Endoscopic Bariatric Stapling Pilot Study
Phase 1
- Conditions
- Obesity
- Registration Number
- NCT01067625
- Lead Sponsor
- Satiety, Inc.
- Brief Summary
This study is a prospective single-arm, multicenter study to evaluate the safety and effectiveness of the TOGA® Procedure for the treatment of morbid obesity.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 200
Inclusion Criteria
- Age 18 years - 60 years
- Eligible for bariatric surgery per US National Institute of Health (NIH) guidelines BMI ≥ 40 kg/m2 and < 55 kg/m2, or BMI ≥ 35 kg/m2 with one or more comorbidities. Comorbidities are defined as diabetes, pulmonary disease, cardiac disease, or hypertension [systolic blood pressure of ≥140 mm Hg or diastolic blood pressure ≥ 90 mm Hg (or both) or on treatment for hypertension]
- History of obesity for at least 2.5 years
- History of failure with non-surgical weight loss methods.
- Agree to comply with the substantial dietary restrictions required by the procedure.
- Understands risks of procedures, agree to follow protocol requirements, including signing informed consent, returning for follow-up visits and completing all required testing, completing diet and behavior modification counseling.
Exclusion Criteria
- Patient history of inflammatory disease of the gastrointestinal tract including Crohn's disease or ulcerative colitis.
- Significant known esophageal disease including grade 3-4 esophagitis, stricture, Barrett's esophagus, esophageal cancer, esophageal diverticulum, nutcracker esophagus, achalasia, esophageal dysmotility.
- Severe coagulopathy, upper GI bleeding conditions such as esophageal or gastric varices, congenital or acquired telangiectasia.
- Congenital or acquired anomalies of the GI tract such as atresias or stenoses.
- Hiatal hernia ≥2cm
- Severe cardiopulmonary disease or other serious organic disease including HIV or cancer.
- Currently pregnant or nursing. Potentially childbearing (i.e not post-menopausal or surgically sterilized) and not willing to use an effective method of contraception for the next 12 months.
- Current alcohol or drug addiction.
- Mentally retarded or emotionally unstable, or exhibits psychological characteristics which, in the opinion of the investigator or psychologist/psychiatrist, make the subject a poor candidate for this procedure.
- Previous gastric, esophageal, pancreatic, or bariatric surgery.
- Infection anywhere in the body at the time of the procedure.
- Patient history of scleroderma.
- Thyroid disease which is not controlled with medication.
- Participating in another ongoing clinical trial in which concomitant diagnosis or therapeutic intervention would adversely affect the integrity of the clinical trial.
- Known active H-pylori infection.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
Name Time Method Percent excess weight loss (%EWL) up to 60 months Adverse events, including serious adverse events, will be recorded to determine safety up to 60 months
- Secondary Outcome Measures
Name Time Method Improvements in other Obesity Measures and Change in Quality Of Life Measures up to 60 months Improvement in Co-morbidities up to 60 months
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms underlie the TOGA® Procedure's impact on ghrelin and leptin signaling in morbid obesity?
How does the TOGA® Procedure compare to Roux-en-Y gastric bypass in weight loss and metabolic outcomes for class III obesity patients?
Are there specific biomarkers like adiponectin levels or gut microbiota profiles that predict response to endoscopic bariatric stapling?
What are the known adverse events associated with the TOGA® Procedure and how do they compare to sleeve gastrectomy complications?
How does Satiety, Inc.'s TOGA® Procedure relate to other endoscopic weight loss interventions like intragastric balloons or gastric botulinum toxin injections?
Trial Locations
- Locations (2)
ULB (Universite Libre de Bruxelles) - Erasme Hospital
🇧🇪Bruxelles, Belgium
Università Cattolica del Sacro Cuore - Policlinico A. Gemelli
🇮🇹Rome, Italy
ULB (Universite Libre de Bruxelles) - Erasme Hospital🇧🇪Bruxelles, Belgium