- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04325581
Laparocopic Sleeve Gastrectomy With or Without Liraglutide in Obese Patients
Effect of Laparoscopic Sleeve Gastrectomy and Liraglutide on Glucose Homeostasis and Intrapancreatic Fat in Obese Patients
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Various studies have shown that bariatric surgery is associated with significant durable weight loss with associated improvement in obesity related comorbidities and quality of life. The degree of effect on obesity related comorbidities depends on the bariatric surgery approach, typically classified as restrictive and/or malabsorptive effect. Data from International Federation for the Surgery of Obesity and Metabolic Diseases states that most common surgical procedures being performed are Roux-en-Y gastric bypass (45%), sleeve gastrectomy(37%), adjustable gastric banding(10%) and biliopancreatic division with or without duodenal switch(2.5%)5. . LSG is technically a simpler procedure compared to RYGB with lesser operative and long term nutritional complications. The mechanism for weight loss in laparoscopic sleeve gastrectomy is gastric restriction and possible changes in gut hormones resulting from higher level of GLP-1, and lower levels of ghrelin, as a consequence of resection of gastric fundus.
Therefore,investigators postulate that the metabolic effects of LSG would be augmented with the use of liraglutide leading to additional excess weight loss, improved glucose homeostasis, decreased intrapancreatic and intrahepatic fat than either of them individually. However there are no studies till date which have evaluated the combined effects of two modalities of weight loss on the above mentioned parameters. This study plans to compare the effects of liraglutide in post- LSG obese participants in a placebo controlled design.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subjects diagnosed with obesity who have elected to undergo bariatric surgery
- Body mass index greater than 27.5kg/mt2
- Ability and willingness to co-operate with follow up.
Exclusion Criteria:
Decompensated liver disease ( child-turcotte pugh score >7)
- Impaired renal function, defined as eGFR< 45 ml/min/m2
- Clinically significant active cardiovascular disease including history of myocardial infarction within the past 6 months and/or heart failure (New York Heart Association (NYHA) class III and IV)
- Recurrent major hypoglycemic episodes
- Use of drugs like systemic corticosteroids, thiazolidinediones, DPPIV inhibitors
- Pregnancy or lactation
- History of pancreatitis or pancreatic cancer
- History of medullary thyroid cancer
- Family history of medullary thyroid cancer
- Contraindications to liraglutide or any of its excipients
- Hypersensitivity to liraglutide or similar drugs
- Patients currently using GLP-1 analogs
- Suspected or known abuse of alcohol
- Presence of secondary cause of obesity.
- Presence of an eating disorder or other psychiatric disorder.
- Prior gastric surgery.
- Unfit for surgery due to severe cardiac, pulmonary diseases or due to any reason.
- Contraindications to MRI scanning
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Post LSG with Liraglutude
Liraglutide in incremental dose upto maximum of 1.8 mg per day subcutaneously once a day.
|
Liraglutide in incremental dose upto maximum of 1.8 mg per day SC daily
Other Names:
|
Placebo Comparator: Post LSG without Liraglutide
Normal Saline in equivalent per day subcutaneously once a day
|
Normal Saline SC daily
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incretin change
Time Frame: baseline and at 6weeks and 6months after laparoscopic sleeve gastrectomy
|
Changes in GLP-1 levels during 2hour OGTT
|
baseline and at 6weeks and 6months after laparoscopic sleeve gastrectomy
|
Changes in indices of insulin resistance
Time Frame: baseline and at 6weeks and 6months after laparoscopic sleeve gastrectomy
|
HOMA-IR calculated from fasting insulin and fasting glucose
|
baseline and at 6weeks and 6months after laparoscopic sleeve gastrectomy
|
Change in pancreatic steatosis
Time Frame: baseline and 6months after laparoscopic sleeve gastrectomy
|
Change in pancreatic steatosis would be determined using NUTS ACORN NMR software
|
baseline and 6months after laparoscopic sleeve gastrectomy
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
body weight
Time Frame: baseline and 6 weeks, 12weeks, 18weeks and 24weeks after surgery
|
The change in body weight
|
baseline and 6 weeks, 12weeks, 18weeks and 24weeks after surgery
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
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
Other Study ID Numbers
- pgi123
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.
Clinical Trials on Weight Loss
-
United States Army Research Institute of Environmental...USDA Grand Forks Human Nutrition Research Center; Eastern Michigan UniversityCompletedWeight Loss | Bone Loss | Muscle LossUnited States
-
Case Comprehensive Cancer CenterUniversity Hospitals Seidman Cancer CenterRecruitingUnintentional Weight Loss and Cancer: A Prospective Trial of Patient-centered Weight Tracking CombinUnintended Weight LossUnited States
-
HealthPartners InstituteNational Cancer Institute (NCI)Completed
-
Zhen Jun WangUnknownSleeve Gastrectomy | Excessive Weight Loss | Total Weight Loss | Jejunojejunal Bypass | UncutChina
-
Dana-Farber Cancer InstituteCompletedWeight Loss Program After Cancer DiagnosisUnited States
-
Power Life Sciences Inc.Not yet recruitingGastric Bypass | Weight Loss Surgery
-
Medical University of ViennaCompleted
-
University at BuffaloHarvard Medical School (HMS and HSDM)TerminatedWeight Loss | Appetite LossUnited States
-
Duke UniversityNational Institute on Aging (NIA)Suspended
-
Drexel UniversityUniversity of PennsylvaniaCompletedObesity | Overweight | Weight Loss MaintenanceUnited States
Clinical Trials on Liraglutide 6 MG/ML
-
Adynxx, Inc.National Institute on Drug Abuse (NIDA)Withdrawn
-
Turku University HospitalActive, not recruitingGestational DiabetesFinland
-
University Medical Centre LjubljanaCompleted
-
Adynxx, Inc.WithdrawnPain, PostoperativeUnited States
-
Federico II UniversityUnknown
-
Adynxx, Inc.CompletedPost-surgical PainUnited States
-
NPO PetrovaxCompletedAcute Respiratory InfectionRussian Federation
-
Adynxx, Inc.CompletedPostsurgical PainUnited States
-
Catholic University of the Sacred HeartCompleted
-
University Medical Centre LjubljanaCompletedObesity | PCOSSlovenia