NCT06467955

Brief Summary

The objective of the MagDI Canada study is to evaluate the performance and safety of the MagDI System in eligible participants who are indicated for a duodeno-ileal (small bowel) side-to-side anastomosis procedure for partial intestinal diversion as one example of a small bowel clinical procedure requiring a side-to-side anastomosis. The secondary objective includes initial efficacy of the duodeno-ileal diversion using the MagDI System.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable obesity

Timeline
4mo left

Started May 2024

Typical duration for not_applicable obesity

Geographic Reach
1 country

3 active sites

Status
active not recruiting

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

Study Progress85%
May 2024Nov 2026

Study Start

First participant enrolled

May 10, 2024

Completed
3 days until next milestone

First Submitted

Initial submission to the registry

May 13, 2024

Completed
1 month until next milestone

First Posted

Study publicly available on registry

June 21, 2024

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 27, 2026

Completed
9 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2026

Expected
Last Updated

May 20, 2026

Status Verified

May 1, 2026

Enrollment Period

1.7 years

First QC Date

May 13, 2024

Last Update Submit

May 18, 2026

Conditions

Keywords

GT MetabolicMagDI SystemMagnetic Anastomosis

Outcome Measures

Primary Outcomes (2)

  • Performance of the side-to-side anastomosis for duodeno-ileal diversion using the MagDI System.

    The duodeno-ileal diversion will be considered feasible if it results in successful: * Placement of the Magnets (≥ 90% alignment of magnets) and * Passage of Magnets without surgical re-intervention; and * Creation of a patent anastomosis confirmed radiologically. The primary endpoint will be met if the performance is confirmed in ≥ 80% of enrolled and treated participants.

    From date of study index procedure through 90 days

  • Safety of the MagDI System

    Freedom from serious adverse events related to the study device or study device procedure requiring additional emergency surgery or re-intervention, including: * All-cause mortality * Intestinal perforation and/or peritonitis * Intestinal obstruction * Life-threatening bleeding * Incidence of device malfunctions

    From date of study index procedure through 360 days.

Study Arms (1)

Magnet System, DI Biofragmentable

EXPERIMENTAL

GT Metabolic Solutions Magnet System, DI Biofragmentable (MagDI System)

Device: Magnet System, DI Biofragmentable

Interventions

Anastomoses achieved by magnetic compression.

Magnet System, DI Biofragmentable

Eligibility Criteria

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

You may qualify if:

  • Between 18-65 years of age, at the time of informed consent.
  • Body Mass Index (BMI) between 30-50 kg/m2
  • Meets one of the following criteria:
  • Type 2 Diabetes Mellitus (T2DM; defined as HbA1c ≥ 6.5%) or weight regain following previous sleeve gastrectomy (≥ 12 months); OR
  • Type 2 Diabetes Mellitus (T2DM; defined as HbA1c ≥ 6.5%) or weight regain following previous endoscopic sleeve gastroplasty (≥ 12 months); OR
  • Type 2 Diabetes Mellitus (defined as HbA1c ≥ 6.5%) with a Body Mass Index between 30-35 and without previous sleeve gastrectomy and no plan to perform a concurrent sleeve gastrectomy.
  • Participant agrees to refrain from any type of additional bariatric or reconstructive surgery that would affect body weight for the duration of the study.
  • Participant has been informed of the nature of the study and agrees to its provisions, complying with study required testing, medications, follow-up visits, and has provided written informed consent.

You may not qualify if:

  • Type 1 diabetes.
  • Use of injectable insulin.
  • Uncontrolled Type 2 Diabetes Mellitus (T2DM).
  • Investigator plans to perform a sleeve gastrectomy with the duodeno-ileal anastomosis procedure.
  • Uncontrolled hypertension, dyslipidemia or sleep apnea.
  • Prior intestinal, colonic or duodenal surgery (other than bariatric).
  • Prior surgery, trauma, prostheses, disease or genetic expression which prevent or contraindicate the procedure, including scarring and abnormal anatomy.
  • Refractory gastro-esophageal reflux disease (GERD).
  • Barrett's disease.
  • Helicobacter pylori positive and/or active ulcer disease.
  • Large hiatal hernia.
  • Inflammatory bowel or colonic diverticulitis disease.
  • Any anomaly precluding orogastric access by gastroscope and catheters, and manipulation techniques.
  • Any anomaly preventing / contraindicating endoscopic or laparoscopic access and procedures.
  • Implantable pacemaker or defibrillator.
  • +16 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

University of Toronto

Toronto, Ontario, Canada

Location

McGill University

Montreal, Quebec, H3A 0G4, Canada

Location

Westmount Square Surgical Center

Westmount, Quebec, H3Z 2P9, Canada

Location

MeSH Terms

Conditions

ObesityDiabetes Mellitus, Type 2

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsDiabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesEndocrine System Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: Single arm, multi-center study enrolling up to 60 participants at up to 3 sites in Canada.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 13, 2024

First Posted

June 21, 2024

Study Start

May 10, 2024

Primary Completion

January 27, 2026

Study Completion (Estimated)

November 1, 2026

Last Updated

May 20, 2026

Record last verified: 2026-05

Data Sharing

IPD Sharing
Will not share

Locations