Status:

ACTIVE_NOT_RECRUITING

A Physiologic Analysis of Endoscopic Sleeve Gastroplasty (ESG)

Lead Sponsor:

Brigham and Women's Hospital

Collaborating Sponsors:

American Society for Gastrointestinal Endoscopy

Boston Scientific Corporation

Conditions:

Non-alcoholic Steatohepatitis (NASH)

Endoscopic Sleeve Gastroplasty

Eligibility:

All Genders

18-65 years

Phase:

NA

Brief Summary

Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver disease worldwide. Affecting approximately one-third of the United States (U.S.) population, the prevalence of NAFLD increase...

Detailed Description

Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver disease worldwide. Affecting approximately one-third of the United States (U.S.) population, the prevalence of NAFLD increase...

Eligibility Criteria

Inclusion

  • Patient is 18-65 years old
  • Obesity (defined as BMI \> 30 kg/m2)
  • Biopsy-proven NASH (defined as the presence of steatosis and hepatic injury in the form of ballooning or lobular inflammation)19
  • Advanced fibrosis (defined as bridging fibrosis (F3) or cirrhosis (F4) on LB).

Exclusion

  • Decompensated cirrhosis (defined as bleeding varices, ascites, encephalopathy and jaundice)
  • gastric varices
  • diabetes mellitus (defined as HbA1c ≥ 6.5%)
  • active smoking
  • being on an anticoagulant or anti-platelet medication
  • active participation in any weight loss program, the use of a weight loss medication over the past 6 months and history of bariatric surgery or EBMT.
  • Patients with esophageal varices are not excluded as long as they are on a non-selective beta-blocker for primary prophylaxis.
  • Patient is pregnant, breast-feeding, or planning to become pregnant during the course of the study.
  • Patient is unwilling or unable to sign and date the informed consent.
  • Patient is unwilling or unable to comply with the follow-up study schedule.
  • Patient for whom endoscopic procedures are contraindicated.

Key Trial Info

Start Date :

May 6 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 24 2027

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT04820036

Start Date

May 6 2021

End Date

December 24 2027

Last Update

December 2 2025

Active Locations (1)

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1

Brigham and Women's Hospital

Boston, Massachusetts, United States, 02115