GERD Clinical Trial
Official title:
Multi-Center Study of the NDO Surgical Plicator Utilizing Multiple Implants
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 |
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.
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. |
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Germany | Evangelisches Krankenhaus | Dusseldorf | |
Germany | Markus-Krankenhaus | Frankfurt | |
Germany | Medizinische Klinik und Poliklinik Universitatsklinikum Leipzig | Leipzig | |
Germany | Klinikum Ludwigsburg | Ludwigsburg |
Lead Sponsor | Collaborator |
---|---|
NDO Surgical, Inc. |
Germany,
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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