ESSENTIAL Trial™ Sham Cross-over
A Supplemental Open Label Multicenter Sham Cross-over Clinical Trial Using an Endoscopic Suturing Device (g-Cath EZ™ Suture Anchor Delivery Catheter) For Primary Weight Loss Essential Study (IDE G130163) Crossover Study
1 other identifier
interventional
73
1 country
11
Brief Summary
This is a multicenter, un-blinded, open label, pivotal supplemental study to G130163 intended to evaluate the safety and efficacy of treating previous sham subjects in the Essential pivotal trial (IDE#G130163) with the active treatment (the placement of g-Cath EZ suture anchors along with diet and exercise). Compliant sham subjects (those who attended all primary IDE follow-up visits AND who continue to meet eligibility criteria as described in this protocol) will be offered this active treatment after their 12 month unblinding visit in the Essential pivotal trial.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable obesity
Started Jan 2015
11 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 23, 2014
CompletedFirst Posted
Study publicly available on registry
October 31, 2014
CompletedStudy Start
First participant enrolled
January 5, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 31, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
September 30, 2016
CompletedResults Posted
Study results publicly available
May 12, 2017
CompletedMay 12, 2017
March 1, 2017
1.7 years
October 23, 2014
March 31, 2017
March 31, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Mean Percent Total Body Weight Loss
Percent total body weight loss calculated through 12 months post procedure
1 Year
Study Arms (1)
Essential Study Sham Cross-over
OTHERDevice: g-Cath EZ™ Suture Anchor Delivery Catheter This is a multicenter, un-blinded, open label, pivotal supplemental study to G130163 intended to evaluate the safety and efficacy of treating previous sham subjects in the Essential pivotal trial (IDE#G130163) with the active treatment (the placement of g-Cath EZ suture anchors along with diet and exercise). Compliant sham subjects (those who attended all primary IDE follow-up visits AND who continue to meet eligibility criteria as described in this protocol) will be offered this active treatment after their 12 month unblinding visit in the Essential pivotal trial.
Interventions
This is a multicenter, un-blinded, open label, pivotal supplemental study to G130163 intended to evaluate the safety and efficacy of treating previous sham subjects in the Essential pivotal trial (IDE#G130163) with the active treatment (the placement of g-Cath EZ suture anchors along with diet and exercise). Compliant sham subjects (those who attended all primary IDE follow-up visits AND who continue to meet eligibility criteria as described in this protocol) will be offered this active treatment after their 12 month unblinding visit in the Essential pivotal trial.
Eligibility Criteria
You may qualify if:
- Provide written informed consent.
- Potential subject was sham participant in the Essential pivotal trial
- Potential subject agrees to be compliant with study and has a documented history of compliance in pivotal study.
- Subjects between the ages of 23-61 years.
- If female, be either post-menopausal, surgically sterile or agree to practice birth control during year of study and have negative serum HCG at screening/baseline.
- Have a Body Mass Index (BMI) of ≥30 and \<35 with at least one non-severe co-morbid obesity related condition or a BMI ≥ 35 with or without a non-severe obesity related co-morbid condition, where a severe co-morbid condition is defined as severe if symptoms cause severe discomfort, performance of daily activities is compromised, and/or condition is not entirely controlled with prescription drug therapy (See Section 14)
- Absence of current severe systemic disease (including, but not limited to: coronary artery disease, chronic obstructive pulmonary disease, congestive heart failure, cancer, and chronic renal disease)
- Agrees not to undergo any additional weight loss interventional procedures or liposuction for 12 months following study enrollment.
- Agrees not to utilize any prescription or over the counter weight loss medications OR those that can suppress appetite/induce weight loss for 12 months following study enrollment (including all stimulant medication).
- Be willing to cooperate with post-operative dietary recommendations and assessment tests.
- Residing within a reasonable distance from the Investigator's treating office (\~50 miles) and able and willing to travel to the Investigator's office to complete all routine follow-up visits.
You may not qualify if:
- History of (or intra-operative evidence of) prior bariatric, gastric or esophageal surgery.
- Esophageal stricture or other anatomy and/or condition that could preclude passage of endolumenal instruments or procedure execution.
- Severe gastro-esophageal reflux disease (GERD), defined as symptoms that cause subject severe discomfort, compromise performance of daily activities, and/or condition is not entirely controlled with drug therapy.
- Large hiatal hernia (\>3 cm) by history or as determined by pre-enrollment endoscopy.
- Pancreatic insufficiency/disease.
- History of gastroparesis or symptoms that would be suggestive of gastroparesis.
- Pregnancy or plans of pregnancy in the next 12 months.
- Immunosuppressive medications or systemic steroids (i.e., oral prednisone) within 1 month of Visit 1. Intranasal/inhaled steroids are acceptable.
- History of inflammatory disease of the GI tract; coagulation disorders; hepatic insufficiency or cirrhosis
- History or present use of insulin or insulin derivatives for treatment of diabetes
- Type II Diabetes Mellitus (as defined by HgbA1c \>6.5%) for greater than 11 years at the time of enrollment
- If smoker, plans to quit smoking in the year after enrollment
- Portal hypertension and/or varices.
- Significant abnormality identified during Visit 2 (enrollment visit) with endoscopy revealing large hiatal hernia, gastric/duodenal ulcer, gastric erosions, gastric outlet obstruction or stenosis, etc.
- Patient has a history of drug or alcohol abuse or positive at screening for drugs of abuse.
- +5 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- USGI Medicallead
Study Sites (11)
Shea Campus -Scottsdale Healthcare
Scottsdale, Arizona, 85258, United States
University of Miami Hospital
Miami, Florida, 33166, United States
Hamilton Medical Center
Dalton, Georgia, 30720, United States
Northshore/Evanston Hospital
Evanston, Illinois, 60201, United States
Crescent City Surgical
Metairie, Louisiana, 70001, United States
Brigham & Women's Hospital
Boston, Massachusetts, 02115, United States
Fairview UMMC-University
Minneapolis, Minnesota, 55455, United States
Saint Luke's Hospital
Kansas City, Missouri, 64111, United States
WA University School of Medicine
St Louis, Missouri, 63110, United States
Lexington Medical Center
West Columbia, South Carolina, 29169, United States
Baptist Memorial Hospital
Memphis, Tennessee, 38120, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Senior Director of Clinical Research
- Organization
- USGI Medical
Study Officials
- PRINCIPAL INVESTIGATOR
Tom Lavin, MD
Crescent City Surgical Centre
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 23, 2014
First Posted
October 31, 2014
Study Start
January 5, 2015
Primary Completion
August 31, 2016
Study Completion
September 30, 2016
Last Updated
May 12, 2017
Results First Posted
May 12, 2017
Record last verified: 2017-03