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A UK Registry for Metabolic and Bariatric Endoscopic Interventions

Sponsor: Cleveland Clinic London

NCT ID: NCT06305208

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Health checks and monitoring — no treatment given
Type of study
Observational (no treatment given)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
Endoscopic gastric suturing (device), Endoscopic gastric plication (device), Revisional gastroplasty (device), Transoral outlet reduction endoscopy (TORe) (device)
How long the study runs
Study runs about 180 months (dates as stated)
About the drug or intervention
Endoscopic gastric suturing — device: Endoscopic suturing of the stomach to reduce volume and promote weight loss with either the Apollo Overstitch or Overstitch Sx system. · Endoscopic gastric plication — device: Endoscopic plication of the stomach to reduce volume and promote weight loss with either the POSE or Endomina system. · Revisional gastroplasty — device: Endoscopic suturing or plication of the stomach among patients who have previously undergone gastroplasty, sleeve gastrectomy, or Roux-en-Y gastric bypass to restrict the stomach and promote weight loss · Transoral outlet reduction endoscopy (TORe) — device: Reduction of the size of the gastro-jejunal anastomosis among patients who have previously undergone Roux-en-Y gastric bypass to promote weight loss. · Duodenal mucosal resurfacing (DMR) — device: Endoscopic ablation of the post-ampullary duodenal mucosal to enhance improvement in glycaemic control among patients with type 2 diabetes. · Intragastric balloon(s) — device: The insertion of an intragastric implant into the stomach, which is subsequently filled with air or water to promote weight loss.
Patient visit burden
Not specified by the sponsor
Type of study
Observing health over time
Ages
18 Years to 99 Years
Who
All
Number of participants
300
Started
2024-02-01
Last checked
2023-12

Plain English Summary

What is this study?

  • • Testing a new treatment for obesity
  • • Clinical study - 300 participants
  • • In the UK alone, obesity is a major health problem with more than one quarter of adults estimated to be obese

Who can take part?

  • • Ages 18 Years to 99 Years
  • • Diagnosed with obesity

Where?

  • • London - Cleveland Clinic London

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

In the UK alone, obesity is a major health problem with more than one quarter of adults estimated to be obese. Obesity promotes the development of many serious diseases including diabetes, heart disease, kidney disease, and increased risk of some cancers. Patients living with obesity also suffer from significant symptoms that impact their life including shortness of breath, back pain, poor mobility, and poor mental health. Traditional methods to help lose weight include low calorie diets and increased exercise. These may be effective in the short-term, but due to powerful biological mechanisms they are hard to maintain over the long-term and most individuals are unable to achieve normal weight. This means many people may need bariatric surgery that is highly effective at lowering body weight, but it is associated with complications and not all patients will want or be able to undergo surgery. This has led to the development of many new obesity treatments that are completed with an endoscope. An endoscope is a thin flexible tube that has a camera at the end. It is inserted through the mouth and into the stomach and small bowel. There are various procedures that can be done at the time of endoscopy that have been shown to be effective with a low number of side-effects. These are still relatively new compared to more traditional treatments and only a small number of doctors can perform them within the UK. Due to these limitations, the aim of this registry is to obtain real-world information on the safety and effectiveness of these procedures across the UK. The investigators hope over time this will improve the knowledge of clinicians about treating obesity with endoscopy and support future access and funding to these treatments.

More detail

This is a national, multi-centre, prospective, UK registry that aims to determine the safety and efficacy of metabolic and bariatric endoscopic procedures used in the treatment of obesity and related complications. The investigators will do this by determining the effect of primary bariatric procedures (gastroplasty, intragastric balloons (IGB)), revisional bariatric procedures (Transoral outlet reduction endoscopy (TORe), gastroplasty revision), and primary metabolic procedures (Duodenal Mucosal Resurfacing (DMR)), completed by endoscopists within the UK. The objective of this registry is to collect demographic, procedural and follow-up outcome data on the use of metabolic and bariatric endoscopic procedures in patients with obesity and/or obesity-related complications. This registry will provide real-life outcomes on the use of these novel endoscopic devices from multiple centres participating across the UK to provide longer-term safety and efficacy data. In addition, the registry will enable development of a UK-wide research network to support further research, innovation, and training into metabolic and bariatric endoscopy.

ObesityDiabetes Mellitus, Type 2

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What we know so far

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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years - 99 Years
  • Who can join: All genders

What the study is looking for

  • ✓Any patient undergoing a primary or revisional bariatric or metabolic endoscopic procedure.
  • ✓Age ≥ 18 years old
  • ✓Able to give written agreement to take part.

Who cannot take part

  • ✗Any bariatric or metabolic endoscopic procedure performed outside the UK.
  • ✗Unable to provide written agreement to take part.
See the full criteria
Inclusion Criteria: * Any patient undergoing a primary or revisional bariatric or metabolic endoscopic procedure. * Age ≥ 18 years old * Able to give written informed consent. Exclusion Criteria: * Any bariatric or metabolic endoscopic procedure performed outside the UK. * Any bariatric or metabolic endoscopic procedure not currently listed within the registry protocol or agreed by the steering committee. * Unable to provide written informed consent.

Where Is This Study? (1 UK site)

Cleveland Clinic London

London SW1X 7HY, United Kingdom

Recruiting
Site contact (verified)
Rehan Haidry, MDPrincipal Investigator
Benjamin Norton, MDcclendoscopyresearch@ccf.org

How to Get in Touch

Benjamin Norton, MD

Sponsor contact

CONTACT

+442034237500 cclendoscopyresearch@ccf.org

Fiona Makia

Sponsor contact

CONTACT

+442034237500 cclresearch@ccf.org
Data sourced from ClinicalTrials.gov · Last verified: 2023-12