NCT02480322

Brief Summary

Background: Obesity is associated with multiple diseases. Bariatric surgery is the most effective therapy for severe obesity that cannot only reduce body weight but also obesity-associated morbidity. Objective: The metabolic alterations associated with obesity and respective changes after bariatric surgery are incompletely understood. Design: In the longitudinal observational study, the investigator applied a 1H-NMR-based global, untargeted metabolomics strategy on human serum samples that were collected before and repeatedly up to one year after distinct bariatric procedures (sleeve gastrectomy, proximal and distal Roux-en Y gastric bypass; RYGB). For comparison, the investigator also analyzed serum samples from normal-weight and less obesity obese subjects that were matched for 1-year postoperative BMI values of the surgical groups.

Trial Health

100
On Track

Trial Health Score

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

Enrollment
106

participants targeted

Target at P50-P75 for all trials

Status
completed

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 1, 2010

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2012

Completed
3.1 years until next milestone

First Submitted

Initial submission to the registry

June 22, 2015

Completed
2 days until next milestone

First Posted

Study publicly available on registry

June 24, 2015

Completed
Last Updated

June 25, 2015

Status Verified

June 1, 2015

Enrollment Period

2 years

First QC Date

June 22, 2015

Last Update Submit

June 24, 2015

Conditions

Keywords

metabolic alterations

Outcome Measures

Primary Outcomes (3)

  • compare the NMR metabolic fingerprint as assessed in serum samples of severely obese patients with that of normal-weight control subjects

    pre operative

  • follow up changes in the metabolic fingerprint over one year after 3 distinct bariatric procedures

    pre operative, 3-, 6-, 9- and 12 months post operative

  • compare the metabolic fingerprints established one year after the different surgeries with those of BMI-matched and normal-weight control subjects

    12 months post operative

Study Arms (5)

Sleeve group

Patients undergoing gastric sleeve resection.

Procedure: bariatric surgery (sleeve resection, proximal RYGB, distal RYGB)

Proximal RYGB group

Patients undergoing proximal gastric bypass surgery.

Procedure: bariatric surgery (sleeve resection, proximal RYGB, distal RYGB)

Distal RYGB group

Patients undergoing distal gastric bypass surgery.

Procedure: bariatric surgery (sleeve resection, proximal RYGB, distal RYGB)

BMI-matched control group

Normal-weight control group

Interventions

Distal RYGB groupProximal RYGB groupSleeve group

Eligibility Criteria

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

severely obese patients of the Interdisciplinary Obesity Center, St. Gallen, Switzerland

You may qualify if:

  • BMI \>/=35 kg/m2
  • at least 2 years of unsuccessful conservative weight loss attempts

You may not qualify if:

  • \< 18 years of age
  • BMI \< 35 kg/m2
  • informed consent was not signed by the patient

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Gralka E, Luchinat C, Tenori L, Ernst B, Thurnheer M, Schultes B. Metabolomic fingerprint of severe obesity is dynamically affected by bariatric surgery in a procedure-dependent manner. Am J Clin Nutr. 2015 Dec;102(6):1313-22. doi: 10.3945/ajcn.115.110536. Epub 2015 Nov 18.

MeSH Terms

Conditions

Obesity

Interventions

Bariatric Surgery

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

BariatricsObesity ManagementTherapeuticsSurgical Procedures, Operative

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 22, 2015

First Posted

June 24, 2015

Study Start

May 1, 2010

Primary Completion

May 1, 2012

Last Updated

June 25, 2015

Record last verified: 2015-06