ClinicalTrials.gg
RecruitingNCT06046833Updated Aug 3, 2026

Continuous Glucose Metrics in Patients With Gastroparesis in Type 1 or Type 2 Diabetes

An interventional study of FreeStyle Libre 3 continuous glucose monitoring sensor and Nutritional drink in Diabetes Mellitus, Type 2, Diabetes Mellitus, Type 1 and Gastroparesis With Diabetes Mellitus, sponsored by Samita Garg. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-03.

Sponsored by Samita Garg · Not applicable, Interventional, and Screening

From the registry’s dates

  • Started Jan 2024; still recruiting 2 years 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 3,300 studies in Diabetes Mellitus, Type 2 with a site in United States — 340 open to participants now, 475 under way, 47 of them phase 3. Diabetes Mellitus, Type 2 · United States.

Planned enrollment
1,861st of 2,953
50 · median 90
Started
2024
with 143 others
No phase
1,240 of 3,300
201 open now
Primary completion
2026-12
later than 150 of 473 live
Registered
2,849th of 3,300
by date

Among the 3,300 studies in Diabetes Mellitus, Type 2 with a site in United States, this one is the 1,861st largest by planned enrollment of the 2,953 interventional ones, is one of 144 that started in 2024, is one of 1,240 with no phase, reaches primary completion later than 150 of the 473 other live ones, and was the 2,849th registered.

By phase

3,300 studies; the count open now beside each. This study's row is marked.

No phasethis study1,240 · 201 open
Phase 3576 · 30 open
Phase 2391 · 24 open
Phase 1383 · 24 open
Observational336 · 38 open
Phase 4300 · 19 open
Phase 1/240 · 3 open
Phase 2/333 · 1 open
Other kind1 · 0 open

By the year they started

First in 1976; this study’s year is marked. 144 started in 2024.

Size and results

Median enrollment 90 across the 2,953 interventional studies, 128 across the 336 observational. Of the 2,648 that completed or were terminated, 1,165 (44%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 3,300 studies in Diabetes Mellitus, Type 2 with a site in United States, or all of them as a file.
02

Study summary

A pilot study to evaluate and compare glucose metrics using a real-time continuous glucose monitor (FreeStyle Libre 3 sensor) between patients with diabetes and gastroparesis and those with diabetes without gastroparesis.

Read the detailed description

Investigators will analyze and compare various Glucose Metrics (GM) derived from a Continuous Glucose Monitor (CGM) between individuals with diabetes and gastroparesis and those with diabetes without gastroparesis over a period of 28 days and during two standardized meal challenge visits. Furthermore, the investigators aim to assess whether there is an association between gastroparesis and GM parameters.

The objective is to propose a new tool (Diabetic Gastroparesis Index or Score) to assess for early gastroparesis in patients with diabetes using the identified and analyzed GM. This may help patients and providers to recognize gastroparesis early and facilitate necessary medical interventions.

Hyperglycemia and hypoglycemia episodes will be monitored throughout the study for both groups and their association with GM and gastroparesis will be evaluated.

The Gastroparesis Cardinal Symptom Index (GCSI) and the Gastrointestinal Quality of Life Index (GIQLI) questionnaires will be performed to assess the association of gastroparesis symptoms with GM.

03

Conditions studied

  • Diabetes Mellitus, Type 2
  • Diabetes Mellitus, Type 1
  • Gastroparesis With Diabetes Mellitus

Keywords

  • Gastroparesis
  • Diabetes
  • Continuous Glucose Monitor
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Over the age of 18 years.
  • ≤11% within the last 6 months.
  • Patients with diagnosis of type 1 Diabetes or type 2 Diabetes for at least one year.
  • Normal thyroid-stimulating hormone (TSH) within the last year.
  • No episodes of diabetic ketoacidosis (DKA), Hyperosmolar Hyperglycemic Status (HHS), or hypoglycemia in the past 2 weeks requiring ER visit or hospitalization.
  • Symptoms of gastroparesis have been present for at least the past 3 months, in patients with gastroparesis.
  • In patients with gastroparesis, documented delayed gastric emptying on scintigraphy and/or wireless motility capsule (Smart Pill) as defined by greater than 10% retention at 4 hours or greater than 4-hour gastric transit time (GTT) in the past five years.
  • Patients using a Smartphone (iPhone or Android) compatible with LibreView App.

Exclusion criteria

Exclusion Criteria:

  • of >11% at enrollment.
  • Advanced chronic kidney disease (serum creatinine of >2 mg/dL or estimated (eGFR) \<30mL/min/1.73m² using Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula).
  • Advanced and significant cardiovascular disease or unstable angina.
  • Advanced liver disease that may affect glucose profiles.
  • Post-transplant patients.
  • History of gastric surgery.
  • Patients with symptoms secondary to celiac disease (e.g. diarrhea, nausea, vomiting, abdominal pain) at the time of the enrollment.
  • Pregnancy or women of reproductive age group not taking adequate precautions for pregnancy for 28 days.
  • Patients on or immunomodulators or chemoradiation that might affect glucose profiles.
  • Patients on opiates or glucagon-like peptide-1 (GLP-1) agonists (Ozempic, Wegovy, Mounjaro, Trulicity). If previously taking these medications, patients can be enrolled after 2 weeks of the last dose.
  • Patient on recreational or illicit drugs (i.e., marijuana, opiates, cocaine, etc.).
  • Patients on motility medications such as Reglan (Metoclopramide), Motegrity (Prucalopride), Cisapride, Domperidone, Erythromycin. If previously taking any of these medications, patients can be enrolled after 1 week of the last dose.
  • abnormalities on upper GI endoscopy.
  • Presence of imaging evidence of gastric or intestinal obstruction.
  • Patient previously participated in the study.
Terms in these criteria, in plain language(4)

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.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Not applicable
Primary purpose
Screening
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    Patients with type 1 or type 2 diabetes and gastroparesis

    Both groups will have the same intervention. * FreeStyle Libre 3 sensor for Continuous Glucose Monitoring. * Balanced nutritional drink (Boost plus 8 ounces/237 mL) for a standardized meal challenge.

    Device: FreeStyle Libre 3 continuous glucose monitoring sensor · Other: Nutritional drink

  • Active comparator
    Patients with type 1 or type 2 diabetes without gastroparesis

    Both groups will have the same intervention. * FreeStyle Libre 3 sensor for Continuous Glucose Monitoring. * Balanced nutritional drink (Boost plus 8 ounces/237 mL) for a standardized meal challenge

    Device: FreeStyle Libre 3 continuous glucose monitoring sensor · Other: Nutritional drink

Interventions

  • DeviceFreeStyle Libre 3 continuous glucose monitoring sensor

    The Freestyle Libre 3 sensor is a small real-time continuous glucose monitor device that measures glucose levels every minute

    Also known as: FreeStyle Libre 3 system

  • OtherNutritional drink

    Balanced nutritional drink (Boost plus 8 ounces/237 mL)

    Also known as: Boost plus

06

What researchers measure

Primary outcomes

  1. Time-in-Range (TIR)

    Percentage of time spent per day (and estimated actual amount of time in hours or minutes per day) in target glucose range 70-180 mg/dL.

    Time frame: 28 days of monitoring

  2. Time-in-Tight Range (TITR)

    Percentage of time spent per day (and estimated actual amount of time in hours or minutes per day) in target glucose range 70-140 mg/dL.

    Time frame: 28 days of monitoring

  3. Time Below Range (TBR)

    Percentage of time spent per day (and estimated actual amount of time in hours or minutes per day) with glucose \<70 mg/dL (including readings \<54 mg/dL)

    Time frame: 28 days of monitoring

  4. Time Above Range (TAR)

    Percentage of time spent per day (and estimated actual amount of time in hours or minutes per day) with \>180 mg/dL (including readings \>250 mg/dL).

    Time frame: 28 days of monitoring

  5. Metrics of Glucose Variability

    * Standard Deviation (SD) * Coefficient of Variation (CV) * Glucose Management Indicator (GMI) * Mean Amplitude of Glucose Excursion (MAGE) * Mean Of Daily Differences (MODD) * Mean Indices of Meal Excursion (MIME) * Continuous overall net glycemic action (CONGA) * Low Blood Glucose Index (LBGI) * High Blood Glucose Index (HBGI)

    Time frame: 28 days of monitoring

Secondary outcomes

  1. Hyperglycemia episodes

    At least 15 minutes or longer of Time-Above Range (TAR) 181-250 mg/dL (Level 1 hyperglycemia) and \>250 mg/dl (Level 2 hyperglycemia)

    Time frame: 28 days of monitoring

  2. Hypoglycemia episodes

    At least 15 minutes or longer of Time-Below-Range (TBR) 54-69 mg/dL (Level 1 hypoglycemia) or \<54 mg/dL (Level 2 hypoglycemia)

    Time frame: 28 days of monitoring

Other outcomes

  1. GCSI questionnaire

    9 symptoms item questionnaire with a 6-point Likert-type response scale, ranging from 0 (none) to 5 (very severe). Total scores are in the range of 0-5, with higher scores reflecting greater symptom severity.

    Time frame: Visit 2 - Day 5 (-3/+6 days), and Visit 4 - Day 25 (-7/+3 days)

  2. GIQLI questionnaire

    36-item questionnaire based on a 0-4 Likert-type scale, ranging from 0 (least desirable option) to 4 (most desirable option). Total scores range from 0 to 144, with higher scores indicating a better quality of life.

    Time frame: Visit 2 - Day 5 (-3/+6 days), and Visit 4 - Day 25 (-7/+3 days)

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jan 2024 (actual). Primary completion is estimated for Dec 2026, 35 months after the start.

Of 2,066 non-industry interventional studies with no phase under Diabetes Mellitus, Type 2, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 40. This study's planned 35 months is above that.

Counting every sponsor, half of 2,243 studies reached it within 21 months; a quarter within 10 and three quarters within 39.

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

Registered
Sep 6, 2023
First posted
Sep 21, 2023
StartActual
Jan 8, 2024
Primary completionEst.
Dec 2026
CompletionEst.
Dec 2026
Last update
Aug 3, 2026
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 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06046833
Lead sponsor
Samita Garg
Responsible party
Samita Garg (Principal Investigator, The Cleveland Clinic) — Sponsor-investigator
First posted
Sep 21, 2023
Start date
Jan 8, 2024
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Aug 3, 2026

Study contacts

Samita Garg, MD
Contact
gargs@ccf.org
216-444-2384
Jorge Araujo-Duran, MD
Contact
araujoj@ccf.org
216-444-7935
Samita Garg, MD
principal investigator · The Cleveland Clinic

Oversight

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

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