High Resolution Gastric Mapping and Gastroduodenal Manometry

NCT06941545 — Not applicable, Recruiting, 100 participants, Mayo Clinic

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An Assessment of Gastrointestinal Function Utilizing High Resolution Gastric Mapping, Gastroduodenal Manometry, and Gastric Emptying Testing With Assessment of Acute Response to Transcutaneous Auricular Vagal Nerve Stimulation.

RegistryNCT06941545
StatusRecruiting
PhaseNot applicable
Study typeInterventional; non randomized, parallel, masking: none, health services research
Enrollment100 (Estimated)
SponsorMayo Clinic (Other)
ConditionsDyspepsia
InterventionsAlimetry, tVNS, Gastroduodenal Manometry (Device)
Datesstart 2025-07-11, primary completion 2026-12-31 (estimated), completion 2026-12-31 (estimated), first posted 2025-04-23, last updated 2026-09-11
Locations1 site in United States

Related Papers Related Patents Related Grants Related Experts
All trials for Dyspepsia All trials of Alimetry All trials of tVNS

-Summary

Dyspepsia is a common problem attributed to gastric sensorimotor dysfunctions ie, delayed, or less frequently rapid gastric emptying (GE), impaired gastric accommodation, and increased gastric sensation. Therapeutic options manage symptoms, and there is no FDA approved medical therapy for dyspepsia. There is a need for better objective understanding of sensorimotor dysfunction in dyspepsia, as well as noninvasive, efficacious, safe, and inexpensive treatments for dyspepsia.

The purpose of this research is to identify disturbances and characterize phenotypes in patients with functional dyspepsia, and to assess the correlations between symptoms (during the manometry and in daily life), gastric emptying, electrical activity (BSGM), and pressure activity (manometry).

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+Arms and interventions

ArmTypeInterventionsDescription
Dyspeptic Patients undergoing clinically indicated gastroduodenal manometry studyExperimentalDevice: Alimetry; Device: tVNS; Device: Gastroduodenal ManometryFirst arm evaluating patients undergoing clinically indicated gastroduodenal manometry evaluation with concurrent body surface gastric mapping (BSGM), with taVNS applied during the studies.
Dyspeptic patients not undergoing GDM, tested with body surface gastric mapping aloneExperimentalDevice: Alimetry; Device: tVNSParticipants who have been seen in the clinical setting, having undergone other clinically indicated testing, will be recruited to undergo body surface gastric mapping (BSGM). At the end of the protocolized BSGM study the patient will undergo taVNS intervention.
  • Alimetry (Device): High resolution gastric mapping of electrical gastric activity.
  • tVNS (Device): Transcutaneous Auricular Vagal Nerve Stimulation, electrical stimulation to the ear.
  • Gastroduodenal Manometry (Device): Pressure catheter evaluating gastric and duodenal pressure profiles at rest and with certain stimuli applied

+Outcome measures

Primary outcomes

  • Gastrointestinal Antral and Duodenal Contraction Frequency [During gastrointestinal motility study (approx. 8 hours)]: Summarized as frequency (number of contractions per minute)
  • Gastrointestinal Antral and Duodenal Contraction Amplitude [During gastrointestinal motility study (approx. 8 hours)]: Summarized as amplitude (strength of contractions)
  • Gastrointestinal Antral and Duodenal Phasic Pressure Activity - Motility Index [During gastrointestinal motility study (approx. 8 hours)]: Composite measure combining frequency and amplitude for overall assessment of motility
  • Principal Gastric Frequency [During gastrointestinal motility study (8 hours)]: Dominant frequency of gastric waves (cycles per minute)
  • BMI-Adjusted Amplitude [During gastrointestinal motility study (8 hours)]: Amplitude of the gastric myoelectrical signals adjusted for body mass index
  • Gastric Alimetry Rhythm Index (TM) [During gastrointestinal motility study (8 hours)]: Concentration of power within the gastric frequency band over time, stability of gastric rhythm
  • Fed:Fasted Amplitude Ratio [During gastrointestinal motility study (8 hours)]: Ratio compares the amplitude of gastric myoelectrical activity in the fed state to the fasting state, reflecting gastric response to a meal

+Eligibility

Sex: All, ages: 18 Years to 80 Years

Inclusion Criteria

* Symptoms consistent with functional dyspepsia as defined by the ROME IV criteria for 6 months
* Ability to perform appropriate informed consent

Exclusion Criteria

* Known cardiac arrhythmia or major ECG abnormalities, i.e. cardiac conduction disturbances (2nd or 3rd degree AV block, prolonged QTc interval (> 460 msec) or bradycardia (< 45 beats/minute)
* Conditions precluding safe use of taVNS
* Clinical evidence of significant cardiovascular, respiratory, renal, hepatic, gastrointestinal, hematological, neurological, psychiatric or other disease that may interfere with the objectives of the study and/or pose safety concerns
* Use of opioids
* Vulnerable study population
* Pregnant women

+Locations (1)

FacilityCityCountryStatus
Mayo Clinic in RochesterRochester, MinnesotaUnited StatesRecruiting

+Investigators