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NCT03011151

Protease Activated Receptor-2 and Gastrointestinal Dysfunction in Critical Illness

Completed Last updated 17 April 2026
What this trial tests

trial in Gastroparesis in 99 participants. Completed in 30 June 2024.

Timeline
1 August 2017
Primary endpoint
30 June 2024
30 June 2024

Quick facts

Lead sponsorBoston Children's Hospital
StatusCompleted
Study typeOBSERVATIONAL
Enrollment99
Start date1 August 2017
Primary completion30 June 2024
Estimated completion30 June 2024
Sites1 location across United States

Conditions studied

Sponsor

Boston Children's Hospital

Who can join

Adults 2 to 30, any sex, with Gastroparesis or Gastrointestinal Disorder, Functional. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Gastrointestinal (GI) dysfunction affects up to 50% of medical and surgical critically ill children. GI dysfunction, specifically gastric dysmotility and loss of epithelial barrier integrity, is associated with significant morbidity in critical illness. The mechanisms underlying GI dysfunction in critical illness are not well understood. GI dysfunction in surgery and critical illness has been associated with inflammation. There is evidence to suggest the protease-activated receptor 2 (PAR2) is a link between inflammation and GI dysfunction. PAR2 is a G-coupled receptor present throughout the GI tract. PAR2 mediates GI motility and epithelial barrier integrity. PAR2 is activated by PAR2 agonists, specifically GI serine proteases and zonulin, released under conditions of inflammation. In this study the investigators will examine the relationship between inflammation and PAR2 activation by PAR2 agonists and subsequent GI dysfunction in pediatric critically ill surgical patients. The overall hypothesis of this study is that PAR2 activation by PAR2 agonists, GI serine proteases and zonulin, released due to inflammation results in gastric dysmotility and loss of epithelial barrier integrity. In this study, the investigators will examine whether PAR2 agonist expression is increased and correlates with GI dysfunction in critically ill surgical pediatric patients. This proposal fills a knowledge gap in the understanding of mechanisms for GI dysfunction in critical illness, and will be applicable to all surgical and medical critically ill children.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Protease-Activated Receptors - Key Regulators of Inflammatory Bowel Diseases Progression.
    Jacenik D, Fichna J, Małecka-Wojciesko E, Mokrowiecka A. · · 2021 · cited 7× · PMID 35002281 · DOI 10.2147/jir.s335502

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Other recruiting trials for Gastroparesis

Currently open trials in the same condition.

Other Boston Children's Hospital trials

Trials by the same sponsor.

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Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing