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PillCam COLON, Standard colonoscopy

Phase 3

Colonic Diseases | Unknown | Other |Medtronic plc.|Last Updated: Aug 1, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
UNCONTROLLEDBiomarker
Total Trials2
Total Enrollment451
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01063231Evaluation of PillCam™ Colon 2 in Visualization of the ColonPHASE3 COMPLETED 119Sep 1, 2009Oct 1, 2010Jul 31, 20198 Belgium, France +5
NCT00604162PillCam™ Colon Capsule Endoscopy (PCCE) in the Visualization of the ColonPHASE3 COMPLETED 332Oct 1, 2006Oct 1, 2007Aug 1, 20197 France, Germany +3
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Study Endpoints
Primary Endpoints
Accuracy parameters of PillCam™ COLON 2 in detecting patients with colonic polyps ≥6mm and ≥10 mm as compared to conventional colonoscopy
within 7 days
Number of Participants With Successful Capsule Endoscopies or Standard Colonoscopies
1 day

The number of participants that completed the capsule endoscopy procedure with video images of the entire colon that could be read by a clinician, or subsequently had a full colonoscopy with visualization by a different clinician. The number of successful procedures of each type are reported.

Number of Participants With Indicated Lesions Detected by Standard Colonoscopy
1 day

Since the standard colonoscopy is the "gold standard" to which the PillCam is to be compared, the number of participants with the indicated lesions identified by a trained clinician using standard colonoscopy procedures is reported here. Note that some Participants had multiple lesions and so could be included in more than one size category. Advanced adenoma is defined as 1) an adenoma 1 cm or larger or 2) an adenoma with villous features or high-grade dysplasia. All colorectal cancers were 6mm or larger.

Sensitivity of Capsule Endoscopy for Indicated Lesions
1 day

Readings of videos from the PillCam COLON were performed by trained physicians who identified lesions (types and sizes). Sensitivity was calculated as the percentage of participants who had positive findings on capsule endoscopy (of a specified category) among those participants who had positive findings on colonoscopy of the same category (reported in Outcome Measure 1). The false negative rate is equal to 1 - sensitivity and indicated the percentage of lesions missed by capsule endoscopy.

Specificity of Capsule Endoscopy for Indicated Lesions
1 day

Readings of videos from the PillCam COLON were performed by trained physicians who identified lesions (types and sizes). Specificity was calculated as the percentage of participants who had negative findings on capsule endoscopy (of a specified category) among participants with negative colonoscopy findings of the same category (reported in Outcome Measure 1). This corresponds to 1 - the false positive rate.

Secondary Endpoints
Diagnostic yield of PillCam™ COLON 2 in detecting colonic lesions as compared to conventional colonoscopy
within 7 days
Assessment of colon cleansing level at different colon segments for PillCam and Colonoscopy
within 7 days
Distribution of capsule excretion time up to 10 hours post ingestion based on Rapid videos
within 7 days
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeDIAGNOSTIC
Treatment Arms
ArmTypeDescription
1EXPERIMENTALSubjects that are indicated for colonoscopy, who are suspected or known to suffer from large bowel diseases.
PillCam COLON and ColonoscopyEXPERIMENTALSubjects that are indicated for colonoscopy, who are suspected or known to suffer from large bowel diseases, had capsule endoscopy with PillCam COLON after bowel preparation and before standard colonoscopy.
Interventions
NameTypeDescription
PillCam™ (Capsule Endoscopy) Colon 2 capsuleDEVICEMedical Device
PillCam COLONDEVICEThe PillCam COLON capsule is an ingestible capsule equipped with an endoscope that has two imagers, enabling it to acquire video images from both ends. the device measures 31 by 11 mm and acquires images at a rate of 4 frames per second. Recording and downloading of data are similar those of the data for small-bowel capsule endoscopy.
Standard colonoscopyPROCEDUREStandard colonoscopy was the standard against which capsule endoscopy was compared,and it was performed after capsule endoscopy (after capsule excretion or at least 10 hours after capsule ingestion, whichever came first), on either the same day as ingestion or the next morning.
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Eligibility Criteria
Age Range18 Years — 80 Years
SexALL
Healthy VolunteersNo
Study Sites8

Inclusion criteria: * Subject is between the ages of 18-80 * Subject was referred to colonoscopy for at least one of the following reasons: * Colorectal cancer screening for age ≥50 * Clinical symptoms such as: rectal bleeding, hematochezia, melena, positive FOBT, recent change of bowel habits...

Countries:BelgiumFranceGermanyItalyNetherlandsSpainSwedenUnited Kingdom
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