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Effect of Meal Number, Frequency, and Form on Satiety and Metabolism After Weight Loss Surgery

Primary Purpose

Gastric Bypass Surgery, Obesity

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Liquid Meal
Solid Meal
Sponsored by
St. Luke's-Roosevelt Hospital Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Gastric Bypass Surgery focused on measuring Bariatric, Gastric Bypass, Gastric Banding,, Incretins, glucagon-like peptide-1(GLP-1), gastric inhibitory peptide (GIP)

Eligibility Criteria

21 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Severely obese patients undergoing gastric bypass surgery (GBP)

Sites / Locations

  • St. Lukes- Roosevelt Hospital- New York Obesity Research Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

Other

Arm Label

Solid Meal

Liquid Meal

Arm Description

Participants in this group will be administered only solid meals on both study visits completed before surgery (T0) and 12-15 months after (T1).

Participants in this group will be administered only liquid meals on both study visits completed before surgery (T0) and 12-15 months after (T1).

Outcomes

Primary Outcome Measures

Changes in gut peptides after gastric bypass, during either a liquid or solid meal, or single or multiple isocaloric meals.
Changes in diet induced thermogenesis after gastric bypass, during either a liquid or solid meal, or single or multiple isocaloric meals.
Changes in insulin levels after gastric bypass, during either a liquid or solid meal, or single or multiple isocaloric meals.
Changes in glucose levels after gastric bypass, during either a liquid or solid meal, or single or multiple isocaloric meals.
Changes in satiety after gastric bypass, during either a liquid or solid meal, or single or multiple isocaloric meals.

Secondary Outcome Measures

Full Information

First Posted
August 21, 2013
Last Updated
December 28, 2016
Sponsor
St. Luke's-Roosevelt Hospital Center
Collaborators
National Institutes of Health (NIH)
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1. Study Identification

Unique Protocol Identification Number
NCT01938469
Brief Title
Effect of Meal Number, Frequency, and Form on Satiety and Metabolism After Weight Loss Surgery
Official Title
Effect of Meal Number, Frequency, and Form on Satiety and Metabolism After Weight Loss Surgery
Study Type
Interventional

2. Study Status

Record Verification Date
December 2016
Overall Recruitment Status
Completed
Study Start Date
September 2010 (undefined)
Primary Completion Date
July 2014 (Actual)
Study Completion Date
July 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
St. Luke's-Roosevelt Hospital Center
Collaborators
National Institutes of Health (NIH)

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Analyze the effect of meal pattern (meal number, frequency, and form) on satiety, gut peptides, insulin, and glucose levels in individuals before and 12-15 months after gastric bypass surgery (GBP).
Detailed Description
The main goal is to study the effect of meal number, size and texture on metabolism and incretin levels after GBP. Patients will be studied before GBP (T0) and 12-15 months after GBP (T1). At T0 and T1, patients will come for 2 study days for 8 hours: On one study day, a single meal will be served, on the second study day, three small isocaloric meals, with the order of the conditions randomly assigned. The total amount of calories and the overall nutrient composition will be equivalent between conditions. The meals will be either all solid or all liquid. Patients enrolled in the study will be randomly assigned to solid or liquid test meals. Gastric emptying will be measured by the acetaminophen test.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gastric Bypass Surgery, Obesity
Keywords
Bariatric, Gastric Bypass, Gastric Banding,, Incretins, glucagon-like peptide-1(GLP-1), gastric inhibitory peptide (GIP)

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
33 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Solid Meal
Arm Type
Other
Arm Description
Participants in this group will be administered only solid meals on both study visits completed before surgery (T0) and 12-15 months after (T1).
Arm Title
Liquid Meal
Arm Type
Other
Arm Description
Participants in this group will be administered only liquid meals on both study visits completed before surgery (T0) and 12-15 months after (T1).
Intervention Type
Other
Intervention Name(s)
Liquid Meal
Intervention Type
Other
Intervention Name(s)
Solid Meal
Primary Outcome Measure Information:
Title
Changes in gut peptides after gastric bypass, during either a liquid or solid meal, or single or multiple isocaloric meals.
Time Frame
1 month before GBP Surgery, and 12-15 months post surgery
Title
Changes in diet induced thermogenesis after gastric bypass, during either a liquid or solid meal, or single or multiple isocaloric meals.
Time Frame
1 month before GBP surgery, and 12-15 months post surgery
Title
Changes in insulin levels after gastric bypass, during either a liquid or solid meal, or single or multiple isocaloric meals.
Time Frame
1 month before GBP surgery, 12-15 months post surgery
Title
Changes in glucose levels after gastric bypass, during either a liquid or solid meal, or single or multiple isocaloric meals.
Time Frame
1 month before GBP , 12-15 months post GBP
Title
Changes in satiety after gastric bypass, during either a liquid or solid meal, or single or multiple isocaloric meals.
Time Frame
1 month before GBP, 12-15 months post GBP

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Severely obese patients undergoing gastric bypass surgery (GBP)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Blandine Laferrere, MD
Organizational Affiliation
New York Obesity Nutrition Research Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
St. Lukes- Roosevelt Hospital- New York Obesity Research Center
City
New York
State/Province
New York
ZIP/Postal Code
10025
Country
United States

12. IPD Sharing Statement

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Effect of Meal Number, Frequency, and Form on Satiety and Metabolism After Weight Loss Surgery

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