The Use of Sennosides With Pico Salax in Bowel Preparation for Colonoscopy: a Study of Optimal Dose and Timing
Study Details
Study Description
Brief Summary
The objective of this study is to evaluate sennosides as an adjunct to sodium picosulfate magnesium citrate (Pico Salax) in preparation for colonoscopy. We will compare different doses and administration times. The primary outcome is number of bowel motions produced. Secondary outcomes include the quality of bowel cleansing and patient tolerability.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
N/A |
Detailed Description
We will compare different doses and administration times in patients booked for morning colonoscopy. The primary outcome is number of bowel motions produced in total by the sennosides. Secondary outcomes include the quality of bowel cleansing and patient tolerability.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: 2 TABS QHS Sennosides 2 tabs, taken two nights before the colonoscopy |
Drug: Sennosides
Each group will be assigned different doses of sennosides and varying times of administration
Other Names:
|
Active Comparator: 3 TABS QHS Sennosides 3 tabs, taken two nights before the colonoscopy |
Drug: Sennosides
Each group will be assigned different doses of sennosides and varying times of administration
Other Names:
|
Active Comparator: 2 TABS AM Sennosides 2 tabs, taken the morning before the colonoscopy |
Drug: Sennosides
Each group will be assigned different doses of sennosides and varying times of administration
Other Names:
|
Active Comparator: 3 TABS AM Sennosides 3 tabs, taken the morning before the colonoscopy |
Drug: Sennosides
Each group will be assigned different doses of sennosides and varying times of administration
Other Names:
|
Active Comparator: 2 TABS AM & QHS Sennosides 2 tabs taken the morning before and 2 tabs taken the evening before the colonoscopy. |
Drug: Sennosides
Each group will be assigned different doses of sennosides and varying times of administration
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Bowel movements, as measured by patient diary [2 days]
The primary outcome of this pilot study is the number of bowel movements. Patients will record the timing and number of bowel motions produced.
Secondary Outcome Measures
- Colon cleansing, as measured by The Ottawa Scale and Aronchick Bowel Cleansing Scale [2 days]
The secondary outcome is colon cleansing efficacy. The endoscopist will grade the cleansing quality of the colon using two standardized measures - the Ottawa Scale and the 5-point Aronchick Bowel Preparation Scale
- Tolerability, as measured by patient questionnaire [2 days]
The secondary outcome is patient tolerability. Patients will be asked to complete a questionnaire examining symptoms such as nausea, bloating, vomiting, and abdominal pain.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Male and non-pregnant female patients 18 to 75 years of age inclusive
-
Patients who require an outpatient colonoscopy with a split dose Pico-Salax prep
Exclusion Criteria:
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Colonoscopy requiring the use of a large volume prep (eg Colyte, PEG)
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Ileus or bowel obstruction
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Previous colorectal surgery
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Ascites
-
Recognized renal impairment (defined as GFR less than normal in 3 months prior to enrolment)
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Pregnancy
-
Recent (<6 months) myocardial infarction or unstable angina.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Hotel Dieu Hospital | Kingston | Ontario | Canada | K7L 5G2 |
2 | Hotel Dieu Hospital | Kingston | Ontario | Canada | K7L5G2 |
Sponsors and Collaborators
- Queen's University
Investigators
- Principal Investigator: Lawrence Hookey, Queen's University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- DMED#1845-15