Abiliti™ Treatment in Obese Subjects
1 other identifier
interventional
165
6 countries
15
Brief Summary
The main objective of this post-market surveillance study is to compare the subject's weight loss and quality of life, and device safety performance of the abiliti System and the adjustable gastric banding therapies in obese to morbidly obese subjects.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable obesity
Started Apr 2011
Typical duration for not_applicable obesity
15 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2011
CompletedFirst Submitted
Initial submission to the registry
October 3, 2011
CompletedFirst Posted
Study publicly available on registry
October 7, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2015
CompletedOctober 31, 2011
October 1, 2011
1.8 years
October 3, 2011
October 27, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Non-inferiority of the abiliti therapy compared to adjustable gastric banding
The non-inferiority of the abiliti therapy compared to adjustable gastric banding will be measured using a composite endpoint at the end of the study period. The success criteria will be the percentage of subjects in each group who meet all of the following criteria: * Achieve at least 20% excess weight loss (%EWL) from implant to end of the study period. * Experience no serious or severe adverse events related to the device or the procedure * No significant negative change in quality of life using the Impact Of Weight On Quality Of Life-Lite Questionnaire (IWQOL-Lite)
12 months
Percentage of Responders
Fifty (50 %) of the subject population must obtain an EWL ≥ 25%
12 months
Safety
* Incidence and seriousness of all adverse events. * Incidence of device or procedure-related adverse events * Frequency of clinically significant abnormal laboratory values as determined by the Investigator;
12 months
Secondary Outcomes (4)
Safety
6 and 12 months
Quality of Life
6 and 12 months
Eating Behavior
6 and 12 months
Co-morbid Conditions
6 and 12 months
Study Arms (2)
abiliti Group
ACTIVE COMPARATORSubjects will receive implanted abiliti System. The device will be activated to deliver therapy at implant. Gastric stimulation performance testing, therapy adjustment and dietary/exercise counseling will be conducted at each visit.
Gastric Band Group
ACTIVE COMPARATORSubjects will receive an implanted laparoscopic adjustable gastric band. The subjects will have their band adjusted following the standard of care. Dietary/exercise counseling will be conducted at each visit.
Interventions
Subjects will receive implanted abiliti System.
Subjects will receive an implanted laparoscopic adjustable gastric band. Specific brand is at the investigator's discretion.
Eligibility Criteria
You may qualify if:
- Age of 18 - 60 years old at time of screening
- BMI of 40 to 55 or 35 to 39 with an obesity related comorbid condition at time of screening
- History of obesity ≥5 years
- The subject has been under routine care of the investigator or another single physician that can supply a medical record for at least 6 months prior to enrollment
- Women with childbearing potential (i.e., not post-menopausal or surgically sterilized) must agree to use adequate birth control methods
- No significant weight loss (\<5%) within four months prior to enrollment as documented in the subject's medical record.
- Successful psychological evaluation following the institution psychological evaluation protocol for bariatric surgery or successful historic assessment performed no more than 6 months prior to enrollment.
- Glycosylated Hemoglobin; HbA1c ≤ 7.0 % at Visit 2 or historic value performed no more than 3 months prior to enrollment.
- If taking anti-depressant medications, they must be stable for at least six months prior to enrollment
- 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
You may not qualify if:
- Any prior bariatric surgery
- Other implanted electrical stimulation devices (e.g. pacemaker, defibrillator, neurostimulator)
- Diagnosed with past or current psychiatric condition that may impair his/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 endocrinopathy (e.g. Cushing disease)
- Insulin therapy
- GI disease such as hiatal hernia (\>5cm), gastroparesis, esophageal motility disorders or intractable constipation.
- Cirrhosis, chronic pancreatitis
- History of intestinal obstruction or adhesive peritonitis
- Any history of peptic ulcer disease within 5 years prior to enrollment
- Women who are pregnant, lactating or anticipate becoming pregnant within 24 months
- Arthritis or other pathologies limiting physical activities that physician feels should exclude the patient from the study.
- Chronic use of aspirin and/or non steroidal anti-inflammatory medications and unwillingness to discontinue use
- Cardiac history that physician feels should exclude the patient from the study.
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- IntraPace, Inclead
Study Sites (15)
Polyclinique de Rillieux, Clinique Lyon-Nord
Rillieux Cedex, 69165, France
MIC Ev. Krankenhaus Hubertus
Berlin, 14129, Germany
SRH Wald-Klinikum Gera
Gera, 07548, Germany
Wolfart Klinik
Gräfelfing, 92166, Germany
Universitätsklinikum Hamburg-Eppendorf
Hamburg, 20246, Germany
Stadtkrankenhaus Schwabach
Schwabach, 91126, Germany
Azienda Ospedaliera- University
Pisa, Italy
Clinica San Luca Torino
Turin, Italy
Vicenza Regional Hospital
Vicenza, 36100, Italy
Complutense University of Madrid Hospital Clinico "San Carlos"
Madrid, 28290, Spain
Hospital Virgen del Roció
Seville, 41013, Spain
Klinik Lindberg
Winterthur, 8400, Switzerland
Spire Southampton Hospital
Hampshire, Southampton, SO16 6UY, United Kingdom
St. Anthony's Hospital
North Cheam, Surrey, SM3 9DW, United Kingdom
Mid Yorkshire NHS Trust
Dewsbury, West Yorkshire, WF13 4HS, United Kingdom
Related Publications (3)
Morales-Conde S, Alarcon Del Agua I, Busetto L, Favretti F, Anselmino M, Rovera GM, Socas-Macias M, Barranco-Moreno A, Province-Azalde R, Torres AJ. Implanted Closed-Loop Gastric Electrical Stimulation (CLGES) System with Sensor-Based Feedback Safely Limits Weight Regain at 24 Months. Obes Surg. 2018 Jun;28(6):1766-1774. doi: 10.1007/s11695-017-3093-8.
PMID: 29333595DERIVEDBusetto L, Torres AJ, Morales-Conde S, Alarcon Del Agua I, Moretto C, Fierabracci P, Rovera G, Segato G, Rubio MA, Favretti F. Impact of the feedback provided by a gastric electrical stimulation system on eating behavior and physical activity levels. Obesity (Silver Spring). 2017 Mar;25(3):514-521. doi: 10.1002/oby.21760. Epub 2017 Feb 6.
PMID: 28164463DERIVEDAlarcon Del Agua I, Socas-Macias M, Busetto L, Torres-Garcia A, Barranco-Moreno A, Garcia de Luna PP, Morales-Conde S. Post-implant Analysis of Epidemiologic and Eating Behavior Data Related to Weight Loss Effectiveness in Obese Patients Treated with Gastric Electrical Stimulation. Obes Surg. 2017 Jun;27(6):1573-1580. doi: 10.1007/s11695-016-2495-3.
PMID: 28013450DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Thomas Horbach, MD
Stadtkrankenhaus Schwabach
- PRINCIPAL INVESTIGATOR
Alberic Fiennes, MD
St Anthony's Hospital, Surrey, England
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 3, 2011
First Posted
October 7, 2011
Study Start
April 1, 2011
Primary Completion
January 1, 2013
Study Completion
January 1, 2015
Last Updated
October 31, 2011
Record last verified: 2011-10