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Post Implantation/Post Market Evaluation of the Swedish Adjustable Gastric Band (SAGB-PM)

Primary Purpose

Morbid Obesity

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
REALIZE™ Swedish Adjustable Gastric Band
Sponsored by
Ethicon Endo-Surgery
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Morbid Obesity focused on measuring Obesity, Morbid Obesity

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

CI-06-0001 Inclusion Criteria:

Subjects eligible to participate in this study must fulfill all of the following criteria:

  1. Able to comprehend, follow and give signed informed consent;
  2. Consented to, and participated in EES Protocol CI-02-0006 titled "A Single-Arm, Multi-Center Study of the Safety and Effectiveness of The Swedish Adjustable Gastric Band (SAGB) in the Treatment of Morbid Obesity";
  3. Currently have an SAGB implant in place;
  4. Able to commit to long-term follow-up; up to 5 years after SAGB implantation, including band adjustment visits; and
  5. Living within the contiguous U.S.

CI-07-0006 Inclusion Criteria:

Subjects eligible to participate in this study must fulfill all of the following criteria:

  1. Able to comprehend, follow and give informed consent;
  2. 18 to 60 years of age (inclusive);
  3. Body Mass Index (BMI) of > 40 kg/m2 and £ 55 kg/m2, or BMI ³ 35 kg/m2 and < 40 kg/m2 with one or more co-morbid conditions.
  4. Candidate for surgical weight loss intervention in accordance with the Instructions For Use (i.e., meets acceptable health criteria for major surgery).

CI-06-0001 Exclusion Criteria:

Subjects with the following are not eligible to participate in this clinical trial and must not be enrolled in this study:

a. Consented to, and participated in EES Protocol CI-02-0006 titled "A aSingle-Arm, Multi-Center Study of the Safety and Effectiveness of The Swedish Adjustable Gastric Band (SAGB) in the Treatment of Morbid Obesity"; and have had the SAGB explanted.

CI-07-0006 Exclusion Criteria:

  1. Women who are currently pregnant.
  2. Previous malabsorptive or restrictive procedures performed for the treatment of morbid obesity.
  3. Documented history of drug and/or alcohol abuse within 2 years of the Screening Visit (1a).
  4. Presence of any of the following medical conditions;

    1. Inflammatory diseases of the gastrointestinal tract, including severe intractable esophagitis, gastric ulceration or duodenal ulceration, or specific inflammation such as Crohn's disease;
    2. Severe cardiopulmonary disease or other serious organic disease;
    3. Upper gastrointestinal bleeding conditions such as esophageal or gastric varices or intestinal telangiectases;
    4. Portal hypertension;
    5. Anomalies of the gastrointestinal tract such as atresia or stenosis;
    6. Cirrhosis of the liver;
    7. Chronic pancreatitis;
    8. Patients on chronic, long-term steroid treatment or steroids within 15 days of surgery;
    9. Unable or unwilling to comply with dietary restrictions required by this procedure;
    10. Known allergy to materials contained within the band or its injection port (silicone elastomer containing 10% BaSO4, polyetheretherketone (PEEK), and cobalt chromium)
  5. Presence of terminal illness with life expectancy of £ 5 years.
  6. Inability to refrain from use of anticoagulants or aspirin within 15 days prior to surgery.
  7. Acute or chronic infection (localized or systemic).
  8. Participation in another clinical trial within 8 weeks of the Screening Visit (1a) and for the duration of this trial.
  9. Any medical condition or finding for which the Investigator utilizes their medical discretion to determine the subject should be excluded due to inability to understand or follow study procedures.

Sites / Locations

  • Surgical Associates of La Jolla Medical Group, Inc.
  • Cedars-Sinai Medical Center
  • Advanced Surgical Institute at Mercy Hospital
  • Robert T. Marema, MD
  • Cleveland Clinic Florida
  • Hamilton Medical Center - Weight Management
  • St. Luke's Roosevelt Hospital Center
  • dgd Research, Inc.

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

REALIZE™ Swedish Adjustable Gastric Band

Arm Description

All subjects have the REALIZE™ Swedish Adjustable Gastric Band. Single arm - no comparator.

Outcomes

Primary Outcome Measures

Re-operation Rate (Band Revision, Band Replacement and Explants Resulting From Serious Adverse Device-related Event {SADE}) of Gastric Banding at 4 and 5 Years Post Implant.
A reoperation was identified by satisfying all of the following criteria: Is an SAE or is the action taken as the result of an SAE; Is related to the device (i.e., has a relationship to study device that is indicated as Definite, Probable, Possible, or Unknown). In cases where the reoperation is the action taken for an SAE, then the SAE itself should be related to the device; Is an explant, band revision, or band replacement resulting from a medical condition (perceived failure of weight loss, subject request, and other non-medical conditions will not be counted); and Has a start date that is strictly more than 1095 days (3 years) from the implantation of the device.

Secondary Outcome Measures

Change in Glycosylated Hemoglobin (HbA1c) at 5 Years Post Implant.
The natural unit of measurement for HbA1c is percent (%). Results provided represent change from baseline, that is, Year 5 value minus Baseline value.
Percent Change in Excess Body Weight at 5 Years Post-implant
Change in SF-36 Health Survey Physical Component at 5 Years Post Implant
Scores on the SF-36 Health Survey are determined by methodology publised with the validated instrument. Scores can range from 0 to 100 with higher scores indicating higher quality of life.
Change in SF-36 Health Survey Mental Component at 5 Years Post Implant
Scores on the SF-36 Health Survey are determined by methodology publised with the validated instrument. Scores can range from 0 to 100 with higher scores indicating higher quality of life.

Full Information

First Posted
August 28, 2007
Last Updated
February 9, 2016
Sponsor
Ethicon Endo-Surgery
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1. Study Identification

Unique Protocol Identification Number
NCT00543140
Brief Title
Post Implantation/Post Market Evaluation of the Swedish Adjustable Gastric Band
Acronym
SAGB-PM
Official Title
A Post Implantation/Post Market Evaluation of Safety and Quality of Life in Subjects Implanted With the Swedish Adjustable Gastric Band (SAGB) During Protocol CI-02-0006
Study Type
Interventional

2. Study Status

Record Verification Date
February 2016
Overall Recruitment Status
Completed
Study Start Date
August 2006 (undefined)
Primary Completion Date
January 2015 (Actual)
Study Completion Date
January 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ethicon Endo-Surgery

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the study is to evaluate the long term safety of the Swedish Adjustable Gastric Band (SAGB) in subjects with an SAGB in place. Specifically it is designed to determine the re-operation rate (band revision, band replacement and explants resulting from serious adverse device-related event {SADE}) of gastric banding at 4 and 5 year post implant.
Detailed Description
NCT00543140 (CI-06-0001) is the 2 year Safety and QOL subject follow-up study to NCT00166205 (CI-02-0006), completed on November 10, 2008. As a condition of approval, the FDA required additional subjects with long-term safety data. These subjects enrolled under protocol CI-07-0006 (NCT00813462)-5 Year Post-Approval Study With the REALIZE (TM) Adjustable Gastric Band. Protocol CI-06-0001 was amended to combine these study subjects with study subjects from CI-07-0006. NCT00543140 (CI-06-0001) will not be completed (analysis of results) until the additional subjects in NCT00813462 (CI-07-0006) complete this study since the original intent was to pool the data together from the above two studies to obtain the appropriate sample size for estimation of the re-operation rate at 4 and 5 years post implantation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Morbid Obesity
Keywords
Obesity, Morbid Obesity

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
303 (Actual)

8. Arms, Groups, and Interventions

Arm Title
REALIZE™ Swedish Adjustable Gastric Band
Arm Type
Other
Arm Description
All subjects have the REALIZE™ Swedish Adjustable Gastric Band. Single arm - no comparator.
Intervention Type
Device
Intervention Name(s)
REALIZE™ Swedish Adjustable Gastric Band
Other Intervention Name(s)
REALIZE Band
Intervention Description
Laparoscopic placement of the Swedish Adjustable Gastric Band
Primary Outcome Measure Information:
Title
Re-operation Rate (Band Revision, Band Replacement and Explants Resulting From Serious Adverse Device-related Event {SADE}) of Gastric Banding at 4 and 5 Years Post Implant.
Description
A reoperation was identified by satisfying all of the following criteria: Is an SAE or is the action taken as the result of an SAE; Is related to the device (i.e., has a relationship to study device that is indicated as Definite, Probable, Possible, or Unknown). In cases where the reoperation is the action taken for an SAE, then the SAE itself should be related to the device; Is an explant, band revision, or band replacement resulting from a medical condition (perceived failure of weight loss, subject request, and other non-medical conditions will not be counted); and Has a start date that is strictly more than 1095 days (3 years) from the implantation of the device.
Time Frame
5 years
Secondary Outcome Measure Information:
Title
Change in Glycosylated Hemoglobin (HbA1c) at 5 Years Post Implant.
Description
The natural unit of measurement for HbA1c is percent (%). Results provided represent change from baseline, that is, Year 5 value minus Baseline value.
Time Frame
5 years
Title
Percent Change in Excess Body Weight at 5 Years Post-implant
Time Frame
5 years
Title
Change in SF-36 Health Survey Physical Component at 5 Years Post Implant
Description
Scores on the SF-36 Health Survey are determined by methodology publised with the validated instrument. Scores can range from 0 to 100 with higher scores indicating higher quality of life.
Time Frame
5 years
Title
Change in SF-36 Health Survey Mental Component at 5 Years Post Implant
Description
Scores on the SF-36 Health Survey are determined by methodology publised with the validated instrument. Scores can range from 0 to 100 with higher scores indicating higher quality of life.
Time Frame
5 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
CI-06-0001 Inclusion Criteria: Subjects eligible to participate in this study must fulfill all of the following criteria: Able to comprehend, follow and give signed informed consent; Consented to, and participated in EES Protocol CI-02-0006 titled "A Single-Arm, Multi-Center Study of the Safety and Effectiveness of The Swedish Adjustable Gastric Band (SAGB) in the Treatment of Morbid Obesity"; Currently have an SAGB implant in place; Able to commit to long-term follow-up; up to 5 years after SAGB implantation, including band adjustment visits; and Living within the contiguous U.S. CI-07-0006 Inclusion Criteria: Subjects eligible to participate in this study must fulfill all of the following criteria: Able to comprehend, follow and give informed consent; 18 to 60 years of age (inclusive); Body Mass Index (BMI) of > 40 kg/m2 and £ 55 kg/m2, or BMI ³ 35 kg/m2 and < 40 kg/m2 with one or more co-morbid conditions. Candidate for surgical weight loss intervention in accordance with the Instructions For Use (i.e., meets acceptable health criteria for major surgery). CI-06-0001 Exclusion Criteria: Subjects with the following are not eligible to participate in this clinical trial and must not be enrolled in this study: a. Consented to, and participated in EES Protocol CI-02-0006 titled "A aSingle-Arm, Multi-Center Study of the Safety and Effectiveness of The Swedish Adjustable Gastric Band (SAGB) in the Treatment of Morbid Obesity"; and have had the SAGB explanted. CI-07-0006 Exclusion Criteria: Women who are currently pregnant. Previous malabsorptive or restrictive procedures performed for the treatment of morbid obesity. Documented history of drug and/or alcohol abuse within 2 years of the Screening Visit (1a). Presence of any of the following medical conditions; Inflammatory diseases of the gastrointestinal tract, including severe intractable esophagitis, gastric ulceration or duodenal ulceration, or specific inflammation such as Crohn's disease; Severe cardiopulmonary disease or other serious organic disease; Upper gastrointestinal bleeding conditions such as esophageal or gastric varices or intestinal telangiectases; Portal hypertension; Anomalies of the gastrointestinal tract such as atresia or stenosis; Cirrhosis of the liver; Chronic pancreatitis; Patients on chronic, long-term steroid treatment or steroids within 15 days of surgery; Unable or unwilling to comply with dietary restrictions required by this procedure; Known allergy to materials contained within the band or its injection port (silicone elastomer containing 10% BaSO4, polyetheretherketone (PEEK), and cobalt chromium) Presence of terminal illness with life expectancy of £ 5 years. Inability to refrain from use of anticoagulants or aspirin within 15 days prior to surgery. Acute or chronic infection (localized or systemic). Participation in another clinical trial within 8 weeks of the Screening Visit (1a) and for the duration of this trial. Any medical condition or finding for which the Investigator utilizes their medical discretion to determine the subject should be excluded due to inability to understand or follow study procedures.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Edward Phillips, MD
Organizational Affiliation
Cedars Sinai
Official's Role
Principal Investigator
Facility Information:
Facility Name
Surgical Associates of La Jolla Medical Group, Inc.
City
La Jolla
State/Province
California
ZIP/Postal Code
92037
Country
United States
Facility Name
Cedars-Sinai Medical Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90048
Country
United States
Facility Name
Advanced Surgical Institute at Mercy Hospital
City
Miami
State/Province
Florida
ZIP/Postal Code
33133
Country
United States
Facility Name
Robert T. Marema, MD
City
St. Augustine
State/Province
Florida
ZIP/Postal Code
32086
Country
United States
Facility Name
Cleveland Clinic Florida
City
Weston
State/Province
Florida
ZIP/Postal Code
33331
Country
United States
Facility Name
Hamilton Medical Center - Weight Management
City
Dalton
State/Province
Georgia
ZIP/Postal Code
30722
Country
United States
Facility Name
St. Luke's Roosevelt Hospital Center
City
New York
State/Province
New York
ZIP/Postal Code
10025
Country
United States
Facility Name
dgd Research, Inc.
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
There is no plan to share IPD. Cumulative data from the study will be published.

Learn more about this trial

Post Implantation/Post Market Evaluation of the Swedish Adjustable Gastric Band

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