The Impact of GLP Medication on Colonoscopy Bowel Preparation Quality

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorThe Cleveland Clinic

About this trial

The goal of this clinical trial is to learn how GLP-1 and GIP agonists effect bowel preparation in patients scheduled for colonoscopies. The main questions it aims to answer are:

* Does GLP-1 and GIP agonist increase the rate of inadequate bowel preparation? * Does the quality of bowel preparation differ in patients who hold vs. those who continue a single dose of their GLP-1 or GIP agonist medication? * Are there any differences in the rates of complications gastric aspiration in patients who hold vs. continue a single dose of their GLP-1 or GIP agonist medication?

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Adult patient (Age 18 years or older)

Patient scheduled for outpatient screening, surveillance, or diagnostic colonoscopy

Using a GLP-1 or GIP agonist at a stable dose for at least one month

Disqualifiers

Unable to provide informed consent, e.g., dementia

Patient refuses the USMSTF recommended bowel cleansing regimen for patients with diabetes or obesity (split-dose 4 liters polyethylene glycol + 15 mg bisacodyl the afternoon before; low residue diet 3 days before colonoscopy; clear liquid diet the day before colonoscopy)

Cirrhosis

Parkinson's disease

Trial design

Design model

Parallel

Treatments tested in this trial

  • Continue GLP/GIP

    Drug

    Continue GLP-1 or GIP-based therapy as prescribed prior to the procedure.

Treatment groups

132 Participants
are divided into 2 treatment groups
Group A: Continue GLP/GIP medicationActive comparator 1 intervention
Group B: Hold medicationNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Rate of inadequate bowel preparation

Time frame
During Surgery

Secondary outcomes

1

Median Boston bowel prep score

Time frame
During Surgery
2

Median Ottawa bowel preparation score

Time frame
During Surgery
3

Adenoma detection rate

Time frame
During Surgery
4

Colonoscope Insertion time

Time it takes to reach the cecum

Time frame
During Surgery

Other outcomes

Sponsors and contacts

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