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STAR Study Investigating Performance and Safety of the Medical Device SiPore15™

Primary Purpose

PreDiabetes, Pre Diabetes, Prediabetic State

Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
SiPore15™
Sponsored by
Sigrid Therapeutics AB
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for PreDiabetes focused on measuring Medical Device, Prediabetes, Type2 Diabetes, Silica, Metabolic risk factors

Eligibility Criteria

18 Years - 105 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Signed informed consent form.
  2. Male or female aged ≥18 years on the day of screening.
  3. Female subjects of childbearing potential must be on non-oral contraceptives, postmenopausal or sterile.
  4. Prediabetes or newly diagnosed T2D (not on blood sugar lowering drugs) defined as HbA1c levels: ≥42 to ≤57 mmol/mol (≥6.0 to ≤7.5%-according to DCCT).
  5. Body mass index (BMI) >25 kg/m2 and > or = 40 kg/m2.
  6. Stable weight for 3 months (+/-5 kg).
  7. No extreme changes in diet for the last 6 months such as anorexia, bulimia, etc.
  8. Subject must be able and willing to attend all scheduled visits and comply with all study procedures with no planned holiday longer than 2 weeks during the 12 weeks of treatment.

Exclusion Criteria:

  1. Diagnosed with type1 diabetes/Latent Autoimmune Diabetes in Adult (LADA) or secondary diabetes, as part of medical history or confirmed by laboratory test.
  2. Previous or current Metformin treatment or other glucose reducing drug therapy within 3 months before screening visit.
  3. Previous or current statin treatment or other blood lipid (LDL) reducing drug therapy, within 12 months before screening visit.
  4. Previous or current medication known to cause weight loss or weight gain, such as systemic corticosteroids, thyroid hormones or Estrogen, within 1 month before screening visit.
  5. Subjects who stopped smoking within 6 months before screening visit.
  6. Diagnosed with chronic somatic diseases, except for obesity and treatment naive T2D, that in the opinion of the investigator may therefore affect metabolic and /or intestinal function (e.g. inflammatory bowel disease, intestinal dysfunction, pancreatic dysfunction, other causes of malabsorption, recent (past 6 months) neoplastic disease.
  7. Any history of myocardial infarction or stroke within the 6 months before screening visit.
  8. Anemia, donated blood or other major blood loss within 3 months from screening visit that in the opinion of the clinician may interfere with the study.
  9. Pregnancy or breast feeding.
  10. Allergies to silicon dioxide.
  11. A diagnosed state that requires use of vitamin and/or mineral supplements during the study.
  12. Previous major gastric surgery that may affect the study outcome, such as bariatric surgery.
  13. Ongoing or unstable kidney condition with moderate to great reduction in glomerular filtration rate < 90 ml/min (GFR) that may affect metabolic parameters during the trial.
  14. Ongoing or unstable liver condition that may cause changes in liver enzymes exceeding 2x upper normal levels.
  15. Psychiatric or cognitive disorder and/or behavioral problems which in the opinion of the clinician may interfere with the study.
  16. History of or ongoing alcohol or drug addiction.
  17. Participation in any study involving an investigational drug or medical device within the past 30 days before the screening visit.
  18. Belongs to a vulnerable population or has any condition such that his/her ability to provide informed consent, comply with the follow-up requirements, or provide self- assessments is compromised (e.g. homeless, developmentally disabled and prisoner).
  19. Is a relative of the Investigator or an employee at the clinical study site.

Sites / Locations

  • Pihlajalinna Ite, Satucon OY
  • Clinical Trial Consultants

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Single-arm

Arm Description

The device will be taken before three daily main meals togteher with water. The dose will be escalated from 1g per main meal to the full dose of 3g per main meal. The device is provided in foil stick-packs packed in boxes with weekly supply. The treatment is for 12 weeks.

Outcomes

Primary Outcome Measures

Performance measured as changes in HbA1c
To measure change in long-term blood glucose levels, HbA1c, from baseline (week 1) to end- -of-treatment (week 12).
Tolerability measured as evaluation of Adverse Events
To assess safety and tolerability by evaluating the frequency and incidence of both adverse events (AEs) and device related adverse events (ADEs) during the study treatment and follow-up, from baseline (week 1) until week 14.

Secondary Outcome Measures

Performance measured as changes in LDL-C
To measure change in LDL-C blood levels from baseline (week 1) to week 6 and end-of- treatment (week 12).
Performance measured as changes in body fat %
To measure change in body fat levels (bio electric impedance, BIA) from baseline (week 1) to week 6 and end-of-treatment (week 12).

Full Information

First Posted
January 28, 2019
Last Updated
November 4, 2019
Sponsor
Sigrid Therapeutics AB
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1. Study Identification

Unique Protocol Identification Number
NCT03823027
Brief Title
STAR Study Investigating Performance and Safety of the Medical Device SiPore15™
Official Title
Open-label, Single-arm, Multicenter Study Investigating Performance and Safety of SiPore15™ in Obese and Overweight Subjects With Prediabetes or Newly Diagnosed Type 2 Diabetes
Study Type
Interventional

2. Study Status

Record Verification Date
November 2019
Overall Recruitment Status
Completed
Study Start Date
January 28, 2019 (Actual)
Primary Completion Date
October 2, 2019 (Actual)
Study Completion Date
October 2, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sigrid Therapeutics AB

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective of STAR01 is to evaluate the performance and safety of the medical device (class IIb) SiPore15™ after a 12-week long treatment in the target population of obese and overweight subjects with prediabetes or newly diagnosed type 2 diabetes. The expected performance and safety of the device is based on the safety and efficacy results seen in an earlier First-in-Man (FIM) study. The safety and tolerability of SiPore15™ is based on the well-established and extensive use of food grade silicon dioxide and favorable data from the FIM study. Data on side-effects will be collected for verification of device safety. The study duration is 24 weeks in total, 12 weeks from baseline on investigational medicinal device (IMD) treatment, with additional 12 weeks off treatment. The study population is planned for forty (40) subjects to be enrolled, male and females, age >18 years and fulfilling all inclusion criteria but none of the exclusion criteria.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
PreDiabetes, Pre Diabetes, Prediabetic State, Type2 Diabetes, Type2 Diabetes Mellitus, Overweight, Obese
Keywords
Medical Device, Prediabetes, Type2 Diabetes, Silica, Metabolic risk factors

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
The single-arm study is designed to collect data on changes over time, i.e. comparing the pre-treatment/baseline value with the value achieved after full treatment (12 weeks). Thus, each individual act as his/her own control. The study design has been discussed with notified bodies, and deemed appropriate as there is no state-of-the-art pharmacotherapy for treatment of prediabetes to compare with.
Masking
None (Open Label)
Allocation
N/A
Enrollment
43 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Single-arm
Arm Type
Experimental
Arm Description
The device will be taken before three daily main meals togteher with water. The dose will be escalated from 1g per main meal to the full dose of 3g per main meal. The device is provided in foil stick-packs packed in boxes with weekly supply. The treatment is for 12 weeks.
Intervention Type
Device
Intervention Name(s)
SiPore15™
Intervention Description
SiPore15™ is a taste- and odourless white powder, consisting of precisely engineered micrometre sized synthetic amorphous silicon dioxide. The device is made of pure silicon dioxide, SiO2, which has the CAS Number: 112926-00-8 and EC List number: 601-214-2.
Primary Outcome Measure Information:
Title
Performance measured as changes in HbA1c
Description
To measure change in long-term blood glucose levels, HbA1c, from baseline (week 1) to end- -of-treatment (week 12).
Time Frame
From week 1 to week 12
Title
Tolerability measured as evaluation of Adverse Events
Description
To assess safety and tolerability by evaluating the frequency and incidence of both adverse events (AEs) and device related adverse events (ADEs) during the study treatment and follow-up, from baseline (week 1) until week 14.
Time Frame
From week 1 to week 14
Secondary Outcome Measure Information:
Title
Performance measured as changes in LDL-C
Description
To measure change in LDL-C blood levels from baseline (week 1) to week 6 and end-of- treatment (week 12).
Time Frame
From week 1 to week 12
Title
Performance measured as changes in body fat %
Description
To measure change in body fat levels (bio electric impedance, BIA) from baseline (week 1) to week 6 and end-of-treatment (week 12).
Time Frame
From week 1 to week 12
Other Pre-specified Outcome Measures:
Title
Exploratory Endpoint on Medical Device Usability
Description
To assess Medical Device Usability by collecting data: a. Collect information on Ease of use (Easy, neither/nor, difficult) at visit week 2, 6 and end-of -treatment.
Time Frame
From week 1 to week 12
Title
Explorative Endpoint on changes in Cholesterol
Description
To measure change in total Cholesterol levels from baseline to week 6 and end-of-treatment.
Time Frame
From week 1 to week 12
Title
Explorative Endpoint on changes in microbiome diversity (species not defined)
Description
To explore changes in microbiome by feces sampling for research at baseline and at week 24.
Time Frame
From week 1 to week 24

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
105 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed informed consent form. Male or female aged ≥18 years on the day of screening. Female subjects of childbearing potential must be on non-oral contraceptives, postmenopausal or sterile. Prediabetes or newly diagnosed T2D (not on blood sugar lowering drugs) defined as HbA1c levels: ≥42 to ≤57 mmol/mol (≥6.0 to ≤7.5%-according to DCCT). Body mass index (BMI) >25 kg/m2 and > or = 40 kg/m2. Stable weight for 3 months (+/-5 kg). No extreme changes in diet for the last 6 months such as anorexia, bulimia, etc. Subject must be able and willing to attend all scheduled visits and comply with all study procedures with no planned holiday longer than 2 weeks during the 12 weeks of treatment. Exclusion Criteria: Diagnosed with type1 diabetes/Latent Autoimmune Diabetes in Adult (LADA) or secondary diabetes, as part of medical history or confirmed by laboratory test. Previous or current Metformin treatment or other glucose reducing drug therapy within 3 months before screening visit. Previous or current statin treatment or other blood lipid (LDL) reducing drug therapy, within 12 months before screening visit. Previous or current medication known to cause weight loss or weight gain, such as systemic corticosteroids, thyroid hormones or Estrogen, within 1 month before screening visit. Subjects who stopped smoking within 6 months before screening visit. Diagnosed with chronic somatic diseases, except for obesity and treatment naive T2D, that in the opinion of the investigator may therefore affect metabolic and /or intestinal function (e.g. inflammatory bowel disease, intestinal dysfunction, pancreatic dysfunction, other causes of malabsorption, recent (past 6 months) neoplastic disease. Any history of myocardial infarction or stroke within the 6 months before screening visit. Anemia, donated blood or other major blood loss within 3 months from screening visit that in the opinion of the clinician may interfere with the study. Pregnancy or breast feeding. Allergies to silicon dioxide. A diagnosed state that requires use of vitamin and/or mineral supplements during the study. Previous major gastric surgery that may affect the study outcome, such as bariatric surgery. Ongoing or unstable kidney condition with moderate to great reduction in glomerular filtration rate < 90 ml/min (GFR) that may affect metabolic parameters during the trial. Ongoing or unstable liver condition that may cause changes in liver enzymes exceeding 2x upper normal levels. Psychiatric or cognitive disorder and/or behavioral problems which in the opinion of the clinician may interfere with the study. History of or ongoing alcohol or drug addiction. Participation in any study involving an investigational drug or medical device within the past 30 days before the screening visit. Belongs to a vulnerable population or has any condition such that his/her ability to provide informed consent, comply with the follow-up requirements, or provide self- assessments is compromised (e.g. homeless, developmentally disabled and prisoner). Is a relative of the Investigator or an employee at the clinical study site.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kirsi Pietiläinen, Prof.
Organizational Affiliation
Gyllenberg Professor in Clinical Metabolism Obesity Research Unit University of Helsinki
Official's Role
Study Chair
Facility Information:
Facility Name
Pihlajalinna Ite, Satucon OY
City
Kuopio
ZIP/Postal Code
70100
Country
Finland
Facility Name
Clinical Trial Consultants
City
Uppsala
State/Province
Uppland
ZIP/Postal Code
752 37
Country
Sweden

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
34854740
Citation
Baek J, Robert-Nicoud G, Herrera Hidalgo C, Borg ML, Iqbal MN, Berlin R, Lindgren M, Waara E, Udden A, Pietilainen K, Bengtsson T. Engineered mesoporous silica reduces long-term blood glucose, HbA1c, and improves metabolic parameters in prediabetics. Nanomedicine (Lond). 2022 Jan;17(1):9-22. doi: 10.2217/nnm-2021-0235. Epub 2021 Dec 2.
Results Reference
derived
Links:
URL
https://www.laaketutkimukseen.fi
Description
Information about the site and study in Kuopio, Finland
URL
http://www.forskningsperson.se
Description
Information about the site and study in Uppsala, Sweden

Learn more about this trial

STAR Study Investigating Performance and Safety of the Medical Device SiPore15™

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