PLENVU versus sodium picosulfate bowel preparation for children having a colonoscopy
A Phase 3, Multicentre, Randomised (1:1), Parallel-group, Active-controlled, Central Reader Colonoscopist-blind Study to Evaluate the Bowel Cleansing Efficacy, Safety, Tolerability, Palatability, and Acceptability of PLENVU® as Compared to Sodium Picosulfate in Paediatric Participants From 1 to < 18 Years of Age in Preparation for Colonoscopy (CLARITY)
This trial will try whether PLENVU® cleans the bowel as well and is as safe and tolerable as sodium picosulfate in children under 18 preparing for a colonoscopy.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Enrollment | 212 (estimated) |
| Ages | 1 Year to 17 Years |
| Sex | All |
| Sponsor | Norgine Industry-sponsored |
| Locations | 40 sites (Edegem, Antwerp and 39 other locations) |
| Trial ID | NCT07218523 on ClinicalTrials.gov |
What this trial studies
This is a multicentre, randomized (1:1), active-controlled Phase 3 trial comparing PLENVU® to sodium picosulfate using a two-day split dosing regimen in paediatric participants scheduled for colonoscopy. Participants are admitted to a clinical research unit on Day 1 for intervention administration and remain for the colonoscopy on Day 2, with a safety follow-up by call or visit around Day 9. Bowel cleansing success will be measured using standard scales (e.g., Harefield and Boston bowel preparation scales) along with safety and tolerability assessments. The trial is being conducted at three Belgian centres and includes screening up to 28 days prior to dosing.
Who should consider this trial
Good fit: Ideal candidates are children aged 1 to under 18 years who require a colonoscopy, weigh at least 10 kg (with ages 1 to <4 years above the 10th weight percentile), are not breastfeeding or pregnant, and can be admitted to the clinical research unit for dosing and the procedure.
Not a fit: Patients with recent severe constipation requiring repeated interventions, known or suspected GI obstruction, ileus, perforation, toxic or ischemic colitis, megacolon, or those who cannot take the oral preparations or are breastfeeding/pregnant are unlikely to benefit from participation.
Why it matters
Potential benefit: If successful, the intervention could offer a more effective or better-tolerated bowel preparation option for children, improving colon visualization and diagnostic accuracy.
How similar studies have performed: Low-volume bowel preparations like PLENVU® have shown good efficacy and tolerability in adults, but randomized pediatric data are limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Participants who require a colonoscopy. * Must weigh a minimum of 10 kg, and participants aged 1 to \< 4 years of age must be above the 10th percentile of weight for age. * Must have a negative urine pregnancy test (or serum if a urine pregnancy test cannot be confirmed as negative \[e.g. three ambiguous results\]) within 24 hours before the first dose of study intervention. * Must use a highly effective method of contraception (failure rate \< 1% per year) from Day 1 and throughout the Safety Follow-up Period. * Must not be breastfeeding. * Participant is able to receive regular external feeding without breastfeeding. Exclusion Criteria: * Has a past history within last 12 months or current episode of severe constipation (requiring repeated use of laxatives/enema or physical intervention before resolution). * Has known or suspected ileus, GI obstruction, gastric retention, bowel perforation, toxic colitis, ischaemic colitis, or megacolon. * Has ongoing severe acute inflammatory bowel disease that contraindicates colonoscopy. * Participant has history of significant GI surgeries. * Has known glucose-6-phosphate dehydrogenase (G6PD) deficiency or phenylketonuria. * Participant has a past history within the last 12 months or evidence of any ongoing clinically relevant electrocardiogram (ECG) abnormalities (e.g. arrhythmias). * Has a history of uncontrolled hypertension. * Participant has regularly used laxatives or colon motility altering drugs in the last month (i.e. more than two times per week) and/or has used one or more laxatives within 72 hours prior to administration of the preparation. * Has known hypersensitivity or allergic reaction to PEG, ascorbic acid, sodium picosulfate, magnesium oxide, or any other component of the investigational product or comparator. * Received or scheduled to receive any vaccines or devices within one week prior to first dose of study intervention. * Has a significant neurological disorder or a past history of seizures (excluding simple febrile seizures) or is currently on medication lowering seizure threshold (e.g. tricyclic antidepressants) or has used seizure threshold lowering medication within 14 days prior to administration of the preparation.
Where this trial is running
Edegem, Antwerp and 39 other locations
- Universitair Ziekenhuis Antwerpen (UZA) — Edegem, Antwerp, Belgium (Not_yet_recruiting)
- Universitair Ziekenhuis Brussel (AZ-VUB - Academisch Ziekenhuis der Vrije Universiteit Brussel) — Jette, Brussels Capital, Belgium (Not_yet_recruiting)
- Clinique CHC MontLegia — Alleur, Liege, Belgium (Not_yet_recruiting)
- Krankenhaus Barmherzige Brueder Regensburg - Klinik fuer Kinder- und Jugendmedizin — Regensburg, Bavaria, Germany (Not_yet_recruiting)
- Universitaetsklinikum Muenster (UKM) - Klinik fuer Kinder- und Jugendmedizin - Allgemeine Paediatrie — Münster, North Rhine-Westphalia, Germany (Not_yet_recruiting)
- Helios Uniklinikum Wuppertal — Wuppertal, North Rhine-Westphalia, Germany (Not_yet_recruiting)
- Universitätsmedizin Der Johannes Gutenberg-Universität Mainz KöR — Mainz, Rhineland-Palatinate, Germany (Not_yet_recruiting)
- Charité Universitätsmedizin Berlin — Berlin, Germany (Not_yet_recruiting)
- Semmelweis Egyetem Gyermekgyogyaszati Klinika Bokay Utcai Reszleg — Budapest, Hungary (Not_yet_recruiting)
- Heim Pal Orszagos Gyermekgyogyaszati Intezet — Budapest, Hungary (Not_yet_recruiting)
- Borsod-Abauj-Zemplen Megyei Kozponti Korhaz es Egyetemi Oktato Korhaz — Miskolc, Hungary (Not_yet_recruiting)
- Azienda Ospedaliera Universitaria Meyer IRCCS — Florence, Firenze, Italy (Not_yet_recruiting)
- Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII — Bergamo, Italy (Not_yet_recruiting)
- Azienda Ospedaliera Universitaria Gaetano Martino — Messina, Italy (Not_yet_recruiting)
- Ospedale Maggiore Policlinico, Fondazione IRCCS Ca' Granda — Milan, Italy (Not_yet_recruiting)
- Azienda Ospedaliera Universitaria Federico II - Pediatria Generale — Naples, Italy (Not_yet_recruiting)
- AOU Università degli studi della Campania Luigi Vanvitelli, Policlinico di Napoli - Pediatria — Naples, Italy (Not_yet_recruiting)
- Azienda Ospealiero Universitaria Policlinico Umberto I — Roma, Italy (Not_yet_recruiting)
- Policlinico Gemelli - Endoscopia Digestiva Chirurgica — Roma, Italy (Not_yet_recruiting)
- Azienda Ospedaliero-Universitaria Sant'Andrea - Pediatria — Roma, Italy (Not_yet_recruiting)
- Amphia Hospital - Pediatrics — Breda, North Brabant, Netherlands (Not_yet_recruiting)
- Amsterdam UMC - Pediatrics — Amsterdam, North Holland, Netherlands (Not_yet_recruiting)
- Isala Klinieken — Zwolle, Overijssel, Netherlands (Not_yet_recruiting)
- Wojewodzki Szpital Zespolony im. L. Rydygiera w Toruniu - Oddzial Pediatrii i Gastroenterologii — Torun, Kuyavian-Pomeranian Voivodeship, Poland (Not_yet_recruiting)
- Uniwersytecki Szpital Dzieciecy w Krakowie — Krakow, Lesser Poland Voivodeship, Poland (Not_yet_recruiting)
- Instytut "Pomnik - Centrum Zdrowia Dziecka" - Oddzial Gastroenterologii, Hepatologii, Zaburzen Odzywiania i Pediatrii — Warsaw, Masovian Voivodeship, Poland (Not_yet_recruiting)
- Uniwersytecki Dzieciecy Szpital Kliniczny Imienia Ludwika Zamenhofa w Bialymstoku - Klinika Pediatrii, Gastroenterologii, Hepato — Bialystok, Podlaskie Voivodeship, Poland (Not_yet_recruiting)
- Gdanski Uniwersytet Medyczny (GUMed) - Katedra i Klinika Pediatrii, Gastroenterologii, Alergologii i Zywienia Dzieci — Gdansk, Pomeranian Voivodeship, Poland (Not_yet_recruiting)
- Samodzielny Publiczny Szpital Kliniczny Nr 1 im. prof. Stanislawa Szyszko SUM w Katowicach Oddzial Gastroenterologii i Hepatolog — Zabrze, Silesian Voivodeship, Poland (Not_yet_recruiting)
- Complejo Hospitalario Universitario de Ferrol — Ferrol, A Coruña, Spain (Not_yet_recruiting)
- Hospital Universitario Son Espases — Palma de Mallorca, Balearic Islands, Spain (Not_yet_recruiting)
- Parc Tauli Hospital Universitarli — Sabadell, Barcelona, Spain (Not_yet_recruiting)
- Hospital Infantil Universitario Niño Jesús — Madrid, Spain (Not_yet_recruiting)
- Hospital Materno Infantil de Málaga — Málaga, Spain (Not_yet_recruiting)
- NHS Lothian - Royal Hospital for Children & Young People — Edinburgh, Edinburgh, City of, United Kingdom (Not_yet_recruiting)
- King's College Hospital NHS Foundation Trust — London, York, United Kingdom (Not_yet_recruiting)
- Birmingham Women's and Children's NHS Foundation Trust - Birmingham Children's Hospital — Birmingham, United Kingdom (Recruiting)
- Barts Health NHS Trust — London, United Kingdom (Recruiting)
- Great North Children's Hospital - Royal Victoria Infirmary — Newcastle upon Tyne, United Kingdom (Not_yet_recruiting)
- Sheffield Children's NHS Foundation Trust - Sheffield Children's Hospital — Sheffield, United Kingdom (Recruiting)
Study contacts
- Study coordinator: Lucy Clayton
- Email: LClayton@norgine.com
- Phone: +441895826669
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.