Balance System Study in Type 2 Diabetic Patients
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Purpose
To evaluate the safety and performance of the BALANCE System in treating patients who have type 2 diabetes and are overweight. Impact on blood glucose levels, weight loss, blood pressure and other clinical and metabolic parameters will be studied.
| Condition | Intervention | Phase |
|---|---|---|
|
Type 2 Diabetes Obesity |
Device: BALANCE System intestinal electrical stimulator |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Evaluation of the BALANCE System in Type 2 Diabetic Patients |
- Evaluation of the of device and/or procedure related adverse events [ Time Frame: 12 months ] [ Designated as safety issue: Yes ]
- Significant decrease in the HbA1c values from baseline [ Time Frame: at week 4, and at month 2,3,4,5,6,8,10,12 ] [ Designated as safety issue: No ]
| Enrollment: | 20 |
| Study Start Date: | February 2009 |
| Study Completion Date: | January 2012 |
| Primary Completion Date: | January 2012 (Final data collection date for primary outcome measure) |
-
Device: BALANCE System intestinal electrical stimulator
The BALANCE System stimulates the duodenum in a specialized way to strengthen the natural contractions and mimic the sensation of fullness (satiety). The patient is expected to feel full after eating smaller amounts of food than normal. In addition, duodenal stimulation has been shown to induce favorable changes in postprandial glucose levels, glucose tolerance testing and insulin levels.
The target population type II diabetic patients uncontrolled with oral medications, and with overweight (BMI >30). The Balance System may overcome the known disadvantages of insulin therapy and allow early treatment of these patients, potentially preventing the progression of obesity and diabetes.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Type 2 Diabetes inadequately controlled on a maximum of three oral anti-diabetic agents
- HbA1c between 7 and 10% inclusive
- Fasting Blood Glucose between 126 and 200 mg/dL
- Body Mass Index (BMI) in the range of 30.0 to 45.0 kg/m2
- Stable oral anti-diabetic therapy for at least 3 months
- Subjects who are able and willing to perform self monitoring of plasma glucose for the entire trial period
- Able and willing to sign informed consent and return for follow-up assessments
Exclusion Criteria:
- Type 1 Diabetes
- Subjects at high risk of general anesthesia or surgery
- Subjects with prior pancreatitis
- Subjects treated with insulin within three months of screening
- Female with a positive pregnancy test, planning to become pregnant during screening, active treatment, or the follow up period, breastfeeding, or judged to be using inadequate contraceptive methods.
- Subjects who underwent previous intra abdominal, GI tract surgery or a major abdominal trauma.
- Subjects with other implanted electrical stimulation devices
- Subjects with motility disorders of the GI tract such as gastroparesis
- Subjects who are receiving medications known to affect gastric motility
- Subjects with history of peptic ulcer disease
- Subjects with any serious health condition, such as cancer, cardiac diseases, immunodeficiency disorders, liver disease, pulmonary disease, renal insufficiency, coagulopathy or a major depressive disorder.
- Subjects with severe diabetic complications, such as retinopathy or nephropathy
- Subjects with metabolic or endocrine disorders like primary or secondary Cushing syndrome
- Subjects who received another investigational agent within 30 days prior to screening
- Evidence of current or recent alcohol or drug abuse within the past year prior to screening
- Subjects who are unlikely to be available for follow-up as specified in the protocol
- Subjects with a past or present psychiatric condition that may impair his or her ability to comply with the study procedures
- Subjects with history of volvulus
- Subjects with history of known small bowel adhesions or any known GI adhesions
- Subjects with deficiencies of known vitamins, e.g. B12
- Subjects with known celiac disease or inflammatory bowel disease
- Subjects with conditions that, in the judgment of the investigator, precludes successful participation to the study.
Contacts and Locations| Germany | |
| University Clinic Hamburg-Eppendorf (UKE) | |
| Hamburg, Germany | |
| Principal Investigator: | Jakob R Izbicki, Prof. Dr. med | The University Medical Center Hamburg-Eppendorf (UKE), Department of General, Visceral‐ and Thoracic‐Surgery, Germany |
More Information
Additional Information:
No publications provided
| Responsible Party: | Beta-Stim Ltd. |
| ClinicalTrials.gov Identifier: | NCT00872846 History of Changes |
| Other Study ID Numbers: | 598500 |
| Study First Received: | March 28, 2009 |
| Last Updated: | January 23, 2012 |
| Health Authority: | Germany: Ethics Commission Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by Beta-Stim Ltd.:
|
Body weight Signs and symptoms Obesity Metabolic disease Diabetes mellitus type 2 Diabetes mellitus |
Nutrition disorder Endocrine system diseases Overweight Overnutrition Glucose metabolic disorder |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 2 Obesity Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases |
Overnutrition Nutrition Disorders Overweight Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on May 16, 2013