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CompletedNCT07254715Updated Sep 25, 2026

Effect of Itopride on Semaglutide Gastroparesis

A Phase 4 interventional study of Itopride HCI 50 mg and Placebo in Semaglutide-Induced Gastric Motility and Anesthesia, sponsored by Ain Shams University. Completed at 1 site in Egypt. Open to female participants aged 40 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by Ain Shams University · Phase 4, Interventional, and Prevention

Updated Sep 25, 2026Now CompletedStart date moved+5 moreGo to Updates ↓
Phase
Phase 4
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
40 Years to 60 Years
Sex
Female
01

Study summary

Semaglutide delays gastric emptying and increases the risk of aspiration with anesthesia; So, the addition of prokinetics as Itopride, could enhance gastric emptying and hasten surgery.

The investigator will evaluate the effect of Itopride on Semaglutide-induced gastroparesis and residual gastric contents after 8 hours of fasting by gastric ultrasound before anesthesia.

Read the detailed description

Semaglutide delays gastric emptying and increases the risk of aspiration with anesthesia; So, the addition of prokinetics as Itopride could enhance gastric emptying and hastens surgery.

Semaglutide, a glucagon-like peptide-1 (GLP-1) agonist, is gaining popularity for the treatment of type 2 diabetes mellitus (T2DM) and obesity; Semaglutide stimulates insulin excretion and delays gastric emptying.Itopride, a novel prokinetic agent, acts as a dopamine D2 receptor antagonist and an acetylcholine esterase inhibitor. Itopride shows promise in managing gastroparesis symptoms by accelerating gastric emptying, improving gastric tension and sensitivity, and exerting antiemetic effects.

The investigator designed this prospective, randomized, double-blind controlled study to evaluate the effect of Itopride on Semaglutide induced gastroparesis and residual gastric contents after 8-hours fasting by gastric ultrasound before anesthesia.

02

Conditions studied

  • Semaglutide-Induced Gastric Motility
  • Anesthesia

Keywords

  • itopride
  • gastric ultrasound
03

In context

Lead sponsor

Ain Shams University is the lead sponsor of 1,879 studies on the registry; 424 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
40 Years to 60 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • American Society of Anesthesiologists grade I- III.
  • Age: 40-60 years.
  • BMI: 20-30 kg/m2.
  • Diabetic patients on semaglutide (0.5-1mg) SC weekly.
  • Undergoing elective hysterectomy.

Exclusion criteria

Exclusion Criteria:

  • Declining to give written informed consent.
  • history of upper abdominal surgery or the presence of hiatal hernia.
  • Other medications inducing gastroparesis (opioids, proton pump inhibitors, tricyclic antidepressants, calcium channel blockers, antipsychotic medications, and lithium).
  • History of allergy to Itopride.
  • History of cardiac arrhythmia or abnormal ECG.
  • Neurologic diseases (including Parkinson's disease and multiple sclerosis)
  • Hepatic or renal failure.
05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
60 participants (actual)

Study arms

  • Active comparator
    Itopride HCL

    Daily oral 50mg Itopride tablet TID, 1 hour before meals for 7 days

    Drug: Itopride HCI 50 mg

  • Placebo comparator
    Placebo

    Daily placebo tablet TID, 1 hour before meals for 7 days

    Drug: Placebo

Interventions

  • DrugItopride HCI 50 mg

    Daily oral 50mg Itopride tablet TID, 1 hour before meals for 7 days

  • DrugPlacebo

    Daily placebo tablet TID, 1 hour before meals for 7 days

06

What researchers measure

Primary outcomes

  1. Residual gastric contents

    Residual gastric contents (clear fluid ˃1.5 mL/kg or the presence of solids) by ultrasound in the right lateral decubitus after 8-hours fasting .

    Time frame: on day 7

Secondary outcomes

  1. Residual gastric contents on day 3 and day 5.

    Time frame: on day 3 and day 5

  2. Incidence of vomiting during anesthesia

    Time frame: during anesthesia

07

Study locations

1 site
  • faculty of medicine, Ain Shams University
    Cairo, 11591, Egypt
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Status
Recruiting→Completed
changed Sep 25, 2026
Sites
1 site added, 1 site removed
Show site
  • faculty of medicine, Ain Shams University · Cairo, Egypt
Show 1 removed
  • faculty of medicine, Ain Shams University · Cairo, Egypt
Sep 25, 2026
Start date
Dec 2025→Jan 1, 2026 (actual)
Sep 25, 2026
Primary completion
Apr 2026→Jul 30, 2026 (actual)
Sep 25, 2026
Study completion
Apr 2026→Jul 30, 2026 (actual)
Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    Recruiting→Completed
    1 site added, 1 site removed
    Show site
    • faculty of medicine, Ain Shams University · Cairo, Egypt
    Show 1 removed
    • faculty of medicine, Ain Shams University · Cairo, Egypt
    Start date Dec 2025→Jan 1, 2026 (now actual)
    Primary completion Apr 2026→Jul 30, 2026 (now actual)
    Study completion Apr 2026→Jul 30, 2026 (now actual)
    + 2 other changes: verification date and contact details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07254715
Lead sponsor
Ain Shams University
Responsible party
Tamer Samir Abdelsalam (Assistant professor of anesthesia, Intensive care and Pain medicine, Ain Shams University) — Principal investigator
First posted
Nov 28, 2025
Start date
Jan 1, 2026
Primary completion
Jul 30, 2026
Completion
Jul 30, 2026
Last update
Sep 25, 2026

Oversight

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

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