NCT00688974

Brief Summary

Wight loss surgery provides good glycemic control in type 2 diabetes. The technique of "Roux-en-Y gastric bypass" is more effective than the "Adjustable Gastric Band" on weight loss. This longitudinal cohort study will compare the effectiveness of the Roux-en-Y gastric bypass and Adjustable Gastric Banding on glycemic control in type 2 diabetes and explore the responsible mechanisms. The evaluation will be made preoperatively and 1 year later as assessed by the decline in HbA1c. An evaluation will also be carried out after a weight loss of 10% to indicate whether the observed difference is independent of weight loss.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
56

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started May 2004

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 1, 2004

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2006

Completed
1.6 years until next milestone

First Submitted

Initial submission to the registry

May 29, 2008

Completed
5 days until next milestone

First Posted

Study publicly available on registry

June 3, 2008

Completed
4.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2012

Completed
Last Updated

August 18, 2016

Status Verified

August 1, 2016

Enrollment Period

2.5 years

First QC Date

May 29, 2008

Last Update Submit

August 17, 2016

Conditions

Keywords

type 2 diabetesobesitygastric bypassadjustable gastric bandingBMI > 35.obesity for more than 5 years

Outcome Measures

Primary Outcomes (1)

  • Glucose control

    HbA1c and fasting blood glucose

    12 months

Secondary Outcomes (5)

  • Glycaemia, Insulinemia, Incretins during a standardized meal test at 10% of weight loss

    3 months

  • Weight loss

    60 months

  • Glycaemia, Insulinemia, Incretins, and D-xylose during a normalized(standardized) meal

    12 months

  • Glycaemia, insulinemia, incretins, and D-xylose during a normalized(standardized) meal

    60 months

  • Diabetes remission

    60 months

Study Arms (3)

Roux-en-Y gastric bypass

Patients with class 3 obesity and type 2 diabetes submitted to Roux-en-Y gastric bypass

Procedure: Roux-en-Y gastric bypass

Adjustable gastric banding

Patients with class 3 obesity and type 2 diabetes submitted to adjustable gastric banding

Procedure: Adjustable gastric band

Healthy controls

Non-obese, non-diabetic adults

Interventions

Laparoscopic Roux-en-Y gastric bypass

Also known as: Gastric bypass
Roux-en-Y gastric bypass

Laparoscopic adjustable gastric band

Also known as: Gastric Banding
Adjustable gastric banding

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Candidate for bariatric surgery (Roux-en-Y gastric bypass OR adjustable gastric band) with class 3 obesity (body mass index ≥ 35 kg/m2) and type 2 diabetes (ADA definition) OR healthy volunteers

You may qualify if:

  • Age between 18 and 70 years AND
  • BMI \> 35
  • Type 2 diabetes
  • Obesity for more than 5 years OR
  • normoglycemia
  • BMI\< 30

You may not qualify if:

  • Secondary obesity due to an endocrinopathy
  • Chronic pathology (neoplasia, cirrhosis, disease of system)
  • Psychosis, alcoholic addiction or narcotics.
  • Contre-indications to the anaesthesia

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Lille University Hospital

Lille, Nord, 59037, France

Location

Biospecimen

Retention: SAMPLES WITHOUT DNA

serum and plasma during meal test (0, 30, 60, 90, 120, 180 min)

MeSH Terms

Conditions

ObesityDiabetes Mellitus, Type 2

Interventions

Gastric Bypass

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsDiabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Bariatric SurgeryBariatricsObesity ManagementTherapeuticsGastroenterostomyAnastomosis, SurgicalSurgical Procedures, OperativeDigestive System Surgical Procedures

Study Officials

  • Francois PATTOU

    Lille University Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 29, 2008

First Posted

June 3, 2008

Study Start

May 1, 2004

Primary Completion

November 1, 2006

Study Completion

September 1, 2012

Last Updated

August 18, 2016

Record last verified: 2016-08

Locations