Ablation of Arteries for the Treatment of Type 2 Diabetes Mellitus and Its Comorbidities

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age21-65
SponsorNeurotronic, Inc.

About this trial

This study is to assess the safety and performance of the Neurotronic Infusion Catheter and ethanol denervation of renal and hepatic arteries for the treatment of patients with Type 2 Diabetes (T2DM), Hypertension and Obesity.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥ 21 and ≤ 65 years at time of enrollment.

Fasting plasma glucose ≥ 140 mg/dl (7.8 mmol/l) and ≤ 270 mg/dL (15 mmol/L)

HbA1c levels ≥ 7.0% and ≤ 9.0% (53-75 mmol/mol)

Triglyceride level < 400 mg/dL (4.52 mmol/L)

Disqualifiers

T1DM or poorly controlled T2DM (defined as HbA1c > 9.0% or use insulin as medication to control glucose level).

Office diastolic blood pressure < 90 mmHg.

Current use of > 3 hypertension medications.

Currently on beta blockers or alpha blockers.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Ablation Treatment

    Combination product

    Denervation of renal and common hepatic arteries by ethanol ablation with the Neurotronic Infusion Catheter

  • Arterial Angiography Only

    Diagnostic test

    Arterial Angiography Only without Intervention

  • Single Arm non-Randomized Ablation Treatment

    Combination product

    Denervation of renal and common hepatic arteries by ethanol ablation with the Neurotronic Infusion Catheter

Treatment groups

60 Participants
are divided into 3 treatment groups
Group A: Ablation TreatmentExperimental treatment 1 intervention
Group B: Sham TreatmentSham comparator 1 intervention
Group C: Single Arm non-Randomized TreatmentExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Incidence of serious device- and procedure-related complications at 30 days post procedure.

This composite endpoint is defined as: * death * flow-limiting dissection at one or more of the treated arteries requiring intervention. * Type III perforation of the treated artery requiring intervention. * bleeding requiring transfusion. * severe or occlusive thrombosis of the treated artery beds * clinically significant distal embolization of the treated artery beds * clinically significant damage to kidneys and/or liver

Time frame
30 Days
2

Device success

The device success, defined as successful introduction of the catheter, navigation to the treatment site, and infusion of the chemical to the intended area without device malfunction requiring aborting the procedure.

Time frame
Procedure Day

Secondary outcomes

1

Glycemic Control - HbA1c

Change in HbA1c will be analyzed by absolute and relative changes. Percent subjects with decreased HbA1c will also be analyzed.

Time frame
Discharge up to 5 Days, 1 month, 3 months, 6 months, 12 months, and 24 months. Optional 3, 4 and 5 years
2

Glycemic Control - fasting glucose

Change in fasting glucose will be analyzed by absolute and relative changes. Percent subjects with decreased fasting glucose will also be analyzed.

Time frame
Discharge up to 5 Days, 1 month, 3 months, 6 months, 12 months, and 24 months. Optional 3, 4 and 5 years
3

Hypertension Control - ABPM

Change in ABPM will be analyzed by systolic, diastolic, and mean arterial pressure, absolute and relative changes of ABPM blood pressure. Percent subjects with decrease blood pressure will also be analyzed.

Time frame
Discharge up to 5 Days, 1 month, 3 months, 6 months, 12 months, and 24 months. Optional 3, 4 and 5 years
4

Hypertension Control - Office Blood Pressure

Change in office blood pressure will be analyzed by systolic, diastolic, and mean arterial pressure, absolute and relative changes of office blood pressure. Percent subjects with decrease blood pressure will also be analyzed.

Time frame
Discharge up to 5 Days, 1 month, 3 months, 6 months, 12 months, and 24 months. Optional 3, 4 and 5 years

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Neurotronic, Inc.

Lead sponsor

Libra Medical

Collaborator