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TANTALUS Therapy in Type 2 Diabetic Patients Intolerant or Inadequately Responsive to GLP-1 Receptor Agonist Therapy

Primary Purpose

Diabetes Mellitus, Type 2

Status
Terminated
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
TANTALUS System
Sponsored by
MetaCure (USA), Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetes Mellitus, Type 2 focused on measuring C19 246 300

Eligibility Criteria

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

Inclusion Criteria:

  1. Male and female subjects 21 through 70 years of age
  2. Type 2 diabetes duration more than 6 months and less than 10 years
  3. 7.8% < HbA1c < 10.5% if T2DM duration less than or equal to 5 years
  4. 7.8% < HbA1c < 10.0% if T2DM duration more than 5 years
  5. BMI < 40 kg/m2
  6. Taking at least one oral anti-diabetic medication
  7. Patients treated with GLP-1 receptor agonist with at least one oral anti-diabetic medication may be included under the following conditions:

    a. The HbA1c, before GLP-1 receptor agonist therapy was administered, was: i. 7.8% < HbA1c < 10.5% if T2DM duration less than 5 years ii. 7.8% < HbA1c < 10.0% if T2DM duration greater than 5 years b. The patient was on GLP-1 receptor agonist therapy for no more than 12 weeks

  8. Women with childbearing potential (i.e., not post-menopausal or surgically sterilized) must agree to use adequate birth control methods
  9. If subject is taking lipid-lowering medication, the treatment must be stable for at least one month prior to enrollment
  10. If subject is taking anti-hypertensive medication, the treatment must be stable for at least one month prior to enrollment
  11. If subject is taking anti-depressant medication, the treatment must be stable for at least one month prior to enrollment
  12. Willingness to refrain from using prescription, over the counter, or herbal weight loss products for the duration of the trial
  13. Ability and willingness to perform required study and data collection procedures and adhere to operating requirements of the TANTALUS® System
  14. 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
  15. Able to provide voluntary informed consent

Exclusion Criteria:

1. Insulin therapy within the last 3 months 2. GLP-1 receptor agonist therapy longer than 3 months 3. Diagnosed with renal dysfunction or history of renal dysfunction 4. Taking medications known to affect gastric motility 5. Use of prescription, over the counter or herbal weight loss products or obesity drugs during the past two months 6. Experiencing severe and progressing diabetic complications (7. Prior wound healing problems 8. Diagnosed with past or current psychiatric condition that may impair his or her ability to comply with the study procedures 9. Use of anti-psychotic medications 10. Diagnosed with eating disorder such as bulimia or binge eating 11. Obesity due to an endocrinopathy 12. Hiatal hernia requiring surgical repair or a paraesophageal hernia 13. Pregnant or lactating 14. Diagnosed with impaired liver function 15. Any prior bariatric surgery 16. Any history of pancreatitis 17. Any history of peptic ulcer disease within 5 years of enrollment 18. Diagnosed with Gastroparesis or other GI motility disorder 19. Use of active medical devices (either implantable or external) such as ICD, 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.

20. Cardiac history that physician feels should exclude the subject from the study.

21. Use of another investigational device or agent in the 30 days prior to enrollment 22. A history of life-threatening disease within 5 years of enrollment 23. 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

  • Fakultni Nemocnice U SV. Anny V Brne
  • Klinika gerontologická a metabolická,
  • General University Hospital,
  • Prednosta OB Kliniky a.s.,
  • Diabetes Zentrum
  • Asklepios Klinik St. Georg
  • Diabetes-Praxis Muenster
  • 'N. Paulescu' National Institute of Diabetes, Nutrition and Metabolic Diseases
  • CMI Dr Busegeanu Mihaela Magdalena-Ploiesti
  • Fundeni Hospital - Surgical
  • Sanatatea Ta Medical Center
  • Sf. Ioan Hospital - Surgical
  • Spitalul Pelican, Orada

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Other

Experimental

Active Comparator

Arm Label

GLP-1 receptor agonist therapy

GLP-1 receptor agonist and TANTALUS

Subjects on TANTALUS therapy only

Arm Description

Group A: Subjects on GLP-1 receptor agonist therapy only. After run in of 12 weeks on GLP-1 receptor agonist therapy, Patients with HbA1c < 7.5 are moved to Group A, continue GLP-1 receptor agonist therapy, and then start the Evaluation Period These patients will not be implanted with the TANTALUS system.

Group B: subjects on GLP-1 receptor agonist therapy and TANTALUS therapy After run in of 12 weeks on GLP-1 receptor agonist therapy, Patients with HbA1c > 7.5 are moved to Group B, continue GLP-1 receptor agonist therapy, implanted with TANTALUS within 4 weeks, and then start the Evaluation Period

Group C: subjects on TANTALUS therapy only After run in of 12 weeks on GLP-1 receptor agonist therapy, patients intolerant to low dosage of GLP-1 receptor agonist therapy will be implanted with the TANTALUS system

Outcomes

Primary Outcome Measures

Decrees in HbA1c of at least 0.5 points and Weight loss of at least 3% of total body weight after 6 month of treatment
Change in HbA1c and weight will be assessed at baseline and 24 weeks of treatment for Group A and C. Additionally, each group will be analyzed for the weight of decrease extent, the percentage of patients achieving the endpoint, and the percentage of patients that reach an HbA1c less than 7.0%.

Secondary Outcome Measures

Glycemic and metabolic parameters
Glycemic Parameters (FBG, PPG) Glycemic Dynamics (Glucose, Insulin, C-Peptide, and Glucagon Profiles) via MTT Metabolic Parameters (WC, BP, Lipids, Gastric Emptying) Gastric Hormones (GLP-1, GIP, Ghrelin, PYY, Pancreatic Polypeptide) via MTT

Full Information

First Posted
February 23, 2011
Last Updated
September 21, 2016
Sponsor
MetaCure (USA), Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01303315
Brief Title
TANTALUS Therapy in Type 2 Diabetic Patients Intolerant or Inadequately Responsive to GLP-1 Receptor Agonist Therapy
Official Title
TANTALUS Therapy in Type 2 Diabetic Patients Intolerant or Inadequately Responsive to GLP-1 Receptor Agonist Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
June 2011
Overall Recruitment Status
Terminated
Why Stopped
Company strategic decision
Study Start Date
January 2011 (undefined)
Primary Completion Date
July 2011 (Actual)
Study Completion Date
July 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MetaCure (USA), Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To assess the TANTALUS therapy in type 2 diabetic patients who can not tolerate GLP-1 agonist due to unacceptable side effects; and to assess the TANTALUS therapy in type 2 diabetic patients who do not sufficiently benefit from GLP-1 receptor agonist therapy
Detailed Description
The present protocol will address whether the effects of the TANTALUS treatment are complimentary to GLP-1 treatment which is only partially effective or whether it can replace GLP-1 treatment in individuals who cannot tolerate GLP-1 agonists because of unacceptable side effects. This investigation will be a 3 arm multicenter study which will enroll in a Run-In Period up to 400 with type 2 diabetes mellitus. This Run-In Period will facilitate screening the patients with the aim to have a maximum of 30 patients in each arm complete the Evaluation Period of 6 months. The study aims at evaluating the TANTALUS therapy compared to GLP-1 receptor agonist therapy by evaluating improvement in glycemic control and weight after 6 months of treatment in each of the 3 study groups, which are: Group A: subjects on GLP-1 receptor agonist therapy only Group B: subjects on GLP-1 receptor agonist therapy and TANTALUS therapy Group C: subjects on TANTALUS therapy only

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetes Mellitus, Type 2
Keywords
C19 246 300

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
GLP-1 receptor agonist therapy
Arm Type
Other
Arm Description
Group A: Subjects on GLP-1 receptor agonist therapy only. After run in of 12 weeks on GLP-1 receptor agonist therapy, Patients with HbA1c < 7.5 are moved to Group A, continue GLP-1 receptor agonist therapy, and then start the Evaluation Period These patients will not be implanted with the TANTALUS system.
Arm Title
GLP-1 receptor agonist and TANTALUS
Arm Type
Experimental
Arm Description
Group B: subjects on GLP-1 receptor agonist therapy and TANTALUS therapy After run in of 12 weeks on GLP-1 receptor agonist therapy, Patients with HbA1c > 7.5 are moved to Group B, continue GLP-1 receptor agonist therapy, implanted with TANTALUS within 4 weeks, and then start the Evaluation Period
Arm Title
Subjects on TANTALUS therapy only
Arm Type
Active Comparator
Arm Description
Group C: subjects on TANTALUS therapy only After run in of 12 weeks on GLP-1 receptor agonist therapy, patients intolerant to low dosage of GLP-1 receptor agonist therapy will be implanted with the TANTALUS system
Intervention Type
Device
Intervention Name(s)
TANTALUS System
Other Intervention Name(s)
TANTALUS System, TANTALUS II
Intervention Description
An Active Implantable Pulse Generator Medical Device for the treatment of Obesity and Diabetes Type 2 and Obesity
Primary Outcome Measure Information:
Title
Decrees in HbA1c of at least 0.5 points and Weight loss of at least 3% of total body weight after 6 month of treatment
Description
Change in HbA1c and weight will be assessed at baseline and 24 weeks of treatment for Group A and C. Additionally, each group will be analyzed for the weight of decrease extent, the percentage of patients achieving the endpoint, and the percentage of patients that reach an HbA1c less than 7.0%.
Time Frame
6 month
Secondary Outcome Measure Information:
Title
Glycemic and metabolic parameters
Description
Glycemic Parameters (FBG, PPG) Glycemic Dynamics (Glucose, Insulin, C-Peptide, and Glucagon Profiles) via MTT Metabolic Parameters (WC, BP, Lipids, Gastric Emptying) Gastric Hormones (GLP-1, GIP, Ghrelin, PYY, Pancreatic Polypeptide) via MTT
Time Frame
6 month

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female subjects 21 through 70 years of age Type 2 diabetes duration more than 6 months and less than 10 years 7.8% < HbA1c < 10.5% if T2DM duration less than or equal to 5 years 7.8% < HbA1c < 10.0% if T2DM duration more than 5 years BMI < 40 kg/m2 Taking at least one oral anti-diabetic medication Patients treated with GLP-1 receptor agonist with at least one oral anti-diabetic medication may be included under the following conditions: a. The HbA1c, before GLP-1 receptor agonist therapy was administered, was: i. 7.8% < HbA1c < 10.5% if T2DM duration less than 5 years ii. 7.8% < HbA1c < 10.0% if T2DM duration greater than 5 years b. The patient was on GLP-1 receptor agonist therapy for no more than 12 weeks Women with childbearing potential (i.e., not post-menopausal or surgically sterilized) must agree to use adequate birth control methods If subject is taking lipid-lowering medication, the treatment must be stable for at least one month prior to enrollment If subject is taking anti-hypertensive medication, the treatment must be stable for at least one month prior to enrollment If subject is taking anti-depressant medication, the treatment must be stable for at least one month prior to enrollment Willingness to refrain from using prescription, over the counter, or herbal weight loss products for the duration of the trial Ability and willingness to perform required study and data collection procedures and adhere to operating requirements of the TANTALUS® System 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: 1. Insulin therapy within the last 3 months 2. GLP-1 receptor agonist therapy longer than 3 months 3. Diagnosed with renal dysfunction or history of renal dysfunction 4. Taking medications known to affect gastric motility 5. Use of prescription, over the counter or herbal weight loss products or obesity drugs during the past two months 6. Experiencing severe and progressing diabetic complications (7. Prior wound healing problems 8. Diagnosed with past or current psychiatric condition that may impair his or her ability to comply with the study procedures 9. Use of anti-psychotic medications 10. Diagnosed with eating disorder such as bulimia or binge eating 11. Obesity due to an endocrinopathy 12. Hiatal hernia requiring surgical repair or a paraesophageal hernia 13. Pregnant or lactating 14. Diagnosed with impaired liver function 15. Any prior bariatric surgery 16. Any history of pancreatitis 17. Any history of peptic ulcer disease within 5 years of enrollment 18. Diagnosed with Gastroparesis or other GI motility disorder 19. Use of active medical devices (either implantable or external) such as ICD, 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. 20. Cardiac history that physician feels should exclude the subject from the study. 21. Use of another investigational device or agent in the 30 days prior to enrollment 22. A history of life-threatening disease within 5 years of enrollment 23. Any additional condition(s) that in the Investigator's opinion would warrant exclusion from the study or prevent the subject from completing the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Walid Haddad, PhD
Organizational Affiliation
MetaCure Limited
Official's Role
Study Director
Facility Information:
Facility Name
Fakultni Nemocnice U SV. Anny V Brne
City
Brno
ZIP/Postal Code
656 91
Country
Czech Republic
Facility Name
Klinika gerontologická a metabolická,
City
Hradec Kralove
ZIP/Postal Code
500 05
Country
Czech Republic
Facility Name
General University Hospital,
City
Prague
ZIP/Postal Code
128 08
Country
Czech Republic
Facility Name
Prednosta OB Kliniky a.s.,
City
Prague
ZIP/Postal Code
130 00
Country
Czech Republic
Facility Name
Diabetes Zentrum
City
Bad Mergentheim
Country
Germany
Facility Name
Asklepios Klinik St. Georg
City
Hamburg
ZIP/Postal Code
20099
Country
Germany
Facility Name
Diabetes-Praxis Muenster
City
Münster
ZIP/Postal Code
48153
Country
Germany
Facility Name
'N. Paulescu' National Institute of Diabetes, Nutrition and Metabolic Diseases
City
Bucharest
ZIP/Postal Code
79811
Country
Romania
Facility Name
CMI Dr Busegeanu Mihaela Magdalena-Ploiesti
City
Bucharest
ZIP/Postal Code
A
Country
Romania
Facility Name
Fundeni Hospital - Surgical
City
Bucharest
ZIP/Postal Code
A
Country
Romania
Facility Name
Sanatatea Ta Medical Center
City
Bucharest
ZIP/Postal Code
A
Country
Romania
Facility Name
Sf. Ioan Hospital - Surgical
City
Bucharest
ZIP/Postal Code
A
Country
Romania
Facility Name
Spitalul Pelican, Orada
City
Bucharest
ZIP/Postal Code
A
Country
Romania

12. IPD Sharing Statement

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TANTALUS Therapy in Type 2 Diabetic Patients Intolerant or Inadequately Responsive to GLP-1 Receptor Agonist Therapy

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