Could a week off GLP-1 drugs make endoscopies safer and more effective?
NCT ID NCT07736911
First seen Jul 30, 2026 · Last updated Sep 04, 2026 · Updated 3 times
Summary
This trial asks whether pausing GLP-1 receptor agonists (like semaglutide or tirzepatide) for one week before an upper endoscopy leads to a cleaner stomach and fewer repeat procedures. About 140 adults who take these drugs and are scheduled for an endoscopy will be randomly assigned to either stop their medication for a week or continue as usual. The goal is to see if a simple drug holiday can improve the quality of the exam and reduce the need for a second scope.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- stopping GLP-1 receptor agonists (like semaglutide or tirzepatide) for one week before an upper endoscopy
- What this could lead to
- If a one-week pause improves stomach visibility, it could lead to a simple, safer pre-endoscopy guideline for people on these popular diabetes and weight-loss drugs.
- What could go wrong
- This is a small, single-center trial, so results may not apply broadly. Stopping GLP-1 drugs could cause blood sugar spikes or other side effects in some patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 140 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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Jun 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 90 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
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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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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FJUH
RECRUITINGNew Taipei City, Taiwan, 24352, Taiwan
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