Morbid ObesityPhase 4SAGB-PMNCT00543140
Post Implantation/Post Market Evaluation of the Swedish Adjustable Gastric Band
A Phase 4 study testing REALIZE™ Swedish Adjustable Gastric Band in people with Morbid Obesity, run by Ethicon Endo-Surgery at 8 sites in United States.
Trial summary
The purpose of the study is to evaluate the long term safety of the Swedish Adjustable Gastric Band (SAGB) in subjects with an SAGB in place. Specifically it is designed to determine the re-operation rate (band revision, band replacement and explants resulting from serious adverse device-related event {SADE}) of… Read more about this study
- Who is it for?
- Ages 18 to 60 years
- Conditions the study is for
- Morbid Obesity
- What is being tested?
- REALIZE™ Swedish Adjustable Gastric Band
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 303 participants
- Where
- 8 sitesUnited States
- Study dates
- Aug 2006to Jan 2015
- Phase
- Phase 4
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 60 years
- All sexes
- No healthy volunteers
- Adult
CI-06-0001 Inclusion Criteria:
Subjects eligible to participate in this study must fulfill all of the following criteria:
- Able to comprehend, follow and give signed informed consent;
- Consented to, and participated in EES Protocol CI-02-0006 titled "A Single-Arm, Multi-Center Study of the Safety and Effectiveness of The Swedish Adjustable Gastric Band (SAGB) in the Treatment of Morbid Obesity";
- Currently have an SAGB implant in place;
- Able to commit to long-term follow-up; up to 5 years after SAGB implantation, including band adjustment visits; and
- Living within the contiguous U.S.
CI-07-0006 Inclusion Criteria:
Subjects eligible to participate in this study must fulfill all of the following criteria:
- Able to comprehend, follow and give informed consent;
- 18 to 60 years of age (inclusive);
- Body Mass Index (BMI) of > 40 kg/m2 and £ 55 kg/m2, or BMI ³ 35 kg/m2 and < 40 kg/m2 with one or more co-morbid conditions.
- Candidate for surgical weight loss intervention in accordance with the Instructions For Use (i.e., meets acceptable health criteria for major surgery).
CI-06-0001 Exclusion Criteria:
Subjects with the following are not eligible to participate in this clinical trial and must not be enrolled in this study:
- Consented to, and participated in EES Protocol CI-02-0006 titled "A aSingle-Arm, Multi-Center Study of the Safety and Effectiveness of The Swedish Adjustable Gastric Band (SAGB) in the Treatment of Morbid Obesity"; and have had the SAGB explanted.
CI-07-0006 Exclusion Criteria:
- Women who are currently pregnant.
- Previous malabsorptive or restrictive procedures performed for the treatment of morbid obesity.
- Documented history of drug and/or alcohol abuse within 2 years of the Screening Visit (1a).
- Presence of any of the following medical conditions;
- Inflammatory diseases of the gastrointestinal tract, including severe intractable esophagitis, gastric ulceration or duodenal ulceration, or specific inflammation such as Crohn's disease;
- Severe cardiopulmonary disease or other serious organic disease;
- Upper gastrointestinal bleeding conditions such as esophageal or gastric varices or intestinal telangiectases;
- Portal hypertension;
- Anomalies of the gastrointestinal tract such as atresia or stenosis;
- Cirrhosis of the liver;
- Chronic pancreatitis;
- Patients on chronic, long-term steroid treatment or steroids within 15 days of surgery;
- Unable or unwilling to comply with dietary restrictions required by this procedure;
- Known allergy to materials contained within the band or its injection port (silicone elastomer containing 10% BaSO4, polyetheretherketone (PEEK), and cobalt chromium)
- Presence of terminal illness with life expectancy of £ 5 years.
- Inability to refrain from use of anticoagulants or aspirin within 15 days prior to surgery.
- Acute or chronic infection (localized or systemic).
- Participation in another clinical trial within 8 weeks of the Screening Visit (1a) and for the duration of this trial.
- Any medical condition or finding for which the Investigator utilizes their medical discretion to determine the subject should be excluded due to inability to understand or follow study procedures.
Trial locations and contacts
8 sites in 1 country.
8 sites in 1 country
United States8 sites
Hamilton Medical Center - Weight Management
Dalton, Georgia, 30722
Surgical Associates of La Jolla Medical Group, Inc.
La Jolla, California, 92037
Cedars-Sinai Medical Center
Los Angeles, California, 90048
Advanced Surgical Institute at Mercy Hospital
Miami, Florida, 33133
St. Luke's Roosevelt Hospital Center
New York, New York, 10025
Robert T. Marema, MD
Saint Augustine, Florida, 32086
dgd Research, Inc.
San Antonio, Texas, 78229
Cleveland Clinic Florida
Weston, Florida, 33331
About this study
Official title: A Post Implantation/Post Market Evaluation of Safety and Quality of Life in Subjects Implanted With the Swedish Adjustable Gastric Band (SAGB) During Protocol CI-02-0006
The purpose of the study is to evaluate the long term safety of the Swedish Adjustable Gastric Band (SAGB) in subjects with an SAGB in place. Specifically it is designed to determine the re-operation rate (band revision, band replacement and explants resulting from serious adverse device-related event {SADE}) of gastric banding at 4 and 5 year post implant.
Read the detailed description
NCT00543140 (CI-06-0001) is the 2 year Safety and QOL subject follow-up study to NCT00166205 (CI-02-0006), completed on November 10, 2008. As a condition of approval, the FDA required additional subjects with long-term safety data. These subjects enrolled under protocol CI-07-0006 (NCT00813462)-5 Year Post-Approval Study With the REALIZE (TM) Adjustable Gastric Band. Protocol CI-06-0001 was amended to combine these study subjects with study subjects from CI-07-0006. NCT00543140 (CI-06-0001) will not be completed (analysis of results) until the additional subjects in NCT00813462 (CI-07-0006) complete this study since the original intent was to pool the data together from the above two studies to obtain the appropriate sample size for estimation of the re-operation rate at 4 and 5 years post implantation.
- Conditions
- Morbid Obesity
- Being tested
- REALIZE™ Swedish Adjustable Gastric Band
- Keywords
- Obesity, Morbid Obesity
- Medical subject headings
- Obesity, Morbid, Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
REALIZE™ Swedish Adjustable Gastric BandDevice
Also called REALIZE Band
Laparoscopic placement of the Swedish Adjustable Gastric Band
| Study group | Role | What they receive |
|---|---|---|
| REALIZE™ Swedish Adjustable Gastric Band | Other | All subjects have the REALIZE™ Swedish Adjustable Gastric Band. Single arm - no comparator. Receives: Device: REALIZE™ Swedish Adjustable Gastric Band |
What is being measured
The primary outcome is the main question the study is designed to answer.
Re-operation Rate (Band Revision, Band Replacement and Explants Resulting From Serious Adverse Device-related Event {SADE}) of Gastric Banding at 4 and 5 Years Post Implant.
A reoperation was identified by satisfying all of the following criteria:
- Is an SAE or is the action taken as the result of an SAE;
- Is related to the device (i.e., has a relationship to study device that is indicated as Definite, Probable, Possible, or Unknown). In cases where the reoperation is the action taken for an SAE, then the SAE itself should be related to the device;
- Is an explant, band revision, or band replacement resulting from a medical condition (perceived failure of weight loss, subject request, and other non-medical conditions will not be counted); and
- Has a start date that is strictly more than 1095 days (3 years) from the implantation of the device.
Measured: 5 years
Secondary outcomes (4)
Change in Glycosylated Hemoglobin (HbA1c) at 5 Years Post Implant.
The natural unit of measurement for HbA1c is percent (%). Results provided represent change from baseline, that is, Year 5 value minus Baseline value.
Measured: 5 years
Percent Change in Excess Body Weight at 5 Years Post-implant
Measured: 5 years
Change in SF-36 Health Survey Physical Component at 5 Years Post Implant
Scores on the SF-36 Health Survey are determined by methodology publised with the validated instrument. Scores can range from 0 to 100 with higher scores indicating higher quality of life.
Measured: 5 years
Change in SF-36 Health Survey Mental Component at 5 Years Post Implant
Scores on the SF-36 Health Survey are determined by methodology publised with the validated instrument. Scores can range from 0 to 100 with higher scores indicating higher quality of life.
Measured: 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Oct 2007 (estimated)
- Study startAug 2006
- Primary completionJan 2015
- Study completionJan 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Morbid ObesityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 303 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ethicon Endo-Surgery
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Edward Phillips, MD, Principal investigator, Cedars Sinai
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00543140
- Sponsor's protocol ID
- CI-06-0001/CI-07-0006
- Acronym
- SAGB-PM
- Status last verified
- Feb 2016
- First submitted
- 28 Aug 2007
- Last updated
- 9 Mar 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- No: There is no plan to share IPD. Cumulative data from the study will be published.
Study at a glance
From the registry record, last updated by the sponsor on 9 Mar 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Post Implantation/Post Market Evaluation of Safety and Quality of Life in Subjects Implanted With the Swedish Adjustable Gastric Band (SAGB) During Protocol CI-02-0006
- ClinicalTrials.gov ID
- NCT00543140
- Acronym / sponsor ID
- SAGB-PM / CI-06-0001/CI-07-0006
- Conditions
- Morbid Obesity
- Keywords
- Obesity, Morbid Obesity
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 303 participants (actual)
- Lead sponsor
- Ethicon Endo-SurgeryIndustry (pharma, biotech, devices)
- Study start
- Aug 2006
- Primary completion
- Jan 2015 (actual)
- Study completion
- Jan 2015 (actual)
- First posted
- 12 Oct 2007 (estimated)
- Results
- Posted 9 Mar 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to evaluate the long term safety of the Swedish Adjustable Gastric Band (SAGB) in subjects with an SAGB in place. Specifically it is designed to determine the re-operation rate (band revision, band replacement and explants resulting from serious adverse device-related event {SADE}) of gastric banding at 4 and 5 year post implant.
Detailed description
NCT00543140 (CI-06-0001) is the 2 year Safety and QOL subject follow-up study to NCT00166205 (CI-02-0006), completed on November 10, 2008. As a condition of approval, the FDA required additional subjects with long-term safety data. These subjects enrolled under protocol CI-07-0006 (NCT00813462)-5 Year Post-Approval Study With the REALIZE (TM) Adjustable Gastric Band. Protocol CI-06-0001 was amended to combine these study subjects with study subjects from CI-07-0006. NCT00543140 (CI-06-0001) will not be completed (analysis of results) until the additional subjects in NCT00813462 (CI-07-0006) complete this study since the original intent was to pool the data together from the above two studies to obtain the appropriate sample size for estimation of the re-operation rate at 4 and 5 years post implantation.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| REALIZE™ Swedish Adjustable Gastric Band | Other | Device: REALIZE™ Swedish Adjustable Gastric BandAll subjects have the REALIZE™ Swedish Adjustable Gastric Band. Single arm - no comparator. |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| REALIZE™ Swedish Adjustable Gastric BandAlso: REALIZE BandLaparoscopic placement of the Swedish Adjustable Gastric Band | Device | REALIZE™ Swedish Adjustable Gastric Band |
Primary outcome
Re-operation Rate (Band Revision, Band Replacement and Explants Resulting From Serious Adverse Device-related Event {SADE}) of Gastric Banding at 4 and 5 Years Post Implant.
Time frame: 5 years
A reoperation was identified by satisfying all of the following criteria: * Is an SAE or is the action taken as the result of an SAE; * Is related to the device (i.e., has a relationship to study device that is indicated as Definite, Probable, Possible, or Unknown). In cases where the reoperation is the action taken for an SAE, then the SAE itself should be related to the device; * Is an explant, band revision, or band replacement resulting from a medical condition (perceived failure of weight loss, subject request, and other non-medical conditions will not be counted); and * Has a start date that is strictly more than 1095 days (3 years) from the implantation of the device.
4 secondary outcomes
Change in Glycosylated Hemoglobin (HbA1c) at 5 Years Post Implant.
Time frame: 5 years
Percent Change in Excess Body Weight at 5 Years Post-implant
Time frame: 5 years
Change in SF-36 Health Survey Physical Component at 5 Years Post Implant
Time frame: 5 years
Change in SF-36 Health Survey Mental Component at 5 Years Post Implant
Time frame: 5 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Mar 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: No. There is no plan to share IPD. Cumulative data from the study will be published.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Edward Phillips, MD principal investigator
Cedars Sinai
8 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing REALIZE™ Swedish Adjustable Gastric Band in people with Morbid Obesity, run by Ethicon Endo-Surgery at 8 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 9 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 8 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 9 Mar 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Re-operation Rate (Band Revision, Band Replacement and Explants Resulting From Serious Adverse Device-related Event {SADE}) of Gastric Banding at 4 and 5 Years Post Implant. (time frame: 5 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Mar 2016.