ClinicalTrials.gg
RecruitingNCT04208828GAINUpdated Aug 1, 2025

IVIG for Drug and Device Refractory Gastrointestinal Auto-Immune Neuropathy

An observational study in Gastrointestinal Motility Disorder, Gastroparesis and Neuropathy, sponsored by University of Louisville. Recruiting at 1 site in United States. Open to participants aged 12 Years to 90 Years. Per ClinicalTrials.gov, last updated 2025-08-01.

Sponsored by University of Louisville · Observational

From the registry’s dates

  • Started Jan 2020; still recruiting 6 years 10 months later.
Study type
Observational
Model
Case-only
Time perspective
Retrospective
Enrollment
400
Ages
12 Years to 90 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 184 studies in Gastroparesis with a site in United States — 35 open to participants now, 43 under way, 2 of them phase 3. Gastroparesis · United States.

Planned enrollment
10th of 39
400 · median 108
Started
2020
with 11 others
Observational
39 of 184
17 open now
Primary completion
2028-01
later than 28 of 40 live
Registered
115th of 184
by date
Lead sponsor
5 of 184
University of Louisville

Among the 184 studies in Gastroparesis with a site in United States, this one is the 10th largest by planned enrollment of the 39 observational ones, is one of 12 that started in 2020, is one of 39 observational ones, reaches primary completion later than 28 of the 40 other live ones, and was the 115th registered.

By phase

184 studies; the count open now beside each. This study's row is marked.

No phase68 · 14 open
Observationalthis study39 · 17 open
Phase 238 · 0 open
Phase 312 · 0 open
Phase 110 · 1 open
Other kind7 · 2 open
Phase 46 · 0 open
Phase 1/22 · 0 open
Phase 2/32 · 1 open

By the year they started

First in 2002; this study’s year is marked. 12 started in 2020.

Size and results

Median enrollment 36 across the 136 interventional studies, 108 across the 39 observational. Of the 124 that completed or were terminated, 63 (51%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 184 studies in Gastroparesis with a site in United States, or all of them as a file.
02

Study summary

Patients with the symptoms of generalized GI dysmotility, including gastroparesis, are sometimes refractory to available medications, devices and other interventions/ Some of these patients have serologic and/or endo organ abnormalities and findings consistent with autoimmune neuropathies, primarily involving the GI tract. These disorders have been known as autoimmune gastrointestinal neuropathies (GAIN) or also as autoimmune gastrointestinal dysmotility (AGID), among other terms. Some patients respond to intravenous immunoglobulin (IVIG) and this study, which is an observational clinical series, documents the patients, their findings and standardized responses to therapy with IVIG.

Read the detailed description

Gastrointestinal dysmotility disorders encompass a large group of patients including a subset with autoimmune findings, either on serologic testing and/or end organ anatomic and physiologic effects.

The identification of patients with autoimmune gastrointestinal neuropathies (GAIN) or also as autoimmune gastrointestinal dysmotility (AGID), has led to trial with autoimmune therapies. Most promising therapy has been intravenous immunoglobulin (IVIG) and this, usually given in 12-week courses with standard dosing, has helped a number of patient's refractory to other available therapies including diet, drugs, devices and enteral diversions/disruptions.This observational study documents clinical observations in consecutive patients meeting entry criteria who received IVIG.

Patients will have their gastrointestinal (GI) symptoms documented by a standardized patient reported outcome (PRO) survey at baseline and use the same assessment tools after at least one course of IVIG therapy.

03

Conditions studied

  • Gastrointestinal Motility Disorder
  • Gastroparesis
  • Neuropathy

Keywords

  • Gastroparesis
  • Nausea
  • Vomiting
  • Abdominal Pain
  • Neuropathy
04

Who can participate

Ages eligible
12 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with GI motor disorders, including symptoms of gastroparesis, who are refractory to available dietary, drug, device, and endoscopic/surgical diversion therapies.

Eligibility criteria

Inclusion Criteria: Patient with otherwise symptoms of gastrointestinal (GI) motor disorders.

-

Exclusion Criteria: Inability to receive intravenous immunoglobulin.

-

Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

05

Study design

Observational model
Case-only
Time perspective
Retrospective
Enrollment
400 participants (estimated)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Gastrointestinal (GI) total symptoms score (TSS)

    The primary outcome measures are patient symptoms via the traditional gastroparesis patient reported outcome scale. It uses a 0-4 scale from none to worse on GI Symptoms; for example: Nausea,Vomiting, Anorexia/Early Satiety, Bloating/distension, Abdominal Pain. Scored as each item plus a total that is the sum of the individual scales.The five Sx subscales of 0-4 each are summed for a total score range 0-20

    Time frame: Baseline to latest, up to one year

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jan 2020 (actual). Primary completion is estimated for Jan 2028, 96 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 19, 2019
First posted
Dec 23, 2019
StartActual
Jan 2, 2020
Primary completionEst.
Jan 2, 2028
CompletionEst.
Jan 2, 2028
Last update
Aug 1, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04208828
Responsible party
Thomas Abell (Professor, University of Louisville) — Principal investigator
First posted
Dec 23, 2019
Start date
Jan 2, 2020
Primary completion
Jan 2, 2028 (estimated)
Completion
Jan 2, 2028 (estimated)
Last update
Aug 1, 2025

Study contacts

Thomas L Abell, MD
Contact
thomas.abell@louisville.edu
(502)852-6991

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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