NCT04832282

Brief Summary

This is a clinical trial assessing the feasibility of the Napoleon device for measuring the gastrojejunal anastomosis (GJA). The study population is Roux-en-Y gastric bypass (RYGB) patients with weight regain undergoing an endoscopy at Bellevue Hospital Center or Brigham and Women's Hospital. investigators aim for a sample size of up to 100 cases. For each case, endoscopists will first visually estimate the diameter of the GJA by comparing its size to the upper endoscope. Then, they will measure the GJA with Napoleon. Investigators will compare the GJA measurements performed using visual estimation and Napoleon. A survey will be given to all endoscopists to assess the level of ease using Napoleon.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
1mo left

Started Jun 2021

Longer than P75 for not_applicable

Geographic Reach
1 country

2 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 Progress97%
Jun 2021Jun 2026

First Submitted

Initial submission to the registry

April 1, 2021

Completed
4 days until next milestone

First Posted

Study publicly available on registry

April 5, 2021

Completed
2 months until next milestone

Study Start

First participant enrolled

June 14, 2021

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2025

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2026

Expected
Last Updated

December 23, 2025

Status Verified

December 1, 2025

Enrollment Period

4 years

First QC Date

April 1, 2021

Last Update Submit

December 16, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Mean difference in measured Gastrojejunal Anastomosis size between Napoleon and visual estimation

    8 months

Secondary Outcomes (4)

  • Proportion of cases with different recommended endoscopic treatment based on GJA size measured by Napoleon Device

    8 months

  • Level of ease with using Napoleon in terms of placement, extension/retraction, and photo acquisition

    8 months

  • Additional procedure time needed to incorporate use of Napoleon

    8 months

  • Proportion of cases with adverse events or unanticipated problems related to use of Napoleon

    8 months

Study Arms (1)

Roux-en-Y gastric bypass patients with weight regain

OTHER

The study population is Roux-en-Y gastric bypass (RYGB) patients with weight regain undergoing an endoscopy at Bellevue Hospital Center or Brigham and Women's Hospital.

Device: NapoleonOther: Visual estimation

Interventions

For each case, endoscopists will first visually estimate the diameter of the GJA by comparing its size to the upper endoscope.

Roux-en-Y gastric bypass patients with weight regain
NapoleonDEVICE

The Micro-Tech Endoscopic Measurement Device named Napoleon is a small catheter with a 30mm ruler calibrated at 1mm intervals with 5mm demarcations. It is classified as a Class 1, 510(k) exempt device by the FDA. The device was originally intended to measure polyps. However, it is used off-label in this study and is considered investigational.

Roux-en-Y gastric bypass patients with weight regain

Eligibility Criteria

Age18 Years - 90 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • In order to be eligible to participate in this study, an individual must meet all of the following criteria:
  • RYGB patient with weight regain age 18-90
  • Scheduled for an endoscopy
  • Willingness and ability to provide informed consent

You may not qualify if:

  • An individual who meets any of the following criteria will be excluded from participation in this study:
  • \. History of prior endoscopies with complications

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Brigham and Women's Hospital

Boston, Massachusetts, 02115, United States

Location

Bellevue Hospital Center

New York, New York, 10016, United States

Location

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
DEVICE FEASIBILITY
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 1, 2021

First Posted

April 5, 2021

Study Start

June 14, 2021

Primary Completion

June 30, 2025

Study Completion (Estimated)

June 30, 2026

Last Updated

December 23, 2025

Record last verified: 2025-12

Data Sharing

IPD Sharing
Will share

The de-identified participant data from the final research dataset used in the published manuscript will be shared upon reasonable request beginning 9 months and ending 36 months following article publication or as required by a condition of awards and agreements supporting the research provided the investigator who proposes to use the data executes a data use agreement with NYU Langone Health. Requests may be directed to: Violeta.Popov@nyulangone.org. The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
beginning 9 months and ending 36 months following article publication or as required by a condition of awards and agreements
Access Criteria
Requests may be directed to: Violeta.Popov@nyulangone.org.

Locations