Can banding the gut tame type 2 diabetes?
NCT ID NCT07117721
First seen Sep 10, 2026 · Last updated Sep 11, 2026 · Updated 1 time
Summary
Researchers at El Katib Hospital are testing a procedure called endoscopic band ligation on the upper part of the small intestine in people with type 2 diabetes. The goal is to reshape the duodenal lining so it may release more gut hormones that help control blood sugar. Ten adults with type 2 diabetes will have the procedure and then be monitored for 6 to 12 months to track changes in HbA1c, fasting glucose, and insulin sensitivity.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Endoscopic band ligation of the duodenum, a procedure that places small bands on the upper intestine to reshape its lining
- What this could lead to
- If it works, this could offer a non-drug way to improve blood sugar control in type 2 diabetes, possibly by changing how the gut signals hormones like GLP-1.
- What could go wrong
- This is a tiny pilot study of 10 people at one hospital, so any benefit may not hold up in larger trials. Endoscopy carries small risks such as bleeding, infection, or perforation, and the procedure may not change blood sugar at all.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 10 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2027
An estimate. Start dates often move.
- Expected to finish
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Jan 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 70 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age between 18 and 70 years * Confirmed diagnosis of type 2 diabetes mellitus * HbA1c between 7.5% and 10.5% at screening * Body Mass Index (BMI) between 27 and 40 kg/m² * Stable use of oral antidiabetic medications for ≥3 months prior to enrollment * Willingness to undergo endoscopic procedure and attend all follow-up visits * Signed informed consen Exclusion Criteria: * Use of insulin therapy * Previous bariatric or gastrointestinal surgery * Diagnosis of type 1 diabetes mellitus * Known gastrointestinal obstruction, ulcers, or active GI bleeding * History of pancreatitis, biliary disease, or abnormal anatomy in duodenum * Pregnancy or breastfeeding * Severe comorbidities (e.g., uncontrolled cardiovascular disease, advanced kidney or liver disease) * Use of GLP-1 receptor agonists within 3 months prior to enrollment * Inability or unwillingness to comply with the study protocol
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
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How to take part
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The official record
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