Acupuncture for Postoperative Gastric Emptying Delay
APOGEE
Acupuncture for POstoperative Gastric Emptying dElay (APOGEE): A Multicenter Randomized Controlled Trial
1 other identifier
interventional
176
1 country
1
Brief Summary
This multicenter clinical trial, conducted at Qilu Hospital of Shandong University and collaborating institutions, prospectively assesses the efficacy and safety of acupuncture for postoperative delayed gastric emptying. Eligible participants will be prospectively enrolled and randomized into different groups per the study protocol. The primary endpoint is the reduction in the duration of delayed gastric emptying, while secondary endpoints include the complete resolution of cardinal gastroparetic symptoms, such as abdominal distension, nausea, and vomiting. All study procedures adhere to the ethical standards outlined in the approved protocol.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2026
Typical duration for not_applicable
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
First Submitted
Initial submission to the registry
March 17, 2026
CompletedFirst Posted
Study publicly available on registry
April 1, 2026
CompletedStudy Start
First participant enrolled
April 1, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
June 1, 2028
April 20, 2026
February 1, 2026
1.8 years
March 17, 2026
April 15, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Time to Recovery from Postoperative Gastroparesis
Time from first diagnosis of postoperative gastroparesis to recovery of gastroparesis, defined as resolution of symptoms (e.g., nausea, vomiting, abdominal distension), tolerance of oral intake, and removal of gastric decompression without recurrence
From date of first diagnosis of postoperative gastroparesis through hospital discharge, assessed up to 12 months
Secondary Outcomes (14)
Change in Gastroparesis Cardinal Symptom Index score
Baseline, Day 7, Day 14, 1, 3, 6, and 12 months
Daily Gastroparesis Cardinal Symptom Index Daily Diary (GCSI-DD) Score
From enrollment to the resolution of gastroparesis up to 12 months
Change in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30(EORTC QLQ-C30 )Score
Baseline, Day 7, Day 14, 1, 3, 6, and 12 months
Change in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Stomach Module (EORTC QLQ-STO22 )Score
Baseline, Day 7, Day 14, 1, 3, 6, and 12 months
Gastric Emptying Rate
From enrollment to the to the resolution of gastroparesis up to 12 months
- +9 more secondary outcomes
Study Arms (2)
Acupuncture Group
EXPERIMENTALAcupuncture Group: Patients received acupuncture therapy in addition to the same standardized care regimen as provided to the control group.
Control Group
SHAM COMPARATORControl Group: Participants received standard care for postoperative gastroparesis, including dietary modification, gastrointestinal decompression, enteral nutritional support, and prokinetic agents, in combination with sham acupuncture.
Interventions
Intervention Description: Participants receive traditional Chinese medicine acupuncture administered using sterile filiform needles at acupoints selected based on clinical presentation. The treatment session duration and frequency are identical to those in the control group. All participants continue to receive standard postoperative care.
Participants receive sham acupuncture administered using identical filiform needles as the experimental group, with superficial insertion at non-acupoints and without needle manipulation. The treatment session duration and frequency are identical to those in the experimental group. All participants continue to receive standard postoperative care.
Eligibility Criteria
You may qualify if:
- Aged 18-80 years, regardless of sex.
- Patients who have undergone partial gastrectomy.
- Patients presenting with postoperative gastroparesis symptoms, confirmed by imaging or gastric emptying scintigraphy, and clinically diagnosed with gastroparesis.
- No severe cardiac, hepatic, renal, or coagulation dysfunction.
- No participation in other interventional clinical trials within the past month.
- Able to provide written informed consent and comply with the treatment and follow-up procedures.
You may not qualify if:
- Patients with severe cardiovascular or cerebrovascular diseases, hepatic or renal failure, or coagulation disorders.
- Patients who develop serious postoperative complications after partial gastrectomy, such as anastomotic leakage, gastrointestinal bleeding, or severe infections, or conditions that may affect the assessment of gastric motility, such as ascites or intestinal obstruction.
- Patients with a known allergy to acupuncture or with skin damage, infection, or severe scarring at the needle insertion sites that would prevent proper acupoint selection or needling.
- Patients with diagnosed psychiatric disorders, cognitive impairment, or those unable to cooperate with treatment procedures, symptom assessment, or follow-up.
- Patients who have used medications that may significantly affect gastric motility within the past week and cannot discontinue their use.
- Pregnant or breastfeeding women, or individuals with other special physiological conditions that may make them unsuitable for participation in acupuncture research.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Qilu Hospital of Shandong Universitylead
- Weifang Yidu Central Hospitalcollaborator
- The People's Hospital of Yinan Countycollaborator
Study Sites (1)
Qilu hospital
Jinan, Shandong, 250012, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 17, 2026
First Posted
April 1, 2026
Study Start
April 1, 2026
Primary Completion (Estimated)
February 1, 2028
Study Completion (Estimated)
June 1, 2028
Last Updated
April 20, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL
- Time Frame
- Available 6 months after the publication of the primary study results, for a period of 5 years.
- Access Criteria
- Access will be granted to researchers who submit a methodologically sound research proposal and sign a data use agreement.
De-identified individual participant data that underlie the results of the study will be shared.