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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.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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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:

  1. Able to comprehend, follow and give signed informed consent;
  2. 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";
  3. Currently have an SAGB implant in place;
  4. Able to commit to long-term follow-up; up to 5 years after SAGB implantation, including band adjustment visits; and
  5. 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:

  1. Able to comprehend, follow and give informed consent;
  2. 18 to 60 years of age (inclusive);
  3. 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.
  4. 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:

  1. 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:

  1. Women who are currently pregnant.
  2. Previous malabsorptive or restrictive procedures performed for the treatment of morbid obesity.
  3. Documented history of drug and/or alcohol abuse within 2 years of the Screening Visit (1a).
  4. Presence of any of the following medical conditions;
  5. Inflammatory diseases of the gastrointestinal tract, including severe intractable esophagitis, gastric ulceration or duodenal ulceration, or specific inflammation such as Crohn's disease;
  6. Severe cardiopulmonary disease or other serious organic disease;
  7. Upper gastrointestinal bleeding conditions such as esophageal or gastric varices or intestinal telangiectases;
  8. Portal hypertension;
  9. Anomalies of the gastrointestinal tract such as atresia or stenosis;
  10. Cirrhosis of the liver;
  11. Chronic pancreatitis;
  12. Patients on chronic, long-term steroid treatment or steroids within 15 days of surgery;
  13. Unable or unwilling to comply with dietary restrictions required by this procedure;
  14. Known allergy to materials contained within the band or its injection port (silicone elastomer containing 10% BaSO4, polyetheretherketone (PEEK), and cobalt chromium)
  15. Presence of terminal illness with life expectancy of £ 5 years.
  16. Inability to refrain from use of anticoagulants or aspirin within 15 days prior to surgery.
  17. Acute or chronic infection (localized or systemic).
  18. Participation in another clinical trial within 8 weeks of the Screening Visit (1a) and for the duration of this trial.
  19. 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

Other trials in United States

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 groups in NCT00543140
Study groupRoleWhat they receive
REALIZE™ Swedish Adjustable Gastric BandOtherAll 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.

  1. 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)
  1. 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

  2. Percent Change in Excess Body Weight at 5 Years Post-implant

    Measured: 5 years

  3. 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

  4. 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.

  1. First posted12 Oct 2007 (estimated)
  2. Study startAug 2006
  3. Primary completionJan 2015
  4. Study completionJan 2015

Resources

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)
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
Data monitoring committee
No
Individual data sharing
No: There is no plan to share IPD. Cumulative data from the study will be published.

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.

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