Trial Outcomes & Findings for Observational Study of Anti-Reflux Surgery (NCT NCT01624506)

NCT ID: NCT01624506

Last Updated: 2021-06-08

Results Overview

Gastroesophageal Reflux Disease Health Related Quality of Life Outcomes (GERD-HRQL) Total scores range from 0-50 (min/max) 10 questions total, each rating 0-5 (min/max) Lower is better; higher is worse

Recruitment status

COMPLETED

Target enrollment

760 participants

Primary outcome timeframe

3 years post-surgery

Results posted on

2021-06-08

Participant Flow

Not required

Participant milestones

Participant milestones
Measure
Magnetic Sphincter Augmentation
Patients will be treated with magnetic sphincter augmentation via the LINX Reflux Management System
Fundoplication
Patients treated with laparoscopic fundoplication
Overall Study
STARTED
530
230
Overall Study
COMPLETED
465
213
Overall Study
NOT COMPLETED
65
17

Reasons for withdrawal

Reasons for withdrawal
Measure
Magnetic Sphincter Augmentation
Patients will be treated with magnetic sphincter augmentation via the LINX Reflux Management System
Fundoplication
Patients treated with laparoscopic fundoplication
Overall Study
Lost to Follow-up
29
15
Overall Study
Withdrawal by Subject
9
2
Overall Study
Death
1
0
Overall Study
LINX explants
23
0
Overall Study
Adverse Event
3
0

Baseline Characteristics

Data not available for remaining subjects

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Magnetic Sphincter Augmentation
n=530 Participants
Patients will be treated with magnetic sphincter augmentation via the LINX Reflux Management System
Fundoplication
n=230 Participants
Patients treated with laparoscopic fundoplication
Total
n=760 Participants
Total of all reporting groups
Age, Continuous
46.8 years
STANDARD_DEVIATION 13.7 • n=517 Participants • Data not available for remaining subjects
55.8 years
STANDARD_DEVIATION 12.1 • n=210 Participants • Data not available for remaining subjects
49.4 years
STANDARD_DEVIATION 13.9 • n=727 Participants • Data not available for remaining subjects
Sex: Female, Male
Female
198 Participants
n=519 Participants • Data not available for remaining subjects
113 Participants
n=215 Participants • Data not available for remaining subjects
311 Participants
n=734 Participants • Data not available for remaining subjects
Sex: Female, Male
Male
321 Participants
n=519 Participants • Data not available for remaining subjects
102 Participants
n=215 Participants • Data not available for remaining subjects
423 Participants
n=734 Participants • Data not available for remaining subjects
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Austria
27 participants
n=530 Participants
34 participants
n=230 Participants
61 participants
n=760 Participants
Region of Enrollment
Italy
104 participants
n=530 Participants
37 participants
n=230 Participants
141 participants
n=760 Participants
Region of Enrollment
United Kingdom
101 participants
n=530 Participants
26 participants
n=230 Participants
127 participants
n=760 Participants
Region of Enrollment
Germany
298 participants
n=530 Participants
133 participants
n=230 Participants
431 participants
n=760 Participants
Years with Gastroesophageal Reflux Disease (GERD)
9.0 years
STANDARD_DEVIATION 7.9 • n=518 Participants • Data not available for remaining subjects
8.9 years
STANDARD_DEVIATION 8.1 • n=207 Participants • Data not available for remaining subjects
9.0 years
STANDARD_DEVIATION 7.9 • n=725 Participants • Data not available for remaining subjects
Years with Proton Pump Inhibitors (PPI)
6.1 years
STANDARD_DEVIATION 5.4 • n=517 Participants • Data not collected for remaining subjects
5.8 years
STANDARD_DEVIATION 5.7 • n=203 Participants • Data not collected for remaining subjects
6.0 years
STANDARD_DEVIATION 5.5 • n=720 Participants • Data not collected for remaining subjects

PRIMARY outcome

Timeframe: 3 years post-surgery

Population: Enrolled subjects who completed the 3-year visit and responded to the Gastroesophageal Reflux Disease Health Related Quality of Life Outcome (GERD-HRQL) questionnaire are included in the analysis.

Gastroesophageal Reflux Disease Health Related Quality of Life Outcomes (GERD-HRQL) Total scores range from 0-50 (min/max) 10 questions total, each rating 0-5 (min/max) Lower is better; higher is worse

Outcome measures

Outcome measures
Measure
Magnetic Sphincter Augmentation
n=328 Participants
Patients will be treated with magnetic sphincter augmentation via the LINX Reflux Management System
Fundoplication
n=97 Participants
Patients treated with laparoscopic fundoplication
Gastroesophageal Reflux Disease Health Related Quality of Life Outcome (GERD-HRQL)
4.2 score on a scale
Standard Deviation 5.7
4.9 score on a scale
Standard Deviation 7.8

Adverse Events

Magnetic Sphincter Augmentation

Serious events: 22 serious events
Other events: 98 other events
Deaths: 1 deaths

Fundoplication

Serious events: 4 serious events
Other events: 30 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Magnetic Sphincter Augmentation
n=530 participants at risk
Patients will be treated with magnetic sphincter augmentation via the LINX Reflux Management System
Fundoplication
n=230 participants at risk
Patients treated with laparoscopic fundoplication
Injury, poisoning and procedural complications
Device erosion
0.19%
1/530 • Number of events 1 • 3 years
0.00%
0/230 • 3 years
Gastrointestinal disorders
Dysphagia
1.9%
10/530 • Number of events 11 • 3 years
0.00%
0/230 • 3 years
Gastrointestinal disorders
Gatric pain
0.38%
2/530 • Number of events 2 • 3 years
0.00%
0/230 • 3 years
Gastrointestinal disorders
Gastritis
0.00%
0/530 • 3 years
0.43%
1/230 • Number of events 1 • 3 years
Gastrointestinal disorders
Heartburn
0.57%
3/530 • Number of events 3 • 3 years
0.00%
0/230 • 3 years
Vascular disorders
Hypertension
0.00%
0/530 • 3 years
0.43%
1/230 • Number of events 1 • 3 years
Respiratory, thoracic and mediastinal disorders
Pneumonia
0.00%
0/530 • 3 years
0.43%
1/230 • Number of events 1 • 3 years
Gastrointestinal disorders
Worsening of GERD
1.1%
6/530 • Number of events 6 • 3 years
0.43%
1/230 • Number of events 1 • 3 years

Other adverse events

Other adverse events
Measure
Magnetic Sphincter Augmentation
n=530 participants at risk
Patients will be treated with magnetic sphincter augmentation via the LINX Reflux Management System
Fundoplication
n=230 participants at risk
Patients treated with laparoscopic fundoplication
Gastrointestinal disorders
Heartburn
9.8%
52/530 • Number of events 61 • 3 years
6.1%
14/230 • Number of events 15 • 3 years
Gastrointestinal disorders
Dysphagia
9.2%
49/530 • Number of events 54 • 3 years
7.0%
16/230 • Number of events 18 • 3 years

Additional Information

Janet DeMarchi

Ethicon

Phone: 612-867-8727

Results disclosure agreements

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

Restriction type: OTHER