Obesity Clinical Trial
Official title:
A Controlled Study to Evaluate the Efficacy of an Endoluminal-suturing Device (Endomina) as an Aid for Endoscopic Gastric Reduction
Verified date | May 2020 |
Source | Erasme University Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The aim of this trial is to evaluate the efficacy of an endoluminal vertical gastroplasty (EVG) using an endoluminal-suturing device. Safety will also be characterized, in particular by the incidence of all Adverse Device Effects (ADEs). A secondary endpoint is to compare a delayed treatment control group (diet alone; crossover at 6 months) with a treatment group (EVG plus diet). Other secondary endpoints include improvements in other obesity measures.
Status | Completed |
Enrollment | 72 |
Est. completion date | March 26, 2020 |
Est. primary completion date | March 26, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility |
Inclusion Criteria: 1. Age between 18-65 years; 2. Class I or class II obesity (i.e. BMI between 30 to 40 kg/m²); 3. Must be able to comply with all study requirements for the duration of the study as outlined in the protocol. This includes complying with the visit schedule as well as study specific procedures such as: clinical assessment, endoscopy, radiography, as well as laboratory investigations; 4. Must be able to understand and be willing to provide written informed consent; 5. Must live within 75 km of the treatment site; 6. Had followed the bariatric multidisciplinary workup (blood analyses, dietician, psychologist and doctor appointments). Exclusion Criteria: 1. Achalasia and any other esophageal motility disorders; 2. Severe esophagitis; 3. Gastro-duodenal ulcer; 4. Heart diseases: unstable angina, myocardial infarction within the past year, or heart disease classified within the New York Heart Association's Class III or IV functional capacity; 5. Hypertension: uncontrolled hypertension during last 3 months; 6. Diabetes: uncontrolled diabetes (on insulin therapy or oral therapy with Hba1c > 10%); 7. TBWL >5% over the last 6 months; 8. Severe renal, hepatic, pulmonary disease or cancer; 9. GI stenosis or obstruction; 10. Pregnancy, breastfeeding or willing to become pregnant in the coming 18 months; 11. Previous bariatric surgery, balloon or other endoscopic obesity-related therapy; 12. Anticoagulant therapy; 13. Impending gastric surgery 60 days post intervention; 14. Currently participating in other study |
Country | Name | City | State |
---|---|---|---|
Belgium | Gastroenterology Department Erasme Hospital | Brussels | |
France | APHM Hopital Marseille Nord Hepato-Gastroentérologie et Oncologie Digestive | Marseille |
Lead Sponsor | Collaborator |
---|---|
Erasme University Hospital |
Belgium, France,
ASGE Bariatric Endoscopy Task Force and ASGE Technology Committee, Abu Dayyeh BK, Kumar N, Edmundowicz SA, Jonnalagadda S, Larsen M, Sullivan S, Thompson CC, Banerjee S. ASGE Bariatric Endoscopy Task Force systematic review and meta-analysis assessing the — View Citation
ASGE Bariatric Endoscopy Task Force; ASGE Technology Committee, Abu Dayyeh BK, Edmundowicz SA, Jonnalagadda S, Kumar N, Larsen M, Sullivan S, Thompson CC, Banerjee S. Endoscopic bariatric therapies. Gastrointest Endosc. 2015 May;81(5):1073-86. doi: 10.101 — View Citation
ASGE/ASMBS Task Force on Endoscopic Bariatric Therapy, Ginsberg GG, Chand B, Cote GA, Dallal RM, Edmundowicz SA, Nguyen NT, Pryor A, Thompson CC. A pathway to endoscopic bariatric therapies. Gastrointest Endosc. 2011 Nov;74(5):943-53. doi: 10.1016/j.gie.2 — View Citation
Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, Schoelles K. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004 Oct 13;292(14):1724-37. Review. Erratum in: JAMA. 2005 Apr 13;293(14):1728. — View Citation
Fogel R, De Fogel J, Bonilla Y, De La Fuente R. Clinical experience of transoral suturing for an endoluminal vertical gastroplasty: 1-year follow-up in 64 patients. Gastrointest Endosc. 2008 Jul;68(1):51-8. doi: 10.1016/j.gie.2007.10.061. Epub 2008 Mar 19 — View Citation
Huberty V, Ibrahim M, Hiernaux M, Chau A, Dugardeyn S, Devière J. Safety and feasibility of an endoluminal-suturing device for endoscopic gastric reduction (with video). Gastrointest Endosc. 2017 Apr;85(4):833-837. doi: 10.1016/j.gie.2016.08.007. Epub 201 — View Citation
Magro DO, Geloneze B, Delfini R, Pareja BC, Callejas F, Pareja JC. Long-term weight regain after gastric bypass: a 5-year prospective study. Obes Surg. 2008 Jun;18(6):648-51. doi: 10.1007/s11695-007-9265-1. Epub 2008 Apr 8. — View Citation
Menchaca HJ, Harris JL, Thompson SE, Mootoo M, Michalek VN, Buchwald H. Gastric plication: preclinical study of durability of serosa-to-serosa apposition. Surg Obes Relat Dis. 2011 Jan-Feb;7(1):8-14. doi: 10.1016/j.soard.2010.11.002. Epub 2010 Nov 12. — View Citation
Paxton JH, Matthews JB. The cost effectiveness of laparoscopic versus open gastric bypass surgery. Obes Surg. 2005 Jan;15(1):24-34. Review. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Incidence of all Adverse Device Effects | Safety will be characterized by the incidence of all Adverse Device Effects (ADEs), non-serious and serious, possibly related to or related to the procedure and/or device that are experienced by study participants. | one year from procedure | |
Primary | Weight loss | total weight loss and excess weight loss | one year from procedure | |
Secondary | Weight loss at 6 months | comparison between diet and treatment group at 6 months | at 6 months after the procedure (treatment group) | |
Secondary | More than 15% weight loss | Proportion of patients in the Endomina Group with a loss of weight of more than 15% | one year from procedure | |
Secondary | Quality of life | SF36 | one year from procedure | |
Secondary | TBWL | Mean % total body weight loss (%TBWL) | one year from procedure | |
Secondary | Weight and height | To calculate the body mass index (BMI) | one year from procedure |
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