Multicentric Approval Study Trans-Duodenal Barrier for Typ 2 Diabetes With Obesity

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorTrans-Duodenal Concepts GmbH

About this trial

Approval study Trans-Duodenal Barrier The goal of this clinical trial is to determin the safety and performance of the newly developed Trans-Duodenal Barrier in adult Tryp 2 diabetic and obese patients.

The Trans-Duodenal Barrier is an endoscopic implant which can be placed to the gastric outlet and the upper small bowel by interventional endoscopy. It consists of a 60 cm long foil tube , a transpyloric shaft and and two ringlike balloons to fix it at the pylorus. It will be removed after 6 months via gastroscopy.

The main questions it aims to answer are:

* Does the Trans-Duodenal Barrier lower the HbA1c of the participants ? * How frequent are adverse side effects related to the device? * How much ist the excessive wight loss of treated patients ? * Show patients with Metabolic assiociated Hepatosteatitis (MASH) improvements in liver elasticity (elastography) ? Researchers implant the Trans-Duodenal Barrier to enclosed patients and follow up them till 4 weeks after explantation.

Participants will:

* Get the Trans-Duodenal Barrier as an implant for 6 moths * Visit the clinic 3 times in the implant period and once for explant. * Receive a telefon interview 4 weeks after explant

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Obese patients with type 2 diabetes mellitus,

Age ≥ 18 years,

The patient is able to understand the nature, significance, and scope of the clinical trial (MPDG §28),

The patient has been informed and all written consents from the patient are available.

Disqualifiers

The patient is mentally incapable of understanding the nature, objectives, or possible consequences of the clinical trial.

The patient is unwilling or unable to follow postoperative instructions.

The patient has been placed in an institution by court order or official order (MPDG §27).

The patient lives more than 100 km from the treatment site.

Trial design

Design model

Single group

Treatments tested in this trial

  • endoscopic implant

    Device

    The implant will be placed under sedation with the help of an standard flexible gastroscope. It will be fixed by fluid injection into ringlike ballons and place the device at the gastric outlet. After 6 months it will be removed by punction and evacuation of the ballons and extraction with a standard endoscopy foreighn body grasper.

Treatment groups

126 Participants
are divided into 1 treatment group
Group A: Treatment with endoscopic implant of the investigational deviceExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Main Outcome Measure HbA1c reduction

The HbA1c reduction shall exceed 0,8 in average

Time frame
Improvement in 6 Month device implant time
2

Wight control

Excessive Body Wight reduction in device implant time

Time frame
Outcome after 6 months device implant time

Secondary outcomes

1

Safety of the Trans-Duodenal Barrier

Frequency and Severity of SAEs

Time frame
between implant and 4 weeks after explant (6 months after implant)

Other outcomes

1

Liver elasticity

Measurement of Liver stiffness by elastography

Time frame
device implant time 6 months

Sponsors and contacts

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Trans-Duodenal Concepts GmbH

Lead sponsor

novineon CRO GmbH

Collaborator

VDI Technologiezentrum

Collaborator

This trial is not recruiting at the moment. You can still explore other options: