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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT00586859
Other study ID # 135-02420
Secondary ID
Status Terminated
Phase N/A
First received December 21, 2007
Last updated May 29, 2008
Start date May 2006
Est. completion date October 2007

Study information

Verified date May 2008
Source NDO Surgical, Inc.
Contact n/a
Is FDA regulated No
Health authority Germany: Federal Institute for Drugs and Medical Devices
Study type Interventional

Clinical Trial Summary

The purpose of this study was to evaluate the safety and efficacy of placing multiple transmural sutures for the treatment of GERD.

A prospective, multi-center, open-label trial was conducted at four centers in Germany to evaluate a modified Plicator technique for the treatment of patients with symptomatic GERD. Primary efficacy was based on analysis of the GERD Health Related Qualify of Life (HRQL) questionnaire at 6-months post-treatment. Additional efficacy outcomes assessed were heartburn and regurgitation symptoms scores, visual analog scale (VAS) score, GERD medication use, esophageal pH/manometry, and esophagitis. Trial sample size was chosen to provide 87% power in detecting a 50% median reduction in GERD-HRQL score at an alpha level of 0.05.


Recruitment information / eligibility

Status Terminated
Enrollment 41
Est. completion date October 2007
Est. primary completion date October 2007
Accepts healthy volunteers No
Gender Both
Age group 18 Years and older
Eligibility Inclusion Criteria:

- Subject is 18 years of age or older.

- History of heartburn or regurgitation for at least 6 months.

- Esophageal manometry study (conducted within the previous 6 months) demonstrating an adequate resting pressure of the lower esophageal sphincter (LES) of at least 5 mm Hg.

- pH study (conducted within the previous 6 months) demonstrating pathological reflux (defined as the total % time of pH<4.0 > 4.5% or a DeMeester composite score > 14.7).

- Symptoms requiring daily PPI therapy.

- GERD-HRQL scores must be > 15 while Off Medication and Off Medication scores must be > 6 points higher than On-Medication scores.

- Subject is a surgical candidate in the event of a complication related to this procedure, Class ASA I or II.

- Subject agrees to participate and signs consent form.

Exclusion Criteria:

- Patient is pregnant.

- Patient has hiatal hernia > 3 cm.

- Presence of persistent dysphagia, weight loss, esophageal bleeding, vomiting (>1 per week) or gas/bloat.

- Esophagitis grades III or IV by Savary criteria.or type C or D by Los Angeles classification .

- Barrett's esophagus with dysplasia.

- Patient has had a previous endoscopic (Endocinch, Stretta, Enteryx, etc.) or surgical repair (Nissen Fundoplication, etc.) performed to treat GERD.

- Active medical condition that would preclude the subject from finishing this study.

- Abnormal blood coagulation or the chronic use of anticoagulant or platelet anti-aggregation therapy (other than for cardiac prophylaxis).

- Pathological changes in soft tissue that would prevent secure fixation of the EPS Implant.

- Presence of esophageal or gastric varices.

- Esophageal dysmotility as determined by manometry studies.

- Esophageal stricture.

Study Design

Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment


Related Conditions & MeSH terms


Intervention

Device:
NDO Full-thickness Plicator
The Plicator and gastroscope assembly were passed into the stomach. The stomach was distended with air. The gastroscope was advanced and retroflexed so that the instrument could be visualized and accurately positioned. The Plicator was retroflexed to within 1cm below the GE junction, and the helical tissue retractor was advanced deeply into the gastric wall. The gastric wall was retracted into the Plicator instrument arms. The arms were then closed, and the suture-implant was deployed to secure the full-thickness plication. The tissue retractor is then disengaged and the suture-implant released from the instrument. Additional sutures were placed in the same manner described above, with each additional implant placed incrementally closer to the GE junction in a linear configuration along the anterior gastric cardia. All plications were placed de novo, and re-treatment was not permitted.

Locations

Country Name City State
Germany Evangelisches Krankenhaus Dusseldorf
Germany Markus-Krankenhaus Frankfurt
Germany Medizinische Klinik und Poliklinik Universitatsklinikum Leipzig Leipzig
Germany Klinikum Ludwigsburg Ludwigsburg

Sponsors (1)

Lead Sponsor Collaborator
NDO Surgical, Inc.

Country where clinical trial is conducted

Germany, 

Outcome

Type Measure Description Time frame Safety issue
Primary GERD Health Related Qualify of Life (HRQL) questionnaire at 6-months post-treatment 1, 6, 12, 24, 36, 48 and 60-month post-treatment No
Secondary Heartburn Score 1, 6, 12, 24, 36, 48 and 60-months post-treatment No
Secondary Regurgitation score 1, 6, 12, 24, 36, 48 and 60-months post-treatment No
Secondary GERD symptom improvement as measured by a visual analog scale 1, 6, 12. 24, 36, 48 and 60-months post-treatment No
Secondary GERD medication use 1, 6, 12, 24, 36, 48 and 60-months post-treatment No
Secondary Esophageal acid exposure 6-months post-treatment No
Secondary Esophageal sphincter (LES) resting pressure as measure by manometry 6-months post-treatment No
Secondary Esophagitis score 6-months post-treatment No
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