difference in contrast density between lumen and wall (mucosal lining)
| Group | Value | 95% CI |
|---|---|---|
| Lumentin® 44 | 484.0 | ± 192.4 |
| Diluted Omnipaque® | 122.1 | ± 81.4 |
| Movprep® | 64.5 | ± 15.9 |
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A Randomized, Controlled Trial to Evaluate CT Image Quality Lumentin® 44
Phase 2 trial testing Lumentin® 44 in Subjects Referred to CT-examination of the Abdomen in 45 participants. Terminated before completion.
| Lead sponsor | Lument AB |
|---|---|
| Phase | Phase 2 |
| Status | Terminated |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | none |
| Primary purpose | diagnostic |
| Enrollment | 45 |
| Start date | 28 November 2017 |
| Primary completion | 30 September 2018 |
| Estimated completion | 15 February 2019 |
| Sites | 1 location across Sweden |
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18 and older, any sex, with Subjects Referred to CT-examination of the Abdomen. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
difference in contrast density between lumen and wall (mucosal lining)
| Group | Value | 95% CI |
|---|---|---|
| Lumentin® 44 | 484.0 | ± 192.4 |
| Diluted Omnipaque® | 122.1 | ± 81.4 |
| Movprep® | 64.5 | ± 15.9 |
The bowel filling agent was distributed along the length of small bowel, i.e. the extension. The filling of each of the 5 selected sub-segments of the small bowel in terms of extension was examined on the CT-scan by 2 investigators, independently of each other, and graded using Likert scales between 1 and 9. Extension scale: 1. No sign of contrast agent 2. Trace of contrast agent filling 3. Segment filled to ca. 25% 4. Segment filled to \>25% but \<50% 5. Filled to segment filled to 50% 6. Segment filled \> 50% but \<75% 7. Segment filled to ca. 75% 8. Segment filled to \>75% but \<100% 9. S
| Group | Value | 95% CI |
|---|---|---|
| Lumentin® 44 | 63.0 | ± 21.7 |
| Diluted Omnipaque® | 61.2 | ± 15.9 |
| Movprep® | 71.8 | ± 10.6 |
The bowel filling agent caused a local widening of the bowel loop, distension. The filling of each of the 5 selected sub-segments of the small bowel in terms of distension was examined on the CT-scan by both the 2 investigators independently of each other, and graded using Likert scales between 1 and 9. Distension scale: 1. No identifiable contrast agent 2. A minimal amount of contrast agent is identified 3. Small amount of contrast agent, insufficient for placing a ROI of 6 mm 4. Amount of contrast agent just allowing for a ROI of 6 mm 5. Medium filled bowel loop 6. Slightly better than gra
| Group | Value | 95% CI |
|---|---|---|
| Lumentin® 44 | 48.1 | ± 18.1 |
| Diluted Omnipaque® | 47.0 | ± 12.2 |
| Movprep® | 54.7 | ± 8.6 |
Diagnostic ability when examining Abd-CT was assessed on the CT-scan by the 2 investigators independently of each other. The following features were assessed: * Small bowel appearance * Parenchymal organs, i.e. Pancreas, ovaries, urinary bladder * Mesenterium and omentum using a Likert scales of 1-9 ranging, where: 1.Impossible to observe details 5\. Medium 9\. Excellent resolution The evaluation was made by 2 independent radiology experts. The Diagnostic ability score is the sum of the scores of each feature from both evaluations and hence range from 6 to 54.
| Group | Value | 95% CI |
|---|---|---|
| Lumentin® 44 | 43.1 | ± 4.8 |
| Diluted Omnipaque® | 39.9 | ± 5.9 |
| Movprep® | 41.4 | ± 4.4 |
Degradation of Lumentin 44 was founded on the 2 characteristics; coalescence and syneresis or drainage. Coalescence: 0\. No bubbles visually detectable at the CT-scan 1\. Bubbles visually detectable at the CT-scan Syneresis or drainage: 0\. No syneresis or drainage, i.e. separation of air and liquid phases, observed 1\. Syneresis or drainage observed Signs of degradation were assessed on the CT-scan, by both Investigator and Sub-Investigator, independently of each other, in each of the 5 selected sub-segments of the small bowel. The degradation of contrast agents score is the sum of the
| Group | Value | 95% CI |
|---|---|---|
| Lumentin® 44 | 0.647 | ± 0.996 |
The subjects assessed taste on a five degree-scale: 1. Very negative 2. Negative 3. Neutral 4. Positive 5. Very positive
| Group | Value | 95% CI |
|---|---|---|
| Lumentin® 44 | 4.0 | 3.0 – 5.0 |
| Diluted Omnipaque® | 4.0 | 3.0 – 5.0 |
| Movprep® | 2.5 | 1.0 – 4.0 |
The subjects assessed taste on a five degree-scale: 1. Very negative 2. Negative 3. Neutral 4. Positive 5. Very positive
| Group | Value | 95% CI |
|---|---|---|
| Lumentin® 44 | 4.0 | 3.0 – 5.0 |
| Diluted Omnipaque® | 4.0 | 3.0 – 5.0 |
| Movprep® | 3.0 | 2.0 – 5.0 |
The subjects assessed taste on a five degree-scale: 1. Very negative 2. Negative 3. Neutral 4. Positive 5. Very positive
| Group | Value | 95% CI |
|---|---|---|
| Lumentin® 44 | 3.0 | 2.0 – 4.0 |
| Diluted Omnipaque® | 4.0 | 3.0 – 5.0 |
| Movprep® | 3.0 | 2.0 – 4.0 |
The subjects assessed taste on a five degree-scale: 1. Very negative 2. Negative 3. Neutral 4. Positive 5. Very positive
| Group | Value | 95% CI |
|---|---|---|
| Lumentin® 44 | 3.0 | 2.0 – 4.0 |
| Diluted Omnipaque® | 5.0 | 2.0 – 5.0 |
| Movprep® | 3.0 | 1.0 – 5.0 |
The subjects assessed taste on a five degree-scale: 1. Very negative 2. Negative 3. Neutral 4. Positive 5. Very positive
| Group | Value | 95% CI |
|---|---|---|
| Lumentin® 44 | 2.0 | 1.0 – 4.0 |
| Diluted Omnipaque® | 3.0 | 2.0 – 4.0 |
| Movprep® | 3.0 | 1.0 – 5.0 |
Time frame: 1 day. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.
| Reaction | System | Lumentin® 44 | Diluted Omnipaque® | Movprep® |
|---|---|---|---|---|
| Diarrhoea | Gastrointestinal disorders | — | — | — |
| Flatulence | Gastrointestinal disorders | — | — | — |
| Abdominal pain upper | Gastrointestinal disorders | — | — | — |
| Nausea | Gastrointestinal disorders | — | — | — |
| Chills | General disorders | — | — | — |
| Abdominal distension | Gastrointestinal disorders | — | — | — |
| Eructation | Gastrointestinal disorders | — | — | — |
| Rectal haemorrhage | Gastrointestinal disorders | — | — | — |
Data from ClinicalTrials.gov NCT03326518 adverse events section.
Subjects referred for abdominal or thoracoabdominal CT-examination will be randomised to either the three contrast agents Lumentin® 44, Omnipaque® or Movprep. The difference in contrast density, as observed in the CT-examination, between lumen and wall (mucosal lining) will be compared by the three contrast agents.
1 peer-reviewed publication reference this trial (live from Europe PMC):
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