The use of bowel relaxant Buscopan® to improve the detection of colonic polyps during colonoscopy

ISRCTN ISRCTN25405865
DOI https://doi.org/10.1186/ISRCTN25405865
Secondary identifying numbers BUSCOPAN_PDR1
Submission date
03/11/2010
Registration date
17/11/2010
Last edited
22/03/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Digestive System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Frank ter Borg
Scientific

Department of Gastroenterology and Hepatology
Deventer Ziekenhuis
Nico Bolkesteinlaan 75
Deventer
7416 SE
Netherlands

Study information

Study designProspective double blind randomised placebo controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeScreening
Participant information sheet 1. Patient information form2. Insurance coverage explanation3. Contact addresses of investigator and independent consultant4. Signature form
Scientific titleThe influence of hyoscine N-butylbromide on the colonoscopic polyp detection: A prospective, double blind, randomised, placebo-controlled trial
Study objectivesTo investigate whether the administration of Buscopan® will improve the detection, removal and harvesting of colonic polyps during colonoscopy.
Ethics approval(s)Submission to the Medical Ethics Committee at Isala Klinieken, Zwolle, The Netherlands expected by the end of November 2010
Health condition(s) or problem(s) studiedColonoscopy; Colonic polyp; Colorectal carcinoma
InterventionIntravenous administration of Buscopan or 0.9% Natriumchloride Solutution (placebo) during colonoscopy.
No further interventions

The duration of the action of Buscopan is only 20 minutes, and in this time colonoscopy will be finished. Data on polyp removal etc will be recorded during colonoscopy. There will be no further follow up, but participants will be informed about the histology of removed polyps in the outpatient department, as per usual practice.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Hyoscine N-butylbromide (Buscopan®)
Primary outcome measureThe number of colonoscopies during which at least one polyp has been found divided by the total number of colonoscopies
Secondary outcome measures1. Polyp detection score
During each colonoscopy the number and shape of the polyps will be recorded.
Polyps < 5 mm will confer 3 points
Polyps 5-10 mm will confer 2 points
Polyps > 10 mm will confer 1 point
Scores will be made for flat / broad based polyps as well as rounded / pedunculated polyps.

2. Polyp removal ratio
The number of removed polyps divided by the number of detected polyps

3 Pathology retrieval ratio
The number of polyps send for pathological investigation divided by the number of removed polyps

4 Influence of age category
Categories are: 30 - 50 years, 51 – 70 years and > 70 years.

5 Influence of diverticulosis category
Categories are: 1: 0-2 diverticula, 2: 3-10 diverticula, 3: 11-20 diverticula en 4: > 20 diverticula.

6 Influence of the endocopist
Overall study start date15/01/2010
Completion date15/01/2012

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants672
Key inclusion criteria1. Patients aged 30 years or older
2. Able to understand and give informed consent
3. Routinely referred for colonoscopy
Key exclusion criteria1. Pregnancy
2. Myasthenia gravis
3. Exacerbation of inflammatory bowel disease
4. Suspicion of ongoing diverticulitis
5. Expectation of an estimated probability of complete colonoscopy of less than 50%, e.g. by the presence of a stenosis
Date of first enrolment15/01/2010
Date of final enrolment15/01/2012

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Department of Gastroenterology and Hepatology
Deventer
7416 SE
Netherlands

Sponsor information

Deventer Hospital (Netherlands)
Hospital/treatment centre

Nico Bolkesteinlaan 75
Deventer
7416 SE
Netherlands

Phone +31 (0)570 535147
Email Borgtf@dz.nl
Website http://www.dz.nl
ROR logo "ROR" https://ror.org/05w8df681

Funders

Funder type

Hospital/treatment centre

Deventer Hospital (Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/04/2012 Yes No

Editorial Notes

22/03/2019: Internal review.
21/03/2019: Internal review.