UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000059058
Receipt number R000066531
Scientific Title Efficacy of Linked Color Imaging-Assisted Colonoscopy with Artificial Intelligence for Adenoma Detection Rate without Antispasmodic Use: A Multicenter Randomized Controlled Trial
Date of disclosure of the study information 2025/09/14
Last modified on 2025/09/11 12:50:56

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Basic information

Public title

Efficacy of Linked Color Imaging-Assisted Colonoscopy with Artificial Intelligence for Adenoma Detection Rate without Antispasmodic Use: A Multicenter Randomized Controlled Trial

Acronym

ELIAS trial

Scientific Title

Efficacy of Linked Color Imaging-Assisted Colonoscopy with Artificial Intelligence for Adenoma Detection Rate without Antispasmodic Use: A Multicenter Randomized Controlled Trial

Scientific Title:Acronym

ELIAS trial

Region

Japan


Condition

Condition

Colon polyp

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To determine whether observation with CADe under LCI is effective in improving the rate of adenoma detection under poor visual field conditions with intestinal peristalsis by comparing a group of patients without antispasmodic medication who were observed with CADe under LCI observation with a group who were observed with WLI alone.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

adenoma detection rate

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Placebo

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Device,equipment

Interventions/Control_1

LCI/CADe group: observation from the cecum to the rectum is performed using LCI mode with CADe (CAD EYE: Fujifilm Medical Corporation) assistance.

Interventions/Control_2

WLI group: observation from cecum to rectum with normal light.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

120 years-old >=

Gender

Male and Female

Key inclusion criteria

1. persons aged 20 years and over who undergo a planned colonoscopy.
2. persons undergoing colonoscopy with the purpose of examination as "asymptomatic patients, including second-line screening (screening)", "patients with a history of polypectomy and for follow-up purposes (surveillance)" or 'symptomatic scrutiny'
3. patients who do not wish to use or are clinically unable to use the antispasmodic drug butylscopolamine bromide (cardiac disease, history of angle closure glaucoma or glaucoma, benign prostatic hyperplasia, history of hyperthyroidism, drug allergy, etc.)
4. those who do not wish to use or are clinically unable to use the antispasmodic drug glucagon (e.g. history of diabetes, blood glucose and HbA1c not measured by blood sampling within 1 month of the examination and diabetes cannot be ruled out)
5. persons for whom the study has been explained in writing and written consent has been obtained.

Key exclusion criteria

1. those with a history of inflammatory bowel disease
2. persons with active gastrointestinal bleeding
3. who have undergone bowel resection
4. those with a history of familial adenomatous polyposis
5. persons with previously known severe intestinal adhesions
6. any other person who is judged by the principal investigator or principal study investigator to be unsuitable to participate in the study.

Target sample size

210


Research contact person

Name of lead principal investigator

1st name Naohiko
Middle name
Last name Akimoto

Organization

Nippon Medical School Graduate School of Medicine

Division name

Department of Gastroenterology

Zip code

113-8603

Address

1-1-5 Sendagi, Bunkyo-ku, Tokyo

TEL

0338222131

Email

t-habu@nms.ac.jp


Public contact

Name of contact person

1st name Tsugumi
Middle name
Last name Habu

Organization

Nippon Medical School Hospital

Division name

Department of Gastroenterology

Zip code

113-8603

Address

1-1-5 Sendagi, Bunkyo-ku, Tokyo

TEL

0338222131

Homepage URL


Email

t-habu@nms.ac.jp


Sponsor or person

Institute

Nippon Medical School Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nippon Medical School

Address

1-1-5 Sendagi, Bunkyo-ku, Tokyo

Tel

0338222131

Email

t-habu@nms.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 09 Month 14 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 07 Month 14 Day

Date of IRB

2025 Year 08 Month 28 Day

Anticipated trial start date

2025 Year 10 Month 01 Day

Last follow-up date

2027 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 09 Month 11 Day

Last modified on

2025 Year 09 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000066531