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The Diabetic and Idiopathic Gastroparesis Efficacy, Safety, and Tolerability (DIGEST) Study

A Multicenter, Double-Blind, Randomized, Placebo-Controlled, Parallel-Group Phase 2 Study to Assess the Efficacy, Safety, and Tolerability of Velusetrag for the Treatment of Diabetic or Idiopathic Gastroparesis

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02267525
Acronym
DIGEST
Enrollment
233
Registered
2014-10-17
Start date
2014-12-31
Completion date
2017-06-30
Last updated
2018-04-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Gastroparesis

Keywords

Gastroparesis, Diabetic, Idiopathic

Brief summary

Study 0099 explores the efficacy and safety of multiple doses of velusetrag in the treatment of symptoms in subjects with diabetic or idiopathic gastroparesis. Three dose levels of velusetrag will be evaluated and compared to placebo for approximately 12 weeks of therapy. In addition, the study will be used to evaluate the psychometric properties of the Gastroparesis Rating Scale (GRS), a daily patient-reported outcome (PRO) measure.

Interventions

DRUGPlacebo

Sponsors

Alfasigma S.p.A.
CollaboratorINDUSTRY
Theravance Biopharma
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Symptoms of gastroparesis (eg, nausea, early satiety, fullness, bloating, upper abdominal pain, retching or vomiting) for at least 3 months prior to Screening * Composite score ≥2and \<5 on nausea, bloating, feeling excessively full after meals, and not able to finish a normal-sized meal items (on the GCSI-2W) at Screening * Delayed gastric emptying by either GES (gastric emptying scintigraphy) or GEBT(gastric emptying breath test) * Upper gastrointestinal obstruction ruled out by endoscopy or other imaging (eg, computed tomography) after the onset of gastroparesis symptoms * Willing to abstain from prohibited medications, including but not limited to, anticholinergics, acetylcholinesterase antagonists, or promotility medications (eg, metoclopramide, domperidone, prucalopride, erythromycin) for: 24 hours prior to gastric emptying test during Screening, if applicable; 24 hours prior to start of the Baseline period; and during the Baseline Period * GCSI-24H 7-day mean composite score ≥2.5 and \<5 at Day 1

Exclusion criteria

* If Type 1 or Type 2 diabetic, a glycosylated hemoglobin (HbA1c) level \>11% * Prior history of gastric surgery, including but not limited to gastrectomy, gastric bypass, gastric banding, pyloroplasty, vagotomy, or fundoplication, which has manipulated the natural anatomy of the stomach * History of intrapyloric botulinum toxin injection within 3 months of Screening or currently has functioning implantable electric stimulator * History of alcohol or drug abuse or dependence within the last year prior to Screening

Design outcomes

Primary

MeasureTime frame
7-day mean GCSI-24H (Gastroparesis Cardinal Symptoms Index) composite scoreAt Week 4

Secondary

MeasureTime frame
Gastric emptying half-timeAt Week 4
Adverse events103 days

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 10, 2026