Our lead investigational program, Revita DMR, takes an innovative approach to treating metabolic disease by addressing the root cause of insulin resistance in the intestine.

Revita DMR (duodenal mucosal resurfacing), is a minimally invasive procedural therapy designed to rejuvenate the lining of the duodenum. The procedure uses hydrothermal ablation to safely remove the excessive layer of the duodenal mucosa that develops due to our modern high fat and sugar diets. After applying heat energy, the body heals itself as it regenerates a new, healthy, duodenal lining. We believe that rejuvenating the duodenal lining with hydrothermal ablation has the potential to restore insulin sensitivity and metabolic health to patients.


The Revita System consists of a console and a novel single-use balloon catheter. The console is used to monitor the procedure, while physicians use the catheter to access the duodenum and perform the DMR procedure in an outpatient setting.


To date, we have conducted rigorous clinical testing of our Revita System in patients with a variety of metabolic disorders and varying degrees of insulin resistance, including type 2 diabetes (T2D), nonalcoholic steatohepatitis (NASH), and polycystic ovarian syndrome (PCOS).

 

Current Clinical Programs:
  • In Europe, we are currently exploring the safety and efficacy of Revita DMR in patients with type 2 diabetes with non-alcoholic fatty liver disease/non-alcoholic steatohepatitis (T2D + NAFLD/NASH). More information on this study can be found here.
  • In the US, we are performing a pilot study in patients with type 2 diabetes. More information on this trial can be found here.
  • Globally, we have multiple trials ongoing investigating the use of Revita DMR
    – Study in patients with T2D who are currently treated with long-acting insulin
    – Study in patients with biopsy-verified NASH with or without T2D
    – Study in patients with insulin resistant polycystic ovarian syndrome
Revita DMR has received a CE Mark in Europe. It is currently under clinical investigation in the United States and is not yet commercially available.
For more information on our UK Commercialization click here.

Our lead investigational program, Revita DMR, takes an innovative approach to treating metabolic disease by addressing the root cause of insulin resistance in the intestine.

Revita DMR is a minimally invasive procedural therapy designed to rejuvenate the lining of the duodenum. The procedure uses hydrothermal ablation to safely remove the excessive layer of the duodenal mucosa that develops due to our modern high fat and sugar diets. After applying heat energy, the body heals itself as it regenerates a new, healthy, duodenal lining. We believe that rejuvenating the duodenal lining with hydrothermal ablation has the potential to restore insulin sensitivity and metabolic health to patients.

The Revita System consists of a console and a novel single-use balloon catheter. The console is used to monitor the procedure, while physicians use the catheter to access the duodenum and perform the DMR procedure in an outpatient setting.

To date, we have conducted rigorous clinical testing of our Revita System in patients with a variety of metabolic disorders and varying degrees of insulin resistance, including type 2 diabetes (T2D), nonalcoholic steatohepatitis (NASH), and polycystic ovarian syndrome (PCOS).
Current Clinical Programs:
  • In Europe, we are currently exploring the safety and efficacy of Revita DMR in patients with type 2 diabetes in our Revita-2 clinical trial. More information on this study can be found here.
  • In the U.S., we are performing a pilot study in the same patient population. More information on this trial can be found here.
  • And globally, we have multiple trials ongoing investigating the use of Revita DMR in patients with late-stage T2D, NASH, and PCOS.
As a follow-on to Revita DMR, we are investigating the possible combination of our Revita DMR procedure with cell and gene therapy to fully restore intestinal health.
Although Revita DMR has received a CE Mark in Europe, it is currently under clinical investigation and is not commercially available.

2021

Geltrude, et al. “Safety and efficacy of hydrothermal duodenal mucosal resurfacing in patients with type 2 diabetes: the randomised, double-blind, sham-controlled, multicentre REVITA-2 feasibility trial.” Gut 0:1-11, January 2021.

2020

van Baar, et al. “Duodenal mucosal resurfacing combined with GLP-1RA to discontinue insulin in type 2 diabetes: a feasibility study.” Gastrointestinal Endoscopy, 0:1-10, December  2020.

van Baar, et al. “Duodenal mucosal resurfacing: Multicenter experience implementing a minimally invasive endoscopic procedure for treatment of type 2 diabetes mellitus.” Endoscopy International Open; 08: E1683–E1689, October 2020.

van Baar, et al. “Endoscopic duodenal mucosal resurfacing for the treatment of type 2 diabetes mellitus: one year results from the first international, open-label, prospective, multicentre study.” Gut, 69:295-303, January 2020.

2019

van Baar, et al. “Endoscopic duodenal mucosal resurfacing improves glycaemic and hepatic indices in type 2 diabetes: 6-month multicentre results.” JHEP Reports, Volume 1, Issue 6, 429-437, November 2019.

Haidry, et al. “Duodenal mucosal resurfacing: proof-of-concept, procedural development, and initial implementation in the clinical setting.” Gastrointestinal Endoscopy, Volume 90, Issue 4, 673-681.e2, October 2019.

2017

Cherrington, et al. “Hydrothermal Duodenal Mucosal Resurfacing Role in the Treatment of Metabolic Disease.” Gastrointestinal Endoscopy Clinics of North America, 27(2): 299-311, April 2017.

2016

Rajagopalan, et al. “Endoscopic Duodenal Mucosal Resurfacing for the Treatment of Type 2 Diabetes: 6-Month Interim Analysis From the First-in-Human Proof-of-Concept Study.” Diabetes Care, 39, 1-8, August 2016.

Galvao, et al. “Hydrothermal duodenal mucosal resurfacing: a novel procedural therapy for metabolic disease.” VideoGIE, 1(1), 10-11, September 2016.

2020

Meirling, et al. United European Gastroenterology Week 2020. Virtual, October 2020.

Chouhan, et al. ISMRM & SMRT Virtual Conference & Exhibition. Virtual, August 2020.

Hopkins, et al. Endocrine Online 2020 (ENDO). Virtual, June 2020.

Mingrone, et al. 80th American Diabetes Association Scientific Sessions (ADA). Virtual, June 2020.

Chouhan, et al. European Society of Gastrointestinal and Abdominal Radiology 2020 Virtual Congress (ESGAR). Amsterdam, The Netherlands, May 2020.

Chouhan, et al. European Society of Gastrointestinal and Abdominal Radiology 2020 Virtual Congress (ESGAR). Amsterdam, The Netherlands, May 2020.

2019

Lopez-Talavera, et al. Diabetes Technology Meeting (DTM). North Bethesda, MD, November 2019.

van Baar, et al. Diabetes Technology Meeting (DTM). North Bethesda, MD, November 2019.

West, et al. ObesityWeek 2019. Las Vegas, NV, November 2019.

Bergman, et al. American Association for the Study of Liver Diseases (AASLD). Boston, MA, November 2019.

van Baar, et al. United European Gastroenterology Week 2019 (UEGW). Barcelona, Spain, October 2019.

Meiring, et al. 79th American Diabetes Association Scientific Sessions (ADA). San Francisco, California, USA, June 2019.

Hopkins. 4th World Congress on Interventional Therapies for Type 2 Diabetes (WCITD). New York City, NY, USA, April 2019.

Hopkins, et al. 4th World Congress on Interventional Therapies for Type 2 Diabetes (WCITD). New York City, NY, USA, April 2019.

2018

Haidry, et al. Digestive Disease Week – Monumental Developments in Science & Medicine (DDW). Washington, DC, USA, June 2018.

Ghosh, et al. 78th American Diabetes Association Scientific Sessions (ADA). Orlando, Florida, USA, June 2018.

van Baar, et al. 78th American Diabetes Association Scientific Sessions (ADA). Orlando, Florida, USA, June 2018.

deGravelle, et al. 4th Paris Nash Meeting. Paris, France, July 2018.

Maggs, et al. 4th Paris Nash Meeting. Paris, France, July 2018.

van Baar, et al. United European Gastroenterology Week (UEGW). Vienna, Austria, October 2018.

Maggs, et al. American Association for the Study of Liver Diseases (AASLD). San Francisco, Calif., USA, November 2018.

2017

van Baar, et al. Digestive Disease Week (DDW). Chicago, Illinois, USA, May 2017.

Rajagopalan. 3rd Paris Nash Meeting. Paris, France, July 2017.

van Baar, et al. 53rd Annual Meeting of the European Association for the Study of Diabetes (EASD). Lisbon, Portugal, September 2017.

van Baar, et al. American Association for the Study of Liver Diseases (AASLD). Washington, DC, USA, October 2017.

Sacks, et al. American Heart Association Meeting (AHA). Anaheim, Calif., USA, November 2017.

2016

Rajagopalan, et al. 9th Diabetes Drug Discovery & Development Conference-GTC Diabetes Summit. Boston, Massachusetts, USA, April 2016.

Rajagopalan, et al. The International Liver Congress-European Association for the Study of the Liver (EASL). Barcelona, Spain, April 2016.

Rajagopalan, et al. The International Liver Congress-European Association for the Study of the Liver (EASL). Barcelona, Spain, April 2016.

Galvao Neto, et al. Digestive Disease Week (DDW). San Diego, Calif, USA, May 2016.

Rajagopalan, et al. Digestive Disease Week (DDW). San Diego, Calif, USA, May 2016.

van Baar, et al. Digestive Disease Week (DDW). San Diego, Calif, USA, May 2016

Cherrington, et al. 76th American Diabetes Association (ADA). New Orleans, Louisiana, USA, June 2016. [Oral]

Maggs. The Obesity Society (TOS). New Orleans, LA, USA, October 2016

van Baar, et al. United European Gastroenterology Week (UEGW). Vienna, Austria, October 2016

Rajagopalan, et al. American Association for the Study of Liver Diseases (AASLD). Boston, Massachusetts, USA, November 2016.

van Baar, et al. American Association for the Study of Liver Diseases (AASLD). Boston, Massachusetts, USA, November 2016.

2015

Cherrington, et al. Third World Congress on Interventional Therapies for Type 2 Diabetes (WCITT2D). London, UK, September 2015.

Cherrington, et al. United European Gastroenterology Week (UEGW). Barcelona, Spain, October 2015.

Cherrington, et al. 13th World Congress on Insulin Resistance, Diabetes & Cardiovascular Disease (WCIRS). Los Angeles, Calif., USA, December 2015.

2014

Rajagopalan. 50th Annual Meeting of the European Association for the Study of Diabetes (EASD). Vienna, Austria, September 2014.

Holleman. 50th Annual Meeting of the European Association for the Study of Diabetes (EASD). Vienna, Austria, September 2014.

Rubino. 50th Annual Meeting of the European Association for the Study of Diabetes (EASD). Vienna, Austria, September 2014.

Galvao, et al. World Congress of the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO). Montreal, Canada, August 2014.

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