About this trial
The purpose of this study is to evaluate the feasibility, safety, and tolerability of endoscopic selective gastric mucosal ablation (GMA) using argon plasma coagulation after sleeve gastrectomy. In this study, GMA will be performed on patients who have experienced weight regain following an initial successful response to sleeve gastrectomy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
BMI of 30 kg/m2 or greater, AND
regained at least 25% of the total weight lost after initial successful response to sleeve gastrectomy. defined as Excess Weight Loss (EWL) greater than 50% or Total Body Weight Loss (TBWL) exceeding 20%
Must have undergone SG at least three years before the time of enrollment
Age range: 22 - 60 years
Disqualifiers
Inadequate response to sleeve gastrectomy
Patients requiring exogenous insulin.
HbA1c > 8.5%
Pregnant or breast-feeding or intending to get pregnant during the study.
Trial design
Single group
Treatments tested in this trial
Gastric Mucosal Ablation (GMA)
DeviceEndoscopic Gastric Mucosal Ablation (GMA) after sleeve gastrectomy
Treatment groups
Trial outcomes
Primary outcomes
Percent Change in Total Body Weight Loss (TBWL) from Baseline
Measure percent change in total body weight over time following endoscopic GMA. TBWL = pre-op weight - post op body weight. % TBWL is the fraction of body weight expressed in percentage term
Secondary outcomes
Rate of Safety Complications according to Clavien-Dindo Classification
Occurrence of complications according to the Clavien-Dindo classification
Rate of Adverse Events (AE)
Occurrence of Adverse Events along with AE Type, severity, and relationship to treatment.
Post-operative Pain Assessment
Visual Analog Scale pain score at baseline compared to postoperative follow-up visits. The VAS Pain Scores range from 0 (minimum) to 10 (maximum), where 0 represents no pain and 10 represents the maximum level of pain, with higher scores indicating greater intensity of postoperative pain.
Percent Change in Total Body Weight Loss (TBWL) from Baseline
Measure percent change in total body weight over time following endoscopic GMA. TBWL = pre-op weight - post op body weight. % TBWL is the fraction of body weight expressed in percentage term
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Dr. Christopher McGowan
Lead sponsor
True You Weight Loss
Sponsor institution