RESCUE: Discontinuation of GLP-1

NCT ID: NCT07190794

Last Updated: 2025-11-10

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

NOT_YET_RECRUITING

Total Enrollment

150 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-11-30

Study Completion Date

2026-06-30

Brief Summary

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This study is designed to compare weight loss outcomes and safety of ESG versus lifestyle modification in patients with obesity who discontinued GLP-1 therapy due to intolerance or suboptimal weight loss.

Detailed Description

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This retrospective cohort study includes collection of data from medical records for consecutively treated patients undergoing treatment for weight loss following GLP-1 discontinuation. Weight loss treatment is either ESG with OverStitch™ OverStitch NXT™ or matched timeframe controls who participated in a lifestyle modification program for weight loss management.

Subjects will be enrolled in a 2:1 ratio (ESG: Lifestyle modification)

Patients are required to have the following visits for weight loss management:

* Completed initial consultation visit (baseline) prior to initiation of weight management program with documented GLP-1 history and reason for discontinuation
* Initiation of weight loss management between August 2021 and September 2024
* A minimum of two weight loss management visits, defined as performed by the physician that is managing the weight loss program and/or an affiliated weight loss specialist, completed at 1, 3, 6, or 9 months from the initiation of weight loss management
* Completed 1-year weight loss management visit (as defined above)

Conditions

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Obesity

Keywords

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GLP-1 ESG OverStitch

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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ESG Recipients

After discontinuing GLP-1 medication, this group elected to have an ESG procedure as a weight loss treatment.

OverStitch™ or OverStitch NXT™

Intervention Type DEVICE

The OverStitch™ or OverStitch NXT™ Endoscopic Suturing System was used as part of each patient's ESG procedure within the routine clinical practice.

Lifestyle Modification

After discontinuing GLP-1 medication, this group elected to participate in a structured lifestyle modification program.

Lifestyle Modification

Intervention Type BEHAVIORAL

Patients participated in a lifestyle modification program for weight loss management.

Interventions

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OverStitch™ or OverStitch NXT™

The OverStitch™ or OverStitch NXT™ Endoscopic Suturing System was used as part of each patient's ESG procedure within the routine clinical practice.

Intervention Type DEVICE

Lifestyle Modification

Patients participated in a lifestyle modification program for weight loss management.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. Adults (≥ 18 years)
2. BMI ≥30 kg/m² and ≤ 50 kg/m2
3. Discontinued GLP-1 therapy for weight loss (semaglutide and tirzepatide only) for intolerance or suboptimal weight loss (\<5% TBWL after 3 months at maximally tolerated dose)
4. Initiation of weight loss management between August 2021 and September 2024
5. Completed 1-year follow-up for weight loss management (ESG and lifestyle modification or lifestyle modification alone) following initiation of weight loss treatment
6. Completed at least two interim visits for weight loss management from 1, 3, 6, through 9 months following initiation of weight loss treatment

Exclusion Criteria

1. Missing data regarding GLP-1 treatment history, including weight before GLP-1 treatment and at discontinuation, and discontinuation reason
2. History of GLP-1 medication for a reason other than weight management
3. Had bariatric surgery or an endoscopic procedure for weight loss treatment other than ESG with OverStitch™ or OverStitch NXT™ within 1 year of starting weight loss management
4. Had an additional endoscopic treatment performed prior to or at the time of the ESG procedure that could influence weight loss results
5. Had another weight loss treatment during the 1-year follow-up reported during this study. Weight loss treatment includes but is not limited to appetite suppressants, anti-obesity medications, plastic surgery or body contouring procedures.
6. Pregnancy during the 1 year following initiation of weight loss management
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boston Scientific Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pichamol Jirapinyo, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Brigham and Women's Hospital

Locations

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Bariendo

Miramar, Florida, United States

Site Status

Brigham & Women's Hospital

Boston, Massachusetts, United States

Site Status

Countries

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United States

Central Contacts

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Katherine Stroud

Role: CONTACT

Phone: 617-233-5845

Email: [email protected]

Pooja Goswamy

Role: CONTACT

Phone: 508-683-4335

Email: [email protected]

Facility Contacts

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Pichamol Jirapinyo, MD, MPH

Role: primary

Michele Ryan

Role: primary

Other Identifiers

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E7234

Identifier Type: -

Identifier Source: org_study_id