The Effect of Bariatric Surgery on Metabolism, the Metabolome and Microbiome in Patients With Type 2 Diabetes
NCT02762708 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 12
Last updated 2022-05-03
Summary
What are the benefits of undergoing Roux-en-Y gastric bypass surgery in improving type 2 diabetes outside of weight loss alone?
Conditions
Interventions
- PROCEDURE
-
Roux-en-Y Gastric Bypass (RYGB)
Subjects will be studied prior to surgical intervention and 12 weeks post surgery. Subjects in surgical arm will start diet intervention after surgery. Follow up with dietary will be per standard of care following RYGB surgery.
- BEHAVIORAL
-
Caloric Restriction
Subjects participating in caloric arm of this study will be asked to consume an identical diet that is controlled for caloric content and macronutrient composition. This is identical to that consumed by patient undergoing RYGB. Subjects in the caloric restriction arm will start the diet after the screening visit. Compliance will be monitored by alternating weekly meetings with a clinical psychologist and dietician.
- DRUG
-
Exendin-9,39
A subset of 4 subjects who have undergone RYGB surgery will be studied 4 weeks after surgery. Subjects will be randomized to receive an infusion of either Exendin-9,39 or normal saline. Exendin-9,39 blocks the action of specific hormones called "incretins" that are produced by the gut in health and in larger quantities after gastric bypass surgery.
- DRUG
-
Normal Saline
subset of 4 subjects who have undergone RYGB surgery will be studied 4 weeks after surgery. Subjects will be randomized to receive an infusion of either Exendin-9,39 or normal saline. Exendin-9,39 blocks the action of specific hormones called "incretins" that are produced by the gut in health and in larger quantities after gastric bypass surgery.
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Meera Shah, MBChB · Mayo Clinic
Study Design
- Allocation
- RANDOMIZED
- Purpose
- BASIC_SCIENCE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 20 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2016-03-31
- Primary Completion
- 2018-01-06
- Completion
- 2018-01-06
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Splanchnic Blood Redistribution After Incretin Hormone Infusion and Obesity Surgery
NCT01880827 ·Status: COMPLETED ·Phase: PHASE1
-
Extracellular Vesicle Cargo in Obesity and Type 2 Diabetes
NCT06401876 ·Status: COMPLETED
-
Effect of Bariatric Surgery on Gut Hormones Production and Cure of Type 2 Diabetes Mellitus
NCT01251016 ·Status: UNKNOWN
-
Study Evaluating Metabolic Syndrome in Subjects Undergoing Gastric Bypass Bariatric Syndrome
NCT00283374 ·Status: TERMINATED
-
New Frontiers on Bariatric Surgical Procedures: Classical Bypass for Type-2 Diabetic Patients With Obesity Grade I
NCT00566189 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Metabolism and Bariatric Surgery Study
NCT03371368 ·Status: COMPLETED ·Phase: NA
-
The Effect of Surgically Induced Weight Loss on Endocrine Function, Cardiovascular Function and Body Composition
NCT00686972 ·Status: TERMINATED ·Phase: PHASE2
-
Bariatric Surgery for the Treatment of Type 2 Diabetes - Clinical Effects and Underlying Mechanisms
NCT02729246 ·Status: COMPLETED ·Phase: NA
-
Surgical Innovation for Diabetes Treatment
NCT04196348 ·Status: UNKNOWN ·Phase: NA
-
Postprandial Metabolism After Bariatric Surgery in Type 2 Diabetes
NCT02815943 ·Status: COMPLETED ·Phase: NA
-
Systemic Metabolic Rate of Diabetic Patients Before and After Bariatric Gastric Bypass Using the Breezing® Device.
NCT05505773 ·Status: COMPLETED
-
Alliance of Randomized Trials of Medicine vs Metabolic Surgery in Type 2 Diabetes
NCT02328599 ·Status: COMPLETED
-
Glucose Homeostasis Pre and Post Bariatric Surgery
NCT00981500 ·Status: COMPLETED
-
Effects of Bariatric Surgery on Insulin
NCT00535600 ·Status: COMPLETED
-
Exendin-9,39 and Satiety After Bariatric Surgery
NCT02779075 ·Status: COMPLETED ·Phase: NA
-
Long-term, Substantial Weight Loss and Insulin Regulation of Lipolysis
NCT03868592 ·Status: RECRUITING ·Phase: NA
-
Improvement of Insulin Resistance After Bariatric Surgery
NCT03853590 ·Status: COMPLETED ·Phase: NA
-
The Effects of Glycemic Optimization Before Gastric Bypass Surgery
NCT01353118 ·Status: COMPLETED ·Phase: NA
-
Early Glycaemic Control in Type 2 Diabetes Patients After Bariatric Surgery; ECODABS
NCT04314427 ·Status: COMPLETED
-
Dietary Sugar Absorptive Phenotype for Prediction of Weight Loss Outcome
NCT05408728 ·Status: ENROLLING_BY_INVITATION
-
Intestinal Metabolic Reprogramming as a Key Mechanism of Gastric Bypass in Humans
NCT02710370 ·Status: ACTIVE_NOT_RECRUITING
-
The Surgical Treatment of Type 2 Diabetes Mellitus in Non-Morbidly Obese Patients: A Community Hospital Study
NCT01323114 ·Status: UNKNOWN ·Phase: NA
-
Bariatric Surgery: Microbiome & Diabetes
NCT03723486 ·Status: UNKNOWN
-
An Analysis of Lipid and Glucose Metabolism Following Bariatric Surgery
NCT02067585 ·Status: COMPLETED ·Phase: NA
-
Change in Reward System Activation and Gut Microbiota Following RYGB and Sleeve Gastrectomy for Weight Loss vs. Control-Heads Up Ancillary
NCT02735564 ·Status: COMPLETED ·Phase: NA