Registry Study of the NDO Surgical Plicator for the Treatment of GERD

NCT ID: NCT00597792

Last Updated: 2008-05-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

131 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-08-31

Study Completion Date

2007-11-30

Brief Summary

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The purpose of this study is to collect post-marketing data on patient outcomes and satisfaction following treatment with the Plicator™. The outcomes will be tracked through analysis of patient Quality of Life (QoL) questionnaires and medication use. The QoL and medication use questionaires will be administered and documented twice before the procedure and then again at outlined intervals following the procedure. Additionally, financial measures will be evaluated (i.e. pre-procedural and procedural time and costs, staffing/personnel needs during procedure, anesthesia and related costs, recovery time and associated cost, etc.) and post-procedure GERD-related medical history questionnaires will be completed.

This post-market evaluation is a multi-center study design using the NDO Surgical, Inc. Plicator as the treatment device. Treatment efficacy will be evaluated by comparing QoL and medication use before and after treatment with the device. Patient follow-ups will be completed at 1 week and at 6, 12, 24, 36, 48 and 60 months post treatment.

Detailed Description

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Conditions

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GERD

Keywords

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Gastroesophageal Reflux Disease (GERD) Plicator Full-thickness Plication

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A

Active Plicator Treatment

Group Type ACTIVE_COMPARATOR

NDO Full-thickness Plicator

Intervention Type DEVICE

A low-profile (≤6mm) gastroscope was advanced and an EGD followed by Savary wire placement was performed. The gastroscope was then removed and the Plicator was advanced directly over the wire and into the stomach. The gastroscope was re-introduced through the Plicator, and the Plicator was retroflexed under direct endoscopic visualization to the anterior gastric cardia, approximately 1cm below the gastroesophageal (GE) junction. The Plicator arms were opened and the endoscopic tissue retractor was advanced deeply into the gastric cardia. The gastric wall was then retracted into the open arms of the Plicator. The arms were closed and a single, transmural pledgeted suture was deployed. The Plicator and gastroscope were then removed and the gastroscope re-inserted to evaluate the post-plication GE junction.

Interventions

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NDO Full-thickness Plicator

A low-profile (≤6mm) gastroscope was advanced and an EGD followed by Savary wire placement was performed. The gastroscope was then removed and the Plicator was advanced directly over the wire and into the stomach. The gastroscope was re-introduced through the Plicator, and the Plicator was retroflexed under direct endoscopic visualization to the anterior gastric cardia, approximately 1cm below the gastroesophageal (GE) junction. The Plicator arms were opened and the endoscopic tissue retractor was advanced deeply into the gastric cardia. The gastric wall was then retracted into the open arms of the Plicator. The arms were closed and a single, transmural pledgeted suture was deployed. The Plicator and gastroscope were then removed and the gastroscope re-inserted to evaluate the post-plication GE junction.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Subject is suitable for surgery (American Society of Anesthesiologists Physical Status Classification I or II).
* Subject agrees to study participation and signs/dates an informed consent form.

Exclusion Criteria

* Significant esophageal dysmotility as determined by manometry
* Esophagitis grade III or IV (Savary-Miller)
* Barrett's epithelium
* Hiatus hernia \> 2cm
* Persistent dysphagia, weight loss, esophageal bleeding, vomiting, gas or bloating
* Esophageal or gastric varices
* Previous endoscopic or surgical anti-reflux procedure
* Other esophageal or gastric surgery
* Chronic use of anticoagulant or platelet anti-aggregation therapy (other than for cardiac prophylaxis); and
* Pregnancy.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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NDO Surgical, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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NDO Surgical, Inc.

Locations

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Medical Center of Central Georgia

Macon, Georgia, United States

Site Status

Evanston Northwestern Healthcare

Evanston, Illinois, United States

Site Status

Northside Gastroenterology, Inc.

Indianapolis, Indiana, United States

Site Status

Lenox Hill Hospital

New York, New York, United States

Site Status

Stony brook University Medical Center

Stony Brook, New York, United States

Site Status

Nashville Medical Research and the Maria Nathanson Center of Excellence

Nashville, Tennessee, United States

Site Status

Digestive Associates of Houston

Houston, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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135-01762

Identifier Type: -

Identifier Source: org_study_id