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RecruitingNCT06381349GPOEM-GEMSUpdated Mar 27, 2025

Predicting Outcomes of GPOEM Using Gastric Electrical Mapping

An observational study in Gastroparesis, sponsored by Chris Varghese. Recruiting at 1 site in New Zealand. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-03-27.

Sponsored by Chris Varghese · Observational

From the registry’s dates

  • Primary completion was expected by May 2026, 5 months ago, but the record still lists the study as recruiting.
  • Started Jul 2024; still recruiting 2 years 3 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
300
Ages
18 Years and older
Sex
All
01

Study summary

Gastric peroral endoscopic myotomy (GPOEM) is a minimally-invasive procedure that involves dividing the pylorus, to enhance gastric emptying in gastroparesis patients. This is a single-arm, multi-centre, prospective observational study to determine the clinical utility of Gastric Alimetry in predicting GPOEM treatment outcomes. The investigators further aim to develop a clinical decision rule to inform patient selection. Gastric Alimetry will be conducted \<1 month prior to GPOEM. All subjects will then be followed up for 12 months.

Read the detailed description

This protocol proposes no change to the clinical management of patients which is left to the discretion of the patients' primary clinical team.

Patients as part of this study will undergo a baseline assessment via Gastric Alimetry, and concurrent symptom, quality of life, and health psychology questions.

GPOEM will be performed as per standard site protocol, with data captured in RDCap.

Patients will be followed up at 1-month, 3-month, 6-months, and 12-months using the myCap (REDCap) app.

Participants and clinicians can opt-in for a repeat Gastric Alimetry test at 6 or 12 months following their GPOEM procedure.

02

Conditions studied

  • Gastroparesis

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Keywords

  • endoscopy
  • electrophysiology
  • phenotyping
03

In context

Gastroparesis

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

This study's planned enrollment of 300 is above the median of 100 across 77 observational studies indexed under Gastroparesis.

Browse Gastroparesis studies →

Lead sponsor

This is the only study on the registry with Chris Varghese as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients aged 18-years or older with gastroparesis awaiting a G-POEM procedure that are able to undergo Gastric Alimetry testing.

Inclusion criteria

  • Aged 18 years or older
  • Indicated for GPOEM

Exclusion criteria

Exclusion Criteria:

  • Pregnant or breast-feeding
  • Inability to perform Gastric Alimetry test: history of severe skin allergies or sensitivity to cosmetics or lotions; chronically damaged or vulnerable epigastric skin (fragile skin, wounds, inflammation); patients unable to remain in a relaxed reclined position for the test duration.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
300 participants (estimated)
Patient registry
No

Groups and cohorts

  • Adult patients with gastroparesis

    1. Provision of signed and dated informed consent form understand the risks and benefits of the study 2. Aged ≥18 years old 3. Patients must be clinically selected for GPOEM at their respective study site. 4. Patients are undergoing their index GPOEM procedure

    Diagnostic Test: Gastric Alimetry test

Interventions

  • Diagnostic testGastric Alimetry test

    Gastric Alimetry test will be performed within 30-days prior to G-POEM procedure. It's results will not inform clinical management in this observational study.

06

What researchers measure

Primary outcomes

  1. Gastroparesis Cardinal Symptom Index (GCSI)

    ≥ 1 decrease in total GCSI score \[higher score = worse symptoms\]

    Time frame: 6 months

Secondary outcomes

  1. Patient Assessment of Upper GastroIntestinal Disorders-Quality of Life (PAGI-QoL)

    0 - 5; higher score = better quality of life

    Time frame: 1, 3, 6, and 12 months

  2. EQ-5D scores

    0 - 1; higher score being better quality of life

    Time frame: 1, 3, 6, and 12 months

  3. Patient assessment of upper gastrointestinal disorders-symptom severity index (PAGI-SYM)

    0 - 1; higher score being increased symptom burden

    Time frame: 1, 3, 6, and 12 months

  4. Patient Health Questionnaire - 8 (PHQ-8)

    0 - 12; higher score being increased depression severity

    Time frame: 6, and 12 months

  5. Generalized Anxiety Disorder 7-item (GAD-7)

    0 - 21; higher score indicates increased anxiety

    Time frame: 6, and 12 months

  6. Perceived Stress Scale 4 (PSS-4)

    0 - 16; higher scores indicate higher stress

    Time frame: 6, and 12 months

  7. Brief Illness Perception Questionnaire-Revised

    0 - 80; higher scores indicate worse illness perception

    Time frame: 6, and 12 months

  8. Alimetry® Gut-Brain Wellbeing (AGBW)

    0 - 40; higher scores indicate higher mental health burden

    Time frame: 1, 3, 6, and 12 months

  9. Work Productivity and Activity Impairment (WPAI)

    0-100%; higher scores indicating increased loss of work productivity and activity impairment

    Time frame: 12 months

Other outcomes

  1. Change in Gastric Alimetry Phenotype

    Change in phenotype classification on repeat Gastric Alimetry testing before and after G-POEM

    Time frame: 6

07

Study locations

1 of 1 sites recruiting
  • University of Auckland
    Auckland, 1010, New Zealand
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 27, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06381349
Lead sponsor
Chris Varghese
Responsible party
Chris Varghese (Lead Clinical Investigator, University of Auckland, New Zealand) — Sponsor-investigator
First posted
Apr 24, 2024
Start date
Jul 7, 2024
Primary completion
May 1, 2026 (estimated)
Completion
Jun 1, 2026 (estimated)
Last update
Mar 27, 2025

Study contacts

Chris Varghese, MBChB
Contact
cvar706@aucklanduni.ac.nz
+64 (0) 9 923 9820

Oversight

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

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