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RecruitingNCT06493032Updated Sep 8, 2026

The Use of Body Surface Gastric Mapping in Assessing the Clinical Success of G-POEM

An interventional study of Gastric Alimetry System in Gastroparesis, sponsored by Indiana University. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-08.

Sponsored by Indiana University · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Started Nov 2024; still recruiting 2 years later.
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 15 studies in Gastroparesis by Indiana University — 7 open to participants now, 8 under way, none of them phase 3. Gastroparesis · Indiana University.

Started
2024
the only one that year
No phase
7 of 15
3 open now
Registered
11th of 15
by date

Among the 15 studies in Gastroparesis by Indiana University, this one is the only one that started in 2024, is one of 7 with no phase, and was the 11th registered.

By phase

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

No phasethis study7 · 3 open
Observational7 · 4 open
Phase 21 · 0 open

By the year they started

First in 2007; this study’s year is marked. 1 started in 2024.

What they test

Size and results

Median enrollment 32 across the 8 interventional studies, 158 across the 7 observational. Of the 5 that completed or were terminated, 0 (0%) have results posted.

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02

Study summary

The purpose of this study is to investigate whether or not the investigators can utilize Body Surface Gastric Mapping to determine who would best benefit to receive G-POEM procedure and how Body Surface Gastric Mapping can be utilized with patients who have gastroparesis symptoms. the investigators may also be able to find more ways how Body Surface Gastric Mapping testing can benefit patients with gastroparesis and/or G-POEM procedure.

Read the detailed description

The aim of this protocol is to build on the investigators currently approved study to evaluate the outcomes and predictors of success of Gastric peroral endoscopic myotomy (G-POEM). The investigators plan to incorporate BSGM in determining the treatment success after G-POEM in patients with refractory gastroparesis and potentially identify a phenotype of gastroparesis patients who may respond more favorably to G-POEM based on their baseline BSGM profile. The currently approved G-POEM study (IRB #1708840627 and ClinicalTrials.gov ID NCT04434781) at our center tracks patients' symptoms and quality of life at baseline and post G-POEM. the investigators plan to supplement the existing study by adding BSGM variables. Although the investigators have specific outcomes identified, the investigators would like to stress that this is a pilot study that will serve to identify patterns and trends that could be studied further in the future using larger cohorts of patients.

The investigators' primary objective is to evaluate the safety and feasibility BSGM in refractory gastroparesis patients undergoing G-POEM.

the investigators will also investigate whether changes in BSGM measures correlate with changes in symptoms and quality of life.

Additionally, the investigators' aim to compare the diagnostic performance of BSGM, and gastric emptying scans as depicted on scintigraphy.

The investigators' primary aim is to assess the feasibility and safety of in gastroparesis patients undergoing G-POEM. Clinical success is defined as improvement in GCSI by 1 point or more compared to baseline.

The investigators will report four spectral metrics, each profiling distinct features of gastric function:

  • Body Surface Gastric Mapping Rhythm IndexTM (GA-RI) - a measure of gastric rhythm stability.
  • Principal Gastric Frequency - the frequency associated with stable, persistent gastric activity as defined by GA-RI.
  • BMI-adjusted amplitude.
  • Fed: Fasted Amplitude Ratio (ff-AR).

Although not directly related to this outcome, the investigators will continue our symptom analysis (as has been previously done under the existing G-POEM protocol) that includes both the pattern and severity of individual symptoms, such as vomiting, reflux, and belching. The investigators will continue to assess patient quality of life using standardized questionnaires (SF-36) at baseline and 3 months post-G-POEM as is currently done with the existing protocol.

This is an addition to an existing study protocol. The study will involve patients with refractory gastroparesis (proven on a 4-hour solid-phase gastric emptying scan, along with limited or no response (or intolerance) to at least 3 months of lifestyle adjustments, dietary modifications, and medications) who will undergo G-POEM. BSGM will be used to assess gastric motility before and after the procedure. This design allows for the collection of data at multiple time points to assess changes in BSGM phenotypes, gastroparesis symptoms, and other relevant variables over time.

The study team will enroll 20 participants who will undergo BSGM at baseline prior to G-POEM procedure and then again 3-6 months after G-POEM. The study team plan to contact participants prior to their standard of care clinic visit to ensure participants meet eligibility criteria. The study team will also explain the study over the phone using the telephone script that has been approved (Appendix 1). If they are interested in the study, the study team will schedule them for BSGM and go over prep instructions. Once the participant arrives in clinic, teh study team will consent in-person.

03

Conditions studied

  • Gastroparesis

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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

    • Patients clinically eligible for G-Poem at our center.

Exclusion criteria

Exclusion Criteria:

    • Pregnant or breast-feeding

      • Patients with gastroparesis due to spinal cord injuries due to difficulties in conducting the BSGM. Of note, we rarely see gastroparesis in this context.
      • Inability to perform BSGM: 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.
      • Patients with abdominal drains or tubes
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Body Surface Gastric Mapping

    Device: Gastric Alimetry System

Interventions

  • DeviceGastric Alimetry System

    medical device that uses a large sheet of electrodes to assess gastric motility

    Also known as: Body Surface Gastric Mapping, BSMG, Electrogastrography System

06

What researchers measure

Primary outcomes

  1. Body Surface Gastric Mapping Rhythm IndexTM (GA-RI)

    A measure of the concentration of amplitude in the gastric frequency band over time (between 0 and 1), which characterizes the rhythmic stability of the recorded gastric activity; also adjusted for BMI.

    Time frame: Baseline, 3 months,6 months, up to 5 hours.

  2. Principal Gastric Frequency

    Characterizes the frequency associated with stable, persistent gastric activity as defined by GA-R

    Time frame: Baseline, 3 months,6 months, up to 5 hours.

  3. BMI-Adjusted Amplitude (μV)

    characterizes the strength of the recorded gastric activity as an average of the whole-test amplitude, adjusted for BMI

    Time frame: Baseline, 3 months,6 months, up to 5 hours.

  4. Fed: Fasted Amplitude Ratio (ff-AR)

    characterizes the responsiveness to a meal stimulus, which is calculated as a ratio of the maximal 1-h average postprandial amplitude to the amplitude in the preprandial period.

    Time frame: Baseline, 3 months,6 months, up to 5 hours.

  5. SF-36

    a set of generic, coherent, and easily administered quality-of-life measures

    Time frame: Baseline, 3 months,6 months, up to 5 hours.

Secondary outcomes

  1. Body surface gastric mapping (BSMG)

    enables accurate cutaneous gastric bioelectrical recording and provides valuable insights into the pathophysiology of gastric dysmotility in addition to gastric emptying measurements

    Time frame: Baseline, 3 months,6 months, up to 5 hours.

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 Nov 2024 (actual). Primary completion is estimated for Jun 2028, 42 months after the start.

Of 56 non-industry interventional studies with no phase under Gastroparesis, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 59. This study's planned 42 months is above that.

Counting every sponsor, half of 65 studies reached it within 28 months; a quarter within 11 and three quarters within 58.

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

Registered
May 24, 2024
First posted
Jul 9, 2024
StartActual
Nov 7, 2024
Primary completionEst.
Jun 1, 2028
CompletionEst.
Jun 1, 2028
Last update
Sep 8, 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 Sep 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06493032
Lead sponsor
Indiana University
Responsible party
Mohammad Al-Haddad (Principal Investigator, Indiana University) — Principal investigator
First posted
Jul 9, 2024
Start date
Nov 7, 2024
Primary completion
Jun 1, 2028 (estimated)
Completion
Jun 1, 2028 (estimated)
Last update
Sep 8, 2026

Study contacts

Jacqueline Peterman
Contact
petermaj@iu.edu
317-278-9242
Marita Salame, MD
Contact
masalame@iu.edu
Mohammad Al-Haddad, MD
principal investigator · Indiana Unversity/Indiana University Health

Oversight

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

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