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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04977063
Registration number
NCT04977063
Ethics application status
Date submitted
28/06/2021
Date registered
26/07/2021
Titles & IDs
Public title
Atmo SmartPill Comparison in Gastroparetic and Slow Transit Constipation Patients
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Scientific title
Comparison of Gastrointestinal Transit Measurements for the Atmo Capsule With Those of the Gold Standard (SmartPill) in Gastroparesis and Slow Transit Constipation Patients
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Secondary ID [1]
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ETH01064
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Gastroparesis
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Slow Transit
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Condition category
Condition code
Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Neurological
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Atmo gas capsule
Treatment: Devices - SmartPill
Other: SmartPill and Atmo capsule - The SmartPill and Atmo gas capsule will be tested simultaneously. This will allow the ability of the Atmo gas capsule to measure gastrointestinal transit time to be compared to the SmartPill. The order of swallowing will be randomised using a computer-generated list. The two capsules will be swallowed within 5 minutes of each other
Treatment: Devices: Atmo gas capsule
The Atmo Gas Capsule measures the capsules location and motility/transit times through gas sensing capabilities
Treatment: Devices: SmartPill
The SmartPill measures the capsules location and motility/transit times through pH sensing
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Regional gastrointestinal metrics measured by Atmo gas capsule
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Assessment method [1]
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Oxygen equivalence measured by the Atmo gas capsule will allow gastric emptying, small intestinal and colonic transit times to be determined.
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Timepoint [1]
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2 years
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Primary outcome [2]
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Regional gastrointestinal metrics measured by SmartPill
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Assessment method [2]
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pH data measured by the SmartPill will allow gastric emptying, small intestinal and colonic transit times to be determined.
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Timepoint [2]
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2 years
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Eligibility
Key inclusion criteria
* Diagnosed with gastroparesis (idiopathic or diabetic) for at least 12 weeks (based on scintigraphy results) and able to eat orally.
* Diagnosed with slow transit constipation for at least 12 weeks (exclusion of constipation caused by structural abnormalities with colonoscopy, and confirmation of slow transit by 'marker studies' such as scintigraphy, radiolabelled or opaque X-ray study). Participant would have at least 1 bowel motion per week (either assisted or unassisted by medication).
* No evidence of metabolic disease (hypothyroidism, uncontrolled diabetes [hemoglobin A1c >10% within the past 6 months], electrolyte imbalance).
* An endoscopy or gastrointestinal barium series within the past 3 years showing no organic disease that is potentially causative of symptoms.
* Ability to stop medications that may alter gastric pH (such as proton pump inhibitors) for 3 days prior to and during study.
* Ability to stop medications that may alter gastrointestinal motility (GLP-1 angonists, anticholinergics, cannabinoids, metformin, antispasmodic, prokinetics) for 3 days prior to and during study.
* Ability to stop antibiotic, probiotic and, prebiotic supplements 7 days before prior to and during study.
* Ability to stop laxatives (docusate, lactulose, sorbitol, senna, bisacodyl), suppositories (glycerin), and enema 3 days prior to and during the study.
* Does not require a MRI scan during the duration of this study
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Previous abdominal and/or pelvic surgery
* History of diverticulitis, diverticular stricture, and other intestinal strictures
* Chronic daily use of nonsteroidal anti-inflammatory drugs (ibuprofen, naproxen, etc.)
* Pregnant or nursing
* Patients on long-acting glucagon-like peptide (GLP-1)
* Implantable devices (e.g. pacemaker, defibrillator) [continuous glucose monitors are permitted].
* History of bezoar formation
* Dysphagia to solid foods
* Gastric/jejunal feeding tubes
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
15/08/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
15/03/2023
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Sample size
Target
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Accrual to date
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Final
53
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Blacktown Hospital - Blacktown
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Recruitment hospital [2]
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School of Medicine, Western Sydney University - Campbelltown
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Recruitment hospital [3]
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Alfred Hospital - Melbourne
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Recruitment postcode(s) [1]
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2148 - Blacktown
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Recruitment postcode(s) [2]
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2560 - Campbelltown
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Recruitment postcode(s) [3]
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3004 - Melbourne
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Atmo Biosciences Pty Ltd
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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University of Western Sydney
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
This study will compare gastrointestinal transit time measured by the SmartPill and the Atmo gas capsule in patients with gastrointestinal motility disorders. Both of these devices allow gastrointestinal transit time to be measured, however the SmartPill senses pH changes whereas the Atmo Capsule measures gas profiles. A total of 60 participants (30 diagnosed with gastroparesis, 30 with slow transit constipation) will attend Macarthur Clinical School at Western Sydney University after an overnight fast. Participants will consume a standardised meal before ingesting the SmartPill and Atmo Capsule. Each participant will carry a data receiver until passage of the capsules. Anatomical landmarks will be defined by pH changes (SmartPill) or oxygen profiles (Atmo Capsule). Statistical analysis will be performed via linear regression and degrees of agreement for measurements between the two devices. Primary end-points will be the agreement between gastric emptying, small intestinal and colonic transit times generated by the devices.
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Trial website
https://clinicaltrials.gov/study/NCT04977063
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Jerry Zhou, PhD BSc
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Address
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School of Medicine, Western Sydney University
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Data will by only be available via manuscript for publication in an international peer reviewed journal.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04977063