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Can a stomach muscle cut tame diabetes blood sugar?
NCT ID NCT04696159
First seen Aug 21, 2026 · Last updated Aug 21, 2026
Summary
This trial tests whether a procedure called per-oral pyloromyotomy (POP), which relaxes the stomach's outlet muscle, can improve blood sugar control in people with diabetes and gastroparesis (delayed stomach emptying). About 40 adults with poorly controlled diabetes (HbA1c above 7.5%) will undergo the procedure and be monitored for six months. The study measures changes in HbA1c and continuous glucose monitor readings to see if the procedure helps.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Endoscopic Per-Oral Pyloromyotomy (POP), a procedure to widen the stomach outlet
- What this could lead to
- If successful, this procedure could offer a new way to improve blood sugar control in people with diabetes and gastroparesis, potentially reducing complications.
- What could go wrong
- This is a small, early-stage study. The procedure may not improve blood sugar for everyone, and it carries risks typical of any endoscopic surgery, such as bleeding or infection.
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
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2023
- Expected to finish
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Jun 2027
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 years and older
- 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: 1. Patients 18 years of age and older 2. Patients with gastroparesis with an average HbA1c\> 7.5% over the past 3 months 3. Patient that have a diagnosis of gastroparesis established by documented delayed gastric emptying by either a wireless motility capsule study or a nuclear gastric emptying study, with no evidence of gastric obstruction. 4. Patients are able to complete all study requirements Exclusion Criteria: 1. Patients \<18 years of age 2. Patients with gastroparesis with an average HbA1c\< 7.5% over the past 3 months 3. Patients unable or refuse to complete the study requirements 4. Patients who are unable or refuse to wear a CGM sensor 5. Patients with insulin pumps 6. Patients who already use a CGM
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Cleveland Clinic Foundation
Cleveland, Ohio, 44195, United States
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