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The DIAMOND® for the Treatment of Type 2 Diabetes

Primary Purpose

Type 2 Diabetes

Status
Unknown status
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
DIAMOND System
Sponsored by
MetaCure Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes focused on measuring diabetes

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male and female subjects 18 through 70 years of age
  • Body mass index > 30 and < 45 (kg/m2)
  • Type 2 diabetes duration of at least 6 months
  • Type 2 diabetic subjects treated with oral anti-diabetic agents [Sulfonylurea, Metformin, thiazolinedione (TZD) or DPP-4 inhibitors]
  • Stable anti-diabetic medications for at least 3 months prior to enrollment, six months for thiazolinedione (TZD)
  • The subject has been under routine diabetes care of the investigator or another single physician that can supply a medical record for at least 6 months prior to enrollment
  • HbA1c 7.3% and ≤ 9.5 % on Visit 1
  • Stable HbA1c, defined as no significant change (variation ≤ 0.5%) between a historical value recorded in the subject's medical record within 3 months prior to enrollment and the HbA1c gathered on Visit 1.
  • Fasting blood glucose >120 and < 350 mg/dl on Visit 1.
  • Women with childbearing potential (i.e., not post-menopausal or surgically sterilized) must agree to use adequate birth control methods
  • Stable weight, defined as no significant weight change (variation <3%) within three months prior to enrollment as documented in the subject's medical record. For the subject treated with thiazolinedione, stable weight within six months.
  • If taking theses medication, sable anti-hypertensive and lipid-lowering medication for at least one month prior to enrollment
  • If subject is under anti-depressant medication the treatment needs to be stable for at least six months prior to enrollment.
  • Ability and willingness to perform required study and data collection procedures and adhere to operating requirements of the DIAMOND System
  • Willingness to perform at least four (3) capillary blood glucose tests per day twice a week for the duration of the study
  • Willingness to refrain from using prescription, over the counter or herbal weight loss products for the duration of the trial
  • Alert, mentally competent, and able to understand and willing to comply with the requirements of the clinical trial, and personally motivated to abide by the requirements and restrictions of the clinical trial
  • Able to provide voluntary informed consent

Exclusion Criteria:

  • Insulin therapy in last 3 months
  • Taking GLP-1 agonists or in the last 3 months before the enrollment
  • Currently taking fibrates, nicotinamide and omega 3 fatty acids as antilipidemic treatment
  • Subjects with an EF less than 35% or otherwise indicated for an ICD
  • Taking medications known to affect gastric motility such as narcotics (chronic use) and anticholinergics/antispasmodics
  • Experiencing severe and progressing diabetic complications (i.e. retinopathy not stabilized, nephropathy with macroalbuminuria)
  • Prior wound healing problems due to staphylococcus or candida
  • Diagnosed with past or current psychiatric condition that may impair his or her ability to comply with the study procedures
  • Use of anti-psychotic medications
  • Diagnosed with a eating disorder such as bulimia or binge eating
  • Obesity due to an endocrine disorder (e.g. Cushing disease)
  • Pregnant or lactating
  • Diagnosed with impaired liver function (liver enzymes 3 times greater than normal)
  • Any prior bariatric surgery
  • Any history of pancreatitis
  • Any history of peptic ulcer disease within 5 years of enrollment
  • Diagnosed with gastroparesis
  • Use of active medical devices (either implantable or external) such as ICD, pacemaker, drug infusion device, or neurostimulator (either implanted or worn). Subjects using an external active device who are able and willing to avoid use of the device during the study may be enrolled.
  • Cardiac history that physician feels should exclude the subject from the study.
  • Use of another investigator device or agent in the 30 days prior to enrollment
  • A history of life-threatening disease within 5 years of enrollment
  • Change in diabetic medication from between Visit 1 and Visit 3.
  • Any additional condition(s) that in the Investigator's opinion would warrant exclusion from the study or prevent the subject from completing the study

Sites / Locations

  • Epworth Research InstituteRecruiting
  • Tilak Innsbruck
  • "Attikon" Hospital
  • "Evgenidio " HospitalRecruiting
  • Clinica Pineta GrandeRecruiting
  • The Università Cattolica del Sacro CuoreRecruiting
  • Medical UniversityRecruiting
  • Medical UniversityRecruiting
  • "Diabeta-Care"Recruiting
  • Medical UniversityRecruiting
  • Centre for Postgraduate Medical Education (CMKP)Recruiting
  • Klinika za digestivnu hirurgijuRecruiting
  • Institut za pluće bolesti VojvodineRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Low blood TG patients

High blood TG patients treated with blood TG lowering therapy

High blood TG patients

Arm Description

subjects with baseline blood triglyceride level ≤ 1.7 mmol/l will have intervention device (DIAMOND Implantable Pulse Generator (IPG)) programmed to deliver GCM signal including the setting of automatic eating detection parameters for a 48 weeks period.

subjects with baseline blood triglyceride level > 1.7 mmol/l will have their device programmed to deliver GCM signal including the setting of automatic eating detection parameters for a 48 weeks period and will receive fenofibrate at the dose of 160mg per day

subjects with baseline blood triglyceride level > 1.7 mmol/l will have their device programmed to deliver GCM signal including the setting of automatic eating detection parameters for a 48 weeks period and will receive placebo of fenofibrate administered in the same schedule as the drug.

Outcomes

Primary Outcome Measures

improvement of HbA1c
improvement of glycemic control measured by changes in HbA1c

Secondary Outcome Measures

Relationship between blood TG level and the GCM efficacy
Relationship between blood TG level and the GCM efficacy

Full Information

First Posted
February 26, 2014
Last Updated
March 15, 2016
Sponsor
MetaCure Limited
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1. Study Identification

Unique Protocol Identification Number
NCT02079376
Brief Title
The DIAMOND® for the Treatment of Type 2 Diabetes
Official Title
The DIAMOND® for the Treatment of Type 2 Diabetes: Can Blood Triglycerides Level be the Predictor for Therapy Efficiency A Multicentre, Prospective, Semi-randomized Study
Study Type
Interventional

2. Study Status

Record Verification Date
March 2016
Overall Recruitment Status
Unknown status
Study Start Date
November 2013 (undefined)
Primary Completion Date
December 2016 (Anticipated)
Study Completion Date
December 2016 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MetaCure Limited

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Study to evaluate the efficacy of gastric stimulation (GCM) using the DIAMOND System in the improvement of glycemic control measured by changes in HbA1c. Relationship between blood TG level and the GCM efficacy will be evaluated.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes
Keywords
diabetes

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare Provider
Allocation
Randomized
Enrollment
45 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Low blood TG patients
Arm Type
Experimental
Arm Description
subjects with baseline blood triglyceride level ≤ 1.7 mmol/l will have intervention device (DIAMOND Implantable Pulse Generator (IPG)) programmed to deliver GCM signal including the setting of automatic eating detection parameters for a 48 weeks period.
Arm Title
High blood TG patients treated with blood TG lowering therapy
Arm Type
Experimental
Arm Description
subjects with baseline blood triglyceride level > 1.7 mmol/l will have their device programmed to deliver GCM signal including the setting of automatic eating detection parameters for a 48 weeks period and will receive fenofibrate at the dose of 160mg per day
Arm Title
High blood TG patients
Arm Type
Placebo Comparator
Arm Description
subjects with baseline blood triglyceride level > 1.7 mmol/l will have their device programmed to deliver GCM signal including the setting of automatic eating detection parameters for a 48 weeks period and will receive placebo of fenofibrate administered in the same schedule as the drug.
Intervention Type
Device
Intervention Name(s)
DIAMOND System
Intervention Description
DIAMOND Implantable Pulse Generator (IPG)
Primary Outcome Measure Information:
Title
improvement of HbA1c
Description
improvement of glycemic control measured by changes in HbA1c
Time Frame
48 weeks
Secondary Outcome Measure Information:
Title
Relationship between blood TG level and the GCM efficacy
Description
Relationship between blood TG level and the GCM efficacy
Time Frame
48 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female subjects 18 through 70 years of age Body mass index > 30 and < 45 (kg/m2) Type 2 diabetes duration of at least 6 months Type 2 diabetic subjects treated with oral anti-diabetic agents [Sulfonylurea, Metformin, thiazolinedione (TZD) or DPP-4 inhibitors] Stable anti-diabetic medications for at least 3 months prior to enrollment, six months for thiazolinedione (TZD) The subject has been under routine diabetes care of the investigator or another single physician that can supply a medical record for at least 6 months prior to enrollment HbA1c 7.3% and ≤ 9.5 % on Visit 1 Stable HbA1c, defined as no significant change (variation ≤ 0.5%) between a historical value recorded in the subject's medical record within 3 months prior to enrollment and the HbA1c gathered on Visit 1. Fasting blood glucose >120 and < 350 mg/dl on Visit 1. Women with childbearing potential (i.e., not post-menopausal or surgically sterilized) must agree to use adequate birth control methods Stable weight, defined as no significant weight change (variation <3%) within three months prior to enrollment as documented in the subject's medical record. For the subject treated with thiazolinedione, stable weight within six months. If taking theses medication, sable anti-hypertensive and lipid-lowering medication for at least one month prior to enrollment If subject is under anti-depressant medication the treatment needs to be stable for at least six months prior to enrollment. Ability and willingness to perform required study and data collection procedures and adhere to operating requirements of the DIAMOND System Willingness to perform at least four (3) capillary blood glucose tests per day twice a week for the duration of the study Willingness to refrain from using prescription, over the counter or herbal weight loss products for the duration of the trial Alert, mentally competent, and able to understand and willing to comply with the requirements of the clinical trial, and personally motivated to abide by the requirements and restrictions of the clinical trial Able to provide voluntary informed consent Exclusion Criteria: Insulin therapy in last 3 months Taking GLP-1 agonists or in the last 3 months before the enrollment Currently taking fibrates, nicotinamide and omega 3 fatty acids as antilipidemic treatment Subjects with an EF less than 35% or otherwise indicated for an ICD Taking medications known to affect gastric motility such as narcotics (chronic use) and anticholinergics/antispasmodics Experiencing severe and progressing diabetic complications (i.e. retinopathy not stabilized, nephropathy with macroalbuminuria) Prior wound healing problems due to staphylococcus or candida Diagnosed with past or current psychiatric condition that may impair his or her ability to comply with the study procedures Use of anti-psychotic medications Diagnosed with a eating disorder such as bulimia or binge eating Obesity due to an endocrine disorder (e.g. Cushing disease) Pregnant or lactating Diagnosed with impaired liver function (liver enzymes 3 times greater than normal) Any prior bariatric surgery Any history of pancreatitis Any history of peptic ulcer disease within 5 years of enrollment Diagnosed with gastroparesis Use of active medical devices (either implantable or external) such as ICD, pacemaker, drug infusion device, or neurostimulator (either implanted or worn). Subjects using an external active device who are able and willing to avoid use of the device during the study may be enrolled. Cardiac history that physician feels should exclude the subject from the study. Use of another investigator device or agent in the 30 days prior to enrollment A history of life-threatening disease within 5 years of enrollment Change in diabetic medication from between Visit 1 and Visit 3. Any additional condition(s) that in the Investigator's opinion would warrant exclusion from the study or prevent the subject from completing the study
Facility Information:
Facility Name
Epworth Research Institute
City
Richmond, Victoria
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Spiros Fourlanos, MD
Email
spiros.fourlanos@nh.org.au
Facility Name
Tilak Innsbruck
City
Innsbruck
Country
Austria
Individual Site Status
Withdrawn
Facility Name
"Attikon" Hospital
City
AThens
Country
Greece
Individual Site Status
Active, not recruiting
Facility Name
"Evgenidio " Hospital
City
Athens
Country
Greece
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Nikolaos Arkadopoulos, Prof.
Phone
306937106217
Facility Name
Clinica Pineta Grande
City
Rome
Country
Italy
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dott. Cristiano Giardiello, MD
Phone
+39335406848
Facility Name
The Università Cattolica del Sacro Cuore
City
Rome
Country
Italy
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Gertrude Mingrone, Prof.
Email
paolo.ferrazza@lnage.it
Facility Name
Medical University
City
Bialystok
Country
Poland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Maria Górska, MD, PhD
Phone
48857468239
Facility Name
Medical University
City
Bydgoszcz
Country
Poland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Roman Junik, MD, PhD
Phone
48525854020
Facility Name
"Diabeta-Care"
City
Lubin
Country
Poland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Irena Szykowna, MD, PhD
Phone
48693729109
Facility Name
Medical University
City
Szczecin
Country
Poland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Syrenicz Anhelli, MD, PhD
Phone
4860170884
Facility Name
Centre for Postgraduate Medical Education (CMKP)
City
Warsaw
Country
Poland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Wiesław Tarnowski, MD, PhD
Phone
+48602346242
Facility Name
Klinika za digestivnu hirurgiju
City
Belgrade
Country
Serbia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Miloš BJELOVIĆ, Prof. dr
Email
acerimanovic@hungarotrial.com
First Name & Middle Initial & Last Name & Degree
Miloš BJELOVIĆ, Prof. dr
Facility Name
Institut za pluće bolesti Vojvodine
City
Kamenica
Country
Serbia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Miroslav ILIĆ, Prof. dr
Email
acerimanovic@hungarotrial.com
First Name & Middle Initial & Last Name & Degree
Miroslav ILIĆ, Prof. dr

12. IPD Sharing Statement

Learn more about this trial

The DIAMOND® for the Treatment of Type 2 Diabetes

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