Enterra Therapy Clinical Study (Gastric Stimulation for Gastroparesis)
Gastric Stimulation for Vomiting, Nausea and Related Symptoms Associated With Gastroparesis Using Enterra® Gastric Stimulation System
1 other identifier
interventional
87
1 country
6
Brief Summary
This study is to evaluate the safety and effectiveness of gastric stimulation in the reduction of nausea and vomiting in patients with gastroparesis using an approved Humanitarian device. There are two cohorts in this study based on etiology, one for diabetic and one for idiopathic. A maximum of 150 patients (75 diabetic and 75 idiopathic) from up to 15 centers in the United States will be followed closely for twelve months and then once a year after that until the study closes. If you are someone suffering with symptoms of gastroparesis despite trying oral medications, you may be eligible to participate in a clinical study using a surgically implanted gastric stimulator.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jun 2002
Longer than P75 for not_applicable
6 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2002
CompletedFirst Submitted
Initial submission to the registry
September 8, 2005
CompletedFirst Posted
Study publicly available on registry
September 12, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2009
CompletedResults Posted
Study results publicly available
March 10, 2010
CompletedMarch 10, 2010
December 1, 2009
6.5 years
September 8, 2005
December 18, 2009
February 23, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percent Reduction in Frequency of Weekly Vomiting Episodes When the Device is Turned ON, Relative to When the Device is Turned OFF
Diaries were used to record daily vomiting episodes for 28 days prior to each office follow-up visit. The weekly vomiting frequency (WVF) was based on the average number of weekly vomiting episodes recorded in the patient diary. The percent reduction is calculated as ((WVF during OFF - WVF during ON)/ (WVF during OFF))\*100%. A positive reduction represents an improvement in WVF when the device was ON.
4.5 months and 7.5 months
Secondary Outcomes (2)
Percent Reduction in Symptom Score When the Device is Turned ON, Relative to When the Device is Turned OFF
4.5 months and 7.5 months
Percent Reduction in the Frequency of Weekly Vomiting Episodes at 12 Months Compared to Baseline
baseline and 12 months
Other Outcomes (6)
Percentage of Responders at 12 Months
baseline and 12 months
Change in Symptom Score at 12 Months Compared to Baseline.
baseline and 12 months
Change in Quality of Life (QOL) at 12 Months Compared to Baseline (Physical Component Summary)
baseline and 12 months
- +3 more other outcomes
Interventions
Gastric electrical stimulation using Enterra Therapy.
Eligibility Criteria
You may qualify if:
- Male or Female at least 18 years of age
- Diagnosed with gastroparesis due to diabetes or an unknown cause (idiopathic)
- Have tried prokinetic (help the stomach empty quicker) and antiemetic (help decrease symptoms of nausea and vomiting) medications for a minimum of one month, unless you're unable to take these types of medications
- Have symptoms of gastroparesis that have required treatment for at least one year
- Experience at least 7 episodes of vomiting during a seven consecutive day period on a 28-day diary
- Willing and able to completely and accurately fill out a diary and questionnaires throughout the study
- Have gastric retention of greater than 10% at four hours, or greater than 60% at two hours (if unable to complete the four-hour test) on a Gastric Emptying Test (GET)
You may not qualify if:
- Gastroparesis caused by a specific diagnosed illness other than diabetes
- Current eating disorder or diagnosed swallowing disorder
- Previous stomach surgeries
- Taking narcotic pain-relievers daily for abdominal pain
- Diagnosed with drug or alcohol dependency within 1 year before the study
- Life expectancy less than one year
- Have other implantable devices such as pacemakers
- Pregnancy or planned pregnancy
- Plan to receive diathermy treatment
- Have had radiation therapy of the upper abdomen
- Plan on having an MRI performed
- Currently participating in another investigational device or drug study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- MedtronicNeurolead
Study Sites (6)
Contact Medtronic for exact location
San Francisco, California, United States
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Washington D.C., District of Columbia, United States
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Anderson, Indiana, United States
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Kansas City, Kansas, United States
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Louisville, Kentucky, United States
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Philadelphia, Pennsylvania, United States
Related Publications (1)
McCallum RW, Snape W, Brody F, Wo J, Parkman HP, Nowak T. Gastric electrical stimulation with Enterra therapy improves symptoms from diabetic gastroparesis in a prospective study. Clin Gastroenterol Hepatol. 2010 Nov;8(11):947-54; quiz e116. doi: 10.1016/j.cgh.2010.05.020. Epub 2010 Jun 9.
PMID: 20538073DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
Early termination of the study impacted the ability to analyze the primary endpoint and secondary endpoint 1 for the idiopathic arm of the study. The minimum sample size for analysis of these endpoints was 32 subjects.
Results Point of Contact
- Title
- Clinical Program Manager
- Organization
- Medtronic Neuromodulation
Study Officials
- STUDY DIRECTOR
Darin R Lerew, PhD
Medtronic
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- LTE60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
September 8, 2005
First Posted
September 12, 2005
Study Start
June 1, 2002
Primary Completion
December 1, 2008
Study Completion
March 1, 2009
Last Updated
March 10, 2010
Results First Posted
March 10, 2010
Record last verified: 2009-12