Multicenter Trial Investigating Performance and Safety of the Medical Device SiPore21® (SHINE)

Randomized, Double-blinded, Placebo-controlled, Multicenter Trial Investigating Performance and Safety of the Medical Device SiPore21® in Obese or Overweight Subjects With Elevated Blood Glucose Levels

The present clinical investigation is a randomized, double-blinded, placebo-controlled, multicenter international trial, planned to be conducted in Poland, Romania and Slovakia. The investigation will be performed to establish clinical evidence regarding the performance and safety of the IMD and is aiming at evaluating the suitability of the IMD for the intended purpose and population.

Study Overview

• Status: Completed
• Conditions: Overweight or Obesity
• Intervention / Treatment: Device: IMD SiPore21®

Detailed Description

The proposed investigation is set out to be a randomized, double blind, placebo-controlled, multicenter study according to MDR Article 62 to investigate performance and safety of the medical device SiPore21® in subjects with obesity or overweight and elevated blood glucose levels.

The aim of this clinical investigation is to evaluate the clinical performance of the IMD for blood glucose control and its clinical safety. The endpoints selected to evaluate the effects of the IMD are based on the state-of-the-art assessments of blood glucose control (ADA, 2022).

The main hypothesis is that treatment with SiPore21® for 12 weeks will reduce the HbA1c in obese or overweight subjects with elevated blood glucose levels. It is further hypothesized that treatment with SiPore21® for 12 weeks will result in a reduction in body weight and influence metabolic control parameters and lipid levels.

• Study Type: Interventional
• Enrollment (Actual): 318
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Poland
  • Białystok, Poland, 15-704
    • Klimed ul. Jana Pawła II 59 lok. 6U,
  • Białystok, Poland, 15-794
    • RENEW Clinic ul. Gajowa 29,
  • Bychawa, Poland, 23-100
    • Klimed Bychawa ul. Piłsudskiego 28,
  • Chorzów, Poland, 41-500
    • Diab Serwis Popenda Spółka Jawna Józefa Ryszki 51,
  • Kraków, Poland, 31-011
    • Centrum Nowoczesnych Terapii Dobry Lekarz plac Szczepański 3/II,
  • Lublin, Poland, 20-078
    • Clinical Best Solutions ul. Cicha 4/1,
  • Lublin, Poland, 20-362
    • KO-MED Centra Kliniczne Lublin II ul. K. Przerwy-Tetmajera 21, 20-362
  • Szczecin, Poland, 70-784
    • Dom Lekarski Centrum Medyczne Outlet Park ul. Andrzeja Struga 42,
  • Warszawa, Poland, 02-172
    • MTZ Clinical Research Powered by Pratia ul. Gładka 22,
  • Wrocław, Poland, 50-981
    • Wojskowy Szpital Kliniczny z Polikliniką SP ZOZ we Wrocławiu ul.Weigla 5,
  • Łódź, Poland, 91-495
    • Amicare centrum medyczne Ul. Zgierska 249,
• Romania
  • Brașov, Romania, 500283
    • Neomed Strada Crișului nr. 1,
  • București, Romania, 010507
    • Nicodiab Strada Polonă 92, Bl. 17 A+B
  • București, Romania, 010825
    • Spitalul Universitar de Urgenta Militar Central 'Dr Carol Davila' Calea Plevnei 134,
  • București, Romania
    • Fundatia Ana Aslan International Strada Vasile Pârvan, nr 12, ap 1, 010216,
  • Cluj-Napoca, Romania, 400002
    • RO03 MediPrax Centrum Strada Petru Maior 6-8
  • Muscel, Romania, 115100
    • Clubul Sanatatii SRL Strada I. C. Brătianu 54B Cȃmpulung Muscel, Argeş
• Slovakia
  • Bratislava, Slovakia, 811 08
    • Metabol KLINIK, s.r.o.Cukrová 3
  • Bratislava, Slovakia, 831 01
    • Metabolické centrum Dumbierska 32
  • Bratislava, Rača, Slovakia, 831 06
    • DIABEDA, s.r.o.Zdravotnícke stredisko, Tbiliska 6,
  • Hlohovec, Slovakia, 920 01
    • Diversitas s.r.o., SNP 870/10
  • Ilava, Slovakia, 01901
    • INTERN, s.r.o. L. Štúra 846/39
  • Levice, Slovakia, 934 05
    • Všeobecná ambulancia pre dospelých Nábrežná 3043/3
  • Nové mesto nad Váhom, Slovakia, 915 01
    • SALUBER SK, s.r.o Piešťanská 1166/ 5,
  • Piestany, Slovakia, 921 01
    • MEDIPA, s.r.o., internist Sládkovicova 2A
  • Pruské, Slovakia, 018 52
    • Dr. Viliam Cibik, Pruské 293,
  • Trencín, Slovakia, 911 01
    • MUDr. Dagmar Žáková Súvoz 1

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

1. Male or female 18-70 years old
2. HbA1c level ≥42 to 58 mmol/mol (≥6 to 7.5% - according to Diabetes Control and Complications Trial [DCCT, 1987]) at V1 For Poland only: HbA1c level ≥42 to 53 mmol/mol (≥6 to 7% - according to the Official Journal of the Diabetes Poland, 2023 Vol. 3 Issue 1) at V1
3. Body mass index (BMI) >25 kg/m2 and 40 kg/m2
4. Regular intake of 3 main meals (self-reported)

5. Readiness and ability to:

   1. use the study treatment as recommended and attend all scheduled visits
   2. comply with all further study procedures
6. Readiness to maintain the current diet and level of physical activity during the study
7. Readiness not to participate in another clinical study during this study
8. Women of childbearing potential: commitment to use medically recognized contraception methods during the treatment period
9. Written informed consent by the participant following written and oral information by the investigator regarding nature, purpose, consequences and possible risks of the clinical study

Exclusion Criteria:

1. Known allergy or hypersensitivity to the components of the IMD or placebo (self-reported)
2. Type 1 diabetes (T1D)/Latent Autoimmune Diabetes in Adult or secondary diabetes (self-reported)
3. Uncontrolled hypertension (regularly >179/109 mmHg [self-reported] and as per investigator's judgement based on screening procedures at V1)
4. History (self-reported) of myocardial infarction or stroke 6 months prior to V1
5. Clinically relevant abnormal electrocardiogram (ECG) at V1

6. History (<3 years prior to V1) or presence (self-reported) of:

   1. exocrine pancreatic insufficiency, chronic pancreatitis
   2. chronic inflammatory bowel disease, celiac disease
   3. diverticulosis (usually affecting the large intestine), adhesions, chronic constipation
7. State after pancreatic head resection with the need for additional intake of pancreatic enzymes (self-reported)
8. Major surgery of esophagus, stomach, intestine including colon which took place <3 years prior to V1, or >3 years prior to V1 in case of related current clinical symptoms (self-reported)
9. Clinically significant deviation, based on investigators judgment, in blood laboratory values at V1 of blood status (hemoglobin, erythrocytes, platelets, leucocytes, reticulocytes), kidney parameters (creatinine, cystatin C and estimated glomerular filtration rate), thyroid hormone status: thyroid-stimulating hormone (TSH)
10. Deviation in blood laboratory values at V1 of liver parameters (aspartate aminotransferase [ASAT], alanine transaminase [ALAT], alkaline phosphatase and γ-glutamyl transpeptidase [Gamma-GT]) that is clinically significant based on investigators judgment
11. Blood donation/other major blood loss or blood transfusion, that may interfere with the study as per investigator's judgment, within 56 days prior to V1 and any blood donation or transfusion during the study
12. Previous or current metformin or other medical anti-diabetic treatment or blood glucose levels reducing/influencing treatment/supplementation within 30 days prior to V1 and during the study
13. Current treatment/supplementation for weight management (e.g., fat binder/burner, carb blocker, satiety products) or known to influence weight (e.g., systemic corticosteroids)
14. Medical conditions that require medications taken during meals
15. Extreme diet form (e.g., ketogenic, very low carbohydrate) during the last 3 months prior to study
16. Self-reported regular average consumption of >1 L/day total of sugary beverages (e.g., soft drinks, fruit juices, energy drinks) and/or >200 g/day total of food based on simple sugar(s) between meals (e.g., commercial candies, dried fruit)
17. Pregnancy, lactation or active planning to achieve pregnancy
18. History of or current abuse of drugs, alcohol or medication
19. Any severe diseases/disorder (e.g., chronic kidney disease, neoplastic disease or psychiatric disorder) which may interfere with the compliance to the study procedures as per investigator's judgement
20. Participation in another study during the last 30 days prior to V1
21. Belonging to a vulnerable population, having any condition or other reason which in the opinion of the investigator would confound the conduct of the study or interpretation of the study results
22. Relative of the investigator or an employee at the clinical study site and Sponsor

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Quadruple

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: IMD SiPore21®; IMD Class IIb Total daily dose: 3 stick packs (1 x 3 main meals) uration 12 weeks	Device: IMD SiPore21®; The intended use/purpose to improve blood glucose control, as measured by a reduction in HbA1c
Placebo Comparator: Placebo Comparator; Placebo Total daily dose: 3 stick packs (1 x 3 main meals) duration 12 weeks	Device: IMD SiPore21®; The intended use/purpose to improve blood glucose control, as measured by a reduction in HbA1c

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
HbA1c level	To evaluate if the IMD treatment leads to a greater reduction in HbA1c level (relative to baseline) in comparison to placebo, in obese or overweight subjects with elevated blood glucose levels.	Difference in changes in HbA1c levels from V2 (baseline) to V4 (week 12) between IMD treatment group and placebo group.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Body weight	To evaluate if the IMD treatment leads to a greater reduction in body weight (relative to baseline) in comparison to placebo.	Difference in changes in body weight assessed on-site from V2 (baseline) to V4 (week 12) between IMD treatment group and placebo group.

Collaborators and Investigators

• Sponsor: Sigrid Therapeutics AB
• Investigators: Study Director: Maria Klockare, Sigrid Therapeutics

Study record dates

Study Major Dates

• Study Start (Actual): October 5, 2023
• Primary Completion (Actual): July 30, 2024
• Study Completion (Actual): July 30, 2024

Study Registration Dates

• First Submitted: October 11, 2023
• First Submitted That Met QC Criteria: October 11, 2023
• First Posted (Actual): October 18, 2023

Study Record Updates

• Last Update Posted (Estimated): December 9, 2024
• Last Update Submitted That Met QC Criteria: December 6, 2024
• Last Verified: December 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Nutrition Disorders; Overnutrition; Body Weight; Overweight
• Other Study ID Numbers: SITH/001921

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No