About this trial
The Investigators propose suture plication placement at the distal gastric body drives a significant portion of weight loss in endoscopic sleeve and sutures only need to be placed in the distal gastric body. Therefore, in this pilot study, the investigators aim to compare "belt" with "belt and suspenders" plication pattern using the Endomina system to determine percent total weight loss.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with 18-65 years of age
BMI ≥ 30 kg/m2
Capable of giving informed consent and available to return for follow-up visit
Disqualifiers
Untreated H. pylori infection
Active gastric or duodenal ulceration
Malignant or premalignant gastric diseases (such as intestinal metaplasia, high grade dysplasia, gastric adenocarcinoma, or gastrointestinal stromal tumor (GIST))
Severe reflux esophagitis (Los Angeles Classification (LA) Grade C or D)
Trial design
Parallel
Treatments tested in this trial
Endoscopic Sleeve Gastroplasty - Belt and Suspenders
DeviceEndoscopic sleeve gastroplasty using belt and suspender plications.
Endoscopic Sleeve Gastroplasty - Belt
DeviceEndoscopic sleeve gastroplasty using belt only plications.
Treatment groups
Trial outcomes
Primary outcomes
Percent TWL (%TWL)
Change in the percent total weight loss from baseline at 6 and 12 months.
Adverse Events
Presence of adverse events that develop post-procedure
Secondary outcomes
Gastric Emptying
Comparison of gastric emptying rate using Gastric Emptying Breath Test (GEBT) from baseline to 6 months and 12 months post-procedure
Number of participants with improvement in fasting glucose
Change in fasting glucose laboratory values from baseline at 6 and 12 months post-procedure
Number of participants with improvement in Hemoglobin A1c (HgA1c %)
Change in HgA1c laboratory values from baseline at 6 and 12 months post-procedure
Improvement in fasting lipids profile
Change in fasting lipids laboratory values from baseline at 6 and 12 months post-procedure
Sponsors and contacts
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Brigham and Women's Hospital
Lead sponsor
Endo Tools Therapeutics S.A.
Collaborator
This trial is not recruiting at the moment. You can still explore other options: