Constipation Clinical Trial
Official title:
SmartPill Colonic Transit Time Validation Study in Patients With Chronic Constipation
The protocol described herein is designed to provide clinical evidence of the substantial equivalence of SmartPill GI Monitoring System (SP) to the Sitzmarks (Konsyl Pharmaceuticals, Easton, MD) radio-opaque markers (ROM). The trial will enroll symptomatic subjects who meet Rome III criteria (1) for chronic functional constipation.
The primary aim of this study is to assess the equivalence of SP to ROM through
characterization of device agreement using SP cutoffs for colonic and whole gut transit
(59hrs and 73 hrs respectively) derived from the above mentioned study. The cutoffs are
derived from the 95th percentile of the healthy subjects in the study. Demonstration of
agreement will also serve to validate these SP cutoffs. Device agreement will be evaluated
by comparing the percentage of subjects identified with slow transit versus normal transit
with SmartPill to the percentage of subjects identified with slow versus normal transit with
ROM in the study population. The colonic transit time results will serve as the primary
measure for slow versus normal transit for SmartPill. For ROM test we will employ the
Metcalf protocol which provides a measure of whole gut transit to compare the SmartPill
results to. Additionally, we will characterize gastric emptying and small bowel transit time
of the SmartPill in this population. The SmartPill test will be administered simultaneously
with ROM. A modified Metcalf procedure will be employed for characterization of slow transit
by ROM.
The SmartPill GI Monitoring System offers an alternative non-invasive method for
characterizing disorders of the stomach. The system consists of an ingestible capsule that
houses sensors for pH, temperature, and pressure, a receiver for receiving and storing
signals from the capsule, and software for displaying data on a personal computer. The
capsule samples at regular intervals and transmits the sensed pH, pressure, and temperature
data to a portable receiver worn by the subject. After test completion, the recorded data is
downloaded to a personal computer for subsequent evaluation. This trial is for subjects 18
years of age to 80 years of age.
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Observational Model: Case Control, Time Perspective: Prospective
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