NCT04725890
已完成
不适用
Safety and Feasibility of Endoscopic Application of a Novel Therapy for Duodenal Mucosal Regeneration in the Treatment of Type II Diabetes
概览
- 阶段
- 不适用
- 干预措施
- 未指定
- 疾病 / 适应症
- Type 2 Diabetes
- 发起方
- Endogenex, Inc.
- 入组人数
- 65
- 试验地点
- 2
- 主要终点
- Device- or Procedure-related SAE Rate
- 状态
- 已完成
- 最后更新
- 3个月前
概览
简要总结
This is an open-label study to assess the safety and feasibility of the DyaMX device for endoscopic duodenal mucosal regeneration in individuals with type 2 diabetes inadequately controlled on glucose-lowering medications.
详细描述
Individuals who sign the informed consent will be screened for study eligibility. Eligible participants will be treated with the DyaMX procedure and followed up for 48 weeks.
研究者
入排标准
入选标准
- •18-70 years of age
- •Current diagnosis of T2D
- •History of T2D for less than or equal to 10 years, or use insulin for less or equal to 10 years
- •HbA1C of 7.5-11.0%
- •BMI 24-40 kg/m2
- •If treated with non-insulin glucose lowering mediations, the medications (1-4 medications) should be stable for at least 12 weeks prior to baseline visit. If treated with basal insulin, the daily insulin dose should be within 20-60 IU.
- •Agree not to donate blood during participation in the study.
- •If treated with non-insulin glucose lowering medications, participant should have weight stability (defined as a \< 5% change in body weight) for at least 12 weeks prior to the screening visit
- •Able to comply with study requirements and understand and sign the Informed Consent Form
- •Women of childbearing potential must be using an acceptable method of contraception throughout the study
排除标准
- •Diagnosed with type 1 diabetes
- •History of diabetic ketoacidosis or hyperosmolar nonketotic coma
- •Probable insulin production failure, defined as overnight fasting C-peptide serum \<1 ng/mL (333pmol/l).
- •Previous use of any types of insulin for \>1 month (at any time, except for treatment of gestational diabetes) in last 2 years for those on non-insulin medications.
- •Current use of multiple daily dose insulin or insulin pump
- •Hypoglycemia unawareness
- •History of ≥1 severe hypoglycemia (defined by needing for third-party assistance), unless a clear correctable precipitating factor can be identified, in past 6 months from the screening visit
- •Known autoimmune disease, as evidenced by a positive anti-glutamic acid decarboxylase (GAD) test, including but not limited to celiac disease, or pre-existing symptoms of systemic lupus erythematosus, scleroderma or other autoimmune connective tissue disorder.
- •Previous GI surgery that has changed GI anatomy or could limit treatment of the duodenum, such as Billroth 2, Roux-en-Y gastric bypass, gastric band or other similar procedures or conditions.
- •Known history of a structural or functional disorder of the upper GI tract that may impede passage of the device through the upper GI tract or increase risk of tissue damage during an endoscopic procedure, including esophagitis, stricture/stenosis, varices, diverticula, or other disorder of the esophagus, stomach and duodenum.
结局指标
主要结局
Device- or Procedure-related SAE Rate
时间窗: 12 weeks post procedure
Proportion of participants experiencing one or more device- or procedure-related serious adverse events
次要结局
- Changes in HbA1c(4, 12, 24, 36, 48 weeks)
- Changes in fasting plasma glucose(4, 12, 24, 36, 48 weeks)
- Changes in AST(24 weeks)
- Changes in weight(4, 12, 24, 36, 48 weeks)
- Changes in insulin resistance(4, 12, 24, 36, 48 weeks)
- Changes in ALT(24 weeks)
- Changes in blood pressure(4, 12, 24, 36, 48 weeks)
研究点 (2)
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