Evidence map›Paper›PMID 35378633›Full record

Trial reportEuropean radiology experimental2022

A novel food-based negative oral contrast agent compared with two conventional oral contrast agents in abdominal CT: a three-arm parallel blinded randomised controlled single-centre trial.

Peter Leander, Georgios Stathis, Lucia Casal-Dujat, Karolina Boman, Ingvar Adnerhill, Jan Marsal, Olof Böök, Thomas Fork

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European radiology experimental, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03326518 (An Open, Randomized, Controlled, Single Centre Trial to Evaluate CT Image Quality and Diagnostic Feasibility of Lumentin® 44, in Comparison With Omnipaque and Movprep.), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 50% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03326518 phase2terminatednot on this map

An Open, Randomized, Controlled, Single Centre Trial to Evaluate CT Image Quality and Diagnostic Feasibility of Lumentin® 44, in Comparison With Omnipaque and Movprep.

TypeinterventionalSponsorLument ABRan2017 to 2019Enrolled45ConditionsSubjects Referred to CT-examination of the AbdomenArmsLumentin® 44, Diluted Omnipaque®, Movprep®
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Peter LeanderPeritus Clinic AB, Scheelevägen 8, 223 63, Lund, Sweden. peter.leander@perituskliniken.se.ORCID http://orcid.org/0000-0001-9384-7830
Georgios StathisDepartment of Translational Medicine, Skåne University Hospital, Lund University, 205 02, Malmö, Sweden.
Lucia Casal-DujatLument AB, Scheelevägen 22, 223 63, Lund, Sweden.
Karolina BomanDepartment of Oncology, Skåne University Hospital, 205 02, Malmö, Sweden.
Ingvar AdnerhillDepartment of Translational Medicine, Skåne University Hospital, Lund University, 205 02, Malmö, Sweden.
Jan MarsalDepartment of Gastroenterology, Skåne University Hospital, 205 02, Malmö, Sweden.
Olof BöökLument AB, Scheelevägen 22, 223 63, Lund, Sweden.
Thomas ForkDepartment of Translational Medicine, Skåne University Hospital, Lund University, 205 02, Malmö, Sweden.
Lund University · SESkåne University Hospital · SEUniversity Hospital of Umeå · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA negative oral contrast agent (OCA) has been long sought for, to better delineate the bowel and visualise surrounding structures. Lumentin® 44 (L44) is a new OCA formulated to fill the entire small bowel. The aim of this study was to compare L44 with positive and neutral conventional OCA in abdominal computed tomography (CT).

methodsForty-five oncologic patients were randomised to receive either L44 or one of the two comparators (MoviPrep® or diluted Omnipaque®). Abdominal CT examinations with intravenous contrast agent were acquired according to standard protocols. The studies were read independently by two senior radiologists.

resultsThe mean intraluminal Hounsfield units (HU)-values of regions-of-interest (ROIs) for each subsegment of small bowel and treatment group were -404.0 HU for L44, 166.1 HU for Omnipaque®, and 16.7 HU for MoviPrep® (L44 versus Omnipaque, p < 0.001: L44 versus MoviPrep p < 0.001; Omnipaque versus MoviPrep, p = 0.003). Adverse events, only mild, using L44 were numerically fewer than for using conventional oral contrast agents. Visualisation of abdominal structures beyond the small bowel was similar to the comparators.

conclusionsL44 is a negative OCA with luminal radiodensity at approximately -400 HU creating a unique small bowel appearance on CT scans. The high bowel wall-to-lumen contrast may enable improved visualisation in a range of pathologic conditions. L44 showed a good safety profile and was well accepted by patients studied.

trial registrationEudraCT (2017-002368-42) and in ClinicalTrials.gov (NCT03326518).

Indexed as

Contrast MediaTomography, X-Ray ComputedAbdomenAdministration, OralHumansIohexolContrast MediaIohexolContrast mediaIntestine (small)IohexolMoviPrepTomography (x-ray computed)

Identifiers

PMID35378633
PMCPMC8980139
OpenAlexW4224323391

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.