Colonic Neoplasms Clinical Trial
Official title:
GastroBot: a New Artificial Intelligence-developed Software Bot to Improve Bowel Preparation and Colonoscopy Quality
It is estimated that about 20% of colonoscopies have inadequate preparation. (5) This is associated with lengthy procedures and less detection of adenomas, reduces the screening intervals, and increases the costs and risks of complications. Several strategies have been proposed to improve the quality of bowel preparation. Mobile healthcare Apps have been developed to increase adherence to bowel preparation agents, improving the quality of bowel preparation. However, adherence to mobile healthcare Apps is also a quality criterion and a pending problem to solve with this new technology. GastroBot is a new technology based on artificial intelligence that allows, through a software bot, to carry out a personalized follow-up of the patient's bowel cleansing, advising the patient to overcome contingencies that arise with the preparation, which in other circumstances could lead to the failure of it. The primary aim of this study is to determine the improvement in bowel preparation after GastroBot assistance compared with the traditional explanation. As a secondary aim, this study also pursues to determine adenoma and polyp detection rates (ADR and PDR, respectively), bowel preparation agents' tolerance, and GastroBot functionality.
Status | Not yet recruiting |
Enrollment | 388 |
Est. completion date | April 28, 2025 |
Est. primary completion date | December 1, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 80 Years |
Eligibility | Inclusion Criteria: - Age under 18 and over 80 years old. - Who agrees to participate in the study and can understand and provide written informed consent. - Any colonoscopy indication: colorectal neoplasia screening, surveillance of colon pre-existing diseases, or diagnostic approach in symptomatic patients. - Smartphone owners (any device) and WhatsApp users, independence of local or international mobile phone provider. Exclusion Criteria: - Scheduled colonoscopies with any therapeutic approach will be categorically excluded if it does not have a cecal intubation indication. - Patients with difficulty understanding instructions for bowel preparation or not being able to use WhatsApp. - History of diabetes mellitus with insulin therapy, heart disease, kidney, liver, or severe metabolic disorder. - Phenprocoumon therapy or severe uncontrolled coagulopathy - Pregnancy and lactation - Prior history of colon resection, ileostomy, or colostomy |
Country | Name | City | State |
---|---|---|---|
Argentina | Institute of Gastroenterology and Advanced Endoscopy (IGEA) | Bahía Blanca | Buenos Aires |
Lead Sponsor | Collaborator |
---|---|
Institute of Gastroenterology and Advance Endoscopy |
Argentina,
Aganiants EK. [Changes in the impulse activity of cerebral cortex neurons upon inhalation of ether in different concentrations]. Biull Eksp Biol Med. 1968 Sep;66(9):45-8. No abstract available. Russian. — View Citation
Gubbiotti A, Spadaccini M, Badalamenti M, Hassan C, Repici A. Key factors for improving adenoma detection rate. Expert Rev Gastroenterol Hepatol. 2022 Sep;16(9):819-833. doi: 10.1080/17474124.2022.2128761. Epub 2022 Oct 14. — View Citation
Hassan C, East J, Radaelli F, Spada C, Benamouzig R, Bisschops R, Bretthauer M, Dekker E, Dinis-Ribeiro M, Ferlitsch M, Fuccio L, Awadie H, Gralnek I, Jover R, Kaminski MF, Pellise M, Triantafyllou K, Vanella G, Mangas-Sanjuan C, Frazzoni L, Van Hooft JE, Dumonceau JM. Bowel preparation for colonoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2019. Endoscopy. 2019 Aug;51(8):775-794. doi: 10.1055/a-0959-0505. Epub 2019 Jul 11. — View Citation
Hassan C, Spadaccini M, Iannone A, Maselli R, Jovani M, Chandrasekar VT, Antonelli G, Yu H, Areia M, Dinis-Ribeiro M, Bhandari P, Sharma P, Rex DK, Rosch T, Wallace M, Repici A. Performance of artificial intelligence in colonoscopy for adenoma and polyp detection: a systematic review and meta-analysis. Gastrointest Endosc. 2021 Jan;93(1):77-85.e6. doi: 10.1016/j.gie.2020.06.059. Epub 2020 Jun 26. — View Citation
Jansen SV, Goedhard JG, Winkens B, van Deursen CT. Preparation before colonoscopy: a randomized controlled trial comparing different regimes. Eur J Gastroenterol Hepatol. 2011 Oct;23(10):897-902. doi: 10.1097/MEG.0b013e32834a3444. — View Citation
Juluri R, Eckert G, Imperiale TF. Polyethylene glycol vs. sodium phosphate for bowel preparation: a treatment arm meta-analysis of randomized controlled trials. BMC Gastroenterol. 2011 Apr 14;11:38. doi: 10.1186/1471-230X-11-38. — View Citation
Ness RM, Manam R, Hoen H, Chalasani N. Predictors of inadequate bowel preparation for colonoscopy. Am J Gastroenterol. 2001 Jun;96(6):1797-802. doi: 10.1111/j.1572-0241.2001.03874.x. — View Citation
Rex DK, Schoenfeld PS, Cohen J, Pike IM, Adler DG, Fennerty MB, Lieb JG 2nd, Park WG, Rizk MK, Sawhney MS, Shaheen NJ, Wani S, Weinberg DS. Quality indicators for colonoscopy. Gastrointest Endosc. 2015 Jan;81(1):31-53. doi: 10.1016/j.gie.2014.07.058. Epub 2014 Dec 2. No abstract available. — View Citation
Walter B, Frank R, Ludwig L, Dikopoulos N, Mayr M, Neu B, Mayer B, Hann A, Meier B, Caca K, Seufferlein T, Meining A. Smartphone Application to Reinforce Education Increases High-Quality Preparation for Colorectal Cancer Screening Colonoscopies in a Randomized Trial. Clin Gastroenterol Hepatol. 2021 Feb;19(2):331-338.e5. doi: 10.1016/j.cgh.2020.03.051. Epub 2020 Mar 30. Erratum In: Clin Gastroenterol Hepatol. 2022 Jan;20(1):250. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Colonoscopy cleansing in terms of Boston bowel preparation score (BBPS) | Visual assessment of colonoscopy cleansing per colonic part (left, transverse, right), based on BBPS scale. | 1 hour | |
Primary | Re-scheduled colonoscopy | If bowel preparation was enough unsatisfactory to re-scheduled colonoscopy. | 1 hour | |
Secondary | Colonoscopy entrance time | Time since colonoscopy beginning to cecal visualization. | 1 hour | |
Secondary | Adenoma and polyp detection | Visualization of any adenoma or polyp during colonoscopy | 1 hour | |
Secondary | Bowel preparation agent's tolerance | Any adverse event related to polyethylene glycol intake | 1 hour | |
Secondary | GastroBot functionality | Patient's qualification of his/her interaction with GastroBot, in accordance with the Mobile App Rating Survey scale (MARS). Due that GastroBot is not a proper App, only MARS functionality questions will be given to the patient, an only patients from the GB group. | 1 hour |
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