Trial Outcomes & Findings for Post Marketing Study in Subjects Who Have Type 2 Diabetes Using the EndoBarrier™ Gastrointestinal Liner (NCT NCT01114438)

NCT ID: NCT01114438

Last Updated: 2017-04-24

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

45 participants

Primary outcome timeframe

12 months

Results posted on

2017-04-24

Participant Flow

Participant milestones

Participant milestones
Measure
EndoBarrier Gastrointestinal Liner
EndoBarrier Gastrointestinal Liner: EndoBarrier Gastrointestinal Liner is intended to remain in vitro for 6 months.
Overall Study
STARTED
45
Overall Study
COMPLETED
31
Overall Study
NOT COMPLETED
14

Reasons for withdrawal

Reasons for withdrawal
Measure
EndoBarrier Gastrointestinal Liner
EndoBarrier Gastrointestinal Liner: EndoBarrier Gastrointestinal Liner is intended to remain in vitro for 6 months.
Overall Study
Adverse Event
10
Overall Study
concomitant medication
1
Overall Study
Physician Decision
1
Overall Study
Withdrawal by Subject
2

Baseline Characteristics

Post Marketing Study in Subjects Who Have Type 2 Diabetes Using the EndoBarrier™ Gastrointestinal Liner

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
EndoBarrier Gastrointestinal Liner
n=45 Participants
EndoBarrier Gastrointestinal Liner: EndoBarrier Gastrointestinal Liner is intended to remain in vitro for 6 months.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
45 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
49.9 years
STANDARD_DEVIATION 7.97 • n=5 Participants
Sex: Female, Male
Female
23 Participants
n=5 Participants
Sex: Female, Male
Male
22 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
45 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
45 Participants
n=5 Participants
Region of Enrollment
United Kingdom
45 participants
n=5 Participants
Weight (kg)
115 kg
STANDARD_DEVIATION 21.02 • n=5 Participants
BMI
40.0 kg/m2
STANDARD_DEVIATION 5.79 • n=5 Participants
Duration of Diabetes
4.6 years
STANDARD_DEVIATION 2.79 • n=5 Participants
Baseline HbA1c
8.5 %
STANDARD_DEVIATION 0.85 • n=5 Participants
Baseline glucose
9.5 mmol/L
STANDARD_DEVIATION 2.95 • n=5 Participants

PRIMARY outcome

Timeframe: 12 months

Population: Analysis was conducted on the Full Analysis Set (FAS) defined as all subjects enrolled and implanted with the EndoBarrier, There were 29 subjects' data available for analysis of HbA1c at the defined 12 month (week 52) endpoint.

Outcome measures

Outcome measures
Measure
EndoBarrier Liner Device
n=29 Participants
EndoBarrier Gastrointestinal Liner: EndoBarrier Gastrointestinal Liner is intended to remain in vitro for 6 months.
Increase in Glucose-Lowering Meds at Week 52
Subjects implanted with device for 12 Months with an Increase in medication at the time of device removal compared to Baseline medication levels
No Change in Glucose-Lowering Meds at Week 52
Subjects implanted with device for 12 Months with no change in medication at the time of device removal compared to Baseline medication levels
HbA1c (%) Measured at Week 52
7.3 % glycated hemoglobin
Interval 5.8 to 11.5

PRIMARY outcome

Timeframe: 12 months

Population: Analysis was conducted on the Full Analysis Set (FAS) defined as all subjects enrolled and implanted with the EndoBarrier, There were 29 subjects' data available for weight loss analysis at the defined 12 month endpoint.

Total weight change at 12 months (kg) compared to baseline

Outcome measures

Outcome measures
Measure
EndoBarrier Liner Device
n=29 Participants
EndoBarrier Gastrointestinal Liner: EndoBarrier Gastrointestinal Liner is intended to remain in vitro for 6 months.
Increase in Glucose-Lowering Meds at Week 52
Subjects implanted with device for 12 Months with an Increase in medication at the time of device removal compared to Baseline medication levels
No Change in Glucose-Lowering Meds at Week 52
Subjects implanted with device for 12 Months with no change in medication at the time of device removal compared to Baseline medication levels
Total Weight Change From Baseline to Week 52
-12.1 kg
Standard Deviation 7.0

PRIMARY outcome

Timeframe: 12 months

Population: Analysis was conducted on subjects with a device

number of patients with a decrease, increase or no change in diabetic medications at time of EndoBarrier explantation (treatment completion)

Outcome measures

Outcome measures
Measure
EndoBarrier Liner Device
n=45 Participants
EndoBarrier Gastrointestinal Liner: EndoBarrier Gastrointestinal Liner is intended to remain in vitro for 6 months.
Increase in Glucose-Lowering Meds at Week 52
n=45 Participants
Subjects implanted with device for 12 Months with an Increase in medication at the time of device removal compared to Baseline medication levels
No Change in Glucose-Lowering Meds at Week 52
n=45 Participants
Subjects implanted with device for 12 Months with no change in medication at the time of device removal compared to Baseline medication levels
Changes in Diabetic Medications at Treatment Completion Compared to Baseline
23 Participants
4 Participants
18 Participants

PRIMARY outcome

Timeframe: Baseline, 12 months (explant), 6 months post explant (18 months post baseline)

Population: The number of participants analyzed reflects all participants who received the implant and were assessed for QoL at the respective time points.

Quality of life was measured using Survey Form SF-36v2 licensed from Quality Metric, Inc (Lincoln, RI). Physical and Mental component scores were measured at baseline, month 12 (at the time of explant) and 6 months post explant with results self-recorded by each subject. The SF-36 v2 physical component summary (PCS) score as well as the mental component summary score (MCS) ranged between 0 and 100, with higher scores reflecting better quality of life in each case.

Outcome measures

Outcome measures
Measure
EndoBarrier Liner Device
n=35 Participants
EndoBarrier Gastrointestinal Liner: EndoBarrier Gastrointestinal Liner is intended to remain in vitro for 6 months.
Increase in Glucose-Lowering Meds at Week 52
n=25 Participants
Subjects implanted with device for 12 Months with an Increase in medication at the time of device removal compared to Baseline medication levels
No Change in Glucose-Lowering Meds at Week 52
Subjects implanted with device for 12 Months with no change in medication at the time of device removal compared to Baseline medication levels
Change From Baseline in SF 36v2 Quality of Life Assessment
MCS-Change from Baseline
3.0 units on a scale
Standard Deviation 9.66
-0.5 units on a scale
Standard Deviation 14.12
Change From Baseline in SF 36v2 Quality of Life Assessment
PCS-Change from Baseline
1.0 units on a scale
Standard Deviation 9.49
1.0 units on a scale
Standard Deviation 8.33

Adverse Events

Device

Serious events: 13 serious events
Other events: 40 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Device
n=45 participants at risk
EndoBarrier Gastrointestinal Liner: EndoBarrier Gastrointestinal Liner is intended to remain in vitro for 6 months.
Cardiac disorders
Atrial Flutter
2.2%
1/45 • Number of events 1 • 12 months
Cardiac disorders
Myocardial infarction
2.2%
1/45 • Number of events 1 • 12 months
Gastrointestinal disorders
Abdominal pain upper
6.7%
3/45 • Number of events 3 • 12 months
Gastrointestinal disorders
Abdominal pain lower
2.2%
1/45 • Number of events 1 • 12 months
Gastrointestinal disorders
Abdominal pain
2.2%
1/45 • Number of events 1 • 12 months
General disorders
Chest pain
2.2%
1/45 • Number of events 1 • 12 months
Infections and infestations
Urinary tract infection
2.2%
1/45 • Number of events 1 • 12 months
Metabolism and nutrition disorders
Gout
2.2%
1/45 • Number of events 1 • 12 months
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
2.2%
1/45 • Number of events 1 • 12 months
Nervous system disorders
Cerebrovascular accident
2.2%
1/45 • Number of events 1 • 12 months
Respiratory, thoracic and mediastinal disorders
Respiratory distress
2.2%
1/45 • Number of events 1 • 12 months
Vascular disorders
Deep vein thrombosis
2.2%
1/45 • Number of events 1 • 12 months
Vascular disorders
Gastrointestinal hemorrhage
2.2%
1/45 • Number of events 1 • 12 months

Other adverse events

Other adverse events
Measure
Device
n=45 participants at risk
EndoBarrier Gastrointestinal Liner: EndoBarrier Gastrointestinal Liner is intended to remain in vitro for 6 months.
Blood and lymphatic system disorders
Anaemia
8.9%
4/45 • Number of events 5 • 12 months
Gastrointestinal disorders
Abdominal pain upper
40.0%
18/45 • Number of events 22 • 12 months
Gastrointestinal disorders
Diarrhea
20.0%
9/45 • Number of events 10 • 12 months
Gastrointestinal disorders
Nausea
17.8%
8/45 • Number of events 8 • 12 months
Gastrointestinal disorders
Vomiting
17.8%
8/45 • Number of events 10 • 12 months
Gastrointestinal disorders
Abdominal discomfort
15.6%
7/45 • Number of events 7 • 12 months
Gastrointestinal disorders
Abdominal pain
15.6%
7/45 • Number of events 7 • 12 months
Gastrointestinal disorders
Constipation
13.3%
6/45 • Number of events 6 • 12 months
Gastrointestinal disorders
Dyspepsia
11.1%
5/45 • Number of events 5 • 12 months
Gastrointestinal disorders
Abdominal pain lower
6.7%
3/45 • Number of events 3 • 12 months
Gastrointestinal disorders
Flatulence
6.7%
3/45 • Number of events 3 • 12 months
General disorders
Fatigue
8.9%
4/45 • Number of events 4 • 12 months
General disorders
Chest pain
6.7%
3/45 • Number of events 3 • 12 months
General disorders
Edema peripheral
6.7%
3/45 • Number of events 3 • 12 months
Infections and infestations
Lower respiratory tract infection
6.7%
3/45 • Number of events 3 • 12 months
Injury, poisoning and procedural complications
Procedural nausea
17.8%
8/45 • Number of events 8 • 12 months
Injury, poisoning and procedural complications
Procedural vomiting
8.9%
4/45 • Number of events 4 • 12 months
Metabolism and nutrition disorders
Vitamin D Deficiency
31.1%
14/45 • Number of events 15 • 12 months
Metabolism and nutrition disorders
Hypoglycemia
8.9%
4/45 • Number of events 6 • 12 months
Musculoskeletal and connective tissue disorders
Back pain
22.2%
10/45 • Number of events 10 • 12 months
Musculoskeletal and connective tissue disorders
Arthralgia
13.3%
6/45 • Number of events 6 • 12 months
Musculoskeletal and connective tissue disorders
Flank pain
6.7%
3/45 • Number of events 3 • 12 months
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
6.7%
3/45 • Number of events 3 • 12 months
Psychiatric disorders
Depression
11.1%
5/45 • Number of events 5 • 12 months
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
6.7%
3/45 • Number of events 3 • 12 months

Additional Information

Clinical Affairs Manager

GI Dynamics

Phone: 781.357.3263

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60