Biomagnetic Characterization of Gastric Dysrhythmias III

NCT ID: NCT03176927

Last Updated: 2025-06-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

EARLY_PHASE1

Total Enrollment

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-12-31

Study Completion Date

2025-05-12

Brief Summary

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There is a tremendous clinical need for a noninvasive technique that can assess gastric electrical activity and would be repeatable without any exposure to radiation. Investigators developed a new technique allowing to use noninvasive methods to assess bioelectrical activity in the gastrointestinal system. This has enabled to characterize the normal and pathologic physiology of the stomach through the use of noninvasive magnetogastrogram (MGG) records. Primary hypothesis for this proposal is that analysis of gastric slow wave uncoupling and propagation in multichannel MGG discriminates between normal and pathological gastric electrical activity. Eventually, investigators envision this research leading to new insights for gastrointestinal conditions such as gastroparesis, functional dyspepsia and chronic idiopathic nausea that would inform clinical management of these debilitating diseases.

Detailed Description

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5/23/25. Study record updated to reflect Early Phase 1/Phase 0 trial. The main aim of the study was to evaluate MGG as a device for classification of functional gastric disorders.

Studies have demonstrated that the magnetogastrogram (MGG) records the same gastric slow wave activity that detect with serosal and mucosal electrodes. The upgraded magnetometer will improve the spatial resolution resulting in increased sensitivity for detecting and characterizing both abnormal frequency dynamics and abnormal spatiotemporal patterns. The spatiotemporal data collected with multichannel Superconducting QUantum Interference Device (SQUID) biomagnetometer has allowed , for the first time, to characterize propagation of the gastric slow wave noninvasively. In addition to frequency dynamic changes, which are the only reliable parameters from cutaneous electrogastrogram (EGG), and which still do not necessarily correlate well with disease, the MGG reflects normal and abnormal gastric slow wave activity. Furthermore, for the first time, investigators have demonstrated that propagation characteristics determined magnetically distinguish normal subjects from patients with gastroparesis. Also for the first time, investigators have been able to detect the gradient in gastric propagation velocity noninvasively in animal subjects. However, investigators still have unresolved questions about how MGG propagation rhythm and pattern disturbances may specify functional disorders.

Conditions

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Diabetics Without Symptoms of Gastroparesis Diabetic Gastroparesis Idiopathic Gastroparesis Total or Partial Gastrectomy Chronic Nausea Functional Dyspepsia

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Gastroparesis

magnetogastrogram

Diabetes with and without gastroparesis ; Idiopathic gastroparesis

Group Type EXPERIMENTAL

magnetogastrogram

Intervention Type DIAGNOSTIC_TEST

Gastrectomy

magnetogastrogram

Total or partial gastrectomy group

Group Type EXPERIMENTAL

magnetogastrogram

Intervention Type DIAGNOSTIC_TEST

Functional dyspepsia

magnetogastrogram

Children with functional dyspepsia

Group Type EXPERIMENTAL

magnetogastrogram

Intervention Type DIAGNOSTIC_TEST

Chronic nausea

magnetogastrogram

Children with chronic nausea

Group Type EXPERIMENTAL

magnetogastrogram

Intervention Type DIAGNOSTIC_TEST

Control participants

magnetogastrogram

Group without any gastrointestinal diseases.

Group Type EXPERIMENTAL

magnetogastrogram

Intervention Type DIAGNOSTIC_TEST

Interventions

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magnetogastrogram

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Participants between ages 12-80
* Diabetic patients with gastroparesis, diabetic patients without gastroparesis and who are willing to have a gastric emptying test if they have not had one in the last 6 months and an IV inserted.
* Patients with idiopathic gastroparesis
* Total or partial gastrectomy patients
* Children (ages 12-17) with functional dyspepsia
* Children (ages 12-17) with chronic nausea

Exclusion Criteria

* Those with claustrophobia who cannot lie still under the SQUID for the length of time required.
* Normal participants with known intestinal complications
* Pregnant females (females who are able to have children will be given a pregnancy test).
* Morbid obesity (these patients are presumably unable to lie under the current generation of SQUID devices).
* Patients with a history of cardiac arrhythmias, taking anticoagulants, or greater than 80 years of age will be excluded.
Minimum Eligible Age

12 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH

Sponsor Role collaborator

Vanderbilt University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Alan Bradshaw

Research Assistant Professor of Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Leonard A Bradshaw, PhD

Role: PRINCIPAL_INVESTIGATOR

Vanderbilt University Medical Center

Locations

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Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Countries

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United States

References

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Bradshaw LA, Cheng LK, Chung E, Obioha CB, Erickson JC, Gorman BL, Somarajan S, Richards WO. Diabetic gastroparesis alters the biomagnetic signature of the gastric slow wave. Neurogastroenterol Motil. 2016 Jun;28(6):837-48. doi: 10.1111/nmo.12780. Epub 2016 Feb 3.

Reference Type BACKGROUND
PMID: 26839980 (View on PubMed)

Bradshaw LA, Kim JH, Somarajan S, Richards WO, Cheng LK. Characterization of Electrophysiological Propagation by Multichannel Sensors. IEEE Trans Biomed Eng. 2016 Aug;63(8):1751-9. doi: 10.1109/TBME.2015.2502065. Epub 2015 Nov 19.

Reference Type BACKGROUND
PMID: 26595907 (View on PubMed)

Kim JH, Pullan AJ, Bradshaw LA, Cheng LK. Influence of body parameters on gastric bioelectric and biomagnetic fields in a realistic volume conductor. Physiol Meas. 2012 Apr;33(4):545-56. doi: 10.1088/0967-3334/33/4/545. Epub 2012 Mar 14.

Reference Type BACKGROUND
PMID: 22415019 (View on PubMed)

Somarajan S, Cassilly S, Obioha C, Richards WO, Bradshaw LA. Effects of body mass index on gastric slow wave: a magnetogastrographic study. Physiol Meas. 2014 Feb;35(2):205-15. doi: 10.1088/0967-3334/35/2/205. Epub 2014 Jan 7.

Reference Type BACKGROUND
PMID: 24398454 (View on PubMed)

Somarajan S, Muszynski ND, Obioha C, Richards WO, Bradshaw LA. Biomagnetic and bioelectric detection of gastric slow wave activity in normal human subjects--a correlation study. Physiol Meas. 2012 Jul;33(7):1171-9. doi: 10.1088/0967-3334/33/7/1171. Epub 2012 Jun 27.

Reference Type BACKGROUND
PMID: 22735166 (View on PubMed)

Other Identifiers

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IRB# 121501

Identifier Type: -

Identifier Source: org_study_id

R01DK058697

Identifier Type: NIH

Identifier Source: secondary_id

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