NCT04207424

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

15
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Timeline
Completed

Started Mar 2020

Longer than P75 for not_applicable

Status
withdrawn

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

Completed
4 days until next milestone

First Posted

Study publicly available on registry

December 20, 2019

Completed
3 months until next milestone

Study Start

First participant enrolled

March 23, 2020

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2024

Completed
1.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2025

Completed
Last Updated

April 17, 2026

Status Verified

March 1, 2022

Enrollment Period

4 years

First QC Date

December 16, 2019

Last Update Submit

April 14, 2026

Conditions

Keywords

Bariatric embolizationObesityMetabolic syndrome

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

EXPERIMENTAL

Patients undergoing embolization of the gastro-epiploic arcade

Procedure: Emblization of the gastro-epiploic arcade

Interventions

Endovascular embolization of the gastro-epiploic arcade using 300-500 micrometres calibrated polyvinyl-alcohol microparticles

Embolization

Eligibility Criteria

Age18 Years - 71 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

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: 18505949BACKGROUND
  • Sturm 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: 17399752BACKGROUND
  • Colquitt 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: 25105982BACKGROUND
  • Baptista 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: 24100715BACKGROUND
  • Aina 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: 11265883BACKGROUND
  • De 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: 12014319BACKGROUND
  • Defreyne 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: 11230648BACKGROUND
  • Goldman 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: 1085008BACKGROUND
  • Holme 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: 16613304BACKGROUND
  • Lang 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: 2399325BACKGROUND
  • Lieberman 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: 6608465BACKGROUND
  • Ljungdahl 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: 12463427BACKGROUND
  • Miller 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: 16303580BACKGROUND
  • Morris 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: 3094950BACKGROUND
  • Ripoll 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: 15126653BACKGROUND
  • Rosch 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: 4536688BACKGROUND
  • Schenker 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: 11698624BACKGROUND
  • Toyoda 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: 7555935BACKGROUND
  • Kipshidze 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: 26493259BACKGROUND
  • Syed 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: 27567998BACKGROUND
  • Weiss 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: 28195823BACKGROUND
  • Bai 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: 29063494BACKGROUND
  • Pirlet 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: 30286527BACKGROUND
  • Elens 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

Obesity, MorbidObesityMetabolic Syndrome

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsInsulin ResistanceHyperinsulinismGlucose Metabolism DisordersMetabolic Diseases

Study Officials

  • Raoul POP, MD, PhD

    Service de Neuroradiologie Interventionnelle, Nouvel Hôpital Civil, Strasbourg

    PRINCIPAL INVESTIGATOR
0

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