A Surgical Approach to the Management of Type II Diabetes Mellitus in Patients With a BMI Between 25-35 kg/m2

NCT ID: NCT01197963

Last Updated: 2015-06-12

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

3 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-09-30

Study Completion Date

2014-02-28

Brief Summary

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The purpose of the study is to determine if by performing surgery we can cure Type II Diabetes.

The surgical procedures:

1. a sleeve gastrectomy, cutting out a portion of the stomach, which provides restriction of caloric intake and rapid gastric emptying.
2. ileal transposition which involves repositioning a 150cm segment of the ileum into the jejunum causing improved glucose homeostasis.

Detailed Description

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Conditions

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Type 2 Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Surgical treatment

Surgical treatment of one arm of the patient population.

Group Type OTHER

Sleeve Gastrectomy and Ileal transposition

Intervention Type PROCEDURE

Laparoscopic sleeve gastrectomy with ileal transposition

Medically controlled group

Managed by endocrinologists using current medical therapy such as pills, injections and life style medication.

Group Type OTHER

dietary and medical management

Intervention Type DIETARY_SUPPLEMENT

dietary and medical routine management patients are currently following with an endocrinologist.

Interventions

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Sleeve Gastrectomy and Ileal transposition

Laparoscopic sleeve gastrectomy with ileal transposition

Intervention Type PROCEDURE

dietary and medical management

dietary and medical routine management patients are currently following with an endocrinologist.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* age- 21-55 years.
* Body Mass Index between 25-35 kf/m2.
* currently being treated for type 2 diabetes mellitus with oral hypoglycemic, insulin or both for the at least 3 years.
* Documented HbA1c\>7.5% for at least 3 months.
* Stable weight for 3 months (+/-)
* Evidence of stable medical treatment for diabetes over the past 12 months.
* Able to provide informed consent -Female subject agrees to participate in accepted birth control methods -

Exclusion Criteria

* Type I diabetes/juvenile onset
* C-Peptid levels below 1.0 ng/ml
* Previous major upper abdominal surgery

--Pregnant or plans to become pregnant with in the next 12 months
* Current Malignancy
* Severe pulmonary, cardia, or renal disease
* Eating disorders such as bulimia or binge-eating
* Severe mental health disorders such as schizophrenia and bipolar disorder
* Obesity due to other metabolic disorders
* taking appetite suppressants
* currently abusing illicit drugs,alcohol or using tobacco products
* Unable to provide informed consent
* Unwillingness or unable to comply with study procedures
* any condition that deems them unsuitable for the study in the opinion of the investigators
Minimum Eligible Age

21 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The University of Texas Health Science Center, Houston

OTHER

Sponsor Role lead

Responsible Party

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Brad Snyder

Assistant Professor - Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Brad E Snyder, MD

Role: PRINCIPAL_INVESTIGATOR

The University of Texas Health Science Center, Houston

Locations

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The University of Texas

Bellaire, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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HSC-MS-09-0122

Identifier Type: -

Identifier Source: org_study_id

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