Could a simple sugar solution replace your colonoscopy prep?
NCT ID NCT07465705
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 3 trial tests whether mannitol, a sugar alcohol, works as well as the standard Plenvu for cleaning the bowel before a colonoscopy. About 412 adults scheduled for colonoscopy will be randomly assigned to take either mannitol or Plenvu. The goal is to see if mannitol provides adequate bowel cleansing, making it a potentially simpler or cheaper alternative.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Mannitol
- What this could lead to
- If mannitol works as well as Plenvu, it could offer a cheaper or more tolerable option for colonoscopy preparation.
- What could go wrong
- This is a non-inferiority trial, so mannitol may not be better—just not worse. Results may not apply to all patients or settings.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 412 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2025
- Expected to finish
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Jun 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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: 1. Ability of subject to consent and provide signed written informed consent. 2. Age ≥ 18 years. 3. Males and females scheduled for elective colonoscopy performed according to ESGE guidelines. 4. Subjects willing and able to complete the entire study and to comply with instructions. Exclusion Criteria: 1. Pregnancy or breast feeding. Females of childbearing potential must have a negative pregnancy test at Visit 2 and practice highly effective methods of birth control throughout the study period, according to the CTCG "Recommendations related to contraception and pregnancy testing in clinical trials" v 1.2\* (unless postmenopausal or surgically sterile, or whose sole sexual partner had a successful vasectomy). 2. Severe acute and chronically active inflammatory bowel disease; subjects in clinical remission (Crohn's Disease Activity Index - CDAI \< 150 for Crohn Disease (Best et al. 1976) and Partial Mayo Score ≤ 2 for Ulcerative Colitis (Schroeder et al. 1987)) are allowed. 3. Severe renal failure: eGFR \< 30 ml/min/1.73 m2 estimated by simplified MDRD equation. 4. Severe heart failure: New York Heart Association (NYHA) Class III-IV. 5. Severe anaemia (Hb ≤ 8 g/dl). 6. Chronic liver disease Child-Pugh class B or C. 7. Electrolyte disturbances (baseline values of Na2+, Cl-, K+ out of normal ranges). 8. Clinically significant alterations of baseline haemato-chemical parameters. 9. Recent (\< 6 months) symptomatic acute ischemic heart disease. 10. History of significant gastrointestinal surgeries, including colon resection, sub-total colectomy, abdominoperineal resection, de-functioning colostomy or ileostomy, Hartmann's procedure and other surgeries involving the structure and function of the colon. 11. History of paralysis of the gut (ileus). 12. History of disorders of gastric emptying (e.g. gastroparesis, gastric retention, etc.). 13. History of phenylketonuria (due to presence of aspartame). 14. History of glucose-6-phosphate dehydrogenase deficiency (due to presence of ascorbate). 15. History of toxic megacolon. 16. Use within 24 hours prior to colonoscopy of laxatives, colon motility altering drugs and/or other substances (e.g., simethicone) that could affect bowel cleansing or visibility during colonoscopy. 17. Suspected bowel obstruction or perforation. 18. Indication for partial colonoscopy. 19. Subjects who received an investigational drug or therapy within 5 half-lives of the first visit. 20. Hypersensitivity to the active ingredients or to any of the excipients of the study drugs. 21. Underwater colonoscopy instead of standard gas insufflation.
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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
17 sites in 5 countries. 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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Algemeen Ziekenhuis Damiaan Oostende
RECRUITINGOstend, 8400, Belgium
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Azienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere Scientifico
RECRUITINGBologna, 40138, Italy
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Azienda Provinciale Per I Servizi Sanitari
RECRUITINGTrento, 38122, Italy
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Azienda Unita Sanitaria Locale Di Modena - Ospedale Ramazzini di Carpi
RECRUITINGCarpi, Modena, 41012, Italy
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Centro Di Riferimento Oncologico Di Aviano
RECRUITINGAviano, Pordenone, 33081, Italy
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Congregazione Delle Suore Infermiere Dell'Addolorata - Ospedale Valduce
RECRUITINGComo, 22100, Italy
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Fondazione IRCCS Cà Granda Ospedale Policlinico
RECRUITINGMilan, 20122, Italy
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Fondazione Poliambulanza
RECRUITINGBrescia, 25124, Italy
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H-T.Centrum Medyczne Sp. z o.o. sp.k.
RECRUITINGTychy, 43-100, Poland
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Hopital Erasme
RECRUITINGAnderlecht, 1070, Belgium
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Hospital Clinic De Barcelona
RECRUITINGBarcelona, 08036, Spain
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IRCCS Ospedale Sacro Cuore Don Calabria
RECRUITINGNegrar, Verona, 37024, Italy
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Istituto Europeo di Oncologia
RECRUITINGMilan, 20141, Italy
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Katholieke Universiteit te Leuven
RECRUITINGLeuven, 3000, Belgium
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Klinika Reuma Park Sp. z o.o. S.K.
ACTIVE_NOT_RECRUITINGWarsaw, 02-665, Poland
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Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
RECRUITINGWarsaw, 02-781, Poland
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Policlinico Universitario A. Gemelli
RECRUITINGRoma, 00168, Italy
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Region Oerebro Laen
RECRUITINGÖrebro, 701 85, Sweden
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