ClinicalTrials.gg
RecruitingNCT06464926NAVIGATEUpdated May 14, 2026

Chronic Nausea and Vomiting in Patients With Normal Gastric Emptying Using the Enterra® Therapy System (NAVIGATE)

An interventional study of Enterra Therapy System in Nausea and Vomiting, sponsored by Enterra Medical, Inc.. Recruiting at 22 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-14.

Sponsored by Enterra Medical, Inc. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 4 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
148
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this research study is to determine if the Enterra® Therapy System can decrease nausea and vomiting symptoms and improve the quality of life for patients with chronic nausea, with or without vomiting, that have normal gastric emptying.

Read the detailed description

Participants in this study will have an Enterra® Therapy System implanted and be assigned to a study group. Participants will answer daily questions about their nausea and vomiting symptoms and quality of life impacts with their smart device. Participants will answer quality of life questionnaires about their symptoms at study visits. Participants will be involved in this study for approximately twelve months after their study group is assigned.

02

Conditions studied

  • Nausea
  • Vomiting

Keywords

  • Chronic
  • Nausea
  • Vomiting
  • Gastric Electrical Stimulation
03

In context

Nausea

644 studies on the registry are indexed under Nausea; 85 are open to participants now.

This study's planned enrollment of 148 is above the median of 96 across 544 interventional studies indexed under Nausea.

Browse Nausea studies →

Lead sponsor

Enterra Medical, Inc. is the lead sponsor of 3 studies on the registry; 3 are open to participants now.

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

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

  • Willing and able to complete the process
  • Stated willingness to comply with all study procedures and availability for the duration of the study
  • Aged ≥18 years at time of informed consent
  • Chronic, drug- nausea that: a) has been present for more than 6 months, and b) has been active within the last 3 months prior to consent
  • Patient is able to complete ANMS GCSI-DD surveys on a compatible smart device with: a) a minimum of four (4) ANMS GCSI-DD entries per week for two consecutive weeks, and b) an average ANMS GCSI-DD score for nausea severity of ≥2.5 during the same two-week period
  • Refractory or intolerant to two or more of the following antiemetic drug classes: antihistamines, phenothiazines, serotonin type 3 receptor antagonists, dopamine type 2 receptor antagonists, anticholinergics, neurokinin receptor antagonists
  • Medically stable, in the opinion of the investigator, during the month prior to consent, with no planned modifications to medical therapy during the course of the study
  • Normal gastric emptying as assessed by a qualifying gastric emptying test performed within 2 years of consent if no prior pyloric transection therapy, or within 2 years of consent and after the most recent pyloric transection therapy
  • Normal upper endoscopy within 1 year prior to consent (e.g., absence of obstructions, ulcers, or cancers in the esophagus, stomach, or duodenum) performed within 1 year of consent if no prior pyloric transection therapy, or within 1 year of consent and after the most recent pyloric transection therapy

Exclusion criteria

Exclusion Criteria:

  • Cognitive impairment or other characteristic that would limit a patient's ability to complete study requirements
  • Pyloric transection therapy completed within 1 year of consent
  • Documented gastrointestinal (GI) obstruction or pseudo-obstruction
  • History of primary swallowing disorders
  • History of primary psychogenic vomiting
  • History of primary eating disorder
  • History of cyclic vomiting syndrome
  • History of rumination syndrome
  • History of scleroderma
  • History of amyloidosis
  • History of cannabis hyperemesis syndrome
  • Active H. pylori infection
  • Evidence of bezoar during most recent endoscopy
  • Previous gastric surgery of any type other than a pyloric transection therapy (i.e., pyloroplasty, pyloromyotomy, POP, or G-POEM)
  • Uncontrolled thyroid disorder, in the opinion of the investigator
  • History of seizures disorders
  • >8.0%
  • Peritoneal dialysis or unstable hemodialysis
  • Parenteral or enteral nutritional support
  • Active pancreatitis
  • History of organ transplant, gross malabsorptive syndromes, celiac disease, or inflammatory bowel disease
  • Other GI tract diseases and disorders that the investigator believes may have caused the patient's drug- nausea and/or vomiting
  • (with the exception of basal cell carcinoma of the skin) currently present, initially diagnosed or recurring within 5 years of consent
  • Opioid use
  • Current cannabis/cannabinoid use that exceeds: 3 days of usage per week, or 2 occurrences during each day of use, or 3 grams of total usage per week
  • Heavy alcohol use, defined as: for men, consuming five or more drinks on any day or 15 or more per week; for women, consuming four or more drinks on any day or 8 or more per week
  • Injection of Botox into the pyloric sphincter within 6 months of consent
  • Active major levels of anxiety/depression, as determined by the investigator
  • History of other disease, or any other condition which, in the opinion of the Investigator, would jeopardize the safety of the patient or impact the validity of the study results
  • \<1 year
  • Pregnant or breastfeeding at the time of consent or intend to become pregnant during the study
  • Any underlying disease leading to follow-up by MRI outside of current MR conditional indications
  • Glucagon-like peptide 1 (GLP-1) agonist drug use within 6 months of consent
  • Participation in other clinical studies
  • Existing or prior gastric electrical stimulator implantation
Terms in these criteria, in plain language(7)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
148 participants (estimated)

Study arms

  • Experimental
    ON Group

    Participants assigned to the ON treatment group will begin with specified device programming values at the randomization visit. Device programming values may be adjusted at follow-up study visits during the blinding period. At the conclusion of the 4-month visit, participants will have their devices programmed to individualized therapy as determined by the Investigator. Investigators may adjust programming values at additional follow-up study visits.

    Device: Enterra Therapy System

  • Experimental
    OFF Group

    Participants assigned to the OFF treatment group will begin with device programming values set to off at the randomization visit. These settings will continue until the 4-month visit. At the conclusion of the 4-month visit, participants will receive specified device programming values. Device programming values may be adjusted at follow-up study visits. At the conclusion of the 8-month visit, participants will have their devices programmed to individualized therapy as determined by the Investigator.

    Device: Enterra Therapy System

Interventions

  • DeviceEnterra Therapy System

    The Enterra Therapy System is a gastric electrical stimulator system consisting of an implantable pulse generator (Enterra II Model 37800 neurostimulator); two implantable unipolar leads (Enterra Model 4351-35 intramuscular); and device programmer (N'Vision Clinician Programmer Model 8840 with Model 8870 Application Card). The programmable neurostimulator operates on a sealed battery and electronic circuitry to provide controlled electrical pulse stimulation through the implanted lead system. A clinician programmer is used to program the neurostimulator and adjust stimulation settings to programmable parameters and stimulation options.

06

What researchers measure

Primary outcomes

  1. Change in Nausea Severity Score

    As measured by the American Neurogastroenterology and Motility Society Gastroparesis Cardinal Symptom Index-Daily Diary (ANMS GCSI-DD) nausea severity score

    Time frame: 4 Months

Secondary outcomes

  1. Change in Vomiting Absolute Frequency

    As measured by the American Neurogastroenterology and Motility Society Gastroparesis Cardinal Symptom Index-Daily Diary (ANMS GCSI-DD) weekly vomiting absolute frequency. Analysis only performed if ≥64 evaluable participants have a baseline weekly vomiting frequency of ≥5 per week

    Time frame: 4 Months

  2. Change in Nausea Severity Score

    As measured by the American Neurogastroenterology and Motility Society Gastroparesis Cardinal Symptom Index-Daily Diary (ANMS GCSI-DD) nausea severity score

    Time frame: 12 Months

  3. Change in Vomiting Absolute Frequency

    As measured by the American Neurogastroenterology and Motility Society Gastroparesis Cardinal Symptom Index-Daily Diary (ANMS GCSI-DD) weekly vomiting absolute frequency. Analysis only performed if ≥64 evaluable participants have a baseline weekly vomiting frequency of ≥5 per week

    Time frame: 12 Months

  4. Change in Total Symptom Score

    As measured by the American Neurogastroenterology and Motility Society Gastroparesis Cardinal Symptom Index-Daily Diary (ANMS GCSI-DD) total symptom score

    Time frame: 4 Months

  5. Change in Total Symptom Score

    As measured by the American Neurogastroenterology and Motility Society Gastroparesis Cardinal Symptom Index-Daily Diary (ANMS GCSI-DD) total symptom score

    Time frame: 12 Months

  6. Change in Quality of Life Score

    As measured by the Patient Assessment of Upper Gastrointestinal Disorders Quality of Life (PAGI-QoL) score

    Time frame: 12 Months

  7. Change in Quality of Life Score

    As measured by the Patient Assessment of Upper Gastrointestinal Disorders Quality of Life (PAGI-QoL) score

    Time frame: 4 Months

  8. Change in Early Satiety Score

    As measured by the American Neurogastroenterology and Motility Society Gastroparesis Cardinal Symptom Index-Daily Diary (ANMS GCSI-DD) early satiety score

    Time frame: 4 Months

  9. Change in Postprandial Fullness Score

    As measured by the American Neurogastroenterology and Motility Society Gastroparesis Cardinal Symptom Index-Daily Diary (ANMS GCSI-DD) postprandial fullness score

    Time frame: 4 Months

  10. Change in Abdominal Pain Score

    As measured by the American Neurogastroenterology and Motility Society Gastroparesis Cardinal Symptom Index-Daily Diary (ANMS GCSI-DD) abdominal pain score

    Time frame: 4 Months

07

Study locations

22 of 22 sites recruiting
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 May 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06464926
Lead sponsor
Enterra Medical, Inc.
Collaborators
Bright Research Partners
Responsible party
Sponsor
First posted
Jun 18, 2024
Start date
Jun 23, 2025
Primary completion
Jun 2030 (estimated)
Completion
Jun 2030 (estimated)
Last update
May 14, 2026

Study contacts

Timothy McAllister
Contact
clinicalresearch@enterramedical.com
855-768-3772
Hannah Bearinger, PhD
Contact
hannah.bearinger@brightresearch.com
Jason Hamann, PhD
study director · Enterra Medical, Inc.

Oversight

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

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