Clinical trial Recruiting at 1 site Interventional Ages 45 to 80

Autonomous AI vs AI-assisted human optical diagnosis for colorectal polyps

Official title: Autonomous Artificial Intelligence Versus AI Assisted Human Optical Diagnosis of Colorectal Polyps

Run by Centre hospitalier de l'Université de Montréal (CHUM) · NCT06543862 · Data updated 2026-11-12

A computer-aided AI system is tested to predict the nature of colorectal polyps during colonoscopy and compare its autonomous predictions with those of human doctors using AI assistance.

Quick facts

Study typeInterventional
Ages45 Years to 80 Years
SexAll
Enrollment540 (estimated)
SponsorCentre hospitalier de l'Université de Montréal (CHUM)
Academic / other
Locations1 site (Montreal, Quebec)
StatusRecruiting
StartedNovember 15, 2024
Main results expectedOctober 2026
Study endsOctober 2026
Registry record updatedSeptember 21, 2026
Trial IDNCT06543862 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Individuals undergoing full colonoscopy who have colonic polyps and do not have inflammatory bowel disease, active colitis, coagulopathy, familial polyposis, very poor health (ASA > 3), or require emergency colonoscopy.

Probably not a fit

Patients with conditions outside the eligibility criteria or whose polyps are not well characterized by AI in real time may not see a benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates an AI-powered CADx system that analyzes real-time endoscopy video to predict polyp type. It aims to determine whether autonomous AI predictions can match or improve upon endoscopist-driven, AI-assisted optical diagnoses, potentially reducing the need for pathology. The trial explores cases where the AI and endoscopist disagree to identify suboptimal diagnostic scenarios and refine management of serrated polyps. It is conducted in a single center with inclusion criteria requiring a full colonoscopy and excluding patients with inflammatory bowel disease, coagulopathy, or poor general health. The study focuses on real-time decision support and how best to integrate AI into clinical workflow.

Why it matters

Potential benefit: If successful, patients could benefit from faster, potentially more accurate polyp characterization during colonoscopy, reducing unnecessary pathology and guiding immediate management.

How similar studies have gone: Prior CADx studies show AI can match or complement human optical diagnosis in polyp characterization, though autonomous use with endoscopists is still being explored.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Indication for full colonoscopy.

Exclusion Criteria:

* Known inflammatory bowel disease
* Active colitis
* coagulopathy
* familial polyposis syndrome
* poor general health, defined as an American Society of Anesthesiologists class \>3
* emergency colonoscopy

Where it's running

  • Ghislaine Ahoua
    Montreal, Quebec, Canada
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.