Diabetes Mellitus, Type 2CrossoverNCT01303302
The TANTALUS® II for the Treatment of Type 2 Diabetes
A study testing Tantalus System in people with Diabetes Mellitus, Type 2, run by MetaCure (USA), Inc. at 7 sites in 4 countries.
Trial summary
Evaluation of the safety and efficacy of gastric contractility modulation (GCM) stimulation using the TANTALUS System in the improvement of glycemic control measured by changes in HbA1c. Effects of GCM on weight loss and associated co-morbid conditions will also be evaluated Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Diabetes Mellitus, Type 2
- What is being tested?
- Tantalus System
- Type of treatment
- Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 51 participants
- Where
- 7 sitesin 4 countries
- Study dates
- Apr 2008to Aug 2015
- Phase
- Interventional
- 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 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male and female subjects 18 through 70 years of age
- Body mass index >=28 and <=45 (kg/m2)
- Type 2 diabetes duration more than 6 month
- Type 2 diabetic sublecys treated with oral anti-diabetic agents
- Stable anti-diabetic medication for at least 3 month prior to enrollment
- HbA1c >=7.5% and <=9.5% on visit 1; subjects with T2DM duration .10 years should have <=9.0% at visit 1
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- Stable HbA1c, defined as no significant change (variation <=0.5%)between a historical value recorded in the subject's medical record with in 3 month prior to enrollment and the HbA1c gathered at visit 1
- Fasting blood glucose >120 and < 240 mg/dl on visit 1; subjects with T2DM duration > 10 yaers should have .120 ans<=180 mg/dl at visit 1
- Women with child bearing potential (i.e, not post menopausal or surgically sterilized) must agree to use adequate birth control methods
- Stable weight, defined as no significant weight change (variation <5%)within three months prior to enrollment
- If taking these medication, stable anti-hepertensive and lipid-lpwering medication for at least one month prior to enrollment
- If subject is under unti-depressant medication the treatment needs to be stable for at least six month prior to enrollment
- Wllingness to refrain from using prescription, over the counter or herbal weight loss product for the duration of the trial
- Ability and willingliness to perform required study and data collection procedures and adhere to operating requirements of the TANTALUS II Syatem
- Alert, mentally competant, and able to understand and willing to comply with the requirements of the clinical trial, and personally motivated to abide by the requirements and restrictions of the clinical trial
- Able to provide voluntary informed consent
Who cannot join
- Insulin therapy
- Taking GLP-1 analogue, such as exenatide (Byette) in the last 3 month before enrollment Taking medication known to affec gastric mobility such as narcotics (chronic use) and anticholinergics/antispasmodics
- Use of prescription, over the counter or herbal weight loss product or obesity drugs during the past two month
- Experiencing sever and progressing diabetic complications (i.e retinopathy not stabilized, nephropathy with macroalbuminuria)
- Prior wound healing problems
- Diagnosed with past or present psychiatric condition that may impair his or her ability to comply with the study procedure
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- Use of anti-pchichotic medication
- Diagnosed with an eating disorder such as bulimia or binge eating
- Obesity due to endocrinopathy (e.g.Cushing disease, Hypothyroidism)
- Hiatal hernia requiring surgical repair or paraesophageal hernia
- Pregnant or lactating Diagnosed with impared liver function (liver enzyms 3 times graeted than normal)
- Any prior bariatric surgery
- Ant history of pancreattitis Any history of peptic ulcer disease within 5 years of enrollemnt Diagnosed with gastroparesis or GI mobility disorder Use of active medical device (either implantable or external) such as ICD, pacemaker, drug infusion device, or neurostimulator (either implantable or worn) Subject using an external active device who are able anf willing to avoid use of the device during the study may be enrolled.
- Cardiac history that physician feels should exclude the subject from the study.
- Use of anotherc investigational device agent in the 30 dayes prior to enrollemnt
- A history of life threatening diseas within 5 years of enrollment
- Change in diabetic medication from between visit 1 and visit 3
- Any additional condition(S) that in the investigator's opinion would warrant exclusion from the study or prevent the subject from completing the study
Trial locations and contacts
7 sites in 4 countries.
7 sites in 4 countries
Germany4 sites
Gemeinschaftspraxis Drs. Klausmann
Aschaffenburg, D-63739.
Arzt für Innere Medizin und Endokrinologie
Bad Nauheim
Krankenhaus Sachsenhausen
Frankfurt, 60594
Diabetes-Praxis Muenster
Münster, 48153
About this study
Official title: The TANTALUS® II for the Treatment of Type 2 Diabetes: A Single-Blind Cross-Over Study
Evaluation of the safety and efficacy of gastric contractility modulation (GCM) stimulation using the TANTALUS System in the improvement of glycemic control measured by changes in HbA1c. Effects of GCM on weight loss and associated co-morbid conditions will also be evaluated
Read the detailed description
This is a multi-center, single blind, randomized, cross-over study. Subject enrollment will continue until forty (40) eligible participants have been randomized into one of the two groups. Subjects will undergo baseline valuation (Visit 1) during which the stability of their glycemic parameters, medical treatment and medical condition will be assessed. Subjects meeting all inclusion/exclusion criteria at Visit 2 will be implanted. Approximately three days prior to their implantation, subjects will be seen for their 'pre-implant' medical evaluation (Visit 3). One week after implant (Visit 5, Week 1)subjects will be randomized into one of two groups (A and B).
"Group A" subjects will have their device programmed to deliver GCM signal including the setting of automatic eating detection parameters for the first 24 week period (Period 1). At Visit 10, (week 25 and end of Period 1), Group A subjects will have their devices turned "OFF" for the next 24 weeks period (Period 2). At Visit 15, (week 49 and end of Period 2), Group A subjects will have their devices turned "On" for the next 24 weeks period (Period 3) "Group B" subjects will not have their device activated for the first 24 weeks (Period 1) of their study. At Visit 10 (week 25 end of Period 1), Group B subjects devices will have their device turned "ON" (i.e. activated to deliver CGM signals) for the 24 weeks period (Period 2). At Visit 15, (week 49 and end of Period 2), Group B subjects will have their devices turned "OFF" for the next 24 weeks period (Period 3).
- Conditions
- Diabetes Mellitus, Type 2
- Being tested
- Tantalus System
- Keywords
- C19 246 300
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Tantalus SystemDevice
Also called TANTALUS II
The TANTALUS System is an active implantable device, generating Gastric contractility modulation (GCM) stimulation for the treatmnet of type 2 diabetes
TANTALUS systemDevice
Also called TANTALUS II
The TANTALUS System is an active implantable device, generating Gastric contractility modulation (GCM) stimulation for the treatmnet of type 2 diabetes. In the sham comparator the device is off.
| Study group | Role | What they receive |
|---|---|---|
| GCM stimulation | Active comparator | The patient will be implanted with a gastric contractility modulation (GCM) stimulation system using the TANTALUS System for treatment of type 2 diabetic patients. Receives: Device: Tantalus System |
| Device off | Sham comparator | The TANTALUS System is implanted but is off Receives: Device: TANTALUS system |
What is being measured
The primary outcome is the main question the study is designed to answer.
Comparison of the differences in HbA1c levels
Comparison of the differences in HbA1c levels between treatment and control groups between changes occurred during period 2 to period 3
Measured: One year
Secondary outcomes (1)
Improvement in weigth and metabolic parameters
- Trends in weight loss will be of a reduction in weight during periods 2 and 3.
- Trends in improvement in metabolic parameters such as waist circumference, blood pressure and lipids occurred during period 2 to period 3.
- Difference in device related Adverse Events between treatment and control groups between periods of active and inactive therapy.
Measured: One year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Feb 2011 (estimated)
- Study startApr 2008
- Primary completionAug 2015
- Study completionAug 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Diabetes Mellitus, Type 2Studies 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 N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 51 participants (actual)
Sponsor and investigators
- Lead sponsor
- MetaCure (USA), Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Walid Hadda, PhD, Study director, MetaCure Limited
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01303302
- Sponsor's protocol ID
- MC CP TAN2007-032
- Other IDs
- Cross-over
- Acronym
- Crossover
- Status last verified
- Sep 2016
- First submitted
- 23 Feb 2011
- Last updated
- 22 Sep 2016
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 22 Sep 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The TANTALUS® II for the Treatment of Type 2 Diabetes: A Single-Blind Cross-Over Study
- ClinicalTrials.gov ID
- NCT01303302
- Acronym / sponsor ID
- Crossover / MC CP TAN2007-032
- Conditions
- Diabetes Mellitus, Type 2
- Keywords
- C19 246 300
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 51 participants (actual)
- Lead sponsor
- MetaCure (USA), Inc.Industry (pharma, biotech, devices)
- Study start
- Apr 2008
- Primary completion
- Aug 2015 (actual)
- Study completion
- Aug 2015 (actual)
- First posted
- 24 Feb 2011 (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.
Evaluation of the safety and efficacy of gastric contractility modulation (GCM) stimulation using the TANTALUS System in the improvement of glycemic control measured by changes in HbA1c. Effects of GCM on weight loss and associated co-morbid conditions will also be evaluated
Detailed description
This is a multi-center, single blind, randomized, cross-over study. Subject enrollment will continue until forty (40) eligible participants have been randomized into one of the two groups. Subjects will undergo baseline valuation (Visit 1) during which the stability of their glycemic parameters, medical treatment and medical condition will be assessed. Subjects meeting all inclusion/exclusion criteria at Visit 2 will be implanted. Approximately three days prior to their implantation, subjects will be seen for their 'pre-implant' medical evaluation (Visit 3). One week after implant (Visit 5, Week 1)subjects will be randomized into one of two groups (A and B).
"Group A" subjects will have their device programmed to deliver GCM signal including the setting of automatic eating detection parameters for the first 24 week period (Period 1). At Visit 10, (week 25 and end of Period 1), Group A subjects will have their devices turned "OFF" for the next 24 weeks period (Period 2). At Visit 15, (week 49 and end of Period 2), Group A subjects will have their devices turned "On" for the next 24 weeks period (Period 3) "Group B" subjects will not have their device activated for the first 24 weeks (Period 1) of their study. At Visit 10 (week 25 end of Period 1), Group B subjects devices will have their device turned "ON" (i.e. activated to deliver CGM signals) for the 24 weeks period (Period 2). At Visit 15, (week 49 and end of Period 2), Group B subjects will have their devices turned "OFF" for the next 24 weeks period (Period 3).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| GCM stimulation | Active comparator | Device: Tantalus SystemThe patient will be implanted with a gastric contractility modulation (GCM) stimulation system using the TANTALUS System for treatment of type 2 diabetic patients. |
| Device off | Sham comparator | Device: TANTALUS systemThe TANTALUS System is implanted but is off |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (16 listed)
- Male and female subjects 18 through 70 years of age
- Body mass index >=28 and <=45 (kg/m2)
- Type 2 diabetes duration more than 6 month
- Type 2 diabetic sublecys treated with oral anti-diabetic agents
- Stable anti-diabetic medication for at least 3 month prior to enrollment
Key exclusion criteria (18 listed)
- Insulin therapy
- Taking GLP-1 analogue, such as exenatide (Byette) in the last 3 month before enrollment Taking medication known to affec gastric mobility such as narcotics (chronic use) and anticholinergics/antispasmodics
- Use of prescription, over the counter or herbal weight loss product or obesity drugs during the past two month
- Experiencing sever and progressing diabetic complications (i.e retinopathy not stabilized, nephropathy with macroalbuminuria)
- Prior wound healing problems
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 |
|---|---|---|
| Tantalus SystemAlso: TANTALUS IIThe TANTALUS System is an active implantable device, generating Gastric contractility modulation (GCM) stimulation for the treatmnet of type 2 diabetes | Device | GCM stimulation |
| TANTALUS systemAlso: TANTALUS IIThe TANTALUS System is an active implantable device, generating Gastric contractility modulation (GCM) stimulation for the treatmnet of type 2 diabetes. In the sham comparator the device is off. | Device | Device off |
Primary outcome
Comparison of the differences in HbA1c levels
Time frame: One year
Comparison of the differences in HbA1c levels between treatment and control groups between changes occurred during period 2 to period 3
1 secondary outcome
Improvement in weigth and metabolic parameters
Time frame: One year
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 22 Sep 2016.
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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.
Walid Hadda, PhD study director
MetaCure Limited
7 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Tantalus System in people with Diabetes Mellitus, Type 2, run by MetaCure (USA), Inc. at 7 sites in 4 countries.
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 16 inclusion and 18 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 22 Sep 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 7 sites in Germany, Austria, Italy, Poland. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
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?
Comparison of the differences in HbA1c levels (time frame: One year). 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 22 Sep 2016.