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Assessment of Gastric Volume Reduction in Surgical Weight Loss Candidates

Primary Purpose

Obesity

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Reduction Gastroplasty
Sponsored by
Ethicon Endo-Surgery
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Obesity

Eligibility Criteria

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

Inclusion Criteria:

Subjects are considered appropriate candidates for the study if they fulfill the following criteria:

  1. Subject is willing to give consent and comply with evaluation and treatment schedule;
  2. 21 to 60 years of age (inclusive);
  3. BMI > 35 kg/m2 and < 50 kg/m2 (BMI 35-40 kg/m2 allowable with one or more significant medical conditions related to obesity, including co-morbid conditions of hyperlipidemia, mild obstructive sleep apnea (per Investigators discretion), hypertension, or osteoarthritis of the hip or knee per investigational site's criteria for which the subject is being treated, and which are generally expected to be improved, reversed, or resolved by weight loss);
  4. Candidate for surgical weight loss intervention (i.e., meets ASMBS24 and NIH criteria);
  5. Absence of significant psychopathology that could limit the subject's ability to understand the procedure, comply with medical, surgical, and/or behavioral recommendations, per site standard of care (SOC); and
  6. Agree to refrain from any type of elective procedures that would affect body weight such as abdominal lipoplasty or liposuction, mammoplasty, or removal of excess skin for the duration of the trial.

Exclusion Criteria:

Subjects will be excluded from the study for any of the following:

  1. Women of childbearing potential who are pregnant or lactating at the time of screening or at the time of surgery;
  2. Documented history of drug and/or alcohol abuse within two (2) years of the Screening Visit;
  3. Previous mal-absorptive or restrictive procedures performed for the treatment of obesity;
  4. Scheduled concurrent surgical procedure;
  5. Participation in any other investigational device or drug study (non survey based trial) within 12 weeks of enrollment;
  6. Any condition which precludes compliance with the study, including:

    1. Inflammatory diseases of the gastrointestinal tract, including severe intractable esophagitis, gastric ulceration, duodenal ulceration, or specific inflammation such as Crohn's disease or ulcerative colitis that have been active within the past 10 years;
    2. Congenital or acquired anomalies of the GI tract, including atresias or stenosis;
    3. Severe cardiopulmonary disease or other serious organic disease that makes the subject a high-risk surgical candidate;
    4. Uncontrolled hypertension;
    5. Portal hypertension;
    6. Treatment with insulin (more than 50 units a day);
    7. Chronic or acute upper gastrointestinal bleeding conditions (e.g., gastric or esophageal varices);
    8. Cirrhosis;
    9. Congenital or acquired intestinal telangiectasia;
    10. Esophageal or gastric disorders including moderate severe preoperative reflux, dysmotility, or Barrett's esophagus;
    11. Presence of hiatal hernia;
    12. Prior surgery of the foregut including hiatal hernia repair or prior gastric surgery;
    13. Pancreatitis;
    14. Immunocompromised such as that resulting from chronic oral steroid use, chemotherapeutic agents, or immune deficiency disorders;
    15. Conditions that, in the opinion of the investigator, may jeopardize the subject's well-being and/or the soundness of this clinical study;
  7. History or presence of pre-existing autoimmune connective tissue disease;
  8. Use of prescription or over the counter weight reduction medications or supplements within thirty days of the Screening Visit or the duration of study participation.

Sites / Locations

  • Cleveland Clinic

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Anterior Curve

Greater Curve

Arm Description

Reduction Gastroplasty by Gastric Plication on Anterior Curve

Reduction Gastroplasty by Gastric Plication on Greater Curve

Outcomes

Primary Outcome Measures

Successful Gastric Plication Using Reduction Gastroplasty
The number of participants who completed the study and had post-opeartive gastrocopies showing intact plications.

Secondary Outcome Measures

Durability of Gastric Plications Following Reduction Gastroplasty
The number of participants who completed month 12 gastroscopies showing intact plications.
Weight Loss Following Reduction Gastroplasty
Percentage of excess weight loss calculated at 12 months post-surgery. Percentage of excess weight loss is calculated is the difference in baseline and post-surgery weight divided by the difference in baseline weight and ideal body weight multiplied by 100.

Full Information

First Posted
July 9, 2008
Last Updated
September 1, 2010
Sponsor
Ethicon Endo-Surgery
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1. Study Identification

Unique Protocol Identification Number
NCT00721227
Brief Title
Assessment of Gastric Volume Reduction in Surgical Weight Loss Candidates
Official Title
Assessment of Gastric Volume Reduction in Surgical Weight Loss Candidates
Study Type
Interventional

2. Study Status

Record Verification Date
September 2010
Overall Recruitment Status
Completed
Study Start Date
April 2008 (undefined)
Primary Completion Date
March 2010 (Actual)
Study Completion Date
March 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Ethicon Endo-Surgery

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This trial will assess the feasibility of reduction gastroplasty with standard suture in bariatric patients who are candidates for surgical weight loss intervention.
Detailed Description
The overall plan for all subjects consists of the following elements: Subject will be informed about the nature of the research, given the Informed Consent Document (ICD) to read, and if the subject understands and agrees to the procedure will be asked to sign a written informed consent (the ICD). Subjects will undergo reduction gastroplasty by gastric plication in which a section of the stomach will be infolded by multiple rows of sutures. Subjects are followed for 12 months to evaluate outcomes and potential complications.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
15 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Anterior Curve
Arm Type
Active Comparator
Arm Description
Reduction Gastroplasty by Gastric Plication on Anterior Curve
Arm Title
Greater Curve
Arm Type
Active Comparator
Arm Description
Reduction Gastroplasty by Gastric Plication on Greater Curve
Intervention Type
Procedure
Intervention Name(s)
Reduction Gastroplasty
Intervention Description
Subjects will undergo reduction gastroplasty by gastric plication Subjects are followed for 12 months to evaluate outcomes and potential complications.
Primary Outcome Measure Information:
Title
Successful Gastric Plication Using Reduction Gastroplasty
Description
The number of participants who completed the study and had post-opeartive gastrocopies showing intact plications.
Time Frame
Immediately post-operative
Secondary Outcome Measure Information:
Title
Durability of Gastric Plications Following Reduction Gastroplasty
Description
The number of participants who completed month 12 gastroscopies showing intact plications.
Time Frame
12 month
Title
Weight Loss Following Reduction Gastroplasty
Description
Percentage of excess weight loss calculated at 12 months post-surgery. Percentage of excess weight loss is calculated is the difference in baseline and post-surgery weight divided by the difference in baseline weight and ideal body weight multiplied by 100.
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects are considered appropriate candidates for the study if they fulfill the following criteria: Subject is willing to give consent and comply with evaluation and treatment schedule; 21 to 60 years of age (inclusive); BMI > 35 kg/m2 and < 50 kg/m2 (BMI 35-40 kg/m2 allowable with one or more significant medical conditions related to obesity, including co-morbid conditions of hyperlipidemia, mild obstructive sleep apnea (per Investigators discretion), hypertension, or osteoarthritis of the hip or knee per investigational site's criteria for which the subject is being treated, and which are generally expected to be improved, reversed, or resolved by weight loss); Candidate for surgical weight loss intervention (i.e., meets ASMBS24 and NIH criteria); Absence of significant psychopathology that could limit the subject's ability to understand the procedure, comply with medical, surgical, and/or behavioral recommendations, per site standard of care (SOC); and Agree to refrain from any type of elective procedures that would affect body weight such as abdominal lipoplasty or liposuction, mammoplasty, or removal of excess skin for the duration of the trial. Exclusion Criteria: Subjects will be excluded from the study for any of the following: Women of childbearing potential who are pregnant or lactating at the time of screening or at the time of surgery; Documented history of drug and/or alcohol abuse within two (2) years of the Screening Visit; Previous mal-absorptive or restrictive procedures performed for the treatment of obesity; Scheduled concurrent surgical procedure; Participation in any other investigational device or drug study (non survey based trial) within 12 weeks of enrollment; Any condition which precludes compliance with the study, including: Inflammatory diseases of the gastrointestinal tract, including severe intractable esophagitis, gastric ulceration, duodenal ulceration, or specific inflammation such as Crohn's disease or ulcerative colitis that have been active within the past 10 years; Congenital or acquired anomalies of the GI tract, including atresias or stenosis; Severe cardiopulmonary disease or other serious organic disease that makes the subject a high-risk surgical candidate; Uncontrolled hypertension; Portal hypertension; Treatment with insulin (more than 50 units a day); Chronic or acute upper gastrointestinal bleeding conditions (e.g., gastric or esophageal varices); Cirrhosis; Congenital or acquired intestinal telangiectasia; Esophageal or gastric disorders including moderate severe preoperative reflux, dysmotility, or Barrett's esophagus; Presence of hiatal hernia; Prior surgery of the foregut including hiatal hernia repair or prior gastric surgery; Pancreatitis; Immunocompromised such as that resulting from chronic oral steroid use, chemotherapeutic agents, or immune deficiency disorders; Conditions that, in the opinion of the investigator, may jeopardize the subject's well-being and/or the soundness of this clinical study; History or presence of pre-existing autoimmune connective tissue disease; Use of prescription or over the counter weight reduction medications or supplements within thirty days of the Screening Visit or the duration of study participation.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Philip R Schauer, M.D
Organizational Affiliation
The Cleveland Clinic
Official's Role
Principal Investigator
Facility Information:
Facility Name
Cleveland Clinic
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Assessment of Gastric Volume Reduction in Surgical Weight Loss Candidates

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