The DIAMOND® for the Treatment of Type 2 Diabetes

NCT ID: NCT02079376

Last Updated: 2016-03-16

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-11-30

Study Completion Date

2016-12-31

Brief Summary

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Study to evaluate the efficacy of gastric stimulation (GCM) using the DIAMOND System in the improvement of glycemic control measured by changes in HbA1c.

Relationship between blood TG level and the GCM efficacy will be evaluated.

Detailed Description

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Conditions

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Type 2 Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Low blood TG patients

subjects with baseline blood triglyceride level ≤ 1.7 mmol/l will have intervention device (DIAMOND Implantable Pulse Generator (IPG)) programmed to deliver GCM signal including the setting of automatic eating detection parameters for a 48 weeks period.

Group Type EXPERIMENTAL

DIAMOND System

Intervention Type DEVICE

DIAMOND Implantable Pulse Generator (IPG)

High blood TG patients treated with blood TG lowering therapy

subjects with baseline blood triglyceride level \> 1.7 mmol/l will have their device programmed to deliver GCM signal including the setting of automatic eating detection parameters for a 48 weeks period and will receive fenofibrate at the dose of 160mg per day

Group Type EXPERIMENTAL

DIAMOND System

Intervention Type DEVICE

DIAMOND Implantable Pulse Generator (IPG)

High blood TG patients

subjects with baseline blood triglyceride level \> 1.7 mmol/l will have their device programmed to deliver GCM signal including the setting of automatic eating detection parameters for a 48 weeks period and will receive placebo of fenofibrate administered in the same schedule as the drug.

Group Type PLACEBO_COMPARATOR

DIAMOND System

Intervention Type DEVICE

DIAMOND Implantable Pulse Generator (IPG)

Interventions

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DIAMOND System

DIAMOND Implantable Pulse Generator (IPG)

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Male and female subjects 18 through 70 years of age
* Body mass index \> 30 and \< 45 (kg/m2)
* Type 2 diabetes duration of at least 6 months
* Type 2 diabetic subjects treated with oral anti-diabetic agents \[Sulfonylurea, Metformin, thiazolinedione (TZD) or DPP-4 inhibitors\]
* Stable anti-diabetic medications for at least 3 months prior to enrollment, six months for thiazolinedione (TZD)
* The subject has been under routine diabetes care of the investigator or another single physician that can supply a medical record for at least 6 months prior to enrollment
* HbA1c 7.3% and ≤ 9.5 % on Visit 1
* Stable HbA1c, defined as no significant change (variation ≤ 0.5%) between a historical value recorded in the subject's medical record within 3 months prior to enrollment and the HbA1c gathered on Visit 1.
* Fasting blood glucose \>120 and \< 350 mg/dl on Visit 1.
* Women with childbearing potential (i.e., not post-menopausal or surgically sterilized) must agree to use adequate birth control methods
* Stable weight, defined as no significant weight change (variation \<3%) within three months prior to enrollment as documented in the subject's medical record. For the subject treated with thiazolinedione, stable weight within six months.
* If taking theses medication, sable anti-hypertensive and lipid-lowering medication for at least one month prior to enrollment
* If subject is under anti-depressant medication the treatment needs to be stable for at least six months prior to enrollment.
* Ability and willingness to perform required study and data collection procedures and adhere to operating requirements of the DIAMOND System
* Willingness to perform at least four (3) capillary blood glucose tests per day twice a week for the duration of the study
* Willingness to refrain from using prescription, over the counter or herbal weight loss products for the duration of the trial
* Alert, mentally competent, and able to understand and willing to comply with the requirements of the clinical trial, and personally motivated to abide by the requirements and restrictions of the clinical trial
* Able to provide voluntary informed consent

Exclusion Criteria

* Insulin therapy in last 3 months
* Taking GLP-1 agonists or in the last 3 months before the enrollment
* Currently taking fibrates, nicotinamide and omega 3 fatty acids as antilipidemic treatment
* Subjects with an EF less than 35% or otherwise indicated for an ICD
* Taking medications known to affect gastric motility such as narcotics (chronic use) and anticholinergics/antispasmodics
* Experiencing severe and progressing diabetic complications (i.e. retinopathy not stabilized, nephropathy with macroalbuminuria)
* Prior wound healing problems due to staphylococcus or candida
* Diagnosed with past or current psychiatric condition that may impair his or her ability to comply with the study procedures
* Use of anti-psychotic medications
* Diagnosed with a eating disorder such as bulimia or binge eating
* Obesity due to an endocrine disorder (e.g. Cushing disease)
* Pregnant or lactating
* Diagnosed with impaired liver function (liver enzymes 3 times greater than normal)
* Any prior bariatric surgery
* Any history of pancreatitis
* Any history of peptic ulcer disease within 5 years of enrollment
* Diagnosed with gastroparesis
* Use of active medical devices (either implantable or external) such as ICD, pacemaker, drug infusion device, or neurostimulator (either implanted or worn). Subjects using an external active device who are able and willing to avoid use of the device during the study may be enrolled.
* Cardiac history that physician feels should exclude the subject from the study.
* Use of another investigator device or agent in the 30 days prior to enrollment
* A history of life-threatening disease within 5 years of enrollment
* Change in diabetic medication from between Visit 1 and Visit 3.
* Any additional condition(s) that in the Investigator's opinion would warrant exclusion from the study or prevent the subject from completing the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MetaCure Limited

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Epworth Research Institute

Richmond, Victoria, , Australia

Site Status RECRUITING

Tilak Innsbruck

Innsbruck, , Austria

Site Status WITHDRAWN

"Attikon" Hospital

Athens, , Greece

Site Status ACTIVE_NOT_RECRUITING

"Evgenidio " Hospital

Athens, , Greece

Site Status RECRUITING

Clinica Pineta Grande

Rome, , Italy

Site Status RECRUITING

The Università Cattolica del Sacro Cuore

Rome, , Italy

Site Status RECRUITING

Medical University

Bialystok, , Poland

Site Status RECRUITING

Medical University

Bydgoszcz, , Poland

Site Status RECRUITING

"Diabeta-Care"

Lubin, , Poland

Site Status RECRUITING

Medical University

Szczecin, , Poland

Site Status RECRUITING

Centre for Postgraduate Medical Education (CMKP)

Warsaw, , Poland

Site Status RECRUITING

Klinika za digestivnu hirurgiju

Belgrade, , Serbia

Site Status RECRUITING

Institut za pluće bolesti Vojvodine

Kamenica, , Serbia

Site Status RECRUITING

Countries

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Australia Austria Greece Italy Poland Serbia

Facility Contacts

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Spiros Fourlanos, MD

Role: primary

Nikolaos Arkadopoulos, Prof.

Role: primary

306937106217

Dott. Cristiano Giardiello, MD

Role: primary

+39335406848

Gertrude Mingrone, Prof.

Role: primary

Maria Górska, MD, PhD

Role: primary

48857468239

Roman Junik, MD, PhD

Role: primary

48525854020

Irena Szykowna, MD, PhD

Role: primary

48693729109

Syrenicz Anhelli, MD, PhD

Role: primary

4860170884

Wiesław Tarnowski, MD, PhD

Role: primary

+48602346242

Miloš BJELOVIĆ, Prof. dr

Role: primary

Miroslav ILIĆ, Prof. dr

Role: primary

Other Identifiers

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MC CP TAN2012-60

Identifier Type: -

Identifier Source: org_study_id

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