Retrospective TIF Study for Treatment of Gastroesophageal Reflux Disease (GERD). The RetroTIF Study (RetroTIF)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01327963
Recruitment Status : Terminated (The sponsor is focusing on prospective randomized studies)
First Posted : April 4, 2011
Last Update Posted : February 9, 2017
Information provided by (Responsible Party):
EndoGastric Solutions

Brief Summary:
The purpose of this open-label, postmarket study is to evaluate the safety and efficacy of transoral incisionless fundoplication (TIF) performed with EsophyX in a broad range of gastroesophageal reflux disease (GERD) patients treated at high volume centers across the United States.

Condition or disease Intervention/treatment Phase
Gastroesophageal Reflux Disease (GERD) Device: Transoral Incisionless Fundoplication (EsophyX) Not Applicable

Detailed Description:
This open-label, postmarket study evaluates the safety and efficacy of transoral incisionless fundoplication (TIF) performed with EsophyX in a broad range of gastroesophageal reflux disease (GERD) patients treated at high volume centers across the United States, in clinical routine practice, as standard of care.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 28 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Long-term Outcomes After Transoral Incisionless Fundoplication (TIF) Performed in Routine Clinical Practice: The Retro TIF Study
Study Start Date : September 2010
Actual Primary Completion Date : February 2014
Actual Study Completion Date : February 2014

Resource links provided by the National Library of Medicine

MedlinePlus related topics: GERD

Arm Intervention/treatment
Experimental: Transoral Incisionless Fundoplication


Transoral Incisionless Fundoplication:

With patient in general anesthesia. The EsophyX device is introduced through the mouth, over a standard endoscope, into the stomach. Multiple gastro -esophageal plications are performed, apposing the fundus to the distal part of the esophagus and repositioning the GEJ below the diaphragm, into the abdomen. multiple prolene fasteners are used to sescure and keep in place the plications.

Device: Transoral Incisionless Fundoplication (EsophyX)
Transoral incisionless esophago-gastric fundoplication performed using the EsophyX system with SerosaFuse fasteners (EndoGastric Solutions, Inc., Redmond, WA, USA) and following the standardized TIF2 protocol.
Other Names:
  • Transoral Incisionless Fundoplication
  • TIF

Primary Outcome Measures :
  1. Typical and atypical Gastroesophageal Reflux Disease (GERD) symptom elimination [ Time Frame: 12 or 24 months ]
    Typical and atypical GERD symptom elimination (scores ≤ 2 to each question in GERD Health-related Quality of Life (GERD-HRQL), GERD Symptom Score (GERSS) and Reflux Symptom Index (RSI) questionnaires) at the follow-up.

Secondary Outcome Measures :
  1. Serious Adverse Events (SAEs) & Unanticipated Adverse Device Effects (UADEs) [ Time Frame: 12 or 24 months ]
    The treatment will be considered safe if the incidence of serious adverse events (SAEs) is below the ranges reported for laparoscopic fundoplication.

  2. Elimination of Proton Pump Inhibitors (PPIs) use [ Time Frame: 12 or 24 months ]
    Complete discontinuation will be considered clinically significant.

  3. Healing of reflux esophagitis [ Time Frame: 12 or 24 months ]
    One grade reduction will be considered clinically significant.

  4. Reduction of hiatal hernia [ Time Frame: 12 or 24 months ]
    Size reduction to < 1 cm will be considered clinically significant.

  5. Normalization or clinically significant improvement in esophageal acid exposure and reflux episodes [ Time Frame: 12 or 24 months ]
    Esophageal acid exposure will be measured objectively by 48-hour Bravo pH or 24-hour impedance/pH testing at the follow-up (where pH testing is available). Normalization of esophageal acid exposure will be defined by total time with pH < 4 for ≤ 6% of 24-hour or for ≤ 5.3% of 48-hour monitoring period. The number of reflux episodes of ≤ 44 per each 24-hour period will be considered normal.

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 85 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Age 18-85 years
  • Have undergone the TIF procedure within the past 2 years
  • Availability for a follow-up visit at 12 or 24 months
  • Willingly and cognitively signed informed consent

Exclusion Criteria:

  • Procedure not completed or performed following a non-standardized TIF protocol
  • Subjects suffering from other GI conditions such as dyspepsia, celiac disease, IBS or Crohn's disease
  • Pregnancy
  • Enrollment in another device or drug study that may confound the results

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01327963

United States, Indiana
Saint Mary Medical Center
Hobart, Indiana, United States, 46342
United States, Kentucky
Livingston Hospital and Healthcare Services, Inc. CAH
Salem, Kentucky, United States, 42078
United States, Michigan
Allegan Surgical Associates, P.C.
Allegan, Michigan, United States, 49010
United States, Texas
Ihde Surgical Group, PA
Arlington, Texas, United States, 76014
United States, Virginia
Reston Surgical Associates
Reston, Virginia, United States, 20190
Sponsors and Collaborators
EndoGastric Solutions
Principal Investigator: Erik Wilson, MD FACS The University of Texas Health Science Center, Houston

Responsible Party: EndoGastric Solutions Identifier: NCT01327963     History of Changes
Other Study ID Numbers: D01079
First Posted: April 4, 2011    Key Record Dates
Last Update Posted: February 9, 2017
Last Verified: February 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

Keywords provided by EndoGastric Solutions:
Gastroesophageal reflux disease

Additional relevant MeSH terms:
Gastroesophageal Reflux
Esophageal Motility Disorders
Deglutition Disorders
Esophageal Diseases
Gastrointestinal Diseases
Digestive System Diseases