Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Real-time AI system to measure colorectal polyp size during colonoscopy

Official title: A Prospective Study to Evaluate the Performance of a Real-time System in the Estimation of Colorectal Polyp Size

Run by Chinese University of Hong Kong · NCT06957015 · Data updated 2026-11-12

This will test a real-time AI tool called EndoAIM that automatically measures polyp diameter during colonoscopies in adults having screening, surveillance, or symptom evaluation.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment278 (estimated)
SponsorChinese University of Hong Kong
Academic / other
Locations1 site (Shatin)
StatusRecruiting
StartedMay 13, 2025
Main results expectedMay 1, 2027
Study endsJanuary 1, 2028
Registry record updatedApril 23, 2026
Trial IDNCT06957015 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18 or older undergoing colonoscopy for screening, surveillance, or symptoms who can give informed consent and have no contraindication to colonoscopy or polyp resection.

Probably not a fit

Patients who cannot undergo colonoscopy or polyp resection (for example due to intestinal obstruction, active bleeding, uninterrupted anticoagulation, or ASA grade 4+) would not benefit from participating.

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

What this trial studies

This prospective study will use EndoAIM, an artificial intelligence tool that automatically estimates polyp diameter in real time during colonoscopy. Measurements from EndoAIM will be recorded during routine colonoscopies at Prince of Wales Hospital and compared with endoscopists' visual estimates and available reference measurements (for example calibrated instruments or resected specimen measurements) to characterize accuracy, particularly around the 10 mm threshold. The study enrolls adults aged 18 and older undergoing screening, surveillance, or symptom investigation who can provide informed consent and excludes those with contraindications to colonoscopy or polyp resection and those with severe comorbidities (ASA grade 4+). Preclinical data for EndoAIM are promising and the trial aims to establish its real-time performance and potential to reduce size misclassification observed with visual estimation.

Why it matters

Potential benefit: If successful, the tool could make polyp size measurements more accurate in routine colonoscopy, reducing under- or over-surveillance and helping choose appropriate resection approaches.

How similar studies have gone: Other AI-based polyp sizing systems have shown promising accuracy in video-based studies, but real-time clinical validation is limited and EndoAIM's encouraging preclinical results require prospective confirmation.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Subjects are eligible if:

1. They have received colonoscopy for screening, surveillance or symptom investigation;
2. Aged 18 years older or above;
3. Written informed consent obtained.

Exclusion Criteria:

Subjects are excluded if they have:

1. Contraindication to colonoscopy (e.g. intestinal obstruction or perforation)
2. Contraindication or conditions precluding polyp resection (e.g. active gastrointestinal bleeding, uninterrupted anticoagulation or dual antiplatelets)
3. Advanced comorbid conditions (defined as American Society of Anesthesiologists grade 4 or above)

Where it's running

  • Prince of Wales Hospital
    Shatin, Hong Kong
    Recruiting

Study contacts

  • Principal investigator: Louis HS Lau, FRCP — Chinese University of Hong Kong
  • Study coordinator: Louis HS Lau, FRCP
  • Email: louishslau@cuhk.edu.hk
  • Phone: 26370428

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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.