Safety and Effectiveness of Endoscopic Intestinal Re-Cellularization Therapy in Individuals With Type II Diabetes
- Conditions
- Diabetes Mellitus, Type 2Type 2 DiabetesDiabetesType 2 Diabetes MellitusType2diabetes
- Interventions
- Device: ReCET TreatmentDevice: Sham Procedure
- Registration Number
- NCT06267391
- Lead Sponsor
- Endogenex, Inc.
- Brief Summary
This study is designed to evaluate the safety and effectiveness of endoscopic intestinal re-cellularization therapy in individuals with type 2 diabetes (T2D) inadequately controlled on non-insulin glucose-lowering medications.
- Detailed Description
This is a prospective, multi-center, randomized, double-blind, sham-controlled, adaptive study enrolling individuals with type 2 diabetes inadequately controlled on non-insulin glucose-lowering medications. Participants will be randomized to receive the ReCET therapy or sham procedure consisting of device insertion without treatment. Participants will be followed for 6 months for the primary endpoint and 12 months in total. After 12 months, participants randomized to the sham arm may cross-over to receive the ReCET procedure.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 264
- 22- 70 years of age, inclusive.
- T2D diagnosis for at least 6 months.
- HbA1C of 7.5-10.5%, inclusive, determined by the central laboratory.
- BMI 27-40 kg/m2, inclusive.
- On 2-4 non-insulin glucose lowering mediations or on monotherapy with either GLP-1 or GLP-1/GIP medications, with no changes in medication or dosing for at least 12 weeks prior to the baseline visit.
- Individualized metabolic surgery (IMS) score ≤ 95.
- Weight stability (≤5% weight change) for at least 12 weeks prior to the screening visit.
- Agree not to donate blood during participation in the study.
- Able to comply with study requirements and understand and sign the Informed Consent Form.
- Women of childbearing potential must be not pregnant and using an acceptable method of contraception throughout the study.
- Willing and able to comply with study visits and study tasks as required per protocol.
- Diagnosed with type 1 diabetes.
- History of diabetic ketoacidosis or hyperosmolar nonketotic coma.
- Fasting serum C-peptide <1 ng/mL (333pmol/l).
- Current use of insulin, or previous use of any types of insulin for >1 month at any time (except for treatment of gestational diabetes) in last 2 years.
- Hypoglycemic unawareness.
- History of ≥1 severe hypoglycemia episode in past 6 months
- Discontinuation of a GLP-1RA or a GLP-1/GIP dual-agonist within 6 months of the screening visit following at least one month of treatment.
- Known autoimmune disease, including but not limited to, celiac disease, or pre-existing symptoms of systemic lupus erythematosus, scleroderma or other autoimmune connective tissue disorder, or as evidenced by a positive anti-glutamic acid decarboxylase (GAD) test.
- 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 eosinophilic esophagitis, stricture/stenosis, varices, diverticula, or other disorder of the esophagus, stomach and duodenum.
- History of gastroparesis.
- Acute gastrointestinal illness in the last 7 days.
- Known history of irritable bowel syndrome, radiation enteritis or other inflammatory bowel disease, such as Crohn's disease and Celiac disease.
- History of chronic or acute pancreatitis.
- Active hepatitis or active liver disease, or alanine aminotransferase (ALT) level >3.0 times the upper limit of normal (ULN) for the reference range, as determined by the central laboratory at screening visit. Patients with NAFLD are eligible if their ALT level is ≤3.0 times the ULN.
- Current use of vitamin K antagonists, such as warfarin, or current use of direct-action oral anticoagulants (DOCAs) that cannot be safely discontinued periprocedurally.
- Current use of P2Y12 inhibitors (clopidogrel, prasugrel, ticagrelor) that cannot be discontinued for 7 days before the procedure.
- Unable to discontinue non-steroidal anti-inflammatory drugs (NSAIDs) from treatment through 4 weeks following the procedure. Alternative use of acetaminophen and low dose aspirin is allowed.
- Use of systemic glucocorticoids (excluding topical or ophthalmic application or inhaled forms) for more than 10 consecutive days within 12 weeks prior to the screening visit.
- Use of medications known to affect GI motility (e.g. metoclopramide/ Reglan)
- Current use of weight loss medications such as Saxenda [liraglutide ], Xenical® [orlistat], Acutrim® [phenylpropanolamine], Sanorex® [mazindol], Adipex® [phentermine], BELVIQ® [lorcaserin], Qsymia® [phentermine/topiramate combination], Contrave® [naltrexone/bupropion], or other weight loss medications including over-the-counter [OTC] medications [for example, Allī®]) or have discontinued weight loss medications within 6 months.
- Participation in any structured weight loss program or endoscopic weight loss intervention within 6 months of the screen visit.
- Persistent anemia, defined as hemoglobin <10 g/dL.
- Known history of hemoglobinopathy, hemolytic anemia or sickle cell anemia, or any other traits of hemoglobin abnormalities known to interfere with the measurement of HbA1c.
- History of blood donation or transfusion within 3 months prior to the Screening Visit.
- Unstable or paroxysmal cardiac arrhythmia.
- Any of the following cardiovascular conditions within 6-months prior to screening visit: acute myocardial infarction, cerebrovascular accident (stroke), hospitalization due to congestive heart failure.
- History of valvular heart disease or chronic heart failure (NYHA III or IV).
- Estimated glomerular filtration rate (eGFR) ≤ 45 ml/min/1.73m2 calculated by CKD-EPI Creatinine Equation as determined by the central laboratory.
- Known immunocompromised status, including but not limited to individuals who have undergone organ transplantation, chemotherapy, or radiotherapy within the past 12 months, who have clinically significant leukopenia, who are positive for the human immunodeficiency virus (HIV) or whose immune status makes the participant a poor candidate for clinical trial participation in the opinion of the investigator.
- History of secondary hypothyroidism or inadequately controlled primary hypothyroidism (TSH value outside the normal range at screening).
- Presence of any implanted electronic devices that cannot be turned off during the procedure
- Presence of duodenal or biliary stents.
- Not a candidate for upper GI endoscopy or general anesthesia.
- Active illicit substance abuse or alcoholism (>2 drinks/day regularly).
- Active malignancy within the last 5 years (excluding non-melanoma skin cancers).
- Women who are breastfeeding.
- Participating in another ongoing clinical trial of an investigational drug or device.
- Binge eating disorder, or any other mental or physical condition which, in the opinion of the study investigator, makes the participant a poor candidate for clinical trial participation.
- Critically ill or has a life expectancy <5 years.
- Are investigator site personnel directly affiliated with this study and/or their immediate family member. Immediate family is defined as a spouse, parent, child, or sibling, whether biological or legally adopted.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SEQUENTIAL
- Arm && Interventions
Group Intervention Description ReCET Arm ReCET Treatment Treatment Arm will receive the ReCET procedure. Control Arm Sham Procedure Control Arm will receive a sham procedure.
- Primary Outcome Measures
Name Time Method HbA1c 6 months post-procedure Change in HbA1c (%) from baseline to Month 6
- Secondary Outcome Measures
Name Time Method HbA1c 12 months post-procedure Change in HbA1c (%) from baseline to Month 12
HbA1c ≤7.0% without requiring rescue medication 6 months post-procedure Proportion of participants with HbA1c ≤7.0% without requiring rescue medication
Incidence of adverse events 6 months post-procedure Incidence of adverse events, device- and/or procedure-related adverse events, and serious device- and/or procedure-related adverse events, and adverse events of special interest.
Time-in Range (TIR) 6 months post-procedure Proportion of participants with TIR ≥70%
Total body weight loss (%TBWL) 6 months post-procedure Percent total body weight loss (%TBWL) from baseline to Month 6
Trial Locations
- Locations (44)
University of Alabama
🇺🇸Birmingham, Alabama, United States
Central Alabama Research
🇺🇸Birmingham, Alabama, United States
Velocity Clinical Research, Gardena
🇺🇸Gardena, California, United States
Cedars-Sinai Medical Center
🇺🇸Los Angeles, California, United States
UCLA
🇺🇸Los Angeles, California, United States
Hoag Memorial Hospital Presbyterian - Digestive Health Institute
🇺🇸Newport Beach, California, United States
Velocity Clinical Research, Panorama City
🇺🇸Panorama City, California, United States
Velocity Clinical Research, Hallandale Beach
🇺🇸Hallandale Beach, Florida, United States
Mayo Clinic
🇺🇸Rochester, Minnesota, United States
Quantum Clinical Research
🇺🇸Miami Beach, Florida, United States
Universal Axon Clinical Research LLC
🇺🇸Miami, Florida, United States
University of Miami
🇺🇸Miami, Florida, United States
West Orange Endocrinology
🇺🇸Ocoee, Florida, United States
Advent Health
🇺🇸Orlando, Florida, United States
Orlando Health
🇺🇸Orlando, Florida, United States
Health Synergy Clinical Research
🇺🇸West Palm Beach, Florida, United States
NorthShore University Health System
🇺🇸Evanston, Illinois, United States
Heartland Medical Research, Inc.
🇺🇸Clive, Iowa, United States
Iowa Diabetes and Endocrinology Research Center
🇺🇸West Des Moines, Iowa, United States
John Hopkins
🇺🇸Baltimore, Maryland, United States
Cooper Health System
🇺🇸Camden, New Jersey, United States
Robert Wood Johnson Medical School
🇺🇸New Brunswick, New Jersey, United States
The Ohio State University- Wexner Medical Center
🇺🇸Columbus, Ohio, United States
Velocity Clinical Research - Austin
🇺🇸Austin, Texas, United States
Dell Medical School
🇺🇸Austin, Texas, United States
IMA Clinical Research - Austin
🇺🇸Austin, Texas, United States
The University of Texas Health Science Center at Houston
🇺🇸Bellaire, Texas, United States
Velocity Clinical Research, Dallas
🇺🇸Dallas, Texas, United States
Southwest Medical Center
🇺🇸Dallas, Texas, United States
University of Texas Southwestern Medical School - William P. Clements Jr. University Hospital
🇺🇸Dallas, Texas, United States
Epic Medical Research
🇺🇸DeSoto, Texas, United States
Houston Methodist Research Institute
🇺🇸Houston, Texas, United States
Juno Research, LLC
🇺🇸Houston, Texas, United States
Texas Diabetes & Endocrinology, P.A.
🇺🇸Round Rock, Texas, United States
Diabetes & Glandular Disease Clinic, P.A.
🇺🇸San Antonio, Texas, United States
IMA Clinical Research - San Antonio
🇺🇸San Antonio, Texas, United States
Mt. Olympus Medical Research
🇺🇸Sugar Land, Texas, United States
Royal Prince Alfred Hospital
🇦🇺Camperdown, New South Wales, Australia
The BMI Clinic
🇦🇺Double Bay, New South Wales, Australia
Royal North Shore Hospital
🇦🇺Saint Leonards, New South Wales, Australia
Eastern Health - Box Hill Hospital
🇦🇺Box Hill, Victoria, Australia
St Vincent's Hospital Melbourne
🇦🇺Fitzroy, Victoria, Australia
Austin Health
🇦🇺Heidelberg, Victoria, Australia
Baker Heart and Diabetes Institute
🇦🇺Melbourne, Victoria, Australia