Type 2 DiabetesPhase 1NCT00872846
Balance System Study in Type 2 Diabetic Patients
A Phase 1 study testing BALANCE System intestinal electrical stimulator in people with Type 2 Diabetes and Obesity, run by Beta-Stim Ltd. at 1 site in Germany.
Trial summary
To evaluate the safety and performance of the BALANCE System in treating patients who have type 2 diabetes and are overweight. Impact on blood glucose levels, weight loss, blood pressure and other clinical and metabolic parameters will be studied. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Type 2 Diabetes, Obesity
- What is being tested?
- BALANCE System intestinal electrical stimulator
- Type of treatment
- Medical device
- How many people
- 20 participants
- Where
- 1 siteGermany
- Study dates
- Feb 2009to Jan 2012
- Phase
- Phase 1
- Are there results?
- None posted in the registry
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 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Type 2 Diabetes inadequately controlled on a maximum of three oral anti-diabetic agents
- HbA1c between 7 and 10% inclusive
- Fasting Blood Glucose between 126 and 200 mg/dL
- Body Mass Index (BMI) in the range of 30.0 to 45.0 kg/m2
- Stable oral anti-diabetic therapy for at least 3 months
- Subjects who are able and willing to perform self monitoring of plasma glucose for the entire trial period
- Able and willing to sign informed consent and return for follow-up assessments
Who cannot join
- Type 1 Diabetes
- Subjects at high risk of general anesthesia or surgery
- Subjects with prior pancreatitis
- Subjects treated with insulin within three months of screening
- Female with a positive pregnancy test, planning to become pregnant during screening, active treatment, or the follow up period, breastfeeding, or judged to be using inadequate contraceptive methods.
- Subjects who underwent previous intra abdominal, GI tract surgery or a major abdominal trauma.
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- Subjects with other implanted electrical stimulation devices
- Subjects with motility disorders of the GI tract such as gastroparesis
- Subjects who are receiving medications known to affect gastric motility
- Subjects with history of peptic ulcer disease
- Subjects with any serious health condition, such as cancer, cardiac diseases, immunodeficiency disorders, liver disease, pulmonary disease, renal insufficiency, coagulopathy or a major depressive disorder.
- Subjects with severe diabetic complications, such as retinopathy or nephropathy
- Subjects with metabolic or endocrine disorders like primary or secondary Cushing syndrome
- Subjects who received another investigational agent within 30 days prior to screening
- Evidence of current or recent alcohol or drug abuse within the past year prior to screening
- Subjects who are unlikely to be available for follow-up as specified in the protocol
- Subjects with a past or present psychiatric condition that may impair his or her ability to comply with the study procedures
- Subjects with history of volvulus
- Subjects with history of known small bowel adhesions or any known GI adhesions
- Subjects with deficiencies of known vitamins, e.g. B12
- Subjects with known celiac disease or inflammatory bowel disease
- Subjects with conditions that, in the judgment of the investigator, precludes successful participation to the study.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Evaluation of the BALANCE System in Type 2 Diabetic Patients
To evaluate the safety and performance of the BALANCE System in treating patients who have type 2 diabetes and are overweight. Impact on blood glucose levels, weight loss, blood pressure and other clinical and metabolic parameters will be studied.
Read the detailed description
The BALANCE System stimulates the duodenum in a specialized way to strengthen the natural contractions and mimic the sensation of fullness (satiety). The patient is expected to feel full after eating smaller amounts of food than normal. In addition, duodenal stimulation has been shown to induce favorable changes in postprandial glucose levels, glucose tolerance testing and insulin levels.
The target population type II diabetic patients uncontrolled with oral medications, and with overweight (BMI >30). The Balance System may overcome the known disadvantages of insulin therapy and allow early treatment of these patients, potentially preventing the progression of obesity and diabetes.
- Conditions
- Type 2 Diabetes, Obesity
- Being tested
- BALANCE System intestinal electrical stimulator
- Keywords
- Body weight, Signs and symptoms, Obesity, Metabolic disease, Diabetes mellitus type 2, Diabetes mellitus, Nutrition disorder, Endocrine system diseases, Overweight, Overnutrition, Glucose metabolic disorder
- Medical subject headings
- Diabetes Mellitus, Type 2, Obesity, Body Weight, Signs and Symptoms, Metabolic Diseases, Diabetes Mellitus, Nutrition Disorders, Endocrine System Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BALANCE System intestinal electrical stimulatorDevice
Also called BALANCE System
The BALANCE System stimulates the duodenum in a specialized way to strengthen the natural contractions and mimic the sensation of fullness (satiety). The patient is expected to feel full after eating smaller amounts of food than normal. In addition, duodenal stimulation has been shown to induce favorable changes in postprandial glucose levels, glucose tolerance testing and insulin levels.
What is being measured
The primary outcome is the main question the study is designed to answer.
Evaluation of the of device and/or procedure related adverse events
Measured: 12 months
Secondary outcomes (1)
Significant decrease in the HbA1c values from baseline
Measured: at week 4, and at month 2,3,4,5,6,8,10,12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Mar 2009 (estimated)
- Study startFeb 2009
- Primary completionJan 2012
- Study completionJan 2012
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Type 2 DiabetesStudies 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 1
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 20 participants (actual)
Sponsor and investigators
- Lead sponsor
- Beta-Stim Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Meditrial Europe Ltd.
- Responsible party
- Sponsor
- Investigators
- Jakob R Izbicki, Prof. Dr. med, Principal investigator, The University Medical Center Hamburg-Eppendorf (UKE), Department of General, Visceral- and Thoracic-Surgery, Germany
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00872846
- Sponsor's protocol ID
- 598500
- Status last verified
- Jan 2012
- First submitted
- 28 Mar 2009
- Last updated
- 24 Jan 2012
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 24 Jan 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of the BALANCE System in Type 2 Diabetic Patients
- ClinicalTrials.gov ID
- NCT00872846
- Acronym / sponsor ID
- 598500
- Conditions
- Type 2 Diabetes, Obesity
- Keywords
- Body weight, Signs and symptoms, Obesity, Metabolic disease, Diabetes mellitus type 2, Diabetes mellitus, Nutrition disorder, Endocrine system diseases
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 20 participants (actual)
- Lead sponsor
- Beta-Stim Ltd.Industry (pharma, biotech, devices)
- Collaborators
- Meditrial Europe Ltd.
- Study start
- Feb 2009
- Primary completion
- Jan 2012 (actual)
- Study completion
- Jan 2012 (actual)
- First posted
- 31 Mar 2009 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To evaluate the safety and performance of the BALANCE System in treating patients who have type 2 diabetes and are overweight. Impact on blood glucose levels, weight loss, blood pressure and other clinical and metabolic parameters will be studied.
Detailed description
The BALANCE System stimulates the duodenum in a specialized way to strengthen the natural contractions and mimic the sensation of fullness (satiety). The patient is expected to feel full after eating smaller amounts of food than normal. In addition, duodenal stimulation has been shown to induce favorable changes in postprandial glucose levels, glucose tolerance testing and insulin levels.
The target population type II diabetic patients uncontrolled with oral medications, and with overweight (BMI >30). The Balance System may overcome the known disadvantages of insulin therapy and allow early treatment of these patients, potentially preventing the progression of obesity and diabetes.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Type 2 Diabetes inadequately controlled on a maximum of three oral anti-diabetic agents
- HbA1c between 7 and 10% inclusive
- Fasting Blood Glucose between 126 and 200 mg/dL
- Body Mass Index (BMI) in the range of 30.0 to 45.0 kg/m2
- Stable oral anti-diabetic therapy for at least 3 months
Key exclusion criteria (22 listed)
- Type 1 Diabetes
- Subjects at high risk of general anesthesia or surgery
- Subjects with prior pancreatitis
- Subjects treated with insulin within three months of screening
- Female with a positive pregnancy test, planning to become pregnant during screening, active treatment, or the follow up period, breastfeeding, or judged to be using inadequate contraceptive methods.
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 |
|---|---|---|
| BALANCE System intestinal electrical stimulatorAlso: BALANCE SystemThe BALANCE System stimulates the duodenum in a specialized way to strengthen the natural contractions and mimic the sensation of fullness (satiety). The patient is expected to feel full after eating smaller amounts of food than normal. In addition, duodenal stimulation has been shown to induce favorable changes in postprandial glucose levels, glucose tolerance testing and insulin levels. | Device | – |
Primary outcome
Evaluation of the of device and/or procedure related adverse events
Time frame: 12 months
1 secondary outcome
Significant decrease in the HbA1c values from baseline
Time frame: at week 4, and at month 2,3,4,5,6,8,10,12
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Jan 2012.
- Contrat Research OrganizationLink provided by the sponsor.
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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.
Jakob R Izbicki, Prof. Dr. med principal investigator
The University Medical Center Hamburg-Eppendorf (UKE), Department of General, Visceral- and Thoracic-Surgery, Germany
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing BALANCE System intestinal electrical stimulator in people with Type 2 Diabetes and Obesity, run by Beta-Stim Ltd. at 1 site in Germany.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 22 exclusion criteria. 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 24 Jan 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Germany. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Evaluation of the of device and/or procedure related adverse events (time frame: 12 months). 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 24 Jan 2012.