Status:

WITHDRAWN

An Open-Label Extension to Protocol 09-1, Efficacy and Safety Study of the EndoBarrier® Gastrointestinal Liner System

Lead Sponsor:

Morphic Medical Inc.

Conditions:

Type 2 Diabetes

Eligibility:

All Genders

21-65 years

Phase:

NA

Brief Summary

A multi-center, single-arm, open-label study to evaluate the safety and effectiveness of the EndoBarrier Gastrointestinal Liner System liner on glycemic control in control subjects from study #09-1 wh...

Detailed Description

This is an open-label extension study for subjects who participated in the control arm of study #09-1 (A Randomized, Multi-Center, Pivotal Efficacy and Safety Study Comparing the EndoBarrier Gastroint...

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • Control subjects from study # 09-1 who are not treatment failures and have completed 12 months of the study
  • Age ≥21 years and ≤ 65 years
  • Have signed an informed consent form within 30 days of week 52 visit in study #09-1.
  • HbA1c ≥ 7.5% and ≤ 10%
  • Stable (s) doses (up to 2) of anti -diabetes medication(s) for a minimum of 3 months prior to enrollment with at least one at minimum required dose as outlined below:
  • MET (≥1500 mg/day) OR
  • SU (based on doses specified below) Generic Name (brand name) minimum required dose
  • Glimepiride (Amaryl) 4 (mg/day) Glipizide (Glucotrol) 20 (mg/day) Glipizide (Glucotrol XL) 10 (mg/day) Glyburide (Micronas, Diabeta) 10 (mg/day) Micronized Glyburide (Glynase) 6 (mg/day) Chlorpropamide (Diabinese) 350 (mg/day) Tolazamide (Tolinase 500 (mg/day) Tolbutamide (Orinase) 1500 (mg/day) OR
  • DPP-4i (based on doses specified below) Generic Name (brand name) minimum required dose Sitagliptin (Januvia®) 50 (mg/day) Saxagliptin (Onglyza®) 2.5 (mg/day) Linagliptin (Tradjenta ®) 5 (mg/day) Alogliptin (Nesina®) 12.5 (mg/day)
  • TZD (based on doses specified below) Generic Name (brand name) minimum required dose Rosiglitazone (Avandia®) 4 (mg/day) Pioglitazone (Actos®) 30 (mg/day)
  • BMI ≥ 30 and ≤ 55
  • Willing to comply with study requirements
  • Documented negative pregnancy test in women of childbearing potential
  • Women of childbearing potential not intending to become pregnant for the duration of their trial participation
  • Exclusion Criteria
  • Any change from the subject's previous health status from assessment for eligibility in pivotal trial phase (such as a new condition or major illness) that places the subject at undue risk by participating in the study
  • C-peptide \< 1.0 ng/mL
  • Triglyceride level \> 400 mg/dL
  • Vitamin D deficiency (\<20ng/ml)
  • Male subjects with serum Cr \>1.5 mg/dl or female subjects with Cr \>1.4 mg/dl
  • Uncorrectable bleeding diathesis, platelet dysfunction, thrombocytopenia with platelet count less than 100,000/microliter, or known coagulopathy
  • Symptomatic kidney stones or gallstones within 6 months prior to baseline (within 30 days of week 52 visit from #09-1 study)
  • Acute pancreatitis at the time of baseline (within 30 days of week 52 visit from #09-1 study)
  • Diagnosis of osteoporosis or currently taking bisphosphonates or teriparatide
  • Currently taking Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) (e.g. aspirin, ibuprofen, etc.) within 10 days of the procedure and/or there is a need or expected need to use during the trial 12 months post index procedure
  • Currently taking prescription antithrombotic therapy (e.g. anticoagulant or antiplatelet agent) within 10 days prior to the procedure and/or there is a need or expected need to use during the trial 12 months post index procedure
  • Currently taking the following medications (at the time of enrollment) and/or there is a need or expected need to use these medications during the trial 12 months post index procedure:
  • Restricted Medications/Supplements Systemic corticosteroids Drugs known to affect GI motility (e.g. Reglan) Prescription or over-the-counter weight loss medication(s) Medications known to cause significant weight gain (refer to study reference manual (SRM) or weight loss (e.g. chemotherapeutics)
  • Currently taking ≥ two of the following medications for type 2 diabetes; MET, SU, DDP-4i and TZD at baseline (within 30 days of week 52 visit from #09-1 study)
  • Currently taking medications for type 2 diabetes other than MET, SU, DPP-4i, and TZD (e.g. GLP1 or insulin) at baseline (within 30 days of week 52 visit from #09-1 study)
  • Chronic use of narcotics, opiates, or benzodiazepines and other addictive tranquilizers
  • Allergy or hypersensitivity to ceftriaxone, cephalosporins, penicillin, and all equivalent antibiotics
  • Active H. pylori (Note: Subjects may be eligible after undergoing 2 weeks of antibiotic treatment without re-screening)
  • Residing in a location without ready access to study site medical resources
  • Documented weight loss of \> 10 pounds anytime during the 3 months prior to enrollment

Exclusion

    Key Trial Info

    Start Date :

    April 1 2015

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    July 1 2016

    Estimated Enrollment :

    Patients enrolled

    Trial Details

    Trial ID

    NCT02293720

    Start Date

    April 1 2015

    End Date

    July 1 2016

    Last Update

    September 14 2016

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