Type 1 DiabeticPhase 3Gastro-TIRNCT06695962
Efficacy of Domperidone (a Prokinetic Agent) on Time in Range in Digestively Asymptomatic Type I Diabetic Patients With Delayed Gastric Emptying (Gastro-TIR)
A Phase 3 study testing Domperidone 10mg and gastric emptying test in people with Type 1 Diabetic, run by University Hospital, Rouen at 6 sites in France.
Trial summary
Patients living with type 1 diabetes (PwT1D) still have trouble controlling their blood sugar, even with the latest treatments. PwT1D may have slow stomach emptying influencing blood glucose level. Treating this is an important goal. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Type 1 Diabetic
- What is being tested?
- Domperidone 10mg and gastric emptying test
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 70 participants
- Where
- 6 sitesFrance
- Study dates
- 1 Mar 2026to 1 Jul 2029
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female ≥ 18 years and <75 years
- Known type 1 diabetic patients for > 5 years treated with multi-injection insulin regimen or insulin pump with continuous interstitial glucose recording device (CGM)
- Type 1 diabetic patients with glycemic target TIR (70-180 mg/dL) < 60% and/or CV > 40% and/or early postprandial hypoglycemia
- Patient with few symptoms of gastroparesis based on GCSI score ≤ 2
- Person who has read and understood the information letter and signed the consent form
- Person affiliated to a social security scheme
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- A woman of childbearing potential (a woman is considered to be of childbearing potential fertile, after menarche and until she reaches menopause, unless she has reached the menopausal, unless she is definitively sterile)with at least effective contraception (i.e. at least: oral progestin-only hormonal contraception for which ovulation inhibition is not the primary mode of action, male or female condom with or without spermicide, cap, diaphragm or sponge with spermicide). for at least 1 month and a negative urine B-HCG pregnancy test at inclusion
- Surgically sterile women (hysterectomy, bilateral salpingectomy and bilateral oophorectomy)
- Menopausal women: The postmenopausal state is defined as the absence of menstrual periods for 12 months without any other medical cause. An elevated follicle-stimulating hormone (FSH) level in the post-menopausalinterval can be used to confirm a post-menopausal state in women not using hormonal contraception or hormone replacement therapy. However, in the absence of 12 months' amenorrhea, a single FSH measurement is insufficient
Who cannot join
- Type 2 diabetic patients
- Patients with CGM<70%
- Type 1 diabetic patients with glycemic target TIR (70-180 mg/dL) < 40%
- Patients with renal insufficiency (GFR<60 ml/min according to CKD-EPI formula),
- Patients with contraindications to DOMPERIDONE ARROW 10 mg film-coated tablet:
- Hypersensitivity to the active substance or to one of the excipients
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- Pituitary prolactin tumor (prolactinoma)
- Underlying heart disease such as congestive heart failure (NYHA stage ≥2),
- Kalemia less than 3.7 mmol/L or greater than 5.5 mmol/L,
- Magnesemia less than 0.7 mmol/L
- Hepatic impairment (TGO, TGP, GGT>2N, TP<70% (unless on anticoagulant))
- Known prolongation of cardiac conduction intervals, notably the QTc interval (QTc greater than 440 ms for men and greater than 460 ms for women)
- Use of drugs that prolong the QTc interval (class IA antiarrhythmics (e.g. disopyramide, hydroquinidine, quinidine) and class III antiarrhythmics (e.g. amiodarone, dofetilide, dronedarone, ibutilide, sotalol), certain antipsychotics (e.g. haloperidol, pimozide, sertindole), certain antidepressants (e.g. citalopram, escitalopram), certain antibiotics (e.g. erythromycin, levifloxacin, moxifloxacin, spiramycin), certain antifungals (e.g. pentamidine, fluconazole), certain antimalarial drugs (in particular halofantrine, lumefantrine), certain digestive drugs (e.g. cisapride, dolasetron, prucalopride), certain antihistamines (e.g. mequitazine, mizolastine), certain anticancer drugs (e.g. toremifene, vandetanib, vincamine), certain other drugs (e.g. bepridil, diphemanil, methadone), apomorphine (unless the benefit of concomitant administration outweighs the risks, and only if the precautions recommended for concomitant administration are strictly observed).
- Taking levodopa
- Use of drugs that are potent or moderate inhibitors of CYP3A4: antiproteases, systemic azole antifungals, certain macrolide antibiotics (clarithromycin, telithromycin, azithromycin, roxithromycin, etc.), diltiazem, verapamil, etc.
- Bradycardia (< 50 bpm)
- Use ofmedication that induces bradycardia and hypokalemia
- Presence of gastrointestinal bleeding, mechanicalobstruction or digestive perforation
- Lactose contraindication: galactose intolerance, total lactase deficiency,glucose-galactose malabsorption syndrome
- Contraindication to gastric emptying test : - allergy to eggs, gluten, milk proteins, etc. - hepatic insufficiency - pulmonary diffusion disorders
- Contraindication to placebo (calcium content): hypercalcemia/hypercalciuria, known calcium lithiasis
- Pregnant, parturient or breast-feeding women, or those without proven effective contraception
- Person deprived of liberty by an administrative or judicial decision, or person under court protection, subguardianship or guardianship
- Person taking part in another trial / having taken part in another therapeutic trial (study involving a drug or medical device) which could interfere with the products or procedures being investigated within a period of 4 weeks prior to inclusion
- Any history of illness or psychological or sensory abnormality likely to prevent the subject from fully understanding the conditions required for participation in the protocol or from giving informed consent
- Patients treated with a closed insulin loop
Trial locations and contacts
6 sites in 1 country. Contact the study team or a site near you to ask about taking part.
6 sites in 1 country
France6 sites
CHU Amiens
Amiens
Rachel DESAILLOUD, Pr, 322455478 ext. +33, desailloud.rachel@chu-amiens.fr
CHU de CAEN
Caen
Michael JOUBERT, Pr, 231064575 ext. +33, joubert-m@chu-caen.fr
CH Dieppe
Dieppe
Caroline FOLOPPE, MD, 232147557 ext. +33, cfoloppe@ch-dieppe.fr
Centre Hospitalier Intercommunal Elbeuf, Louviers, Val de Reuil
Elbeuf
Julie DROUHARD, MD, 2 32 82 65 42 ext. +33, julie.drouhard@chi-elbeuf-louviers.fr
GH Le Havre
Le Havre
Clémence BURES, MD, 2 32 73 31 09 ext. +33, clemence.bures@ch-havre.fr
CHU de ROUEN
Rouen
Gaetan Prevost, Pr, 2 32 88 90 61 ext. +33, gaetan.prevost@chu-rouen.fr
About this study
Official title: Efficacy of Domperidone (a Prokinetic Agent) on Time in Range in Digestively Asymptomatic Type I Diabetic Patients With Delayed Gastric Emptying
Patients living with type 1 diabetes (PwT1D) still have trouble controlling their blood sugar, even with the latest treatments. PwT1D may have slow stomach emptying influencing blood glucose level. Treating this is an important goal. A recent study found that 30% of PwT1D had a slower gastric emptying rate, even though they had no other complications and were not experiencing any digestive issues. Slowing of gastric emptying is linked to gastric hypoglycaemia, which is a life-threatening condition that can affect quality of life, and to higher blood sugar level after eating. This can last throughout the night. Prokinetic treatments for the stomach are good for diabetic patients with slow digestion. These treatments help with stomach pain and, to a lesser extent, with hypoglycemia. However, there is no data on the benefits of such treatments in patients with no digestive symptoms, on glycaemic control as defined by continuous glucose monitoring data. In fact, this may be more relevant than HbA1c in patients with alternating hypo- and/or hyperglycaemia.
The investigator thinks that a prokinetic agent like domperidone could improve glycaemic control in PwT1D with slow gastric emptying and glycaemic imbalance.
This study tests how domperidone affects blood sugar levels in PwT1D. Patients will be administrated domperidone or a placebo for 28 days. The investigator will see how long T1D patients spend within their blood sugar target range over 14 days using a continuous glucose monitor.
- Conditions
- Type 1 Diabetic
- Being tested
- Domperidone 10mg, Placebo, gastric emptying test
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Domperidone 10mgDrug
30 mg per day for 21 days
PlaceboDrug
3 per day for 21 days
gastric emptying testDiagnostic test
gastric emptying test
| Study group | Role | What they receive |
|---|---|---|
| Domperidone then placebo | Experimental | Domperidone 10 mg, 3/days during 28 days, - wash-out (21 days) then placebo 3/days during 28 days Receives: Drug: Domperidone 10mg; Drug: Placebo; Diagnostic Test: gastric emptying test |
| Placebo then Domperidone | Experimental | Placebo 3/days during 28 days - wash-out (21 days) - then Domperidone 10 mg, 3/days during 28 days Receives: Drug: Domperidone 10mg; Drug: Placebo; Diagnostic Test: gastric emptying test |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentages of time spent within the TIR (Time In Range) glycemic target range (70-180 mg/dL)
The difference of percentages of time spent within the TIR glycemic target range (70-180 mg/dL) recorded over 14 days under prokinetic treatment (domperidone) or placebo in T1D patients with gastroparesis and inadequate glycemic control
Measured: 14 days after domperidone or placebo
Secondary outcomes (4)
Variation in glycemic control criteria : HbA1c assay
Variation in HbA1c assay between domperidone and placebo (measurement of differences)
Measured: 14 days after domperidone of placebo
Variation in glycemic control criteria : Plasma fructosamine assay
Variation in Plasma fructosamine assay between domperidone and placebo (measurement of differences)
Measured: 14 days after domperidone of placebo
Variation in glycemic control criteria : Insulin dose
Variation in Insulin dose between domperidone and placebo (measurement of differences)
Measured: 14 days after domperidone of placebo
Safety Outcome : AE and SAE Occurrence
Number of AE and SAE
Measured: 105 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Nov 2024
- Study start1 Mar 2026 (estimated)
- Primary completion1 Jun 2029 (estimated)
- Study completion1 Jul 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Type 1 DiabeticStudies of the same condition, open and under way.
- More trials run by University Hospital, RouenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 70 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University Hospital, Rouen
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06695962
- Sponsor's protocol ID
- 2021/0380/HP
- Acronym
- Gastro-TIR
- Status last verified
- Feb 2026
- First submitted
- 15 Nov 2024
- Last updated
- 17 Feb 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 17 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy of Domperidone (a Prokinetic Agent) on Time in Range in Digestively Asymptomatic Type I Diabetic Patients With Delayed Gastric Emptying
- ClinicalTrials.gov ID
- NCT06695962
- Acronym / sponsor ID
- Gastro-TIR / 2021/0380/HP
- Conditions
- Type 1 Diabetic
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 70 participants (estimated)
- Lead sponsor
- University Hospital, RouenUniversity, hospital or other
- Study start
- 1 Mar 2026 (estimated)
- Primary completion
- 1 Jun 2029 (estimated)
- Study completion
- 1 Jul 2029 (estimated)
- First posted
- 19 Nov 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Patients living with type 1 diabetes (PwT1D) still have trouble controlling their blood sugar, even with the latest treatments. PwT1D may have slow stomach emptying influencing blood glucose level. Treating this is an important goal. A recent study found that 30% of PwT1D had a slower gastric emptying rate, even though they had no other complications and were not experiencing any digestive issues. Slowing of gastric emptying is linked to gastric hypoglycaemia, which is a life-threatening condition that can affect quality of life, and to higher blood sugar level after eating. This can last throughout the night. Prokinetic treatments for the stomach are good for diabetic patients with slow digestion. These treatments help with stomach pain and, to a lesser extent, with hypoglycemia. However, there is no data on the benefits of such treatments in patients with no digestive symptoms, on glycaemic control as defined by continuous glucose monitoring data. In fact, this may be more relevant than HbA1c in patients with alternating hypo- and/or hyperglycaemia.
The investigator thinks that a prokinetic agent like domperidone could improve glycaemic control in PwT1D with slow gastric emptying and glycaemic imbalance.
This study tests how domperidone affects blood sugar levels in PwT1D. Patients will be administrated domperidone or a placebo for 28 days. The investigator will see how long T1D patients spend within their blood sugar target range over 14 days using a continuous glucose monitor.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Domperidone then placebo | Experimental | Drug: Domperidone 10mg, Drug: Placebo, Diagnostic Test: gastric emptying testDomperidone 10 mg, 3/days during 28 days, - wash-out (21 days) then placebo 3/days during 28 days |
| Placebo then Domperidone | Experimental | Drug: Domperidone 10mg, Drug: Placebo, Diagnostic Test: gastric emptying testPlacebo 3/days during 28 days - wash-out (21 days) - then Domperidone 10 mg, 3/days during 28 days |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Male or female ≥ 18 years and <75 years
- Known type 1 diabetic patients for > 5 years treated with multi-injection insulin regimen or insulin pump with continuous interstitial glucose recording device (CGM)
- Type 1 diabetic patients with glycemic target TIR (70-180 mg/dL) < 60% and/or CV > 40% and/or early postprandial hypoglycemia
- Patient with few symptoms of gastroparesis based on GCSI score ≤ 2
- Person who has read and understood the information letter and signed the consent form
Key exclusion criteria (26 listed)
- Type 2 diabetic patients
- Patients with CGM<70%
- Type 1 diabetic patients with glycemic target TIR (70-180 mg/dL) < 40%
- Patients with renal insufficiency (GFR<60 ml/min according to CKD-EPI formula),
- Patients with contraindications to DOMPERIDONE ARROW 10 mg film-coated tablet:
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Domperidone 10mg30 mg per day for 21 days | Drug | Domperidone then placebo, Placebo then Domperidone |
| Placebo3 per day for 21 days | Drug | Domperidone then placebo, Placebo then Domperidone |
| gastric emptying testgastric emptying test | Diagnostic test | Domperidone then placebo, Placebo then Domperidone |
Primary outcome
Percentages of time spent within the TIR (Time In Range) glycemic target range (70-180 mg/dL)
Time frame: 14 days after domperidone or placebo
The difference of percentages of time spent within the TIR glycemic target range (70-180 mg/dL) recorded over 14 days under prokinetic treatment (domperidone) or placebo in T1D patients with gastroparesis and inadequate glycemic control
4 secondary outcomes
Variation in glycemic control criteria : HbA1c assay
Time frame: 14 days after domperidone of placebo
Variation in glycemic control criteria : Plasma fructosamine assay
Time frame: 14 days after domperidone of placebo
Variation in glycemic control criteria : Insulin dose
Time frame: 14 days after domperidone of placebo
Safety Outcome : AE and SAE Occurrence
Time frame: 105 days
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Feb 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
6 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Domperidone 10mg and gastric emptying test in people with Type 1 Diabetic, run by University Hospital, Rouen at 6 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 17 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 6 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Gaetan PREVOST, Pr (232889061 ext. +33, gaetan.prevost@chu-rouen.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentages of time spent within the TIR (Time In Range) glycemic target range (70-180 mg/dL) (time frame: 14 days after domperidone or placebo). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Feb 2026.