Gastric Content in Fasting Volunteers and in Tirzepatide Users: an Observational and Cross-sectional Study
Ultrasonographic Evaluation of Gastric Content in Fasting Volunteers and in Tirzepatide Users: an Observational and Cross-sectional Study
1 other identifier
observational
30
1 country
1
Brief Summary
Introduction Obesity and type 2 diabetes mellitus constitute a global public health problem. Medications with glucagon-like peptide-1 (GLP-1) receptor agonist activity are a modern therapeutic option for both diseases. Liraglutide, semaglutide, dulaglutide and tirzepatide are representatives of this drug class, whose mechanism of action results in delayed gastric emptying, reduced gastric motility and increased gastric volume. Tirzepatide, however, presents a dual agonist action, combining GLP-1 agonism with glucose-dependent insulinotropic polypeptide (GIP) agonism. The presence of gastric content during anaesthesia may lead to pulmonary aspiration and the development of chemical pneumonitis, a potentially devastating complication. However, when there is a risk factor for delayed gastric emptying, despite adequate fasting, the stomach may still present residual content, and bedside ultrasonography is an effective, non-invasive and rapid method to measure this content and stratify aspiration risk. Our hypothesis is that most individuals using tirzepatide present a full stomach even after fasting times recommended in the literature.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Jan 2026
Shorter than P25 for all trials
1 active site
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
January 26, 2026
CompletedFirst Submitted
Initial submission to the registry
January 28, 2026
CompletedFirst Posted
Study publicly available on registry
February 9, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 20, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
March 20, 2026
CompletedFebruary 9, 2026
February 1, 2026
2 months
January 28, 2026
February 4, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Comparison of the prevalence of a full stomach after fasting using gastric ultrasonography in volunteers using tirzepatide versus those not using the medication.
Comparison of the prevalence of a full stomach after fasting using gastric ultrasonography in volunteers using tirzepatide versus those not using the medication. The outcome is binary: a full stomach is defined as the presence of solids or clear liquid volume greater than 1.5 mL/kg.
1 day
Secondary Outcomes (1)
demographic characteristics
1 day
Study Arms (2)
fasting tirzepatide users
Individuals currently using the medication tirzepatide, who have fasted for at least 8 hours for solids and 2 hours for clear liquids without residues.
fasting volunteers.
Individuals not currently using the medication tirzepatide or any types of GLP-1 analogs, who have fasted for at least 8 hours for solids and 2 hours for clear liquids without residues.
Interventions
Ultrasonographic evaluation of gastric content
Eligibility Criteria
Thirty volunteers will be included, of whom 15 will be current users of tirzepatide and 15 will not be using the medication.
You may qualify if:
- Adults aged 18 years or older.
- Individuals currently using tirzepatide.
- Individuals fasting for at least 8 hours for solids and 2 hours for clear liquids without residue.
You may not qualify if:
- Pregnant or postpartum individuals.
- Technical limitation for gastric ultrasound assessment.
- Presence of risk factors for gastroparesis.
- Use of prokinetic medications such as bromopride, metoclopramide or domperidone.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hospital Israelita Albert Einstein
São Paulo, São Paulo, 05652900, Brazil
Study Officials
- PRINCIPAL INVESTIGATOR
Guilherme F Araujo, MD
Hospital Israelita Albert Einstein
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD
Study Record Dates
First Submitted
January 28, 2026
First Posted
February 9, 2026
Study Start
January 26, 2026
Primary Completion
March 20, 2026
Study Completion
March 20, 2026
Last Updated
February 9, 2026
Record last verified: 2026-02