHypotension1 Participants
PREPOPIK®Clinically Significant Changes in Vital SignsHypotension1 Participants
PREPOPIK®Clinically Significant Changes in Vital SignsHypertension4 Participants
PREPOPIK®Clinically Significant Changes in Vital SignsBlood pressure increased0 Participants
PREPOPIK®Clinically Significant Changes in Vital SignsOrthostatic hypotension2 Participants
Secondary

Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Abdominal Pain/Cramps?)

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Time frame: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Abdominal Pain/Cramps?)Moderately bothered15 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Abdominal Pain/Cramps?)No response1 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Abdominal Pain/Cramps?)Severely bothered3 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Abdominal Pain/Cramps?)Not applicable2 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Abdominal Pain/Cramps?)Not bothered-Mildly bothered427 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Abdominal Pain/Cramps?)Not applicable1 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Abdominal Pain/Cramps?)Not bothered-Mildly bothered432 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Abdominal Pain/Cramps?)Moderately bothered15 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Abdominal Pain/Cramps?)Severely bothered3 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Abdominal Pain/Cramps?)No response2 Participants
Secondary

Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bad Taste in Mouth?)

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Time frame: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bad Taste in Mouth?)Moderately bothered63 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bad Taste in Mouth?)No response1 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bad Taste in Mouth?)Severely bothered11 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bad Taste in Mouth?)Not applicable2 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bad Taste in Mouth?)Not bothered-Mildly bothered371 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bad Taste in Mouth?)Not applicable0 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bad Taste in Mouth?)Not bothered-Mildly bothered426 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bad Taste in Mouth?)Moderately bothered22 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bad Taste in Mouth?)Severely bothered2 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bad Taste in Mouth?)No response3 Participants
Secondary

Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bloating/Abdominal Distension/Gas?)

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Time frame: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bloating/Abdominal Distension/Gas?)Moderately bothered35 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bloating/Abdominal Distension/Gas?)No response2 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bloating/Abdominal Distension/Gas?)Severely bothered7 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bloating/Abdominal Distension/Gas?)Not applicable1 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bloating/Abdominal Distension/Gas?)Not bothered-Mildly bothered403 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bloating/Abdominal Distension/Gas?)Not applicable1 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bloating/Abdominal Distension/Gas?)Not bothered-Mildly bothered402 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bloating/Abdominal Distension/Gas?)Moderately bothered40 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bloating/Abdominal Distension/Gas?)Severely bothered6 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Bloating/Abdominal Distension/Gas?)No response4 Participants
Secondary

Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Gastric Fullness?)

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Time frame: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Gastric Fullness?)Moderately bothered53 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Gastric Fullness?)No response2 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Gastric Fullness?)Severely bothered10 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Gastric Fullness?)Not applicable1 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Gastric Fullness?)Not bothered-Mildly bothered382 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Gastric Fullness?)Not applicable0 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Gastric Fullness?)Not bothered-Mildly bothered387 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Gastric Fullness?)Moderately bothered57 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Gastric Fullness?)Severely bothered6 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Gastric Fullness?)No response3 Participants
Secondary

Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Headache?)

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Time frame: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Headache?)Moderately bothered38 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Headache?)No response0 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Headache?)Severely bothered13 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Headache?)Not applicable1 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Headache?)Not bothered-Mildly bothered396 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Headache?)Not applicable1 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Headache?)Not bothered-Mildly bothered396 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Headache?)Moderately bothered47 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Headache?)Severely bothered7 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Headache?)No response2 Participants
Secondary

Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Lack of Sleep From Excessive Bathroom Trips?)

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Time frame: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Lack of Sleep From Excessive Bathroom Trips?)Moderately bothered86 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Lack of Sleep From Excessive Bathroom Trips?)No response1 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Lack of Sleep From Excessive Bathroom Trips?)Severely bothered25 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Lack of Sleep From Excessive Bathroom Trips?)Not applicable1 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Lack of Sleep From Excessive Bathroom Trips?)Not bothered-Mildly bothered335 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Lack of Sleep From Excessive Bathroom Trips?)Not applicable0 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Lack of Sleep From Excessive Bathroom Trips?)Not bothered-Mildly bothered328 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Lack of Sleep From Excessive Bathroom Trips?)Moderately bothered85 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Lack of Sleep From Excessive Bathroom Trips?)Severely bothered37 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Lack of Sleep From Excessive Bathroom Trips?)No response3 Participants
Secondary

Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Nausea, Vomiting?)

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Time frame: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Nausea, Vomiting?)Moderately bothered23 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Nausea, Vomiting?)No response2 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Nausea, Vomiting?)Severely bothered6 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Nausea, Vomiting?)Not applicable1 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Nausea, Vomiting?)Not bothered-Mildly bothered416 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Nausea, Vomiting?)Not applicable0 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Nausea, Vomiting?)Not bothered-Mildly bothered435 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Nausea, Vomiting?)Moderately bothered11 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Nausea, Vomiting?)Severely bothered2 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Bothered Were You During Bowel Prep by Nausea, Vomiting?)No response4 Participants
Secondary

Frequency of Each Category on the Subject Tolerability Questionnaire (How Many Bowel Movements Did You Have in the Week Prior to Starting Colon Preparation?)

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Time frame: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Many Bowel Movements Did You Have in the Week Prior to Starting Colon Preparation?)4 to 8/week264 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Many Bowel Movements Did You Have in the Week Prior to Starting Colon Preparation?)Response not provided0 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Many Bowel Movements Did You Have in the Week Prior to Starting Colon Preparation?)≥9/week120 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Many Bowel Movements Did You Have in the Week Prior to Starting Colon Preparation?)Not applicable1 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Many Bowel Movements Did You Have in the Week Prior to Starting Colon Preparation?)≤3/week63 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Many Bowel Movements Did You Have in the Week Prior to Starting Colon Preparation?)Not applicable1 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Many Bowel Movements Did You Have in the Week Prior to Starting Colon Preparation?)≤3/week47 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Many Bowel Movements Did You Have in the Week Prior to Starting Colon Preparation?)4 to 8/week299 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Many Bowel Movements Did You Have in the Week Prior to Starting Colon Preparation?)≥9/week105 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Many Bowel Movements Did You Have in the Week Prior to Starting Colon Preparation?)Response not provided1 Participants
Secondary

Frequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Time frame: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)<25%443 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)25% - 50%1 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)50% - 75%0 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)≥75%1 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)Response not provided2 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)Not applicable1 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)Response not provided1 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)<25%448 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)≥75%0 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)25% - 50%1 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)Not applicable1 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Much Bowel Preparation Was Left in Bottle After Drinking it?)50% - 75%2 Participants
Secondary

Frequency of Each Category on the Subject Tolerability Questionnaire (How Willing Are You to Use This Preparation in the Future?)

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Time frame: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Willing Are You to Use This Preparation in the Future?)Not willing at all11 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Willing Are You to Use This Preparation in the Future?)Somewhat willing75 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Willing Are You to Use This Preparation in the Future?)Mostly willing361 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (How Willing Are You to Use This Preparation in the Future?)Not applicable1 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Willing Are You to Use This Preparation in the Future?)Not applicable1 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Willing Are You to Use This Preparation in the Future?)Not willing at all6 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Willing Are You to Use This Preparation in the Future?)Mostly willing408 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (How Willing Are You to Use This Preparation in the Future?)Somewhat willing38 Participants
Secondary

Frequency of Each Category on the Subject Tolerability Questionnaire (If Difficulties Existed, Were They Due to Your Current Health Status?)

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure. Subjects in response to questions could provide multiple response if applicable.

Time frame: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (If Difficulties Existed, Were They Due to Your Current Health Status?)No104 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (If Difficulties Existed, Were They Due to Your Current Health Status?)No health issues84 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (If Difficulties Existed, Were They Due to Your Current Health Status?)No difficulties310 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (If Difficulties Existed, Were They Due to Your Current Health Status?)Response not provided0 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (If Difficulties Existed, Were They Due to Your Current Health Status?)Yes11 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (If Difficulties Existed, Were They Due to Your Current Health Status?)Response not provided3 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (If Difficulties Existed, Were They Due to Your Current Health Status?)Yes8 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (If Difficulties Existed, Were They Due to Your Current Health Status?)No93 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (If Difficulties Existed, Were They Due to Your Current Health Status?)No difficulties320 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (If Difficulties Existed, Were They Due to Your Current Health Status?)No health issues109 Participants
Secondary

Frequency of Each Category on the Subject Tolerability Questionnaire (Previous Bowel Preparation)

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Time frame: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (Previous Bowel Preparation)Moviprep14 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (Previous Bowel Preparation)Other34 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (Previous Bowel Preparation)MiraLax20 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (Previous Bowel Preparation)Do not remember137 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (Previous Bowel Preparation)GoLytely56 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (Previous Bowel Preparation)Do not remember53 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (Previous Bowel Preparation)GoLytely52 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (Previous Bowel Preparation)Moviprep17 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (Previous Bowel Preparation)MiraLax20 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (Previous Bowel Preparation)Other39 Participants
Secondary

Frequency of Each Category on the Subject Tolerability Questionnaire (Tolerability Compared to Previous Bowel Prepreparations)

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Time frame: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (Tolerability Compared to Previous Bowel Prepreparations)Worse than before5 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (Tolerability Compared to Previous Bowel Prepreparations)About the same as before62 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (Tolerability Compared to Previous Bowel Prepreparations)Better than before190 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (Tolerability Compared to Previous Bowel Prepreparations)Response not provided4 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (Tolerability Compared to Previous Bowel Prepreparations)Response not provided0 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (Tolerability Compared to Previous Bowel Prepreparations)Worse than before5 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (Tolerability Compared to Previous Bowel Prepreparations)Better than before209 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (Tolerability Compared to Previous Bowel Prepreparations)About the same as before67 Participants
Secondary

Frequency of Each Category on the Subject Tolerability Questionnaire (Was the Bowel Preparation Tolerable?)

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Time frame: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (Was the Bowel Preparation Tolerable?)Somewhat difficult41 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (Was the Bowel Preparation Tolerable?)Unacceptable2 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (Was the Bowel Preparation Tolerable?)Very difficult4 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (Was the Bowel Preparation Tolerable?)Not applicable1 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (Was the Bowel Preparation Tolerable?)Easy to acceptable400 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (Was the Bowel Preparation Tolerable?)Not applicable1 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (Was the Bowel Preparation Tolerable?)Easy to acceptable433 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (Was the Bowel Preparation Tolerable?)Somewhat difficult17 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (Was the Bowel Preparation Tolerable?)Very difficult1 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (Was the Bowel Preparation Tolerable?)Unacceptable1 Participants
Secondary

Frequency of Each Category on the Subject Tolerability Questionnaire (Was This Your First Colonoscopy?)

Subject tolerability and satisfaction with the bowel cleansing preparation were assessed by the validated Mayo Clinic Bowel Prep Tolerability Questionnaire. This simple, comprehensive questionnaire, developed to evaluate the tolerability of various types of bowel preparations, was administered to the subject at Visit 3 prior to the colonoscopy procedure.

Time frame: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (Was This Your First Colonoscopy?)No261 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (Was This Your First Colonoscopy?)Yes185 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (Was This Your First Colonoscopy?)Response not provided1 Participants
NaP/MC Oral SolutionFrequency of Each Category on the Subject Tolerability Questionnaire (Was This Your First Colonoscopy?)Not applicable1 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (Was This Your First Colonoscopy?)Not applicable0 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (Was This Your First Colonoscopy?)No281 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (Was This Your First Colonoscopy?)Response not provided2 Participants
PREPOPIK®Frequency of Each Category on the Subject Tolerability Questionnaire (Was This Your First Colonoscopy?)Yes171 Participants
Secondary

Percentage of Subjects Classified as a Responder Defined by a Score ≥2 in the Left Segment of the Colon

The percentage of subjects classified as responders, defined by a Boston Bowel Preparation Scale (BBPS) score ≥2 in the left segment of the colon was determined. The BBPS scale: 0= Unprepared colon segment with mucosa not seen due to solid stool that cannot be cleared; 1= Portion of mucosa of the colon segment seen, but other areas of the colon segment not well seen due to staining, residual stool, and/or opaque liquid; 2= Minor amount of residual staining, small fragments of stool and/or opaque liquid, but mucosa of colon segment seen well; 3= Entire mucosa of colon segment seen well with no residual staining, small fragments of stool or opaque liquid.

Time frame: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

ArmMeasureValue (NUMBER)
NaP/MC Oral SolutionPercentage of Subjects Classified as a Responder Defined by a Score ≥2 in the Left Segment of the Colon94.6 Percentage of subjects
PREPOPIK®Percentage of Subjects Classified as a Responder Defined by a Score ≥2 in the Left Segment of the Colon91.2 Percentage of subjects
Comparison: Difference in percentage of subjects on NaP/MC Oral Solution or PREPOPIK® (NaP/MC-PREPOPIK®)p-value: 0.039195% CI: [0.2, 6.7]Weighted Percentage Difference
Secondary

Percentage of Subjects Classified as a Responder Defined by a Score ≥2 in the Right Segment of the Colon

The percentage of subjects classified as responders, defined by a Boston Bowel Preparation Scale (BBPS) score ≥2 in the right segment of the colon was determined. The BBPS scale: 0= Unprepared colon segment with mucosa not seen due to solid stool that cannot be cleared; 1= Portion of mucosa of the colon segment seen, but other areas of the colon segment not well seen due to staining, residual stool, and/or opaque liquid; 2= Minor amount of residual staining, small fragments of stool and/or opaque liquid, but mucosa of colon segment seen well; 3= Entire mucosa of colon segment seen well with no residual staining, small fragments of stool or opaque liquid.

Time frame: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

ArmMeasureValue (NUMBER)
NaP/MC Oral SolutionPercentage of Subjects Classified as a Responder Defined by a Score ≥2 in the Right Segment of the Colon94.2 Percentage of subjects
PREPOPIK®Percentage of Subjects Classified as a Responder Defined by a Score ≥2 in the Right Segment of the Colon89.6 Percentage of subjects
Comparison: Difference in the percentage of subjects on NaP/MC or PREPOPIK (NaP/MC - PREPOPIK)p-value: 0.009995% CI: [1.1, 8]Weighted Percentage Difference
Secondary

Percentage of Subjects Classified as a Responder Defined by a Score ≥2 in the Transverse Segment of the Colon

The percentage of subjects classified as responders, defined by a Boston Bowel Preparation Scale (BBPS) score ≥2 in the transverse segment of the colon was determined. The BBPS scale: 0= Unprepared colon segment with mucosa not seen due to solid stool that cannot be cleared; 1= Portion of mucosa of the colon segment seen, but other areas of the colon segment not well seen due to staining, residual stool, and/or opaque liquid; 2= Minor amount of residual staining, small fragments of stool and/or opaque liquid, but mucosa of colon segment seen well; 3= Entire mucosa of colon segment seen well with no residual staining, small fragments of stool or opaque liquid.

Time frame: During colonoscopy procedure (5-9 hours after completed treatment)

Population: The efficacy analysis was conducted for the mITT analysis set and was defined as all ITT subjects who received at least 1 dose of treatment. The mITT analysis set was analyzed according to randomized treatment.

ArmMeasureValue (NUMBER)
NaP/MC Oral SolutionPercentage of Subjects Classified as a Responder Defined by a Score ≥2 in the Transverse Segment of the Colon96.0 Percentage of subjects
PREPOPIK®Percentage of Subjects Classified as a Responder Defined by a Score ≥2 in the Transverse Segment of the Colon94.0 Percentage of subjects
Comparison: Difference in percentage of subjects on NaP/MC Oral Solution or PREPOPIK® (NaP/MC - PREPOPIK)p-value: 0.178195% CI: [-0.9, 4.7]Weighted Percentage Difference
Secondary

Percentage of Treatment-emergent Adverse Events(AEs)

Collected as any AE that begins during the treatment period defined as the period during which a subject receives IMP. All endoscopy findings were reported as AEs while cancers/malignancies detected on endoscopy were reported as SAEs.

Time frame: From baseline (screening) up to day 28 after colonoscopy

Population: The Safety analysis set comprised all subjects who received any amount of study medication. The Safety analysis set was analyzed according to the actual treatment received

ArmMeasureValue (NUMBER)
NaP/MC Oral SolutionPercentage of Treatment-emergent Adverse Events(AEs)84.4 Percentage of adverse events
PREPOPIK®Percentage of Treatment-emergent Adverse Events(AEs)84.8 Percentage of adverse events

Source: ClinicalTrials.gov · Data processed: Feb 22, 2026