- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03306771
The Relationship Between Morbid Obesity and Carotid Artery Stenosis
The Relationship Between Morbid Obesity and Carotid Artery Stenosis - a Comparative Prospective Study
Study Overview
Status
Intervention / Treatment
Detailed Description
The investigators hypothesis is that there is a direct relationship between morbid obesity and carotid artery stenosis. The investigators hypothesize that metabolic/Bariatric surgery improves the stenosis in the carotid artery.
This is a prospective comparative study on the candidates for metabolic/Bariatric surgery in the bariatric center, Emek Medical Center, Afula, Israel. The investigators will compare the candidate for metabolic surgery with metabolic syndrome risk factors to the ones without metabolic syndrome risk factors.
The assessment of the carotid artery will be done by Ultrasound Doppler before surgery and 6, 12 and 24 month post surgery.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Uri Kaplan, MD
- Phone Number: 972-50-5315311
- Email: kaplanuri@gmail.com
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
• Candidates for first bariatric surgery
Exclusion Criteria:
- Smokers or past smokers
- Patients who are post carotid artery intervention
Study Plan
How is the study designed?
Design Details
- Observational Models: Case-Control
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Metabolic syndrome risk factors
Candidates for bariatric surgery who have metabolic syndrome risk factors will be evaluated by Ultrasound duplex before the bariatric surgery and 6,12 and 24 months post surgery for Intimal-Media Thickness and Carotid artery velocity
|
The two groups will have Ultrasound Duplex before bariatric surgery, and 6,12 and 24 months post surgery
|
No metabolic Syndrome risk factors
Candidates for bariatric surgery who lack metabolic syndrome risk factors will be evaluated by Ultrasound duplex before the bariatric surgery and 6,12 and 24 months post surgery for Intimal-Media Thickness and Carotid artery velocity
|
The two groups will have Ultrasound Duplex before bariatric surgery, and 6,12 and 24 months post surgery
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Correlation between morbid obesity and carotid artery stenosis
Time Frame: 24 months post surgery
|
Evaluate the correlation between the two in order to identify high risk patient for carotid stenosis without metabolic syndrome risk factors
|
24 months post surgery
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in Intimal -media thickness
Time Frame: Before bariatric surgery, and 6,12,24 months after the surgery
|
To compare the baseline Intimal-media thickness before surgery to the one post-surgery by the use of Ultrasound
|
Before bariatric surgery, and 6,12,24 months after the surgery
|
Changes in the carotid artery velocity
Time Frame: Before bariatric surgery, and 6,12,24 months after the surgery
|
To compare the baseline carotid artery velocity before surgery to the one post-surgery by the use of Ultrasound Doppler
|
Before bariatric surgery, and 6,12,24 months after the surgery
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Uri Kaplan, MD, Haemek Medical Center
Publications and helpful links
General Publications
- Ribeiro Filho FF, Mariosa LS, Ferreira SR, Zanella MT. [Visceral fat and metabolic syndrome: more than a simple association]. Arq Bras Endocrinol Metabol. 2006 Apr;50(2):230-8. doi: 10.1590/s0004-27302006000200009. Epub 2006 May 23. Portuguese.
- Sims EA. Are there persons who are obese, but metabolically healthy? Metabolism. 2001 Dec;50(12):1499-504. doi: 10.1053/meta.2001.27213. Erratum In: Metabolism 2002 Apr;51(4):536.
- Sharma AM. Obesity and cardiovascular risk. Growth Horm IGF Res. 2003 Aug;13 Suppl A:S10-7. doi: 10.1016/s1096-6374(03)00047-9.
- Pignoli P, Tremoli E, Poli A, Oreste P, Paoletti R. Intimal plus medial thickness of the arterial wall: a direct measurement with ultrasound imaging. Circulation. 1986 Dec;74(6):1399-406. doi: 10.1161/01.cir.74.6.1399.
- Marchesi F, Giacosa R, Reggiani V, De Sario G, Tartamella F, Melani E, Mita MT, Cinieri FG, Cecchini S, Ricco' M, Salcuni P, Roncoroni L. Morphological Changes in the Carotid Artery Intima after Gastric Bypass for Morbid Obesity. Obes Surg. 2017 Feb;27(2):357-363. doi: 10.1007/s11695-016-2279-9.
- Sarmento PL, Plavnik FL, Zanella MT, Pinto PE, Miranda RB, Ajzen SA. Association of carotid intima-media thickness and cardiovascular risk factors in women pre- and post-bariatric surgery. Obes Surg. 2009 Mar;19(3):339-44. doi: 10.1007/s11695-008-9783-5. Epub 2008 Dec 13.
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Vascular Diseases
- Glucose Metabolism Disorders
- Metabolic Diseases
- Cerebrovascular Disorders
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Arterial Occlusive Diseases
- Overnutrition
- Nutrition Disorders
- Overweight
- Body Weight
- Pathological Conditions, Anatomical
- Insulin Resistance
- Hyperinsulinism
- Obesity
- Metabolic Syndrome
- Carotid Stenosis
- Carotid Artery Diseases
- Obesity, Morbid
- Constriction, Pathologic
Other Study ID Numbers
- 0126-17-EMC
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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