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Bariatric Surgery vs Diet for Weight Loss
N/A
Waitlist Available
Led By Andres J Acosta, MD
Research Sponsored by Mayo Clinic
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline, 12 weeks
Awards & highlights
No Placebo-Only Group
Summary
This trial is testing whether the bile acid pathway reacts differently to weight loss from RYGB surgery than weight loss from caloric restriction.
Who is the study for?
This trial is for adults with severe obesity (BMI ≥ 40) who are healthy or have controlled health issues. Women must not be pregnant. Participants will either undergo Roux-En-Y Gastric Bypass surgery at the Mayo Clinic or follow a low-calorie diet if they're not having surgery. People with untreated psychiatric disorders, alcoholism, eating disorders, certain past surgeries, chronic gastrointestinal diseases, or conditions affecting study participation are excluded.
What is being tested?
The study compares how the bile acid pathway responds to weight loss from two methods: Roux-En-Y Gastric Bypass surgery and a strict low-calorie diet alone. The goal is to see if there's a difference in this metabolic pathway depending on the weight loss strategy used.
What are the potential side effects?
Potential side effects of gastric bypass include nutritional deficiencies, digestive problems like nausea and vomiting, and surgical complications such as infections. A low-calorie diet might cause fatigue, nutrient shortages if poorly managed, and psychological stress due to dietary restrictions.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ baseline, 12 weeks
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline, 12 weeks
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Change in Bile Acid (BA) excretion
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Active Control
Group I: Roux-En-Y Gastric Bypass (RYGB)Active Control1 Intervention
Participants will have elected to have RYGB surgery per standard of care.
Group II: Low-calorie DietActive Control1 Intervention
Participants will have a low-calorie diet prescribed by a registered dietitian.
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Who is running the clinical trial?
Mayo ClinicLead Sponsor
3,344 Previous Clinical Trials
3,062,382 Total Patients Enrolled
87 Trials studying Obesity
9,113 Patients Enrolled for Obesity
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)NIH
2,450 Previous Clinical Trials
4,332,496 Total Patients Enrolled
469 Trials studying Obesity
589,990 Patients Enrolled for Obesity
Andres J Acosta, MDPrincipal InvestigatorMayo Clinic
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Eligibility Criteria:
This trial includes the following eligibility criteria:- If you have significant mental health issues like anxiety, depression, substance abuse, or eating disorders, you may be excluded from the study. A screening test will be used to check for these issues. If any problems are found, you will be referred to your primary care doctor for further evaluation and care. Additionally, your alcohol consumption will be assessed using a questionnaire. If your score is above the recommended limits, it will be reviewed by the study team to determine if you are eligible for the study.
Research Study Groups:
This trial has the following groups:- Group 1: Roux-En-Y Gastric Bypass (RYGB)
- Group 2: Low-calorie Diet
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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