Clinical Study Protocol for the Assessment of Safety and Efficacy of the BARICLIP®

Inclusion criteria

• Age ≥22 years and ≤65 years
• Have signed an Informed Consent Form
• BMI 30-34.9 (with comorbidity) and 35-45 (with or without comorbidity) kg/m2
• Willing to comply with study requirements
• Subjects of childbearing potential not intending to become pregnant for the duration of their trial participation, with a documented negative pregnancy test and documentation of contraception confirmation and method
• History of obesity and being overweight (BMI >30kg/m2) for at least 1 year
• History of failure of non-surgical weight loss methods
• Fully ambulatory without any severe chronic orthopedic disease that requires reliance on crutches, walkers or a wheelchair that could preclude exercise during the study

Exclusion criteria

• Previous use of any device for the treatment of obesity
• Known hepatic disease or biliary disease prior to screening (e.g., viral, autoimmune, fibrosis /cirrhosis etiology, but not including incidental fatty liver)
• Known infection at time of randomization
• Enrolled in another investigational obesity study
• Uncorrectable bleeding diathesis, platelet dysfunction, thrombocytopenia with platelet counts less than 100,000/microliter, or known coagulopathy
• Current substance abuse, alcohol or drug addiction
• Chronic pancreatitis or acute pancreatitis within 12 months of randomization
• Diagnosis of autoimmune connective tissue disorder (e.g., lupus erythematosus, scleroderma)
• Type I diabetes
• Hiatal hernia > 3cm
• Presence of ulcer in stomach
• Severe esophagitis (LA classification grade C or D)
• Presence of Barrett's esophagus
• Presence of any other abnormality that impacts the placement of the BariClip®
• Taking Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) (e.g., aspirin, ibuprofen, etc.) within 10 days prior to randomization and/or there is a need or expected need to use during the first 12 months after the index procedure
• Taking prescription antithrombotic therapy (e.g., anticoagulant, or antiplatelet agent) within 10 days prior to randomization and/or there is a need or expected need to use during the first 12 months after the index procedure
• Taking any of the medications on the list of Excluded Medications within 30 days prior to randomization and/or there is a need or expected need to use these medications during the first 12 months after the enrollment