G-POEM for Glycemic Control in Diabetic Gastroparesis

ConditionGastroparesis
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-90
SponsorFrench Society of Digestive Endoscopy

About this trial

Gastroparesis, commonly caused by diabetes, affects 30-50% of diabetic individuals and complicates glycemic control due to its bidirectional relationship with blood glucose levels. Current treatments are often ineffective. G-POEM, a minimally invasive endoscopic technique, has demonstrated promising results in improving digestive symptoms, particularly in diabetic patients, with over 80% success. However, its impact on glycemic control has not yet been investigated, highlighting the need for further research.

Eligibility criteria

Qualifiers

Aged 18 to 90 years;

Diagnosed with diabetes for at least 5 years and be treated with optimized insulin therapy;

Severe gastroparesis with gastric retention >20% at 4h (confirmed by scintigraphy);

Failure of conventional gastroparesis treatment;

Disqualifiers

Are treated with an automated insulin therapy system (closed-loop);

Have previously undergone gastric neurostimulation therapy with Enterra (Medtronic ©);

Have been treated with erythromycin in the past three months;

Do not provide informed consent;

Trial design

Treatments tested in this trial

  • Immediate G-POEM
  • Delayed G-POEM

Treatment groups

40 Participants
are divided into 2 treatment groups

Locations

This trial has no locations