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The first cohort of 6 subjects that has been enrolled is being analyzed and evaluated on all safety parameters as described in the study protocol.
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The study represents the first effort to prospectively investigate the Melcap's bio-electrical ingestible ODC system in human. The study goal is to evaluate the safety and feasibility of GES treatment in stomach and in the small and large bowel during and following the ingestion of the bio-electrical capsule under tight and controlled conditions.
The problem of obesity in the adult population requires the exploration and development of new, safe and effective therapies to combat increasing growth. A novel Implantable Gastric Electrical Stimulation (GES), MEASTRO(R) Rechargeable System, has been recently approved by the American Food and Drug Administration (FDA) for use in weight reduction in patients aged 18 years through adulthood who have a Body Mass Index (BMI) of 40 to 45 kg/m2 with one or more obesity related co-morbid conditions, and have failed at least one supervised management program within the past 5 years.
Melcap System Ltd. has developed an innovative ingestible capsule system device that uses GES for the treatment of overweight and obesity. The system is intended to suppress hunger, reduce appetite, increase satiation and promote weight reduction in overweight and class I obese adults who have a Body Mass Index of 27 kg/m2 to 34.9 kg/m2 with no related co-morbid conditions.
The study is a FIH prospective, open label, randomized study. It will include a 3 days screening period and 4 days treatment session under a close supervision and follow up. Each subject will ingest a total of 2 capsules (ODC) on the first and the third day of the study. The total duration of subject participation including the termination visit will be eight days.
The study will be conducted at a single medical center, Meir Hospital, Israel.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Gastric electrical stimulation with type 2 ODC | Experimental | Safety and feasibility assessment of the ODC system (type 2) capsule during and following gastric electrical stimulation protocol. |
|
| Electrical stimulation with type 2 ODC | Experimental | Safety and feasibility assessment of the ODC system (type 2) capsule during and following small and large bowel electrical stimulation protocol. |
|
| Electrical stimulation with type 1 ODC | Experimental | Safety and feasibility assessment of the ODC system (type 1 capsule) during and following small and large electrical stimulation protocol. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ODC system (type 1 capsule) | Device | ODC (one day capsule) type 1 is ingested by a subject and passes through the gastrointestinal tract. Electrical stimulation is the transferred from the capsule to the surrounding GI tissues. The capsule is excreted from the body through the intestinal tract in a natural manner with bowel movement. |
| Measure | Description | Time Frame |
|---|---|---|
| Occurrence and severity of all adverse events | Safety evaluation | During the whole study duration (approximately 8 days) |
| Incidence of device-related adverse events | Safety evaluation | During the whole study duration (approximately 8 days) |
| Incidence of clinically significant abnormal laboratory values as determined by the investigator | Safety evaluation | During the whole study duration (approximately 8 days) |
| Excretion of the study capsules in a natural manner | Safety evaluation - confirmation of the capsule excretion from the body | up to 3 days after the days of the capsules ingestion |
| Measure | Description | Time Frame |
|---|---|---|
| Satiety levels | Changes in satiety levels resulting of the electrical stimulation | Day #1 and #3 of the treatment period |
| Appetite levels | Changes in appetite levels resulting of the electrical stimulation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Timna Naftali, MD | Meir Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Meir Medical Center | Kfar Saba | 4428164 | Israel |
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| ID | Term |
|---|---|
| D050177 | Overweight |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
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|
| ODC system (type 2 capsule) | Device | ODC (one day capsule) type 2 is ingested by a subject and passes through the gastrointestinal tract. Electrical stimulation is the transferred from the capsule to the surrounding GI tissues. The capsule is excreted from the body through the intestinal tract in a natural manner with bowel movement. |
|
| Day #1 and #3 of the treatment period |
| Postprandial symptoms | Evaluation of postprandial symptoms during the treatment period | Day #1, #2, #3 and #4 of the treatment period |
| Response to nutrient drink test | Determination of the maximum tolerable drinking volume followed by postprandial symptoms measurement | Day #3 of the screening period and and day #4 of the treatment period |
| Appetite-related hormone | Evaluation of appetite- related hormones levels change as a result of the stimulation applied | Day #1 and Day #3 of the treatment period |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |