Discontinuation One Week Recommendations for GLP-1 Receptor Agonists Prior to Esophagogastroduodenoscopy.
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Stop for 1 week, GLP-1 non stop.
- Who it may be relevant to
- Registry conditions: GLP-1. Basic parameters: 18 years — 90 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Taiwan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Discontinuation One Week Recommendations for GLP-1 Receptor Agonists Prior to Esophagogastroduodenoscopy: A Randomized Controlled Trial.
Overview
This study aims to evaluate the impact of a one-week discontinuation of long-acting glucagon-like peptide-1 receptor agonists (GLP-1 RAs) prior to Esophagogastroduodenoscopy on gastric preparation quality and the need for repeat esophagogastroduodenoscopy (EGD), in order to determine whether a one-week drug interruption constitutes an appropriate pre-procedural recommendation.
Interventions
- Drug Stop for 1 week
Stop for 1 week - Drug GLP-1 non stop
GLP-1 non stop
Primary outcome measures
- This scoring system is referred to as PEACE (Polprep: Effective Assessment of Cleanliness in Esophagogastroduodenoscopy) [Time frame: "From enrollment to the end of treatment at least 30 days]
Eligibility criteria
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.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Other
Study locations
Taiwan · 1 center
- FJUH — New Taipei City
Identifiers
NCT: NCT07736911 · GLP-1 UGI