Enterogenesis by mechanical lengthening: morphology and function of the lengthened small intestine.
Jinyoung Park, Devin P Puapong, Benjamin M Wu...
https://pubmed.ncbi.nlm.nih.gov/15616941/Actively Recruiting
Led by Eclipse Regenesis, Inc. · Updated on 2026-08-12
40
Participants Needed
5
Research Sites
17 weeks
Total Duration
Researchers are evaluating the safety and potential benefits of the Eclipse XL1 System in both children and adults who have short bowel syndrome, a condition where part of the small intestine is missing or has been removed. This single-group, open-label clinical study includes participants aged from 3 months to 65 years old and is conducted across multiple sites in the United States to better understand how this device might help with intestinal growth. The study involves placing the Eclipse XL1 device inside the intestine during either a standalone surgery or an already planned procedure. Participants may receive up to two devices simultaneously or undergo multiple procedures if needed. The device is secured inside the intestine and marked with metal clips to monitor its position. Researchers will track how the device affects intestinal lengthening and nutritional status over time, and the device will be observed through imaging until it is removed or naturally passes out. Participants will be monitored while the device is in place and followed up at 3 and 6 months after the device is removed or passes naturally. During the study, their nutrition, weight, and stool will be assessed, and radiographic exams will confirm device placement and safety. Depending on their health, subjects may stay in the hospital or be discharged while participating. The total study duration allows for careful evaluation of device-related adverse events and improvements in intestinal health.
CONDITIONS
A Feasibility Study to Evaluate Safety and Probable Benefit of the Eclipse XL1 System for Distraction Enterogenesis in Adult and Pediatric Patients With Short Bowel Syndrome
A
Andre Bessette
E
Eric Bannon
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Eclipse Regenesis, Inc.
Lead Sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Eclipse XL1 Device (Trial) | Standard Care (External Context) |
|---|---|---|
| What it is | An investigational device (Eclipse XL1) surgically implanted inside the small intestine to promote natural intestinal lengthening (distraction enterogenesis) in patients with short bowel syndrome. | A combination of parenteral nutrition (PN), specialized enteral feeding, medications to enhance adaptation, and surgical approaches such as serial transverse enteroplasty (STEP) or lengthening procedures; no approved distraction enterogenesis devices are standard care outside of trials. |
| Role in study or care | The Eclipse XL1 device is the sole investigational therapy being evaluated for its ability to lengthen the intestine and improve nutritional absorption in eligible patients. | Standard care aims to optimize nutrition, promote natural adaptation, manage complications, and improve quality of life using available methods; device-based enterogenesis is not part of routine management. |
| Primary use or goal | To test whether the device can safely and effectively encourage lengthening of the remaining small intestine, with the goal of improving nutrient absorption and reducing reliance on parenteral nutrition. | To sustain patient nutrition, growth, and hydration, minimize complications of parenteral nutrition, and maximize native bowel adaptation without new device implantation. |
| How it is given or performed | The Eclipse XL1 coil is selected by size, then surgically inserted and secured into the small intestine under anesthesia; placement is marked with sutures and clips for later imaging. Device remains in place for the intended lengthening period. | Patients receive intravenous parenteral nutrition, specialized enteral feeding plans, medical therapy (such as anti-diarrheal agents, acid suppressors, or growth hormone analogues), and, when suitable, established surgical approaches such as STEP or Bianchi procedures. |
| Evidence status (published studies) | Ongoing investigation; no published clinical result for human patients. Prior animal studies suggest feasibility, but human efficacy and safety have not been established. | Supported by multiple decades of clinical practice, large case series, and consensus guidelines documenting outcomes of parenteral nutrition and established surgical procedures. |
| Important limitations | Device performance, effectiveness, and long-term safety remain unproven in humans. Potential risks include device migration, bowel injury, obstruction, infection, and the unknown durability of induced lengthening. | Standard care may not achieve full enteral autonomy. Lifelong parenteral nutrition can result in severe complications such as infections, liver dysfunction, and metabolic disturbances; surgical therapies are not always successful or universally available. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Variable, depending on clinical need and device passage
Participants have the Eclipse XL1 device placed inside the intestine during surgery. The device is secured and monitored through imaging to assess its placement and effects.
Regular visits during device placement and until removal or natural passage
Duration - Up to 6 months post device removal or passage
Participants are monitored after the device is removed or passes naturally, with assessments at 3 and 6 months to review nutrition, weight, stool, and safety.
2 visits at 3 and 6 months post device removal or passage
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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https://pubmed.ncbi.nlm.nih.gov/17161196/Eclipse Regenesis, Inc.
Lead Sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborating Sponsor