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Completed

NCT Number: NCT05938231

Tangji Gastric Bypass Stent Study for Obesity

The Gastric Bypass Stent System is intended to be used in weight loss treatment for obesity in patients with a BMI ≥ 30 kg/m2. In this clinical investigation the Sponsor seeks to demonstrate the safety and performance of the Gastric Bypass Stent System for its proposed indication in weight loss treatment for obesity in the China.

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Key information

Age range

18 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Beijing Friendship Hospital,Capital Medical University, Beijing, Beijing Municipality, China

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Aged 18-60 years, both male and female;
  • Obese patients with BMI ≥ 30 kg/m2, who are willing to be treated with Gastric Bypass Stent System or dietary intervention;
  • Patients with ASA I~II grade;
  • The patient understands the onjective of the trial and is volunteered to participate in the trial and has signed the Informed Consent Form (ICF).

Exclusion criteria

  • Have a weight loss of more than 4.5 kg in the past three months, or take weight-loss drugs in the past month;
  • Patients who used non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroids in the past month;
  • Patients diagnosed with type 1 diabetes;
  • Patients with the function of islet β cell basically lost, C-peptide ≤ 1/2 of the normal low limit or low and flat C-peptide release curve under glucose load;
  • Patients with iron deficiency or iron deficiency anemia;
  • Patients with coagulation dysfunction who used aspirin and other anticoagulants in the past month;
  • Patients with severe liver and kidney dysfunction, and the serum creatinine concentration of greater than 180 μmol/L;
  • Patients with Class III heart function of NYHA or higher, or pulmonary dysfunction;
  • Patients who have undergone ERCP procedure, or have a history of cholecystitis or liver abscess;
  • Patients with duodenal ulcer, gastric ulcer or previous and existing pancreatitis;
  • Patients with gallstones (diameter ≥ 20 mm) with clinical symptoms;
  • Patients with thyroid dysfunction;
  • Patients with hemorrhage or potential hemorrhage in the digestive tract;
  • Patients with gastrointestinal tract anomalies, such as gastrointestinal tract atresia, or other conditions that would result in failed placement in the gastrointestinal tract;
  • Patients with a history of bowel obstruction or related diseases in the past year;
  • Patients with a history of systemic lupus erythematosus or scleroderma;
  • Patients with severe infections that are not controlled, not suitable for a procedure;
  • Patients with poor general condition and having endoscopic contraindications (as evaluated by the investigator);
  • Pregnant women or women having the plan for pregnancy;
  • Drug abusers or alcohol addicts or patients with uncontrollable mental illness;
  • Patients who participated in other clinical trials of drugs or medical devices before enrollment and do not reach the endpoint time limit;
  • Patients who participated in other clinical trials of drugs or medical devices before enrollment 3 months.
  • Patients with any other conditions evaluated by the investigators as unsuitable for participating in the trial.

Treatment and study plan

Gastric Bypass Stent System

Device

Subjects will be treated with the Gastric Bypass Stent System implanted under gastroscopy. Following a 3-month treatment period, the device is removed, and subjects are followed for 6 months.

Dietary intervention

Behavioral

The patients in the trial group or in the control group,have 9-month dietary intervention in the syudy period.

Primary outcomes

  1. EWL% at 3 months after device implantation procedure.

    Time frame: 3 months after device implantation procedure

    EWL%=(Preoperative weight - Weight at follow-up)/(Preoperative weight - Body weight at BMI of 25 kg/m2)*100%.

Secondary outcomes

  1. Evaluation of device use in the trial group

    Time frame: Baseline visit V2 and 1, 3 months after the procedure

    Gastroscopy will be performed During the procedure (Visit 2) and at device removal(Visit 5).The user assesses whether the Gastric Bypass Stent can be used successfully during the procedure.

    Abdominal X-ray will be performed 1 month after the implantation procedure (Visit 4) and before Gastric Bypass Stent retrieval (Visit 5). An abdominal plain film will be used to assess the status of the Gastric Bypass Stent.The stent is completely located in the duodenal bulb the stent is unfolded, and the outline is clear.

  2. Difference in BMI change from baseline between the two groups at 1, 3, 4, 6 and 9 months after the patients are enrolled

    Time frame: from baseline to 1, 3, 4, 6, and 9 months after the procedure.

  3. Changes in HbA1c at 3, 6 and 9 months after the patients are enrolled

    Time frame: 3, 6, and 9 months after the procedure

  4. Drug dose of hypoglycemic agents at 1, 3, 4, 6 and 9 months after the patients are enrolled

    Time frame: 1, 3, 4, 6, and 9 months after the procedure

  5. Changes in blood glucose-related indicators of the patients from Baseline

    Time frame: from baseline to 1, 3, 4, 6, and 9 months after the procedure.

    Through observe the changes of (fasting insulin, fasting blood glucose, fasting C-peptide) from baseline to 1, 3, 4, 6, and 9 months to evaluate whether implanting the investigational device will bring any changes to patients' blood glucose.

  6. Difference in blood lipid change from baseline (TC, TG, HDL-C, LDL-C) at 3, 4, 6, and 9 months after the patients are enrolled

    Time frame: from baseline to 3, 4, 6, and 9 months after the procedure.

Sponsors and collaborators

Lead sponsor

Hangzhou Tangji Medical Technology Co., Ltd.

Other

Registry information

Official study title

A Prospective, Multicenter, Randomized Controlled Clinical Study to Evaluate the Safety and Performance of the Gastric Bypass Stent System as a Weight Loss Treatment for Obesity

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Jul 10, 2023
Registry last updated
Jul 10, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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