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Long-term Adverse Effects After Bariatric Surgery on Bone Density (FUB-A)

Primary Purpose

Morbid Obesity

Status
Completed
Phase
Not Applicable
Locations
Switzerland
Study Type
Interventional
Intervention
DEXA (= Dual-energy x-ray absorptiometry)
Sponsored by
University Hospital, Basel, Switzerland
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Morbid Obesity

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients who received laparoscopic sleeve gastrectomy (LSG) or laparoscopic gastric bypass (LRYGB) ≥ 5 years ago as a primary bariatric procedure will be eligible for this study.

Exclusion Criteria:

  • LSG or LRYGB as a secondary bariatric procedure (e.g. after gastric banding), patients receiving secondary bariatric operation after LSG resp LRYGB (e.g. biliopancreatic diversion), pregnancy (due to radiation exposition)

Sites / Locations

  • St Claraspital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Gastric Bypass

Sleeve gastrectomy

Arm Description

Patients ≥ 5 years after laparoscopic gastric bypass receive DEXA (= Dual-energy x-ray absorptiometry) in order to measure bone mass density

Patients ≥ 5 years after laparoscopic sleeve gastrectomy receive DEXA (= Dual-energy x-ray absorptiometry) in order to measure bone mass density

Outcomes

Primary Outcome Measures

Total hip T-Score measured with dual-energy x-ray absorptiometry
measured score will be compared to reference score for this age

Secondary Outcome Measures

Total vertebral T-Score measured with dual-energy x-ray absorptiometry
measured score will be compared to reference score for this age
fracture risk assessed by FRAX score
measured score will be compared to reference score for this age
plasma concentration of C-terminal telopeptide (CTX)
measured plasma concentration will be compared to reference for this age
plasma concentration of vitamin D3
measured plasma concentration will be compared to reference for this age

Full Information

First Posted
January 2, 2018
Last Updated
August 12, 2019
Sponsor
University Hospital, Basel, Switzerland
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1. Study Identification

Unique Protocol Identification Number
NCT03410459
Brief Title
Long-term Adverse Effects After Bariatric Surgery on Bone Density
Acronym
FUB-A
Official Title
Long-term Adverse Effects After Laparoscopic Sleeve Gastrectomy and Roux en Y Gastric Bypass (Part A)
Study Type
Interventional

2. Study Status

Record Verification Date
August 2019
Overall Recruitment Status
Completed
Study Start Date
February 2, 2018 (Actual)
Primary Completion Date
May 30, 2019 (Actual)
Study Completion Date
May 30, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University Hospital, Basel, Switzerland

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The goal of this trial is to examine long-term effects of laparoscopic gastric bypass (LRYGB) and sleeve gastrectomy (LSG) on bone mineral density, fracture risk, and body composition ≥ 5 years post-surgery.
Detailed Description
Bariatric surgery shows impressive results in terms of weight loss and resolution of comorbidities. Still, there are questions as to the frequency of long-term adverse effects: data on alterations in bone health are missing, The goal of this trial is to examine long-term effects of laparoscopic gastric bypass (LRYGB) and sleeve gastrectomy (LSG) on bone mineral density, fracture risk, and body composition ≥ 5 years post-surgery.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Morbid Obesity

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
140 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Gastric Bypass
Arm Type
Active Comparator
Arm Description
Patients ≥ 5 years after laparoscopic gastric bypass receive DEXA (= Dual-energy x-ray absorptiometry) in order to measure bone mass density
Arm Title
Sleeve gastrectomy
Arm Type
Active Comparator
Arm Description
Patients ≥ 5 years after laparoscopic sleeve gastrectomy receive DEXA (= Dual-energy x-ray absorptiometry) in order to measure bone mass density
Intervention Type
Diagnostic Test
Intervention Name(s)
DEXA (= Dual-energy x-ray absorptiometry)
Intervention Description
measurement of vertebral bone and hip bone mineral density
Primary Outcome Measure Information:
Title
Total hip T-Score measured with dual-energy x-ray absorptiometry
Description
measured score will be compared to reference score for this age
Time Frame
5-7 years after bariatric surgery
Secondary Outcome Measure Information:
Title
Total vertebral T-Score measured with dual-energy x-ray absorptiometry
Description
measured score will be compared to reference score for this age
Time Frame
5-7 years after bariatric surgery
Title
fracture risk assessed by FRAX score
Description
measured score will be compared to reference score for this age
Time Frame
5-7 years after bariatric surgery
Title
plasma concentration of C-terminal telopeptide (CTX)
Description
measured plasma concentration will be compared to reference for this age
Time Frame
5-7 years after bariatric surgery
Title
plasma concentration of vitamin D3
Description
measured plasma concentration will be compared to reference for this age
Time Frame
5-7 years after bariatric surgery

10. Eligibility

Sex
All
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients who received laparoscopic sleeve gastrectomy (LSG) or laparoscopic gastric bypass (LRYGB) ≥ 5 years ago as a primary bariatric procedure will be eligible for this study. Exclusion Criteria: LSG or LRYGB as a secondary bariatric procedure (e.g. after gastric banding), patients receiving secondary bariatric operation after LSG resp LRYGB (e.g. biliopancreatic diversion), pregnancy (due to radiation exposition)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bettina K Wölnerhanssen, MD
Organizational Affiliation
Clinical Research St. Claraspital Basel
Official's Role
Principal Investigator
Facility Information:
Facility Name
St Claraspital
City
Basel
ZIP/Postal Code
4016
Country
Switzerland

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Long-term Adverse Effects After Bariatric Surgery on Bone Density

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