Study Stopped
Patients were selected but their very condition and the resulting comorbidities did not allow their inclusion. In addition, the health crisis prevented any bariatric operation of this complexity for an indefinite period.
Embolization of Arterial Gastric Supply in Obesity
Embargo
EMbolisation Bariatrique de l'ARcade Gastro-épiploïque Chez Les Patients Obèses
1 other identifier
interventional
N/A
0 countries
N/A
Brief Summary
This study aims to assess safety and efficacy of bariatric embolization of the gastro-epiploic arcade using 300-500 micrometres calibrated polyvinyl-alcohol microparticles, for patients with morbid obesity.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
Started Mar 2020
Longer than P75 for not_applicable
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
First Submitted
Initial submission to the registry
December 16, 2019
CompletedFirst Posted
Study publicly available on registry
December 20, 2019
CompletedStudy Start
First participant enrolled
March 23, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2025
CompletedApril 17, 2026
March 1, 2022
4 years
December 16, 2019
April 14, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
Number of participants with adverse events
7 days post embolization
Number of participants with adverse events
1 month post embolization
Number of participants with adverse events
3 months post embolization
Number of participants with adverse events
6 months post embolization
Number of participants with adverse events
12 months post embolization
Secondary Outcomes (6)
Change in weight
Evaluations scheduled at 7 days, 1 month, 3 months, 6 months and 12 months post embolization
Change in abdominal circumference
Evaluations scheduled at 1 month, 3 months, 6 months and 12 months post embolization
Change in thigh circumferences
Evaluations scheduled at 1 month, 3 months, 6 months and 12 months post embolization
Change in Ghrelinemia
Evaluations scheduled at 1 month, 3 months, 6 months and 12 months post embolization
Change in Quality of life
Evaluations scheduled at 7 days, 1 month, 3 months, 6 months and 12 months post embolization
- +1 more secondary outcomes
Study Arms (1)
Embolization
EXPERIMENTALPatients undergoing embolization of the gastro-epiploic arcade
Interventions
Endovascular embolization of the gastro-epiploic arcade using 300-500 micrometres calibrated polyvinyl-alcohol microparticles
Eligibility Criteria
You may qualify if:
- Adult patient aged ≥18 and ≤ 71 years old
- BMI ≥ 40 or BMI ≥ 35 in association with one of the following comorbidities: hypertension, type 2 diabetes, obstructive sleep apnea
- Relative contraindication to bariatric surgery
- Able to sign informed consent.
You may not qualify if:
- General
- Impossible or unwilling to attend follow-up visits.
- Weight \> 250kg (weight limit of angiography table)
- Confirmed allergy to intravenous contrast agents.
- Pregnancy, breast feeding or willingness to conceive during the following year
- Impossible to maintain dorsal decubitus during intervention
- Life expectancy \< 1 year
- Current enrollment in another clinical trial
- Arterial anatomy rendering embolization very difficult or impossible (as evaluated by investigators)
- Patient under the protection of justice
- Patient under guardianship or trusteeship
- Gastro-intestinal
- Pre-existing chronic abdominal pain
- History of inflammatory bowel disease
- History of gastroparesis
- +26 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- IHU Strasbourglead
Related Publications (24)
Ogden CL, Carroll MD, Flegal KM. High body mass index for age among US children and adolescents, 2003-2006. JAMA. 2008 May 28;299(20):2401-5. doi: 10.1001/jama.299.20.2401.
PMID: 18505949BACKGROUNDSturm R. Increases in morbid obesity in the USA: 2000-2005. Public Health. 2007 Jul;121(7):492-6. doi: 10.1016/j.puhe.2007.01.006. Epub 2007 Mar 30.
PMID: 17399752BACKGROUNDColquitt JL, Pickett K, Loveman E, Frampton GK. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014 Aug 8;2014(8):CD003641. doi: 10.1002/14651858.CD003641.pub4.
PMID: 25105982BACKGROUNDBaptista V, Wassef W. Bariatric procedures: an update on techniques, outcomes and complications. Curr Opin Gastroenterol. 2013 Nov;29(6):684-93. doi: 10.1097/MOG.0b013e3283651af2.
PMID: 24100715BACKGROUNDAina R, Oliva VL, Therasse E, Perreault P, Bui BT, Dufresne MP, Soulez G. Arterial embolotherapy for upper gastrointestinal hemorrhage: outcome assessment. J Vasc Interv Radiol. 2001 Feb;12(2):195-200. doi: 10.1016/s1051-0443(07)61825-9.
PMID: 11265883BACKGROUNDDe Wispelaere JF, De Ronde T, Trigaux JP, de Canniere L, De Geeter T. Duodenal ulcer hemorrhage treated by embolization: results in 28 patients. Acta Gastroenterol Belg. 2002 Jan-Mar;65(1):6-11.
PMID: 12014319BACKGROUNDDefreyne L, Vanlangenhove P, De Vos M, Pattyn P, Van Maele G, Decruyenaere J, Troisi R, Kunnen M. Embolization as a first approach with endoscopically unmanageable acute nonvariceal gastrointestinal hemorrhage. Radiology. 2001 Mar;218(3):739-48. doi: 10.1148/radiology.218.3.r01mr05739.
PMID: 11230648BACKGROUNDGoldman ML, LAND WC, Bradley EL, Anderson RT. Transcatheter therapeutic embolization in the management of massive upper gastrointestinal bleeding. Radiology. 1976 Sep;120(3):513-21. doi: 10.1148/120.3.513.
PMID: 1085008BACKGROUNDHolme JB, Nielsen DT, Funch-Jensen P, Mortensen FV. Transcatheter arterial embolization in patients with bleeding duodenal ulcer: an alternative to surgery. Acta Radiol. 2006 Apr;47(3):244-7. doi: 10.1080/02841850600550690.
PMID: 16613304BACKGROUNDLang EV, Picus D, Marx MV, Hicks ME. Massive arterial hemorrhage from the stomach and lower esophagus: impact of embolotherapy on survival. Radiology. 1990 Oct;177(1):249-52. doi: 10.1148/radiology.177.1.2399325.
PMID: 2399325BACKGROUNDLieberman DA, Keller FS, Katon RM, Rosch J. Arterial embolization for massive upper gastrointestinal tract bleeding in poor surgical candidates. Gastroenterology. 1984 May;86(5 Pt 1):876-85.
PMID: 6608465BACKGROUNDLjungdahl M, Eriksson LG, Nyman R, Gustavsson S. Arterial embolisation in management of massive bleeding from gastric and duodenal ulcers. Eur J Surg. 2002;168(7):384-90. doi: 10.1080/110241502320789050.
PMID: 12463427BACKGROUNDMiller M Jr, Smith TP. Angiographic diagnosis and endovascular management of nonvariceal gastrointestinal hemorrhage. Gastroenterol Clin North Am. 2005 Dec;34(4):735-52. doi: 10.1016/j.gtc.2005.09.001.
PMID: 16303580BACKGROUNDMorris DC, Nichols DM, Connell DG, Burhenne HJ. Embolization of the left gastric artery in the absence of angiographic extravasation. Cardiovasc Intervent Radiol. 1986;9(4):195-8. doi: 10.1007/BF02577940.
PMID: 3094950BACKGROUNDRipoll C, Banares R, Beceiro I, Menchen P, Catalina MV, Echenagusia A, Turegano F. Comparison of transcatheter arterial embolization and surgery for treatment of bleeding peptic ulcer after endoscopic treatment failure. J Vasc Interv Radiol. 2004 May;15(5):447-50. doi: 10.1097/01.rvi.0000126813.89981.b6.
PMID: 15126653BACKGROUNDRosch J, Dotter CT, Brown MJ. Selective arterial embolization. A new method for control of acute gastrointestinal bleeding. Radiology. 1972 Feb;102(2):303-6. doi: 10.1148/102.2.303. No abstract available.
PMID: 4536688BACKGROUNDSchenker MP, Duszak R Jr, Soulen MC, Smith KP, Baum RA, Cope C, Freiman DB, Roberts DA, Shlansky-Goldberg RD. Upper gastrointestinal hemorrhage and transcatheter embolotherapy: clinical and technical factors impacting success and survival. J Vasc Interv Radiol. 2001 Nov;12(11):1263-71. doi: 10.1016/s1051-0443(07)61549-8.
PMID: 11698624BACKGROUNDToyoda H, Nakano S, Takeda I, Kumada T, Sugiyama K, Osada T, Kiriyama S, Suga T. Transcatheter arterial embolization for massive bleeding from duodenal ulcers not controlled by endoscopic hemostasis. Endoscopy. 1995 May;27(4):304-7. doi: 10.1055/s-2007-1005697.
PMID: 7555935BACKGROUNDKipshidze N, Archvadze A, Bertog S, Leon MB, Sievert H. Endovascular Bariatrics: First in Humans Study of Gastric Artery Embolization for Weight Loss. JACC Cardiovasc Interv. 2015 Oct;8(12):1641-4. doi: 10.1016/j.jcin.2015.07.016. No abstract available.
PMID: 26493259BACKGROUNDSyed MI, Morar K, Shaikh A, Craig P, Khan O, Patel S, Khabiri H. Gastric Artery Embolization Trial for the Lessening of Appetite Nonsurgically (GET LEAN): Six-Month Preliminary Data. J Vasc Interv Radiol. 2016 Oct;27(10):1502-8. doi: 10.1016/j.jvir.2016.07.010. Epub 2016 Aug 24.
PMID: 27567998BACKGROUNDWeiss CR, Akinwande O, Paudel K, Cheskin LJ, Holly B, Hong K, Fischman AM, Patel RS, Shin EJ, Steele KE, Moran TH, Kaiser K, Park A, Shade DM, Kraitchman DL, Arepally A. Clinical Safety of Bariatric Arterial Embolization: Preliminary Results of the BEAT Obesity Trial. Radiology. 2017 May;283(2):598-608. doi: 10.1148/radiol.2016160914. Epub 2017 Feb 14.
PMID: 28195823BACKGROUNDBai ZB, Qin YL, Deng G, Zhao GF, Zhong BY, Teng GJ. Bariatric Embolization of the Left Gastric Arteries for the Treatment of Obesity: 9-Month Data in 5 Patients. Obes Surg. 2018 Apr;28(4):907-915. doi: 10.1007/s11695-017-2979-9.
PMID: 29063494BACKGROUNDPirlet C, Ruzsa Z, Costerousse O, Nemes B, Merkely B, Poirier P, Bertrand OF. Transradial left gastric artery embolization to treat severe obesity: A pilot study. Catheter Cardiovasc Interv. 2019 Feb 15;93(3):365-370. doi: 10.1002/ccd.27846. Epub 2018 Oct 4.
PMID: 30286527BACKGROUNDElens S, Roger T, Elens M, Rommens J, Sarafidis A, Capelluto E, Delcour C. Gastric Embolization as Treatment for Overweight Patients; Efficacy and Safety. Cardiovasc Intervent Radiol. 2019 Apr;42(4):513-519. doi: 10.1007/s00270-018-2130-x. Epub 2018 Nov 28.
PMID: 30488305BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Raoul POP, MD, PhD
Service de Neuroradiologie Interventionnelle, Nouvel Hôpital Civil, Strasbourg
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 16, 2019
First Posted
December 20, 2019
Study Start
March 23, 2020
Primary Completion
April 1, 2024
Study Completion
May 1, 2025
Last Updated
April 17, 2026
Record last verified: 2022-03
Data Sharing
- IPD Sharing
- Will not share