Flushing the right colon Mid-Procedure: a new way to catch hidden polyps?
NCT ID NCT07813013
First seen Sep 10, 2026 · Last updated Sep 11, 2026 · Updated 1 time
Summary
Colonoscopy helps doctors find and remove polyps that can turn into bowel cancer, but the right side of the bowel often stays dirty even after standard preparation, so polyps there can be missed. This trial tests whether giving a small sodium phosphate enema into the right colon during the colonoscopy makes that area cleaner. Adults having a routine colonoscopy are assigned by chance to receive the enema or to have the usual procedure. Researchers compare bowel cleanliness scores and polyp detection between the two groups.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A sodium phosphate enema (Fleet enema) given into the right colon during colonoscopy
- What this could lead to
- If it works, this simple step could make colonoscopies more thorough and help doctors spot more polyps on the right side of the bowel, where cancers are often missed.
- What could go wrong
- The enema may not clean the bowel any better than the standard procedure, and it adds a step that could cause minor discomfort or, rarely, irritation. The trial is still testing the idea, so no benefit is proven.
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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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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