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Clinical Trials in Portugal / NCT05859022
Recruiting Not applicable

Metabolic Effects of Bariatric Arterial Embolization vs Bariatric Surgery

NCT05859022 · tracked via the Priya Life Science Portugal tracker
Phase
Not applicable
Started
2021-06-16
Last updated
2024-12-11

Condition(s) studied

ObesityType2diabetesBariatric Surgery CandidateMetabolic Disease

Investigational drug(s) / intervention(s)

Roux-en-Y gastric By-pass (RYGB) surgeryBariatric Arterial Embolization (BAE) procedure

Roux-en-Y gastric By-pass (RYGB) surgery: RYGB procedure requires 1-2 hours of operating time and two to three days length of hospital stay. Use the Kit-RYGB by J\& company.

Bariatric Arterial Embolization (BAE) procedure: use of Embosphere Microspheres (EM) that are designed to offer controlled, target embolization.

Study summary

Obesity and Type 2 diabetes mellitus (DMT2) are two of the most common chronic diseases of the Western society. Obesity is one critical factor in DMT2 development, with weight loss having profound beneficial effects on DMT2 and improving the metabolic pathophysiology leading to hyperglycemia.

Observational studies reported that surgical intervention of morbid obesity achieved significant improvement of resolution of DMT2, both in short and long-term. Bariatric surgery has been considered the best option for treatment of diabetic obese patients, with the laparoscopic Roux-en-Y Gastric Bypass being the gold standard of the surgical treatment. Bariatric arterial embolization (BAE) technique has proved to be safe effective for weight loss in obese patients, but its metabolic effects have not been studied yet. The hypothesis of the study is that BAE is effective for the resolution of DMT2 inpatients with BMI between 30-43 Kg/m2. The aim is to assess DMT2 remission after BAE and bariatric surgery, to analyze potential conditioning factors, and to compare remission criteria between bariatric surgery and BAE.

Eligibility

Sex
ALL
Min age
18 Years
Max age
75 Years
Healthy volunteers
Accepted
Inclusion Criteria: * criteria: 1. Is the candidate for general anesthesia. 2. Body Mass Index (BMI) between 33 and 43 Kg/m2 3. Patients have a biochemical evidence of Type 2 Diabetes Mellitus (DMT2) confirmed by American Diabetes Association (ADA) criteria: 3.1) treated - HbA1c 7,1%; 3.2) If untreated- fasting 2-hour plasma glucose level of 200 mg/dL during an oral glucose tolerance test and a HbA1c of 7,1%. 4. Willing, able, and mentally competent to provide written informed consent. 5. Able o understand the options and to comply with the requirements of each program. 6. Have a negative urine pregnancy test at screening and baseline visits (prior surgery and Embolization) for women of childbearing potential. 7. Female patients must agree to use reliable method of contraception for 2 years. Exclusion Criteria: 1. Prior bariatric surgery of any kind. 2. Prior complex abdominal surgery including splenectomy, upper GI, anti-reflux surgery and trauma. 3. Abdominal, thoracic, pelvic and/or obstetric-gynaecologic surgery within 3 months or at the discretion of the surgery. 4. Cardiovascular conditions including uncompensated congestive heart failure, dysrhythmia, history of stroke, or uncontrolled hypertension (defined as medically treated with the mean of 3 separate measurements systolic blood pressure (SBP)\> 180 mmHg or diastolic blood pressure (DBP) \>110mmHg). Patients with coronary artery disease (CAD) that have been successfully treated with coronary artery by-pass graft (CABG) or percutaneous coronary intervention (PCI) or are 1 year after implantation of drug eluting stent and have no evidence of active ischemia are eligible. 5. Known history of chronic liver disease (except for NAFLD/NASH), hepatitis, positive serologic test result for hepatitis B surface antigen and/or hepatitis C antibody, alpha-1-antitrypsin deficiency. 6. Gastrointestinal disorders including a known history of celiac disease and/or other malabsorptive disorders or inflammatory bowel disease (Chron's disease or ulcerative colitis). 7. Psychiatric disorders including dementia, active psychosis, severe depression requiring \>2 medications, history of suicide attempts, alcohol or drugs abuse with previous 12months. 8. Pregnancy. 9. Malignancy within 5 years (except squamous cell and basal cell cancer of skin). 10. Anaemia defined as haemoglobin less than 9 in females and 10 in males. 11. Any medical condition requiring anticoagulation therapy that cannot be temporarily discontinued for surgical or embolic approach. 12. Any condition or major illness that, in the investigator's judgment, places the subject at undue risk by participating in the study. 13. Use of investigational therapy or participation in any other clinical trial within 12 weeks prior to signing the informed consent form. 14. Severe pulmonary disease. 15. American Society of Anesthesiologists (ASA) physical status class IV or higher. 16. History of allergy to iodinated contrast media

Primary outcome measure(s)

Trial sites (1)

FacilityCityRegionStatus
Cruz Vermelha Hospital Lisbon Portugal Recruiting

More Universidade Nova de Lisboa trials in Portugal

Other trials for the same condition

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT05859022 on ClinicalTrials.gov ↗ ← All trials in Portugal