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THE ENLIGHTEN STUDY

Primary Purpose

Obesity, Overweight

Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Active Elipse Device
Elipse Sham Device
Sponsored by
Allurion Technologies
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Obesity

Eligibility Criteria

22 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Age ≥ 22 years and ≤ 65 years of age
  2. BMI ≥30 kg/m2 and ≤ 40 kg/m2
  3. Have signed study specific Informed Consent Form
  4. Willing to comply with study requirements, including follow-up visits
  5. Documented negative pregnancy test in women of childbearing potential.
  6. Women of childbearing potential not intending to become pregnant for the duration of study participation. (Note: Women of childbearing potential must not be nursing at the time of treatment).
  7. Fully ambulatory without any severe chronic orthopedic disease that requires reliance on crutches, walkers or a wheelchair that could preclude exercise during the study.
  8. Confirmed unsuccessful attempts at more conservative weight reduction alternatives, such as supervised diet, exercise and behavior modification programs attempted within the 24 months preceding enrollment.

Exclusion Criteria:

  1. Symptomatic congestive heart failure, cardiac arrhythmia or unstable coronary artery disease
  2. Pre-existing respiratory disease such as chronic obstructive pulmonary disease (COPD), pneumonia or cancer
  3. Previous bariatric or gastric surgery or likely to undergo during study
  4. Use of an intragastric device prior to this study
  5. Chronic pancreatitis or acute pancreatitis within 12 months of enrollment
  6. History of or current small bowel obstructions
  7. History of abdominal and/or pelvic surgery EXCLUDING only ONE of the following surgeries that was performed at least 12 months prior to study enrollment: cesarean section, diagnostic laparoscopy, laparoscopic appendectomy, laparoscopic cholecystectomy. (For example: if a patient has had 2 cesarean sections, or one cesarean section and a laparoscopic appendectomy, she would be excluded. If a patient had one cesarean section, she may be included)
  8. Diagnosis of autoimmune connective tissue disorder (e.g. lupus, erythematous, scleroderma) or immunocompromised
  9. History of genetic or endocrine causes of obesity not adequately controlled by medication
  10. History of/or signs and/or symptoms of/or radiographic evidence of esophageal, gastric, or duodenal disease including but not limited to hiatal hernias greater than or equal to 2 centimeter (cm), paraesophageal hernias, inflammatory diseases, cancer, varices, diverticula, gastroparesis, ulcers, stricture/stenosis, achalasia and esophagitis
  11. Insulin-dependent diabetes (either Type 1 or Type 2)
  12. Significant acute and/or chronic infections of any kind
  13. Severe coagulopathy, hepatic insufficiency or cirrhosis
  14. Unable or unwilling to discontinue use of aspirin and/or non-steroidal anti-inflammatory agents (NSAIDs) at least 14 days prior to Elipse Deployment and continuing for 14 days after Elipse excretion
  15. Currently taking the following medications (within 30 days prior to enrollment) and/or there is a need or anticipated need for these medications during the study:

    Excluded Medications:

    Systemic corticosteroids Anticoagulant therapy (e.g. warafin, dabigatran) or anti-platelet therapy) Immunosuppressive therapy (e.g. azathioprine, cyclosporine) Prescription or over the counter weight loss medication(s) Medications known to cause significant weight gain or weight loss Narcotics, opiates or benzodiazepines Insulin for treatment of diabetes Anti-seizure therapy (e.g. clonazepam, phenytoin) Anti-arrhythmics (e.g. amidarone)

  16. History of pulmonary embolism
  17. Has cardiac pacemaker or other electric implantable device
  18. Anemia defined as either:

    1. Hgb < 11 for females, <12 for males
    2. Abnormal red cell indices and iron deficiency
  19. Smoking cessation within 3 months of enrollment or plans to quit smoking during the study
  20. Documented total body weight loss of ≥ 5% anytime 6 months preceding enrollment
  21. Residing in a location without ready access to study site medical resources
  22. Inability to walk 200 yards without assistance
  23. Eating disorders including night eating syndrome (NES), bulimia, or binge eating disorder
  24. Unwilling to refrain from any reconstructive and/or cosmetic surgery that may affect body weight during the study such as mammoplasty and lipoplasty
  25. Current or history of illicit drug use or excessive alcohol use
  26. Enrolled in another investigational study that has not completed the required primary endpoint follow-up period (Note: Subjects involved in a long-term surveillance phase of another study are eligible for enrollment in this study).
  27. Any conditions that, in the opinion of the investigator, may render the subject unable to complete the study with a likely fatal outcome, or lead to difficulties for subject compliance with study requirements, or could confound study data.
  28. Patient is not of sufficient medical health as determined by the Investigator to participate in the study.
  29. Employees/family members of Allurion Technologies or any of its affiliates or contractors
  30. Immediate employees/family members of the Investigator, sub-Investigators, or their medical office or practice, or surgical, bariatric or hospital organizations at which study procedures may be performed
  31. An immediate family member (by marriage or blood relationship) of another subject already enrolled in the study
  32. Positive breath test for H. Pylori
  33. History of or current inflammatory bowel disease (e.g. Crohn's disease, Ulcerative Colitis)

Sites / Locations

  • Honor Health
  • University of Colorado, Anschutz Health and Wellness Center
  • Bariatric Institute of Greater Chicago
  • Surgical Specialists of Louisiana
  • Holyoke Medical Center
  • Weill Cornell Medicine, Division of Endocrinology, Diabetes and Metabolism
  • University of Pennsylvania Medical Center (UPMC)
  • CHI Metabolic and Bariatric Care
  • MidSouth Bariatrics
  • Vanderbilt Center for Surgical Weight Loss
  • UT Physicians Minimally Invasive Surgeons of Texas (UTMIST)
  • Charlottesville Medical Research Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Sham Comparator

Arm Label

Treatment

Control

Arm Description

Patients randomized to treatment will receive the Elipse device.

Patients randomized to the control arm will receive the sham device.

Outcomes

Primary Outcome Measures

Co-Primary Effectiveness Endpoint: Total Body Weight Loss (TBWL) Comparison Between Treatment and Control Group at 16 weeks
An inferential test of whether the Treatment Group Responder Rate (RR) dichotomized at 5% TBWL at 16 weeks is significantly greater than 35%.
Co-Primary Effectiveness Endpoint 2: Percent of Total Body Weight Loss (TBWL) Comparison Between Treatment and Control group
An inferential test of whether the Treatment Group mean %TBWL is significantly greater than Control Group mean % TBWL at 16 weeks
Primary Safety Endpoint: Incidence of overall procedure or device related Serious Adverse Events
The primary safety endpoint of this clinical investigation is the overall incidence of procedure- or device-related Serious Adverse Events through 24 weeks.

Secondary Outcome Measures

Full Information

First Posted
May 3, 2017
Last Updated
August 7, 2018
Sponsor
Allurion Technologies
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1. Study Identification

Unique Protocol Identification Number
NCT03261453
Brief Title
THE ENLIGHTEN STUDY
Official Title
A Randomized, Multi-Center, Phased, Pivotal Safety and Efficacy Study Comparing the Elipse™ Gastric Balloon System vs. Sham for the Treatment of Obese Adults
Study Type
Interventional

2. Study Status

Record Verification Date
August 2018
Overall Recruitment Status
Unknown status
Study Start Date
February 1, 2018 (Actual)
Primary Completion Date
May 1, 2019 (Anticipated)
Study Completion Date
May 1, 2019 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Allurion Technologies

4. Oversight

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

5. Study Description

Brief Summary
The primary objective of this study is to demonstrate the safety and efficacy of the Elipse Gastric Balloon System for the treatment of obese adults.
Detailed Description
This is a prospective, double-blinded, randomized, two-phase study to be conducted in a planned 400 obese individuals drawn from up to 15 sites. The treatment duration of the study is 48 weeks.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderOutcomes Assessor
Allocation
Randomized
Enrollment
400 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Treatment
Arm Type
Experimental
Arm Description
Patients randomized to treatment will receive the Elipse device.
Arm Title
Control
Arm Type
Sham Comparator
Arm Description
Patients randomized to the control arm will receive the sham device.
Intervention Type
Device
Intervention Name(s)
Active Elipse Device
Other Intervention Name(s)
Elipse Gastric Balloon System (active)
Intervention Description
Intervention Device
Intervention Type
Device
Intervention Name(s)
Elipse Sham Device
Other Intervention Name(s)
Elipse Gastric Balloon System (control)
Intervention Description
Control Device
Primary Outcome Measure Information:
Title
Co-Primary Effectiveness Endpoint: Total Body Weight Loss (TBWL) Comparison Between Treatment and Control Group at 16 weeks
Description
An inferential test of whether the Treatment Group Responder Rate (RR) dichotomized at 5% TBWL at 16 weeks is significantly greater than 35%.
Time Frame
16 weeks
Title
Co-Primary Effectiveness Endpoint 2: Percent of Total Body Weight Loss (TBWL) Comparison Between Treatment and Control group
Description
An inferential test of whether the Treatment Group mean %TBWL is significantly greater than Control Group mean % TBWL at 16 weeks
Time Frame
16 weeks
Title
Primary Safety Endpoint: Incidence of overall procedure or device related Serious Adverse Events
Description
The primary safety endpoint of this clinical investigation is the overall incidence of procedure- or device-related Serious Adverse Events through 24 weeks.
Time Frame
24 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
22 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age ≥ 22 years and ≤ 65 years of age BMI ≥30 kg/m2 and ≤ 40 kg/m2 Have signed study specific Informed Consent Form Willing to comply with study requirements, including follow-up visits Documented negative pregnancy test in women of childbearing potential. Women of childbearing potential not intending to become pregnant for the duration of study participation. (Note: Women of childbearing potential must not be nursing at the time of treatment). Fully ambulatory without any severe chronic orthopedic disease that requires reliance on crutches, walkers or a wheelchair that could preclude exercise during the study. Confirmed unsuccessful attempts at more conservative weight reduction alternatives, such as supervised diet, exercise and behavior modification programs attempted within the 24 months preceding enrollment. Exclusion Criteria: Symptomatic congestive heart failure, cardiac arrhythmia or unstable coronary artery disease Pre-existing respiratory disease such as chronic obstructive pulmonary disease (COPD), pneumonia or cancer Previous bariatric or gastric surgery or likely to undergo during study Use of an intragastric device prior to this study Chronic pancreatitis or acute pancreatitis within 12 months of enrollment History of or current small bowel obstructions History of abdominal and/or pelvic surgery EXCLUDING only ONE of the following surgeries that was performed at least 12 months prior to study enrollment: cesarean section, diagnostic laparoscopy, laparoscopic appendectomy, laparoscopic cholecystectomy. (For example: if a patient has had 2 cesarean sections, or one cesarean section and a laparoscopic appendectomy, she would be excluded. If a patient had one cesarean section, she may be included) Diagnosis of autoimmune connective tissue disorder (e.g. lupus, erythematous, scleroderma) or immunocompromised History of genetic or endocrine causes of obesity not adequately controlled by medication History of/or signs and/or symptoms of/or radiographic evidence of esophageal, gastric, or duodenal disease including but not limited to hiatal hernias greater than or equal to 2 centimeter (cm), paraesophageal hernias, inflammatory diseases, cancer, varices, diverticula, gastroparesis, ulcers, stricture/stenosis, achalasia and esophagitis Insulin-dependent diabetes (either Type 1 or Type 2) Significant acute and/or chronic infections of any kind Severe coagulopathy, hepatic insufficiency or cirrhosis Unable or unwilling to discontinue use of aspirin and/or non-steroidal anti-inflammatory agents (NSAIDs) at least 14 days prior to Elipse Deployment and continuing for 14 days after Elipse excretion Currently taking the following medications (within 30 days prior to enrollment) and/or there is a need or anticipated need for these medications during the study: Excluded Medications: Systemic corticosteroids Anticoagulant therapy (e.g. warafin, dabigatran) or anti-platelet therapy) Immunosuppressive therapy (e.g. azathioprine, cyclosporine) Prescription or over the counter weight loss medication(s) Medications known to cause significant weight gain or weight loss Narcotics, opiates or benzodiazepines Insulin for treatment of diabetes Anti-seizure therapy (e.g. clonazepam, phenytoin) Anti-arrhythmics (e.g. amidarone) History of pulmonary embolism Has cardiac pacemaker or other electric implantable device Anemia defined as either: Hgb < 11 for females, <12 for males Abnormal red cell indices and iron deficiency Smoking cessation within 3 months of enrollment or plans to quit smoking during the study Documented total body weight loss of ≥ 5% anytime 6 months preceding enrollment Residing in a location without ready access to study site medical resources Inability to walk 200 yards without assistance Eating disorders including night eating syndrome (NES), bulimia, or binge eating disorder Unwilling to refrain from any reconstructive and/or cosmetic surgery that may affect body weight during the study such as mammoplasty and lipoplasty Current or history of illicit drug use or excessive alcohol use Enrolled in another investigational study that has not completed the required primary endpoint follow-up period (Note: Subjects involved in a long-term surveillance phase of another study are eligible for enrollment in this study). Any conditions that, in the opinion of the investigator, may render the subject unable to complete the study with a likely fatal outcome, or lead to difficulties for subject compliance with study requirements, or could confound study data. Patient is not of sufficient medical health as determined by the Investigator to participate in the study. Employees/family members of Allurion Technologies or any of its affiliates or contractors Immediate employees/family members of the Investigator, sub-Investigators, or their medical office or practice, or surgical, bariatric or hospital organizations at which study procedures may be performed An immediate family member (by marriage or blood relationship) of another subject already enrolled in the study Positive breath test for H. Pylori History of or current inflammatory bowel disease (e.g. Crohn's disease, Ulcerative Colitis)
Facility Information:
Facility Name
Honor Health
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85258
Country
United States
Facility Name
University of Colorado, Anschutz Health and Wellness Center
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Facility Name
Bariatric Institute of Greater Chicago
City
Bolingbrook
State/Province
Illinois
ZIP/Postal Code
60440
Country
United States
Facility Name
Surgical Specialists of Louisiana
City
Metairie
State/Province
Louisiana
ZIP/Postal Code
70001
Country
United States
Facility Name
Holyoke Medical Center
City
Holyoke
State/Province
Massachusetts
ZIP/Postal Code
01002
Country
United States
Facility Name
Weill Cornell Medicine, Division of Endocrinology, Diabetes and Metabolism
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Facility Name
University of Pennsylvania Medical Center (UPMC)
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
Facility Name
CHI Metabolic and Bariatric Care
City
Chattanooga
State/Province
Tennessee
ZIP/Postal Code
37421
Country
United States
Facility Name
MidSouth Bariatrics
City
Memphis
State/Province
Tennessee
ZIP/Postal Code
38120
Country
United States
Facility Name
Vanderbilt Center for Surgical Weight Loss
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37204
Country
United States
Facility Name
UT Physicians Minimally Invasive Surgeons of Texas (UTMIST)
City
Bellaire
State/Province
Texas
ZIP/Postal Code
77401
Country
United States
Facility Name
Charlottesville Medical Research Center
City
Charlottesville
State/Province
Virginia
ZIP/Postal Code
22291
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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