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Trial · NCT05275556

Gastroenterology Artificial INtelligence System for Detecting Colorectal Polyps (The GAIN Study)

NCT05275556, Not applicable, Completed, Verily Life Sciences LLC; results first posted 2025-01-14

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Gastroenterology Artificial INtelligence System for Detecting Colorectal Polyps (The GAIN Study). Trials, record NCT05275556. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05275556

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Gastroenterology Artificial INtelligence System for Detecting Colorectal Polyps (The GAIN Study)
NCT number
NCT05275556
Status
Completed
Phases
Not applicable
Enrollment
1,410 participants, actual
Lead sponsor
Verily Life Sciences LLC
Conditions
Colon Adenoma, Colon Polyp, Colon Lesion
Interventions
Computer-Assisted Detection (CADe) Device
First posted
2022-03-11
Last updated
2025-01-14
Results first posted
2025-01-14

Source ClinicalTrials.gov

Registered outcomes15

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryDifference in Adenomas Per Colonoscopy (APC)Day 1
Difference in Adenomas Per Colonoscopy (APC) between the control and intervention arm, evaluated for superiority. APC is defined as the average number of histologically confirmed adenomas resected per colonoscopy.
PrimaryDifference in Positive Percent Agreement (PPA)Day 1
Difference in Positive Percent Agreement (PPA) between the control and intervention arm, evaluated for non-inferiority. PPA is defined as the total number of histologically confirmed Clinically Significant Excised Lesions, divided by the total number of excisions.
SecondaryAdenoma Detection Rate (ADR)Day 1The Adenoma Detection Rate is defined as the number of patients with at least one histologically confirmed adenoma divided by the total number of patients enrolled per study arm.
SecondaryNumber of False Alerts Per ProcedureDay 1
A false alert is defined as a bounding box that persists on the screen (approximately 2-3 seconds per the judgment of the colonoscopist) that is then determined by the colonoscopist not to contain a polyp. The false alert rate is calculated as the number of false alerts per procedure conducted in the intervention arm of the study.
SecondaryMean Withdrawal and Inspection Time (MWT)Day 1
The withdrawal time is defined as the time measured from the moment the withdrawal phase of the procedure begins (with the scope in the cecum) to the moment the scope is withdrawn from the patient. The Inspection time measurement will exclude washing and resection, and other peri-resection activity not deemed to be colonic inspection. Inspection times for both the control arm and intervention arm will be calculated retrospectively upon review of the video recordings.
SecondaryPolyp Detection Rate (PDR)Day 1Polyp detection rate is defined as the proportion of patients with at least one histologically-confirmed polyp detected.
SecondaryProximal Adenoma Detection Rate (pADR)Day 1pADR is defined as the percentage of patients with at least one histologically-confirmed adenoma detected in proximal colon.
SecondaryFlat Adenoma Detection Rate (fADR)Day 1fADR is defined as the percentage of patients with at least one histologically-confirmed non-polypoid adenoma detected.
SecondarySerrated Lesions Per Colonoscopy (SLPC)Day 1SLPC is defined as the number of histologically confirmed serrated lesions detected, divided by the total number of colonoscopies.
SecondarySerrated Lesions Detection Rate (SLDR)Day 1SLDR is defined as the percentage of patients with at least one histologically confirmed serrated lesion detected.

Outcomes15

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYDifference in Adenomas Per Colonoscopy (APC)Day 1Intent-to-TreatResected adenomasLEAST_SQUARES_MEAN
PRIMARYDifference in Positive Percent Agreement (PPA)Day 1Intent-to-TreatProportion of significant lesionsLEAST_SQUARES_MEAN
SECONDARYAdenoma Detection Rate (ADR)Day 1Intent-to-TreatPercentage of participants with adenomasNUMBER
SECONDARYNumber of False Alerts Per ProcedureDay 1Intent-to-TreatNumber of false alertsNUMBER
SECONDARYMean Withdrawal and Inspection Time (MWT)Day 1Convenience sample of available videosminutesMEAN
SECONDARYPolyp Detection Rate (PDR)Day 1Intent-to-treatParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYProximal Adenoma Detection Rate (pADR)Day 1ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYFlat Adenoma Detection Rate (fADR)Day 1Intent-to-TreatParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYSerrated Lesions Per Colonoscopy (SLPC)Day 1Intent-to-Treatserated lesions per colonoscopyLEAST_SQUARES_MEAN
SECONDARYSerrated Lesions Detection Rate (SLDR)Day 1Intent-to-TreatParticipantsCOUNT_OF_PARTICIPANTS

Results by group29

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Difference in Adenomas Per Colonoscopy (APC)Colonoscopy (Standard of Care)0.6095% Confidence Interval 0.56 to 0.64Resected adenomas
Difference in Adenomas Per Colonoscopy (APC)CADe Device0.7495% Confidence Interval 0.71 to 0.77Resected adenomas
Difference in Positive Percent Agreement (PPA)Colonoscopy (Standard of Care)0.6295% Confidence Interval 0.58 to 0.66Proportion of significant lesions
Difference in Positive Percent Agreement (PPA)CADe Device0.5695% Confidence Interval 0.52 to 0.60Proportion of significant lesions
Adenoma Detection Rate (ADR)Colonoscopy (Standard of Care)38.995% Confidence Interval 35.3 to 42.6Percentage of participants with adenomas
Adenoma Detection Rate (ADR)CADe Device42.995% Confidence Interval 39.2 to 46.6Percentage of participants with adenomas
Number of False Alerts Per ProcedureCADe Device417Number of false alerts
Mean Withdrawal and Inspection Time (MWT)Colonoscopy (Standard of Care)8.97Standard Deviation 4.97minutes
Mean Withdrawal and Inspection Time (MWT)CADe Device9.34Standard Deviation 4.08minutes
Polyp Detection Rate (PDR)Colonoscopy (Standard of Care)364Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDColonoscopy (Standard of Care)694
Overall StudySTARTEDCADe Device716
Overall StudyCOMPLETEDColonoscopy (Standard of Care)694
Overall StudyCOMPLETEDCADe Device713
Overall StudyNOT COMPLETEDColonoscopy (Standard of Care)0
Overall StudyNOT COMPLETEDCADe Device3

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityColonoscopy (Standard of Care)0694
Total, all-cause mortalityCADe Device0713
Total, other adverse eventsColonoscopy (Standard of Care)0694
Total, other adverse eventsCADe Device0713
Total, serious adverse eventsColonoscopy (Standard of Care)0694
Total, serious adverse eventsCADe Device0713

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
41548723DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons9

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
CADe Device vs Colonoscopy (Standard of Care): Serrated Lesions Detection Rate (SLDR)Trial comparisons
CADe Device vs Colonoscopy (Standard of Care): Adenoma Detection Rate Including Carcinoma (ADR*)Trial comparisons
CADe Device vs Colonoscopy (Standard of Care): Advanced Adenoma Detection Rate (aADR)Trial comparisons
CADe Device vs Colonoscopy (Standard of Care): Polyp Detection Rate (PDR)Trial comparisons
CADe Device vs Colonoscopy (Standard of Care): Flat Adenoma Detection Rate (fADR)Trial comparisons
CADe Device vs Colonoscopy (Standard of Care): Proximal Adenoma Detection Rate (pADR)Trial comparisons
CADe Device vs Colonoscopy (Standard of Care): Small Adenoma Detection Rate (sADR)Trial comparisons
CADe Device vs Colonoscopy (Standard of Care): deaths from any causeTrial comparisons
CADe Device vs Colonoscopy (Standard of Care): serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT05275556

GET https://conductscience.org/api/trials/v1/NCT05275556/results?page=2