Status:

NOT_YET_RECRUITING

Impact of a One-Week Discontinuation of Semaglutide on Gastric Retention and Endoscopic Mucosal Visibility Scores

Lead Sponsor:

Fudan University

Conditions:

Gastric Retention

Eligibility:

All Genders

18+ years

Brief Summary

A prospective, single-center, observational study to compare the risk of gastric retention and endoscopic mucosal visibility between the exposure group (one-week discontinuation of semaglutide before ...

Detailed Description

Glucagon-like peptide-1 receptor agonists (GLP-1RAs) mimic the action of endogenous GLP-1 hormones by activating GLP-1 receptors in the pancreas, brain, and gastrointestinal tract. This results in enh...

Eligibility Criteria

Inclusion

  • Inclusion Criteria
  • Subjects who have either: (i) been on long-term semaglutide therapy (≥4 weeks, any dosage) and discontinued use for one week prior to gastroscopy (with the last dose 8-14 days before the procedure), or(ii) never used semaglutide.
  • For patients with diabetes mellitus (DM), HbA1c \< 9% to ensure adequate glycemic control.
  • Age ≥ 18 years, with no restriction on sex.
  • American Society of Anesthesiologists (ASA) physical status classification I-II.
  • Fasting for at least 8 hours and no water intake for at least 4 hours before gastroscopy.
  • Undergoing painless (sedated) endoscopy.
  • Exclusion Criteria
  • History of hiatal hernia or any previous gastric surgery (including gastrectomy, Roux-en-Y gastric bypass, etc.).
  • Pregnancy.
  • Medically unfit for gastrointestinal endoscopy.
  • Deemed unsuitable for participation at the discretion of the investigators.

Exclusion

    Key Trial Info

    Start Date :

    September 15 2025

    Trial Type :

    OBSERVATIONAL

    Allocation :

    ESTIMATED

    End Date :

    September 15 2028

    Estimated Enrollment :

    418 Patients enrolled

    Trial Details

    Trial ID

    NCT07152756

    Start Date

    September 15 2025

    End Date

    September 15 2028

    Last Update

    September 3 2025

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    Huadong hospital, Fudan university

    Shanghai, Shanghai Municipality, China, 200040