Accuracy of aCETIC Acid to Predict Histopathology of Colonic Polyps

Status Recruiting

Clinical Trial Summary

The use of acetic acid in the characterization of polyps, produces a homogeneous white staining in sessile serrated adenomas, but not in tubular or tubulo-villous adenomas, a simple approach to predict polyp histopathology.

To determine the diagnostic accuracy of the use of acetic acid on tubular and serrated adenomas, during colonoscopy, a prospective diagnostic accuracy study was designed, taking as gold standard the pathological anatomy of the resected polyps.

Polyps found during a colonoscopy with suspicion of sessile serrated adenomas or tubular/tubulo villous will be included.

Clinical Trial Description

In our experience tubular or tubulovillous adenomas with acetic acid have the same behavior as normal colonic mucosa. When sprayed with acetic acid they stain white, as well as the surrounding mucosa, but with a subsequent rapid loss of the effect. In contrast, serrated adenomas maintain an "aceto-whitening" reaction even though the surrounding normal mucosa loses staining.

The objectives are to determine the sensitivity and specificity, positive and negative probability coefficients of the positive or negative aceto-whitening reaction on serrated adenomas and tubular-tubulo-villous adenomas.

To determine the diagnostic accuracy of the use of acetic acid on tubular, tubulo-villous and serrated adenomas a prospective diagnostic accuracy study was designed considering the gold standard as the pathological anatomy of resected polyps.

As independent variables the presence or absence of aceto-whitening reaction after staining and the diagnostic impression of the endoscopist without acetic acid are considered. The presence or not of the aceto-whitening reaction will be evaluated, understanding it as the persistence of white staining of the polyp at one minute or three minutes, standing out from the surrounding mucosa.

In case of positive staining it will be considered homogeneous if the staining is uniform on the surface of the polyp or heterogeneous if it is done irregularly.

Place: German Hospital, endoscopy unit.

Data analysis: the data collected in double-entry tables will be captured to obtain the same sensitivity, specificity and positive or negative probability coefficients.

Sample size: 100 polyps.

Estimated duration: 1 month ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT04157803
Study type	Interventional
Source	Hospital Aleman
Contact	Federico E Bentolila, MD
Phone	54 11 48277000
Email	fbentolila@hospitalaleman.com
Status	Recruiting
Phase	N/A
Start date	October 25, 2019
Completion date	November 15, 2019

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT03272945` - Linked-color Imaging for the Detection of Colorectal Flat Lesions	N/A
Recruiting	`NCT06062095` - Computer Aided Diagnosis (CADx) for Colorectal Polyps Resect-and-Discard Strategy	N/A
Not yet recruiting	`NCT02688699` - Additive Hemostatic Efficacy of EndoClot After EMR or ESD in the Gastrointestinal Tract	Phase 4
Active, not recruiting	`NCT03962868` - Endoscopic Submucosal Dissection (ESD) Versus Endoscopic Mucosal Resection (EMR) for Large Non Pedunculated Colonic Adenomas: a Randomized Comparative Trial	N/A
Not yet recruiting	`NCT05776381` - The Impact of a Patient Decision Aid on Treatment Choices for Patients With an Unexpected Malignant Colorectal Polyp	Phase 2
Completed	`NCT03758872` - CUFF-assisted Colonoscopy vs Standard Colonoscopy
Recruiting	`NCT05870332` - Nationwide Study of Artificial Intelligence in Adenoma Detection for Colonoscopy
Completed	`NCT03690297` - Linked Color Imaging (LCI) for Colorectal Adenoma Detection	N/A
Recruiting	`NCT04149184` - Computer-aided Detection Device in Standard Colonoscopy	N/A
Active, not recruiting	`NCT03865537` - Cold Snare Endoscopic Mucosal Resection Trial	N/A
Recruiting	`NCT05099432` - The CARMA Technique Study	N/A
Withdrawn	`NCT04778566` - Evaluating the Cologuard Test for Use in Lynch Syndrome
Withdrawn	`NCT01372696` - Endoscopic Characteristics of Colonic Tumours	N/A
Recruiting	`NCT05322993` - Improving Polyp Detection Rate by Artificial Intelligence in Colonoscopy	N/A
Completed	`NCT03121495` - Study on Second Forward View Examination in the Right Colon	N/A
Completed	`NCT03344055` - Endocuff-assisted Colonoscopy vs Standard Colonoscopy on Adenoma Detection Rate	N/A
Recruiting	`NCT06063720` - Effective Withdrawal Time and Adenoma Detection Rate
Completed	`NCT06426745` - Split-dose Versus Single-dose Bowel Preparation for Colonoscopy	N/A
Recruiting	`NCT04220905` - Endoscopic Resection of Large Colorectal Polyps: An Observational Cohort Study
Completed	`NCT04693078` - Detection of Colonic Polyps Via a Large Scale Artificial Intelligence (AI) System	N/A

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.

Accuracy of aCETIC Acid to Predict Histopathology of Colonic Polyps — Acetic

Clinical Trial Summary

Clinical Trial Description

Study Design

Related Conditions & MeSH terms