About this trial
Compare use of the Magnet System in side-to-side duodeno-ileostomy (Surgery) with semaglutide (Medication).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Body Mass Index (BMI) between 30 - 40 kg/m2 and qualifies for obesity treatment at the discretion of the treating investigator (i.e., must be assessed to qualify for both surgery and medication treatment to justify randomization).
Type 2 diabetes (T2D defined as HbA1c ≥ 6.5%).
Participant agrees to refrain from additional metabolic and bariatric (MBS) or reconstructive surgery that would affect body weight for the duration of the study.
Participant agrees to refrain from taking any additional semaglutide-containing or other GLP-1RA medication for the duration of the study, regardless of randomization assignment (i.e., Surgery or Medication).
Disqualifiers
Meets any of the contraindications for either treatment arm (Surgery: Magnet System; or Medication: semaglutide), thereby prohibiting randomization
Current or previous metabolic and bariatric surgery (MBS) treatment in the previous 12 months (e.g., sleeve gastrectomy, intragastric balloons, adjustable gastric banding).
Taking or treated with semaglutide, semaglutide-containing medications, or any other GLP-1RA medication in the previous 12 months.
Pregnant, lactating or planning pregnancy during the clinical study and follow-up period.
Trial design
Crossover
Treatments tested in this trial
Magnet System
DeviceMagnet System for side-to-side magnetic compression anastomosis in a duodeno-ileostomy bipartition
Semaglutide
DrugSemaglutide (up to 2.4mg subcutaneous (SQ) injection weekly or dose tolerated according to side effects); a glucagon-like peptide-1 receptor agonist (GLP-1RA)
Treatment groups
Trial outcomes
Primary outcomes
Functional improvement of T2D: HbA1c
Sponsors and contacts
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