An Observational Clinical Feasibility Study of the Magnetic Esophageal Sphincter
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Milano, Italy, 20097
- Policlinico San Donato
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Amsterdam, Netherlands, 1105 AZ
- Academisch Medisch Centrum (AMC)
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California
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Los Angeles, California, United States, 90033
- University of Southern California, Keck School of Medicine
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Orange, California, United States, 92869
- Chapman Medical Center
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Minnesota
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Minneapolis, Minnesota, United States, 55407
- Abbott Northwestern Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age ≥ 18 years, < 85 years, life expectancy > 3yrs.
- Documented history of GERD symptoms such as heartburn and/or regurgitation.
- On daily PPI treatment for at least 3-months.
- Responsive to PPI treatment.
- GERD symptoms, in absence of PPI therapy (minimum 10 days).
- Ambulatory Esophageal pH < 4 for ≥ 5% time or pH < 4 for ≥ 3% time in supine position.
- Patient is a surgical candidate.
- Patient is willing and able to cooperate with follow-up examinations.
- Patient has been informed of the study procedures and the treatment and has signed an informed consent form and provided authorization to use and disclose information for research purposes (HIPAA).
Exclusion Criteria:
- The procedure is an emergency procedure.
- Patient is currently being treated with another investigational drug or investigational device.
- Patient has had prior gastric or esophageal surgery.
- Patient has had any previous endoscopic intervention for GERD
- Patient has suspected or confirmed esophageal or gastric cancer.
- Patient has any size paraesophageal hiatal hernia or sliding hiatal hernia ≥3cm. (Investigator to identify and record type of hiatal hernia at the time of assessment (i.e. para-esophageal, sliding)).
- Patient's esophageal motility is less than 35 mmHg peristaltic amplitude on wet swallows or > 30% failed (non-propulsive) peristaltic sequences.
- Patient has esophagitis - Grade B, C, D (LA Classification).
- Patient has Barretts Esophagus.
- Patient has BMI > 35.
- Patient has symptoms of dysphagia or indications of dysphagia from barium esophagram.
- Patient has Scleroderma and/or Achalasia.
- Patient has an esophageal stricture or gross esophageal anatomic abnormalities (obstructive lesions, etc.).
- Patient has an electrical implant or metallic, abdominal implant(s).
- Patient cannot understand trial requirements or is unable to comply with follow-up schedule.
- Patient is pregnant or nursing, or plans to become pregnant.
- Patient has a psychiatric disorder.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Implantable Device
Subjects who meet eligibility criteria are implanted with the Magnetic Esophageal Sphincter device (MES)
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Implantable device, Magnetic Esophageal Sphincter
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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To Evaluate the Incidence of All Adverse Events at Various Time Points.
Time Frame: 5 years
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5 years
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To Monitor the Improvement of GERD Symptoms.
Time Frame: 5 years
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Percentage of participants with a 50% or more reduction in total GERD-HRQL score is indicative of a substantial improvement in GERD symptoms
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5 years
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Robert Ganz, MD, Minnesota Gastroenterolgy, PA
Publications and helpful links
General Publications
- Bonavina L, Saino GI, Bona D, Lipham J, Ganz RA, Dunn D, DeMeester T. Magnetic augmentation of the lower esophageal sphincter: results of a feasibility clinical trial. J Gastrointest Surg. 2008 Dec;12(12):2133-40. doi: 10.1007/s11605-008-0698-1. Epub 2008 Oct 10.
- Bonavina L, DeMeester T, Fockens P, Dunn D, Saino G, Bona D, Lipham J, Bemelman W, Ganz RA. Laparoscopic sphincter augmentation device eliminates reflux symptoms and normalizes esophageal acid exposure: one- and 2-year results of a feasibility trial. Ann Surg. 2010 Nov;252(5):857-62. doi: 10.1097/SLA.0b013e3181fd879b.
- Lipham JC, DeMeester TR, Ganz RA, Bonavina L, Saino G, Dunn DH, Fockens P, Bemelman W. The LINX(R) reflux management system: confirmed safety and efficacy now at 4 years. Surg Endosc. 2012 Oct;26(10):2944-9. doi: 10.1007/s00464-012-2289-1. Epub 2012 Apr 27.
- Saino G, Bonavina L, Lipham JC, Dunn D, Ganz RA. Magnetic Sphincter Augmentation for Gastroesophageal Reflux at 5 Years: Final Results of a Pilot Study Show Long-Term Acid Reduction and Symptom Improvement. J Laparoendosc Adv Surg Tech A. 2015 Oct;25(10):787-92. doi: 10.1089/lap.2015.0394. Epub 2015 Oct 5.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 1306-US, 1030-IT, 1709-NL
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