Safety and Efficacy the Medigus SRS Endoscopic Stapling System in Gastroesophageal Reflux Disease (GERD)

NCT ID: NCT00734747

Last Updated: 2016-02-02

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-05-31

Study Completion Date

2015-07-31

Brief Summary

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The study is designed to test the safety and efficacy of the Medigus SRS endoscopic stapling system for the treatment of GERD.

The system allows the operator to staple the stomach to the esophagus,in order to restore the gastroesophageal flap valve. The effect of the stapling is similar to a common operation for GERD (partial fundoplication) but is done through the mouth, and incision into the abdomen is not needed.

The hypothesis of the study is that the treatment will be effective in improving GERD related quality of life by 50% or more in the majority of the subjects, and that the procedure will be as safe as surgery.

Detailed Description

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Conditions

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Gastroesophageal Reflux Disease (GERD)

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Medigus SRS Endoscopic Stapling System

Endoluminal fundoplication for the treatment of GERD

Group Type EXPERIMENTAL

Medigus SRS endoscopic stapling system

Intervention Type DEVICE

The system is designed to staple the stomach to the esophagus in 2 or 3 locations using a quintuplet of standard B shaped, 4.8 mm titanium staples in each location.

Interventions

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Medigus SRS endoscopic stapling system

The system is designed to staple the stomach to the esophagus in 2 or 3 locations using a quintuplet of standard B shaped, 4.8 mm titanium staples in each location.

Intervention Type DEVICE

Other Intervention Names

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endoluminal treatment of GERD Incisionless treatment of GERD

Eligibility Criteria

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Inclusion Criteria

* History of GERD related symptoms for at least 2 years.
* Recent objective evidence of GERD, demonstrated by a 24h pH acid exposure test.
* History of daily intake of proton pump inhibitors (PPIs) for at least 6 months, with significant relief of symptoms (i.e., difference in GERD Health Related Quality of Life (GERD HRQL) scores on and off PPI \> =6).
* GERD-HRQL ≥20 off of PPI's

Exclusion Criteria

* Hiatal hernia \> 3 cm or a paraesophageal hernia
* Barrett's esophagus or grade IV esophagitis
* Esophageal stricture, ring or web causing symptoms of dysphagia
* Grade I Flap valve according Hill's classification
* History of co-morbidity
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aviel Roy-Shapira, M.D.

INDUSTRY

Sponsor Role lead

Responsible Party

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Aviel Roy-Shapira, M.D.

Study director

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Aviel Roy-Shapira, M.D.

Role: STUDY_DIRECTOR

Medigus Ltd

Locations

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UC San Diego

San Diego, California, United States

Site Status

Indiana University Hospital

Indianapolis, Indiana, United States

Site Status

Akh Vienna City General Hospital

Vienna, , Austria

Site Status

Med.Klinik Universitatsmedizin

Mainz, , Germany

Site Status

Deenanath Mangeshkar Hospital and Medical Research Center

Pune, , India

Site Status

Medical University of Milan - San Donato Hospital

Milan, , Italy

Site Status

Countries

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United States Austria Germany India Italy

References

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Zacherl J, Roy-Shapira A, Bonavina L, Bapaye A, Kiesslich R, Schoppmann SF, Kessler WR, Selzer DJ, Broderick RC, Lehman GA, Horgan S. Endoscopic anterior fundoplication with the Medigus Ultrasonic Surgical Endostapler (MUSE) for gastroesophageal reflux disease: 6-month results from a multi-center prospective trial. Surg Endosc. 2015 Jan;29(1):220-9. doi: 10.1007/s00464-014-3731-3. Epub 2014 Aug 19.

Reference Type RESULT
PMID: 25135443 (View on PubMed)

Kim HJ, Kwon CI, Kessler WR, Selzer DJ, McNulty G, Bapaye A, Bonavina L, Lehman GA. Long-term follow-up results of endoscopic treatment of gastroesophageal reflux disease with the MUSE endoscopic stapling device. Surg Endosc. 2016 Aug;30(8):3402-8. doi: 10.1007/s00464-015-4622-y. Epub 2015 Nov 4.

Reference Type RESULT
PMID: 26537905 (View on PubMed)

Other Identifiers

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DCLP09002

Identifier Type: -

Identifier Source: org_study_id

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