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Trial registered on ANZCTR
Registration number
ACTRN12609000139279
Ethics application status
Approved
Date submitted
2/02/2009
Date registered
6/03/2009
Date last updated
7/05/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluation of Percutaneous Single Port Access Placement of a Paragastric Implant for the Treatment of Morbid Obesity
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Scientific title
Evaluation of Percutaneous Single Port Access Placement of a Paragastric Implant for the Treatment of Morbid Obesity
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Secondary ID [1]
259790
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N/A
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Morbid Obesity
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N/A
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Condition category
Condition code
Oral and Gastrointestinal
4487
4487
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0
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Normal oral and gastrointestinal development and function
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A one-time, surgical procedure involving percutaneous, single-port access placement of a saline-filled silicone implant placed adjacent to the stomach and attached to the anterior abdominal wall. The implant is indicated for long-term implantation; however, it can be removed by means of a laparoscopic surgical procedure. Magnetic Resonance Imaging (MRI) procedures required prior to treatment, prior to discharge following treatment procedure, and at nine months post-implantation.
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Intervention code [1]
3986
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Treatment: Devices
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Comparator / control treatment
N/A
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The primary end point of this study will be the six-month efficacy rate as measured by average percentage excess weight loss (%EWL) for patients treated with the Vibrynt Paragastric Implant System. %EWL is defined as weight loss divided by baseline excess weight: (baseline weight - post-surgery weight) / (baseline weight - ideal body weight).
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Assessment method [1]
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Timepoint [1]
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Six months following implantation
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Secondary outcome [1]
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Evaluation of the ability to successfully place the Paragastric Implant utilizing the Percutaneous Single Port Access technique.
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Assessment method [1]
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Timepoint [1]
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Day 1 (procedure day)
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Secondary outcome [2]
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Improvement in co-morbidities including: type 2 diabetes mellitus, hypertension, dyslipidemia, sleep apnea, coronary heart disease, osteoarthritis, and gall bladder disease. Co-morbidity improvements will be assessed by means of physical examination and clinical pathology.
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Assessment method [2]
9022
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Timepoint [2]
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Baseline and six months following implantation
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Secondary outcome [3]
9023
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Improvement in quality of life measures, as assessed using the following questionnaires:
Three Factor Eating Questionnaire
Beck Depression Inventory
Short Form 36 (SF-36)
Short Musculoskeletal Function Assessment
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Assessment method [3]
9023
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Timepoint [3]
9023
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Baseline and six months following implantation
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Secondary outcome [4]
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Safety will be assessed by the incidence of severe or serious adverse events reported either by the patient or observed by the investigator, relating to the procedure or to the device itself either peri-operatively or in the follow-up period.
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Assessment method [4]
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Timepoint [4]
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All events reported that occur anytime from day of procedure through six months following implantation
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Eligibility
Key inclusion criteria
Patients who would otherwise qualify for bariatric surgery based on BMI and co-morbidity criteria put forth by the National Health and Medical Research Council (NHMRC) and the U.S. National Institutes of Health (NIH), and have presented to the Bariatric Clinic for consideration of weight loss surgery. These patients must have a Body Mass Index (BMI)
> 40 kg/m2 and </= 50 kg/m2,
or >35 kg/m2 and < 40 kg/m2 with one or more significant medical conditions related to obesity (co-morbid conditions of type 2 diabetes, dyslipidemia, hypertension, obstructive sleep apnea, osteoarthritis, coronary heart disease, and gallbladder disease).
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Subject exhibits psychological or emotional characteristics which, in the opinion of the investigator, makes the patient a poor candidate for Paragastric Implant surgery; history of drug and/or alcohol addiction; women of childbearing potential who are not practicing an effective method of birth control or who are pregnant or lactating, or planning to become pregnant within 3 years; previous upper abdominal sugery that would interfere with placement of the Paragastric Implant; non-ambulatory; acute or chronic infection (localized or systemic); history of cancer or life expectancy < 5 years; presence of any of the following medical conditions: inflammatory diseases of the GI tract, anomalies of the GI tract, upper GI bleeding conditions, esophageal or gastric disorders, severe cardiopulmonary disease, uncontrolled hypertension, portal hypertension, uncontrolled diabetes mellitus, cirrhosis of the liver, chronic pancreatitis, hiatal hernia, or immunocompromised.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
1/04/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
89
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Vibrynt, Inc.
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Address [1]
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701 Galveston Drive
Redwood City, CA 94063
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Country [1]
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United States of America
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Primary sponsor type
Commercial sector/Industry
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Name
Vibrynt, Inc.
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Address
701 Galveston Drive
Redwood City, CA 94063
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Country
United States of America
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
4002
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Country [1]
4002
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of New South Wales HREC
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Ethics committee address [1]
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UNSW Grants Management Office Rupert Myers Building University of NSW Randwick NSW 2052
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Ethics committee country [1]
6496
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Australia
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Date submitted for ethics approval [1]
6496
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01/10/2008
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Approval date [1]
6496
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10/03/2009
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Ethics approval number [1]
6496
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08245
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Ethics committee name [2]
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John Flynn HREC
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Ethics committee address [2]
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42 Inland Drive Tugun QLD 4224
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Ethics committee country [2]
287136
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Australia
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Date submitted for ethics approval [2]
287136
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14/04/2009
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Approval date [2]
287136
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09/06/2009
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Ethics approval number [2]
287136
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08/07
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Summary
Brief summary
The Percutaneous Single Port Access Paragastric Implant Placement Procedure is a novel approach to the treatment of morbid obesity. The saline-filled Paragastric Implant is placed in a minimally invasive fashion into the abdominal cavity in the space adjacent the stomach, thereby reducing the ability of the stomach to expand and reducing oral intake. The Paragastric Implant volume can be adjusted by the addition or removal of sterile saline through a subcutaneous port. This trial is a single-arm, prospective, multi-center study designed to demonstrate the safety and effectiveness of the Vibrynt Paragastric Implant System in the treatment of morbid obesity. The primary end point of this study will be the six-month efficacy rate, as measured by the average percent excess weight loss for patients treated with the Vibrynt Paragastric Implant System. Patients will be followed for three years for long term safety and efficacy evaluations.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Rosalea Gunter
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Address
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701 Galveston Drive
Redwood City, CA 94063
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Country
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United States of America
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Phone
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+11-650-362-6139
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Fax
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+11-650-362-6182
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Email
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[email protected]
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Contact person for scientific queries
Name
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Rosalea Gunter
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Address
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701 Galveston Drive
Redwood City, CA 94063
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Country
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United States of America
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Phone
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+11-650-362-6139
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Fax
3417
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+11-650-362-6182
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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