GI Dynamics, Inc. announced the execution of contracts with the first two clinical sites of the STEP-1 (single therapy euglycemic procedure, formally known as GID 18-1) pivotal trial of EndoBarrier (U.S.): the University of Michigan in Ann Arbor, Michigan, and Baylor College of Medicine in Houston, Texas. The U.S. pivotal trial of EndoBarrier, STEP-1, will begin enrolling patients with type 2 diabetes and obesity during the second half of 2019. The primary endpoint of STEP-1 is reduction in average blood sugar levels (HbA1c) at 12 months of treatment. The pivotal trial will consist of randomized EndoBarrier implant and control arms; both arms will receive identical lifestyle therapy that complies with the most current American Diabetes Association guidelines.