Discontinuation One Week Recommendations for GLP-1 Receptor Agonists Prior to Esophagogastroduodenoscopy.
Recruiting
Phase 3Interventional Study
GLP-1
Pivotal Trial
This treatment is in the last trial phase before FDA approval.
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
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At a Glance
Age
18 – 90
Sex
Any
Trial phase
Phase 3
Study type
Interventional
Purpose
Other
Participants needed
140 (estimated)
Sponsor
Fu Jen Catholic University Hospital · Other
Who this trial is looking for
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This study aims to evaluate the impact of a one-week discontinuation of long-acting glucagon-like peptide-1 receptor agonists (GLP-1 RAs) prior to Esophagogastroduodenoscopy on gastric preparation quality and the need for repeat esophagogastroduodenoscopy (EGD), in order to determine whether a one-week drug interruption constitutes an appropriate pre-procedural recommendation.
Trial Locations
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Status
Eligibility Criteria
Inclusion Criteria:
* • Current use of GLP-1 receptor agonists (GLP-1 RAs) or tirzepatide (defined as discontinuation for no more than one week).
* Continuous GLP-1 RA use for at least 4 weeks, or treatment at a near-maximal maintenance dose.
* Scheduled to undergo esophagogastroduodenoscopy (…
Inclusion Criteria:
* • Current use of GLP-1 receptor agonists (GLP-1 RAs) or tirzepatide (defined as discontinuation for no more than one week).
* Continuous GLP-1 RA use for at least 4 weeks, or treatment at a near-maximal maintenance dose.
* Scheduled to undergo esophagogastroduodenoscopy (EGD) for any indication.
* Age between 18 and 70 years.
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
* Provision of written informed consent.
* Outpatient status.
* If currently receiving medications that stimulate or inhibit gastrointestinal motility, these agents must be discontinued at least 3 days prior to EGD.
Exclusion Criteria:
* • Severe comorbid conditions precluding safe EGD (e.g., unstable angina, recent myocardial infarction, heart failure, chronic respiratory disease, or bleeding diathesis).
* History of prior upper gastrointestinal resection (stomach, intestine, or esophagus).
* Any other condition deemed inappropriate by the treating physician.
* Body mass index (BMI) \> 40 kg/m².
* Liver cirrhosis.
* Parkinson's disease.
* Dementia.
* Use of tricyclic antidepressants or opioid medications for more than 3 months.
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