Cortisol and Obesity - A Vicious Cycle? Hypoglycemia After Bariatric Surgery - Association With Cortisol Metabolism?
1 other identifier
observational
100
1 country
1
Brief Summary
The goal of this observational study is to learn about how bariatric surgery affects the metabolism of cortisol. The main question it aims to answer is whether changes in cortisol contribute to the development of reactive hypoglycemia? 100 individuals who have previously undergone bariatric surgery, are planned to be included.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Jul 2025
1 active site
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Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 3, 2025
CompletedFirst Posted
Study publicly available on registry
March 26, 2025
CompletedStudy Start
First participant enrolled
July 8, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2026
March 13, 2026
March 1, 2025
1.5 years
March 3, 2025
March 11, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Changes in serum cortisol during mixed meal test
cortisol at nadir glucose during the mixed meal test - cortisol at the start of the meal test
0, 30, 60, 90, 120, 150, 180 minutes (visit 2)
Secondary Outcomes (3)
ACTH test: Test of adrenal function
0, 30 minutes
Cortisol hormone profile
1 hour
urinary cortisol: Ratio of cortisol/cortisone
24 hour
Eligibility Criteria
postbariatric patients
You may qualify if:
- Participants must have undergone one of the following bariatric procedures at least 12 months prior:
- Roux-en-Y gastric bypass
- Gastric sleeve
You may not qualify if:
- Pregnancy and breastfeeding
- Nephrotic syndrome (kidney disease with protein loss in urine), liver cirrhosis, or severe malnutrition, as these conditions reduce cortisol-binding globulin (CBG) levels, affecting total cortisol concentration
- Use of corticosteroid medications, such as prednisolone
- Use of opiod-containing medication
- Use of medications containing estrogen, such as hormone therapy for menopause
- Known adrenal disease affecting cortisol metabolism, including autonomous cortisol production and Cushing's syndrome
- Diabetes that does not require medical treatment
- Previously diagnosed reactive hypoglycemia after bariatric surgery requiring medical treatment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Esbjerg Hospital
Esbjerg, 6700, Denmark
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator, Senior Registrar in Endocrinology
Study Record Dates
First Submitted
March 3, 2025
First Posted
March 26, 2025
Study Start
July 8, 2025
Primary Completion (Estimated)
December 31, 2026
Study Completion (Estimated)
December 31, 2026
Last Updated
March 13, 2026
Record last verified: 2025-03