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Impact of a One-Week Discontinuation of Semaglutide on Gastric Retention and Endoscopic Mucosal Visibility Scores
Impact of a One-Week Discontinuation of Semaglutide on Gastric Retention and Endoscopic Mucosal Visibility Scores: A Single-Center, Prospective, Observational Study
Lead sponsor
Asset
Semaglutide
GLP-1 agonist
Listed sites
1
Recruiting sites
—
Enrollment
418
estimated
Study population
Perioperative / gastric aspiration risk
Key I/E criterion
•HbA1c ≤9%
Primary endpoint
•Gastric retention
Footprint
Where this trial recruits
Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.
Identifiers
Registered as
Timeline
Milestones
Assets
Investigational agents
Study populations
Who this study enrolls
Eligibility
Who can enroll
Study population text
Participants undergoing sedated endoscopy who had discontinued semaglutide for one week prior to the procedure (with the last dose administered 8-14 days before EGD) were assigned to the exposure group, while those who had not used semaglutide were assigned to the non-exposure group.
Inclusion criteria
1. Subjects who have either: (i) been on long-term semaglutide therapy (≥4 weeks, any dosage) and discontinued use for one week prior to gastroscopy (with the last dose 8-14 days before the procedure), or(ii) never used semaglutide.
2. For patients with diabetes mellitus (DM), HbA1c < 9% to ensure adequate glycemic control.
3. Age ≥ 18 years, with no restriction on sex.
4. American Society of Anesthesiologists (ASA) physical status classification I-II.
5. Fasting for at least 8 hours and no water intake for at least 4 hours before gastroscopy.
6. Undergoing painless (sedated) endoscopy.
Exclusion criteria
1. History of hiatal hernia or any previous gastric surgery (including gastrectomy, Roux-en-Y gastric bypass, etc.).
2. Pregnancy.
3. Medically unfit for gastrointestinal endoscopy.
4. Deemed unsuitable for participation at the discretion of the investigators.
Endpoints (3)
What's being measured
Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.
Coverage by outcome category
Safety / tolerability / PK
1 endpointRate of hypoxemia and aspiration events
Time frame:immediately after the esophagogastroduodenoscopy
event count, event
componentshypoxemia, aspiration event
Other clinical outcomes
2 endpointsRate of gastric retention
Time frame:immediately after the esophagogastroduodenoscopy
categorical status, event
Gastric Mucosal Visibility Score
Time frame:immediately after the esophagogastroduodenoscopy
descriptive
Provenance
Sources
Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 1, 2026 snapshot.