NCT06910735

Brief Summary

This national, prospective, multicenter, and randomized study seeks to evaluate the effect of financial incentives on weight loss in individuals who experience weight regain following bariatric surgery. The study also aims to conduct a cost-utility analysis to measure the effectiveness of the intervention and assess the potential budgetary implications if it were to be implemented on a wider scale.

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
264

participants targeted

Target at P75+ for not_applicable obesity

Timeline
36mo left

Started Apr 2025

Longer than P75 for not_applicable obesity

Geographic Reach
1 country

12 active sites

Status
not yet recruiting

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 Progress28%
Apr 2025Apr 2029

First Submitted

Initial submission to the registry

March 28, 2025

Completed
4 days until next milestone

Study Start

First participant enrolled

April 1, 2025

Completed
3 days until next milestone

First Posted

Study publicly available on registry

April 4, 2025

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2028

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2029

Last Updated

April 4, 2025

Status Verified

March 1, 2025

Enrollment Period

3 years

First QC Date

March 28, 2025

Last Update Submit

March 28, 2025

Conditions

Keywords

Bariatric surgeryFinancial incentive

Outcome Measures

Primary Outcomes (1)

  • Change from Baseline in body weight

    12 months

Secondary Outcomes (17)

  • Change from Baseline in body weight

    24 months

  • Change from Baseline in blood pressure

    6, 12, 18, 24 months

  • Change from Baseline in Fasting Plasma Glucose

    6, 12, 18, 24 months

  • Change from Baseline in Glycated hemoglobin

    6, 12, 18, 24 months

  • Change from Baseline in Total Cholesterol

    6, 12, 18, 24 months

  • +12 more secondary outcomes

Study Arms (3)

Control

OTHER
Other: Control

Threshold financial incentive

EXPERIMENTAL
Behavioral: Threshold financial incentive

Proportional financial incentive

EXPERIMENTAL
Behavioral: Proportional financial incentive

Interventions

ControlOTHER

Participants will receive the standard care that includes setting a weight-loss target based on the weight achieved at 12 months post-bariatric surgery following the standard multidisciplinary follow-up at the inclusion center

Control

Participants will receive the standard care with an additional financial incentive of 300 € if they successfully achieve the weight loss target corresponding to their weight at 12 months after bariatric surgery. This financial incentive will be awarded 12 months after their inclusion in the study.

Threshold financial incentive

Participants will receive the standard care with an additional financial incentive, which will be determined based on the proportion of their actual weight loss in relation to the predefined weight loss target corresponding to their weight at 12 months after bariatric surgery. The financial incentive can be up to 300 € if the weight loss target is achieved 12 months after their inclusion in the study.

Proportional financial incentive

Eligibility Criteria

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

You may qualify if:

  • Male or female over 18 years of age
  • Patients with a history of adjustable gastric banding, sleeve gastrectomy, gastric bypass or SADI-sleeve surgery
  • Patient with a post-operative delay of more than 2 years
  • Patient who has gained ≥10% of the maximum weight lost
  • Patient still obese (body mass index ≥ 30 kg/m²) after surgery

You may not qualify if:

  • Pregnant women
  • Women of childbearing potential planning a pregnancy during the first year of the study
  • Persons under legal protection (safeguard of justice, guardianship, curatorship, etc.)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (12)

AP-HP - hôpital Avicenne

Bobigny, 93000, France

Location

AP-HP - hôpital Louis-Mourier

Colombes, 92701, France

Location

Centre hospitalier intercommunal de Créteil

Créteil, 94000, France

Location

AP-HM - hôpital de la Conception

Marseille, 13005, France

Location

CHU de Nantes - hôpital Laënnec

Nantes, 44093, France

Location

CHR d'Orléans - hôpital La Source

Orléans, 45100, France

Location

AP-HP - hôpital de la Pitié-Salpêtrière

Paris, 75013, France

Location

AP-HP - hôpital européen Georges-Pompidou

Paris, 75015, France

Location

AP-HP - hôpital Bichat - Claude-Bernard

Paris, 75018, France

Location

CHU de Poitiers

Poitiers, 86000, France

Location

CHU de Reims - hôpital Robert-Debré

Reims, 51092, France

Location

CHU de Nancy - hôpital Brabois

Vandœuvre-lès-Nancy, 54500, France

Location

MeSH Terms

Conditions

Obesity

Condition Hierarchy (Ancestors)

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

Study Officials

  • Sébastien Czernichow, MD

    Assistance Publique - Hôpitaux de Paris

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 28, 2025

First Posted

April 4, 2025

Study Start

April 1, 2025

Primary Completion (Estimated)

April 1, 2028

Study Completion (Estimated)

April 1, 2029

Last Updated

April 4, 2025

Record last verified: 2025-03

Data Sharing

IPD Sharing
Will share

Individual participant data (IPD) that underlie results in publication could be shared. IPD detailed in the protocol of a planned metaanalysis could be shared.

Shared Documents
STUDY PROTOCOL, ICF
Time Frame
Two years after the last publication
Access Criteria
Data sharing must be accepted by the sponsor and the PI based on a scientific project and scientific involvement of the PI team. Collaboration will be fostered. Teams wishing obtain IPD must meet the sponsor and IP team to present scientifics (and commercial) purpose, IPD needed, format of data transmission, and timeframe. Technical feasibility and financial support will be discussed before mandatory contractualization. Processing of shared data must comply with European General Data Protection Regulation (GDPR).

Locations