A Study to Evaluate Efficacy and Safety of Distal Jejunal-release Dextrose Beads Formulation in Subjects With a Pathological Oral Glucose Tolerance Test

Exclusion Criteria

• •Evidence of type 2 diabetes defined by fasting plasma glucose ≥ 126 mg/dL; 2-hour OGTT glucose ≥ 200 mg/dL
• •Type I diabetes mellitus
• •HbA1c ≥ 6.5%
• •History of proliferative retinopathy or maculopathy
• •Active COVID-19 infection proven by antigen positive Covid Test
• •Treatment with any medication for weight loss within the past 3 months before screening.
• •Prior or planned weight loss surgery for obesity
• •Recent (within past 12 months) or planned endoscopic treatment for obesity.
• •Proven history of bulimia or anorexia nervosa
• •Eating habits consisting of eating relevant amounts of food throughout the night (after 10 p.m.; except if working on night shifts)
• •Treatment with injectable anti-diabetic medications in the last 3 months (e.g., GLP-1 receptor agonists, insulin)
• •Treatment with dipeptidyl peptidase-4 inhibitors in the last 3 months
• •Confirmed medical history of liver cirrhosis
• •Positive test on Viral hepatitis (HbsAG, HCV)
• •Positive test on Human immunodeficiency virus (HIV)
• •Cholestatic disease
• •Alcohol-related liver disease including alcoholic fatty liver, alcoholic hepatitis and alcoholic cirrhosis evidenced by confirmed history of alcohol use, abnormal liver function tests defined below, and complete blood count (CBC), and/or liver biopsy.
• •Abnormal liver function tests:
• •* Transaminases: Alanine aminotransferase (ALT) ≥ 3x upper limit of normal (ULN); or Aspartate aminotransferase (AST) ≥ 3x ULN;
• •* or Alkaline phosphatase (ALK) ≥2.5 x ULN
• •* or Total bilirubin ≥2 x ULN
• •Stage 4 hypertension (systolic blood pressure (SBP) ≥ 180, diastolic BP (DBP) ≥ 110)
• •History or presence of any uncontrolled cardiovascular, pulmonary, hepatobiliary, renal, hematological, gastrointestinal, endocrinologic, immunologic, dermatologic, neurological, psychiatric, metabolic, musculoskeletal, or malignant disease (except conditions accepted for inclusion) which the clinical investigator considers a disqualification for participation in the study.
• •Prior or current treatment with drugs aimed to treat abnormal glucose homeostasis including oral antidiabetics, incretin analogues and/or insulin.
• •History of uncontrolled illness (e.g. depression, psychosis) or behaviour that at the discretion of the investigator might confound the study results or pose additional risk in administering the study procedures.
• •Illicit drug abuse
• •Alcohol abuse
• •Participation in another investigational drug/biologic or medical device study within 30 days of screening or will be enrolled in another investigational drug or medical device study or any study in which active subject participation is required outside normal hospital data collection during the course of the study.
• •Failure to provide informed consent.
• •Unwillingness or inability to comply with the study protocol or study-related procedures.