Title
Comparative Study of Lubiprostone and PEG Preparation Versus Conventional PEG Preparation for Colonoscopy
Comparative Study of Lubiprostone and PEG Preparation Versus Conventional PEG Preparation to Enhance the Colonoscopy Preparation Quality in an Indian Tertiary Care Center.
Phase
Phase 3Lead Sponsor
Asian Institute of GastroenterologyStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Colorectal CarcinomaIntervention/Treatment
lubiprostone ...Study Participants
442Lubiprostone as an adjunct to the standard bowel preparation regime the quality of bowel preparation can be improved for a good colonoscopic examination without missing lesions and complications.
Objectives:
Primary:
Same day Low volume PEG with placebo (Arm 1) versus same day low volume PEG with Lubiprostone (Arm 2)
Waiting time for colonoscopic procedure and quality of bowel preparation
Secondary:
Quality of bowel preparation without Dietary restriction (Modified bowel preparation regime without Fiber diet restrictions)
Lubiprostone is a chloride channel activator approved by the Food and Drug Administration for the treatment of chronic constipation. A randomized, double-blind, parallel-group, placebo-controlled study evaluating the effect of lubiprostone on gastric function showed slowed gastric emptying and increased small bowel and colonic transit time. Peak plasma concentration was shown to be around 1.14 hours, with a majority of the drug excreted in the urine within 48 hours.
Lubiprostone with PEG solution versus Placebo with PEG solution
Inclusion Criteria: All adult patient referred for colonoscopy to AIG Age 18 - 75 years old Exclusion Criteria: Acute GI bleeding. Patient of bowel preparation regime other than excepted for the study. Renal insufficiency. Dementia. Symptomatic heart failure. Recent Myocardial Infarction. Patients with ileus. Suspected bowel obstruction. Prior alimentary tract surgery. Significant gastroparesis. Gastric outlet obstruction. Toxic colitis or megacolon. Pregnant or lactating patients.