The Diabetic and Idiopathic Gastroparesis Efficacy, Safety, and Tolerability (DIGEST) Study
DIGEST
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
1 other identifier
interventional
233
0 countries
N/A
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Dec 2014
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
First Submitted
Initial submission to the registry
October 14, 2014
CompletedFirst Posted
Study publicly available on registry
October 17, 2014
CompletedStudy Start
First participant enrolled
December 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2017
CompletedApril 17, 2018
April 1, 2018
2.5 years
October 14, 2014
April 13, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
7-day mean GCSI-24H (Gastroparesis Cardinal Symptoms Index) composite score
At Week 4
Secondary Outcomes (2)
Gastric emptying half-time
At Week 4
Adverse events
103 days
Study Arms (4)
Velusetrag 5mg
EXPERIMENTALVelusetrag 5mg capsules QD (once daily) x 12 weeks
Velusetrag 15mg
EXPERIMENTALVelusetrag 15mg capsules QD x 12 weeks
Velusetrag 30mg
EXPERIMENTALVelusetrag 30mg capsules QD x 12 weeks
Placebo
PLACEBO COMPARATORPlacebo capsules QD x 12 weeks
Interventions
Eligibility Criteria
You may qualify if:
- 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
You may not qualify if:
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Theravance Biopharmalead
- Alfasigma S.p.A.collaborator
Related Publications (1)
Abell TL, Kuo B, Esfandyari T, Pfeifer ND, Grimaldi M, Renzulli C, Tacchi R, Zhou K, Barnes CN, Nguyen DD, Nguyen L, Talley NJ, McCallum R. A randomized, double-blind, placebo-controlled, phase 2b study of the efficacy and safety of velusetrag in subjects with diabetic or idiopathic gastroparesis. Neurogastroenterol Motil. 2023 Apr;35(4):e14523. doi: 10.1111/nmo.14523. Epub 2023 Jan 9.
PMID: 36624727DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Deanna Nguyen, MD
Theravance Biopharma
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 14, 2014
First Posted
October 17, 2014
Study Start
December 1, 2014
Primary Completion
June 1, 2017
Study Completion
June 1, 2017
Last Updated
April 17, 2018
Record last verified: 2018-04