RIGHT-CLEAN trial: a multi-centre randomised controlled trial of intra-procedural right colon enema versus no enema to improve total colonic bowel preparation at colonoscopy.
NCT ID NCT07813013
First seen Sep 10, 2026 · Last updated Sep 10, 2026
Summary
Colonoscopy is a test that lets doctors look inside the large bowel to find and remove growths called polyps, which can develop into bowel cancer. Before the test, people take a bowel preparation to empty the bowel. Even so, the right side of the bowel is often not clean enough, and polyps there can be missed. This study is testing whether giving an enema (a small amount of fluid passed into the bowel) during the colonoscopy makes the right side of the bowel cleaner. Participants having a routine colonoscopy at Westmead Hospital or Auburn Hospital will be assigned by chance to either receive the enema during the procedure or to have their colonoscopy in the usual way. Neither group takes any extra preparation at home. The researchers will compare how clean the right side of the bowel is in each group, using a standard scoring system, and will also look at how many polyps are found. The aim is to find out whether this simple step improves the quality of colonoscopy.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 320 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Nov 2026
An estimate. Start dates often move.
- Expected to finish
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Nov 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 85 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18 to 85 years * Undergoing elective full colonoscopy for any indication * Successful caecal intubation achieved during the procedure, confirmed prior to randomisation * Able to provide written informed consent Exclusion Criteria: * Emergency colonoscopy * Known inflammatory bowel disease with active colitis in the examined segment * Familial polyposis syndromes * Prior major right hemicolectomy or altered anatomy preventing standard right colon assessment * Known obstructing colorectal malignancy precluding safe progression or adequate examination * Pregnancy * Renal failure (eGFR less than 30 mL/min) * Previous sodium phosphate enema within the preceding 24 hours * Contraindication to sodium phosphate administration as determined by the treating endoscopist
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Auburn Hospital
Auburn, New South Wales, 2144, Australia
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Westmead Hospital
Westmead, New South Wales, 2145, Australia
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