BAriaTric Surgery After Breast Cancer Treatment (BATS)
BAriaTric Surgery After Breast Cancer Treatment (BATS) - A Randomized Trial of Sleeve Gastrectomy Versus Lifestyle Intervention in Women Diagnosed With Early Stage Breast and With a BMI of ≥ 35
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Sara Eischen
- Phone Number: 612-624-0902
- Email: bengt008@umn.edu
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Diagnosis of breast cancer in the previous 10 years and currently disease free.
- Completion of breast cancer treatment (radiation, chemotherapy) at least > 6 months prior to enrollment
- Body mass index (BMI) of ≥ 35 kg/m2, but < 50 kg/m2.
- 18 through 67 years of age at enrollment
- Deemed healthy enough to undergo bariatric surgery, if assigned intervention, as determined by a surgeon and documented in the medical record.
- Must have insurance coverage with no exclusion for obesity related treatment or management of obesity related surgical complications - in general insurance coverage is available for persons with a BMI ≥ 35 kg/m2.
- Anticipated ability to abide by study requirements demonstrated in part by, but not limited to, successful completion of run-in assessments.
- Willingness to accept randomization into either interventional group.
- Provides voluntary written consent prior to performance of any research related activities.
Exclusion Criteria:
- Cardiovascular event (myocardial infarction, acute coronary syndrome, coronary artery angioplasty or bypass, stroke) in the past six months.
- Current evidence of congestive heart failure, angina pectoris, or symptomatic peripheral vascular disease.
- Cardiac stress test indicating that surgery or lifestyle would not be safe.
- 12-lead EKG indicating that surgery would not be safe.
- Significant anemia (hemoglobin 1.0 g/dL or more below normal range) or history of coagulopathy.
- History of stomach surgery, bile duct surgery, pancreatic surgery, splenectomy, or colon resection.
- Gastric or duodenal ulcer in the past six months.
- History of intra-abdominal sepsis except for uncomplicated appendicitis or diverticulitis more than six months prior to enrollment.
- Self-reported HIV-positive status, active tuberculosis, active malaria, chronic hepatitis B or C, cirrhosis, or inflammatory bowel disease.
- Currently pregnant or nursing, or planning to become pregnant in the next 15 months.
- History of alcohol, drug, or opioid dependency (excluding nicotine) in the past five years.
- Active psychosocial or psychiatric problem that is likely to interfere with adherence to the protocol.
- Deemed not an acceptable candidate by a trained psychologist.
- Current participation in a conflicting research protocol.
- Presence of any chronic or debilitating disease that would make adherence to the protocol difficult.
- Gastroesophageal reflux disease requiring medications. History of endoscopy demonstrating esophagitis or Barrett's changes in the esophagus.
- Any history of dysphagia.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Sleeve Gastrectomy & Lifestyle Intervention
|
Standard of care bariatric surgery with sleeve gastrectomy
All participants receive lifestyle intervention.
The lifestyle intervention program is modeled closely after that used in the Diabetes Primary Prevention Trial and the LookAHEAD diabetes treatment studies.
Intervention includes counseling sessions weekly for the first six months, twice a month during months 7-9, and monthly during months 10-12, and energy intake and exercise goal monitoring and guidance.
|
|
Active Comparator: Lifestyle Intervention
|
All participants receive lifestyle intervention.
The lifestyle intervention program is modeled closely after that used in the Diabetes Primary Prevention Trial and the LookAHEAD diabetes treatment studies.
Intervention includes counseling sessions weekly for the first six months, twice a month during months 7-9, and monthly during months 10-12, and energy intake and exercise goal monitoring and guidance.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Feasibility of Weight Loss Intervention
Time Frame: 1 Year
|
Feasibility for women who were diagnosed with early stage breast cancer in the previous 10 years and have a body mass index (BMI) of ≥ 35 kg/m2 but < 50 kg/m2.
|
1 Year
|
|
Acceptability of Weight Loss Intervention
Time Frame: 1 Year
|
Acceptability of women who were diagnosed with early stage breast cancer in the previous 10 years and have a body mass index (BMI) of ≥ 35 kg/m2 but < 50 kg/m2.
|
1 Year
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Weight Loss
Time Frame: 1 Year
|
Percent body mass weight loss
|
1 Year
|
|
Breast Cancer Recurrence
Time Frame: 1 Year
|
Incidence of breast cancer recurrence
|
1 Year
|
|
Cancer Related Mortality
Time Frame: 1 Year
|
Incidence of cancer related mortality
|
1 Year
|
|
Overall Mortality
Time Frame: 1 Year
|
Incidence of overall mortality
|
1 Year
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Anne Blaes, MD, University of Minnesota, Division of Hematology, Oncology and Transplantation
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Nutrition Disorders
- Neoplasms by Site
- Neoplasms
- Overnutrition
- Body Weight
- Skin Diseases
- Breast Diseases
- Overweight
- Pathological Conditions, Signs and Symptoms
- Nutritional and Metabolic Diseases
- Skin and Connective Tissue Diseases
- Signs and Symptoms
- Obesity
- Breast Neoplasms
- Therapeutics
- Surgical Procedures, Operative
- Bariatrics
- Obesity Management
- Bariatric Surgery
Other Study ID Numbers
Other Study ID Numbers
- 2018LS148
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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