About this trial
This study is designed to evaluate the safety and effectiveness of endoscopic intestinal re-cellularization therapy in individuals with type 2 diabetes (T2D) inadequately controlled on non-insulin glucose-lowering medications.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
22- 70 years of age, inclusive.
T2D diagnosis for at least 6 months.
HbA1C of 7.5-10.5%, inclusive, determined by the central laboratory.
BMI 27-40 kg/m2, inclusive.
Disqualifiers
Diagnosed with type 1 diabetes.
History of diabetic ketoacidosis or hyperosmolar nonketotic coma.
Fasting serum C-peptide <1 ng/mL (333pmol/l).
Current use of insulin, or previous use of any types of insulin for >1 month at any time (except for treatment of gestational diabetes) in last 2 years.
Trial design
Sequential
Treatments tested in this trial
ReCET Treatment
DeviceTreatment arm will receive the ReCET therapy. The ReCET procedure utilizes the ReCET catheter to deliver non-thermal pulsed electric field to the first portion of the small intestine (duodenum) to induce cell regeneration. The catheter is introduced to the duodenum through the mouth using a guide wire and the therapy is applied to treat the duodenum. Participants will be followed for 12 months post procedure.
Sham Procedure
DeviceThe Control arm will receive a sham procedure. The sham procedure consists of placing the ReCET catheter as described above without therapy applied. Participants will be followed for 12 months post procedure and will be offered cross-over to receive the ReCET therapy after 12 months.
Treatment groups
Trial outcomes
Primary outcomes
HbA1c
Change in HbA1c (%) from baseline to Month 6
Secondary outcomes
HbA1c
Change in HbA1c (%) from baseline to Month 12
HbA1c ≤7.0% without requiring rescue medication
Proportion of participants with HbA1c ≤7.0% without requiring rescue medication
Time-in Range (TIR)
Proportion of participants with TIR ≥70%
Total body weight loss (%TBWL)
Percent total body weight loss (%TBWL) from baseline to Month 6
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