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Tests treatment safety and results for Type 2 Diabetes Mellitus
Official title Safety and Effectiveness of Endoscopic Intestinal Re-Cellularization Therapy in Individuals With Type II Diabetes
ClinicalTrials.gov ID: NCT06267391
What this study is testing
- What it's testing
- 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.
- Which group you join is decided by chance.
A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.
Who can take part
Ages 22 to 70
You may be able to join if
- 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...
You likely can't join if
- 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...
- Hypoglycemic unawareness.
- History of ≥1 severe hypoglycemia episode in past 6 months
See the full eligibility criteria
Who can join
- 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.
What rules you out
- 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...
- 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...
- 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...
- 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®...
- 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...
- 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.
The study team makes the final eligibility decision.
Where it's taking place
- Birmingham, Alabama, United States
- Gardena, California, United States
- Los Angeles, California, United States
- Newport Beach, California, United States
- Panorama City, California, United States
- Hallandale, Florida, United States
- Jacksonville, Florida, United States
- Miami, Florida, United States
- Miami Beach, Florida, United States
- Ocoee, Florida, United States
- Orlando, Florida, United States
- West Palm Beach, Florida, United States
- Evanston, Illinois, United States
- Clive, Iowa, United States
- West Des Moines, Iowa, United States
- Baltimore, Maryland, United States
- Rochester, Minnesota, United States
- Camden, New Jersey, United States
- New Brunswick, New Jersey, United States
- Columbus, Ohio, United States
+ 15 more site(s).
Questions & answers
Do participants get paid in this trial?
This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.
Is it free to join, and do I need insurance?
Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.
How long does this study last?
The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.
Who can join this trial?
This study is enrolling all sexes, 22 years to 70 years. The study team makes the final eligibility decision.
Where is this trial taking place?
Study sites include Birmingham, Alabama, United States; Gardena, California, United States; Los Angeles, California, United States; Newport Beach, California, United States; Panorama City, California, United States; Hallandale, Florida, United States and 29 more location(s). Enter your location above to see the nearest site and check your eligibility.
Explore other conditions
BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.