NCT04253392

Brief Summary

The RETHINK REFLUX Registry is a post-market prospective, multi-center, observation, single arm, long-term safety surveillance registry of subjects implanted with the LINX device. The primary objective of the study is to confirm the long-term safety profile of the LINX device and procedure (implant/explant) up to 10 years post-implant.

Trial Health

82
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
500

participants targeted

Target at P75+ for all trials

Timeline
76mo left

Started Jul 2020

Longer than P75 for all trials

Geographic Reach
6 countries

28 active sites

Status
active not recruiting

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 Progress48%
Jul 2020Jul 2032

First Submitted

Initial submission to the registry

January 31, 2020

Completed
5 days until next milestone

First Posted

Study publicly available on registry

February 5, 2020

Completed
5 months until next milestone

Study Start

First participant enrolled

July 8, 2020

Completed
12.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 31, 2032

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 31, 2032

Last Updated

April 13, 2026

Status Verified

April 1, 2026

Enrollment Period

12.1 years

First QC Date

January 31, 2020

Last Update Submit

April 9, 2026

Conditions

Keywords

Gastroesophageal Reflux DiseaseGERDRefluxRegurgitationEsophageal DiseaseLower Esophageal SphincterLESMagnetic Sphincter AugmentationMSA

Outcome Measures

Primary Outcomes (3)

  • Safety - Adverse Events

    Adverse events related to the LINX device and/or procedure (implant/explant) limited to: * All related serious adverse events * All related adverse events of dysphagia and or odynophagia requiring treatment (only) * LINX migration * LINX erosion

    10 years

  • Safety - Explant/Removal

    LINX explant/removal

    10 years

  • Safety - Hiatal Hernia Reoccurrence

    Hiatal hernia requiring repair (occurring after the LINX implant)

    10 years

Secondary Outcomes (4)

  • Effectiveness

    10 years

  • Health Economics - Work Productivity and Activity Impairment

    10 years

  • Health Economics - GERD Treatment Decision-Making Process (Subject's Perspective)

    Baseline

  • Health Economics - Healthcare Utilization

    10 years

Interventions

The LINX Reflux Management System consists of a series of titanium beads each with a magnetic core connected with independent titanium wires to form an annular shape when implanted. The attractive force of the magnetic beads is designed to provide additional strength to keep a weak lower esophageal sphincter (LES) closed. During swallowing, the magnetic beads slide away from each other on the independent titanium wire "links" to allow esophageal distention as the bolus passes by.

Also known as: LINX

Eligibility Criteria

Age21 Years - 99 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Adult patients successfully implanted (treated) with the LINX Reflux Management System for the treatment of GERD (Implant success defined as leaving the surgical suite with a device in situ)

You may qualify if:

  • Subject is \>or=21 years old
  • Subject with prospective plans for a LINX procedure
  • Subject provides written informed consent
  • Subject must be willing and able to complete questionnaires/ surveys electronically (ePROs)

You may not qualify if:

  • Subject who was previously implanted with LINX device
  • Any reason which the Principal Investigator believes may cause the subject to be non-compliant with or unable to meet the protocol requirements (i.e. medical illness and/or limited life expectancy of less than 10 years)
  • Note: Physicians should refer to the LINX Reflux Management System IFU for a complete list of contraindications, warnings, and precautions.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (28)

University of South Alabama

Mobile, Alabama, 36617, United States

Location

NW Allied Bariatric and Foregut Surgery

Tucson, Arizona, 85741, United States

Location

Keck Hospital of USC

Los Angeles, California, 90033, United States

Location

Institute of Esophageal and Reflux Surgery

Englewood, Colorado, 80113, United States

Location

University of Southern Florida (Tampa General Hospital)

Tampa, Florida, 33606, United States

Location

OSF Medical Group

Peoria, Illinois, 61615, United States

Location

Saint Elizabeth Healthcare Edgewood

Edgewood, Kentucky, 41017, United States

Location

Sparrow Hospital / Sparrow Medical Group

Lansing, Michigan, 48912, United States

Location

East Carolina University / Vidant Medical Center

Greenville, North Carolina, 27834, United States

Location

The Ohio State University

Columbus, Ohio, 43210, United States

Location

Gen Surg Assoc / Fairfield Medical Center

Lancaster, Ohio, 43130, United States

Location

Lehigh Valley Hospital - Cedar Crest

Allentown, Pennsylvania, 18102, United States

Location

Minimal Access Surgery/Prisma Health - Upstate

Greenville, South Carolina, 29607, United States

Location

Adv Surg Assoc / Self Regional Healthcare

Greenwood, South Carolina, 29646, United States

Location

Lexington Surgery

West Columbia, South Carolina, 29169, United States

Location

Panhandle Weight Loss Center

Amarillo, Texas, 79106, United States

Location

Houston Methodist

Houston, Texas, 77030, United States

Location

Bariatric Medical Institute of Texas

San Antonio, Texas, 78258, United States

Location

Richmond Surg / Henrico Doctors' Hospital

Richmond, Virginia, 23229, United States

Location

Swedish Medical Center

Seattle, Washington, 98104, United States

Location

Fox Valley Surgical Associates

Appleton, Wisconsin, 54911, United States

Location

MedUni Wien / Universitatsklinik fur Chirurgie

Vienna, 1090, Austria

Location

Marien Hospital Herne

Herne, 44625, Germany

Location

Univ of Milano / IRCCS Policlinico San Donato

San Donato Milanese, 20097, Italy

Location

National University Hospital

Singapore, 119228, Singapore

Location

Epsom Hospital

Epsom, KT18 7EG, United Kingdom

Location

Guy's and St. Thomas' Hospitals

London, SE1 7EH, United Kingdom

Location

RefluxUK

Royal Tunbridge Wells, TN3 0RD, United Kingdom

Location

MeSH Terms

Conditions

Gastroesophageal RefluxEsophageal Diseases

Condition Hierarchy (Ancestors)

Esophageal Motility DisordersDeglutition DisordersGastrointestinal DiseasesDigestive System Diseases

Study Officials

  • Jörg Tomaszewski, MD

    Ethicon Endo-Surgery

    STUDY DIRECTOR

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
PROSPECTIVE
Target Duration
10 Years
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 31, 2020

First Posted

February 5, 2020

Study Start

July 8, 2020

Primary Completion (Estimated)

July 31, 2032

Study Completion (Estimated)

July 31, 2032

Last Updated

April 13, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will share

Johnson \& Johnson Medical Device Companies have an agreement with the Yale Open Data Access (YODA) Project to serve as the independent review panel for evaluation of requests for clinical study reports and participant level data from investigators and physicians for scientific research that will advance medical knowledge and public health. Requests for access to the study data can be submitted through the YODA Project site at http://yoda.yale.edu.

More information

Locations