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Active, not recruitingNCT05718505Updated Jan 10, 2024

Comparison of the Atmo Motility Gas Capsule System to the Reference Standard

An interventional study of Atmo Motility Gas Capsule System and SmartPill Monitoring System in Gastroparesis, Slow Transit Constipation and IBS, sponsored by Atmo Biosciences Pty Ltd. Active, not recruiting at 2 sites in United States. Open to participants aged 22 Years to 80 Years. Per ClinicalTrials.gov, last updated 2024-01-10.

Sponsored by Atmo Biosciences Pty Ltd · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
209
Allocation
Randomized
Ages
22 Years to 80 Years
Sex
All
01

Study summary

The study objective is to demonstrate the equivalence of the Atmo Motility Gas Capsule System with the predicate SmartPill in measuring gastric emptying time and colonic transit time through examination of device agreement.

Read the detailed description

The clinical protocol for the study is designed to compare the performance of the Atmo Motility Gas Capsule System to the predicate device, the SmartPill GI Monitoring System, in patients with chronic GI symptoms suggestive of GI motility disorders (specifically gastroparesis and slow transit constipation), in order to demonstrate substantial equivalence. This study will involve the recruitment of symptomatic participants from a population that is representative of that for which the device is intended.

The primary objective of this study is the assessment of the agreement of Atmo Motility and SmartPill Systems' results with regards to both GET and CTT. The SmartPill is the accepted gold standard test for GI motility transit time analysis. Device agreement will be primarily examined through Bland-Altman analyses for GET and CTT measurements from the Atmo Motility and SmartPill Systems.

02

Conditions studied

  • Gastroparesis
  • Slow Transit Constipation
  • IBS
03

In context

Gastroparesis

307 studies on the registry are indexed under Gastroparesis; 68 are open to participants now.

This study's enrollment of 209 is above the median of 44 across 202 interventional studies indexed under Gastroparesis.

Browse Gastroparesis studies →

Lead sponsor

Atmo Biosciences Pty Ltd is the lead sponsor of 3 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
22 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Adults (M/F/other) between the ages of 22-80 years of age
  2. High probability of compliance and completion of study.
  3. Fulfilling one or more of the following criteria:

    A. Received a delayed gastric emptying result from a gastric emptying study (gastric scintigraphy [GES] or gastric emptying breath test [GEBT] or SmartPill) in the last two years AND/OR presenting with 2 or more of the following symptoms or signs: i. Nausea, vomiting, or retching (dry heaves) ii. Postprandial fullness or early satiety iii. Bloating or visible abdominal distention iv. Postprandial discomfort or pain AND/OR; B. Suffering from symptoms of chronic idiopathic constipation based on ROME IV criteria (exclusion of constipation caused by structural abnormalities), participant should have at least 1 bowel motion per week (either assisted or unassisted by medication) AND/OR; C. Suffering from symptoms of IBS-C based on ROME IV criteria

  4. Participant or their legally authorized representative has the ability to provide informed consent and comply with the protocol.

Exclusion criteria

Exclusion Criteria:

  1. Recent abdominal and/or pelvic surgery (past 3 months)
  2. Acute diverticulitis, confirmed by CT scan in past 3 months, diverticular stricture, and other intestinal strictures
  3. Chronic daily use of nonsteroidal anti-inflammatory drugs (e.g. ibuprofen, naproxen)
  4. Pregnant or breastfeeding
  5. Patients on long-acting glucagon-like peptide (GLP-1)
  6. Active implantable devices (e.g. gastric stimulator, pacemaker, defibrillator) [continuous glucose monitors are permitted]
  7. Evidence of metabolic disease within the last six months (overt hypothyroidism [high TSH, low FT4], uncontrolled diabetes [hemoglobin A1c >10%] within the past 6 months) not stabilized within the past 3 months via constant medication (dosage and type must be consistent) usage
  8. History of gastric bezoar formation
  9. Presence of fistulas or other mechanical GI obstruction
  10. Radiation enteritis
  11. History of fecal impaction
  12. Suspicion of other organic GI disease
  13. Suspicion of obscure GI bleeding
  14. Unable to stop medications that may alter gastric pH (such as proton pump inhibitors) for 7 days prior to and during study
  15. Unable to stop medications that may alter GI motility (GLP-1 agonists, anticholinergics, metformin, antispasmodic, prokinetics) for 72 hours prior to and during study.
  16. Chronic daily use of cannabinoids (e.g., dronabinol, marijuana)
  17. Unable to stop laxatives (docusate, lactulose, sorbitol, senna, bisacodyl), suppositories (glycerin), and enema 72 hours prior to and during the study. Limited use of rescue laxatives is permissible at the investigators discretion but must be tracked in the electronic case report form (eCRF).
  18. May require an MRI scan during the duration of this study
  19. BMI > 40kg/m2
  20. Allergies to any of the ingredients used in the standardized meal
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
209 participants (actual)

Study arms

  • Active comparator
    SmartPill Monitoring System

    The SmartPill GI Monitoring System (Medtronic) offers a method for measuring gastric emptying time (GET), small bowel transit time (SBTT), colonic transit time (CTT), small bowel large bowel transit time (SLBTT) and whole gut transit time (WGTT) with a single test, which can be used as an aid for the diagnosis of both gastroparesis and slow transit constipation. The SmartPill System measures pH, temperature and pressure. It is approved for use in the measurement of GI transit times by the FDA.

    Device: SmartPill Monitoring System

  • Experimental
    Atmo Motility Gas Capsule System

    The Atmo Motility Gas Capsule System (Atmo Biosciences) offers a novel method for measuring GET, SBTT, SLBTT, CTT and WGTT. This device measures temperature, relative humidity, hydrogen concentration and carbon dioxide concentration, along with indicators of fermentation activity, capsule tumble and antenna reflectance as it transit through the GI tract. It has the added benefit of recording information on the fermentation and gas profiles within the GI tract.

    Device: Atmo Motility Gas Capsule System

Interventions

  • DeviceAtmo Motility Gas Capsule System

    The Atmo System measures whole gut and regional gut transit times. Measurements of GI tract transit times are used for evaluating motility disorders. Gastric emptying time (GET) is indicated for the evaluation of patients with suspected gastroparesis. Delayed GET is implicated in such disorders as idiopathic and diabetic gastroparesis and functional non-ulcer dyspepsia. Colonic transit time (CTT) is indicated for the evaluation of colonic transit in patients with chronic constipation, to aid in differentiating slow and normal transit constipation. In the case where ileocecal junction transit cannot be determined the system will report combined Small and Large Bowel Transit Time (SLBTT). Transit times are derived from measures of temperature, relative humidity, hydrogen concentration, and carbon dioxide concentration, in conjunction with indicators of fermentation activity, capsule tumble, and antenna reflectance. Not for use in pediatric patients.

  • DeviceSmartPill Monitoring System

    The SmartPill GI Monitoring System (Medtronic) offers a method for measuring gastric emptying time (GET), small bowel transit time (SBTT), colonic transit time (CTT), small bowel large bowel transit time (SLBTT) and whole gut transit time (WGTT) with a single test, which can be used as an aid for the diagnosis of both gastroparesis and slow transit constipation. The SmartPill System measures pH, temperature and pressure. It is approved for use in the measurement of GI transit times by the FDA.

06

What researchers measure

Primary outcomes

  1. GET as measured by the Atmo Motility System

    Interpretation of gastric emptying time by central readers using the Atmo Motility System

    Time frame: Day 1 to Day 10

  2. GET as measured by the SmartPill System

    Interpretation of gastric emptying time by central readers of the SmartPill System

    Time frame: Day 1 to Day 10

  3. CTT as measured by the Atmo Motility System

    Interpretation of colonic transit time by central readers using the Atmo Motility System

    Time frame: Day 1 to Day 10

  4. CTT as measured by the SmartPill System

    Interpretation of colonic transit time by central readers using the SmartPill System

    Time frame: Day 1 to Day 10

Secondary outcomes

  1. Classification as delayed or not for GI transit times: SBTT, OCTT, SLBTT and WGTT as determined by Atmo Motility System

    Classification of all gut transit times as either delayed or not as measured by the Atmo System

    Time frame: Day 1 to Day 10

  2. Classification as delayed or not for GI transit times: SBTT, OCTT, SLBTT and WGTT as determined by SmartPill

    Classification of all gut transit times as either delayed or not as measured by SmartPill

    Time frame: Day 1 to Day 10

  3. Classification as rapid or not for all transit times: GET, SBTT, OCTT, SLBTT, CTT and WGTT as determined by the Atmo Motility System

    Classification of all gut transit times as either rapid or not as measured by Atmo

    Time frame: Day 1 to Day 10

  4. Classification as rapid or not for all transit times: GET, SBTT, OCTT, SLBTT, CTT and WGTT as determined by SmartPill

    Classification of all gut transit times as either rapid or not as measured by SmartPill

    Time frame: Day 1 to Day 10

  5. Continuous transit time measures for SBTT, OCTT, SLBTT and WGTT for SmartPill and Atmo Motility Systems

    Measurement of gut transit times as as measured by the SmartPill and Atmo Systems, expressed in hours:minutes

    Time frame: Day 1 to Day 10

  6. Qualitative description of per participant hydrogen and carbon dioxide gas profiles as determined by the Atmo Motility System

    Description of gas production profiles as measured by the Atmo Motility System

    Time frame: Day 1 to Day 10

  7. Adverse Events (AEs), Serious Adverse Events (SAEs), Adverse Device Effects (ADEs), Serious Adverse Device Effects (SADEs), Unanticipated Serious Adverse Device Effects (USADEs) and device deficiencies

    Description, number and outcomes of all adverse events, serious adverse events and others, summarized by recruitment site

    Time frame: Day 0 to Day 31

07

Study locations

2 sites
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • University of Michigan
    Ann Arbor, Michigan 48109, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 10, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05718505
Lead sponsor
Atmo Biosciences Pty Ltd
Responsible party
Sponsor
First posted
Feb 8, 2023
Start date
Jun 5, 2023
Primary completion
Dec 15, 2023
Completion
Apr 2024 (estimated)
Last update
Jan 10, 2024

Study contacts

Braden Kuo, MD
principal investigator · Massachusetts General Hospital
William Chey, MD
principal investigator · University of Michigan

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jan 2024. You cannot join it, but the record below documents what was studied.

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