ReCET Therapy for Type 2 Diabetes
This study is testing a new treatment called ReCET Therapy for people with Type 2 Diabetes whose blood sugar isn't well-controlled with their current medications. ReCET Therapy uses a special catheter (a thin, flexible tube) to deliver pulsed electric fields to the first part of your small intestine (duodenum) to help new cells grow. We want to see if this treatment is safe and effective in lowering your HbA1c (a measure of average blood sugar over 2-3 months) after 6 months. You might be able to join if you are 22-70 years old, have had Type 2 Diabetes for at least 6 months, and your HbA1c is between 7.5% and 10.5%. The study is looking for 264 participants, but the current recruitment status is unclear.
- Study design
- This is a randomized, double-blind study where participants will either receive the ReCET Therapy or a sham procedure (device inserted without treatment). There will be 264 participants in total.
- What's involved
- Participants will be followed for 12 months after the procedure. Those who receive the sham procedure may have the option to receive the ReCET Therapy after 12 months.
- Compensation
- Not stated in the trial record.
- Follow-up
- Participants will be followed for 12 months after the procedure.
AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.
NCT06267391
Safety and Effectiveness of Endoscopic Intestinal Re-Cellularization Therapy in Individuals With Type II Diabetes
Active, Not Recruiting
NAAges 22–70InterventionalTreatmentEndogenex, Inc.
~350 participants
Updated 2026-08-05 on ClinicalTrials.gov
What's tested:Endogenex TreatmentSham Procedure
At a glance
Recruiting sites
0 of 44 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
HbA1c
Measured over 6 months post-procedure
Conditions
Where it's being run
44 sites across 12 statesTexas14
Florida9
California4
Victoria4
New South Wales3
Alabama2
Iowa2
New Jersey2
Study leadership
- Lian Cunningham, MD, PhD · STUDY_DIRECTOR · [email protected]
Who to contact
This trial hasn't published a contact. View it on ClinicalTrials.gov
Do you actually qualify for this trial?
Add a private profile and we'll compare every criterion below against your situation — and tell you which ones are met, uncertain, or excluding.
Eligibility criteria
Inclusion
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.
On 2-4 non-insulin glucose lowering mediations or on monotherapy with either GLP-1 or GLP-1/GIP medications, with no changes in medication or dosing for at least 12 weeks prior to the baseline visit.
Individualized metabolic surgery (IMS) score ≤ 95.
Weight stability (≤5% weight change) for at least 12 weeks prior to the screening visit.
Agree not to donate blood during participation in the study.
Able to comply with study requirements and understand and sign the Informed Consent Form.
Women of childbearing potential must be not pregnant and using an acceptable method of contraception throughout the study.
Willing and able to comply with study visits and study tasks as required per protocol.
Exclusion
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.
Hypoglycemic unawareness.
History of ≥1 severe hypoglycemia episode in past 6 months
Discontinuation of a GLP-1RA or a GLP-1/GIP dual-agonist within 6 months of the screening visit following at least one month of treatment.
Known autoimmune disease, including but not limited to, celiac disease, or pre-existing symptoms of systemic lupus erythematosus, scleroderma or other autoimmune connective tissue disorder, or as evidenced by a positive anti-glutamic acid decarboxylase (GAD) test.
Previous GI surgery that has changed GI anatomy or could limit treatment of the duodenum, such as Billroth 2, Roux-en-Y gastric bypass, gastric band or other similar procedures or conditions.
Known history of a structural or functional disorder of the upper GI tract that may impede passage of the device through the upper GI tract or increase risk of tissue damage during an endoscopic procedure, including eosinophilic esophagitis, stricture/stenosis, varices, diverticula, or other disorder of the esophagus, stomach and duodenum.
History of gastroparesis.
Acute gastrointestinal illness in the last 7 days.
Known history of irritable bowel syndrome, radiation enteritis or other inflammatory bowel disease, such as Crohn's disease and Celiac disease.
History of chronic or acute pancreatitis.
Active hepatitis or active liver disease, or alanine aminotransferase (ALT) level \>3.0 times the upper limit of normal (ULN) for the reference range, as determined by the central laboratory at screening visit. Patients with NAFLD are eligible if their ALT level is ≤3.0 times the ULN.
Current use of vitamin K antagonists, such as warfarin, or current use of direct-action oral anticoagulants (DOCAs) that cannot be safely discontinued periprocedurally.
Current use of P2Y12 inhibitors (clopidogrel, prasugrel, ticagrelor) that cannot be discontinued for 7 days before the procedure.
Unable to discontinue non-steroidal anti-inflammatory drugs (NSAIDs) from treatment through 4 weeks following the procedure. Alternative use of acetaminophen and low dose aspirin is allowed.
Use of systemic glucocorticoids (excluding topical or ophthalmic application or inhaled forms) for more than 10 consecutive days within 12 weeks prior to the screening visit.
Use of medications known to affect GI motility (e.g. metoclopramide/ Reglan)
Current use of weight loss medications such as Saxenda \[liraglutide \], Xenical® \[orlistat\], Acutrim® \[phenylpropanolamine\], Sanorex® \[mazindol\], Adipex® \[phentermine\], BELVIQ® \[lorcaserin\], Qsymia® \[phentermine/topiramate combination\], Contrave® \[naltrexone/bupropion\], or other weight loss medications including over-the-counter \[OTC\] medications \[for example, Allī®\]) or have discontinued weight loss medications within 6 months.
Participation in any structured weight loss program or endoscopic weight loss intervention within 6 months of the screen visit.
Persistent anemia, defined as hemoglobin \<10 g/dL.
Known history of hemoglobinopathy, hemolytic anemia or sickle cell anemia, or any other traits of hemoglobin abnormalities known to interfere with the measurement of HbA1c.
History of blood donation or transfusion within 3 months prior to the Screening Visit.
Unstable or paroxysmal cardiac arrhythmia.
Any of the following cardiovascular conditions within 6-months prior to screening visit: acute myocardial infarction, cerebrovascular accident (stroke), hospitalization due to congestive heart failure.
History of valvular heart disease or chronic heart failure (NYHA III or IV).
Estimated glomerular filtration rate (eGFR) ≤ 45 ml/min/1.73m2 calculated by CKD-EPI Creatinine Equation as determined by the central laboratory.
Known immunocompromised status, including but not limited to individuals who have undergone organ transplantation, chemotherapy, or radiotherapy within the past 12 months, who have clinically significant leukopenia, who are positive for the human immunodeficiency virus (HIV) or whose immune status makes the participant a poor candidate for clinical trial participation in the opinion of the investigator.
History of secondary hypothyroidism or inadequately controlled primary hypothyroidism (TSH value outside the normal range at screening).
Presence of any implanted electronic devices that cannot be turned off during the procedure
Presence of duodenal or biliary stents.
Not a candidate for upper GI endoscopy or general anesthesia.
Active illicit substance abuse or alcoholism (\>2 drinks/day regularly).
Active malignancy within the last 5 years (excluding non-melanoma skin cancers).
Women who are breastfeeding.
Participating in another ongoing clinical trial of an investigational drug or device.
Binge eating disorder, or any other mental or physical condition which, in the opinion of the study investigator, makes the participant a poor candidate for clinical trial participation.
Critically ill or has a life expectancy \<5 years.
Are investigator site personnel directly affiliated with this study and/or their immediate family member. Immediate family is defined as a spouse, parent, child, or sibling, whether biological or legally adopted.
What this trial measures
- HbA1c6 months post-procedure
Change in HbA1c (%) from baseline to Month 6