Can Genetic Markers Predict Weight Loss After Gastric By-pass Surgery
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Purpose
There is a variability in weight loss after gastric bypass surgery for obesity despite a standardised surgical procedure. This study aims to investigate if genetic markers can predict outcome after gastric by-pass surgery in treatment of obesity. The investigators will also study if adenovirus infection can influence the outcome after surgery. In a subgroup of patients, hormonal changes after gastric by-pass surgery will be assessed. Lipid and protein patterns will be assessed in plasma and tissues. Omental and subcutaneous fat as well as liver biopsies and whole blood are stored in a biobank. The same tissues will be collected from non-obese controls undergoing gallbladder surgery.
| Condition | Intervention |
|---|---|
|
Obesity |
Procedure: Gastric bypass or cholecystectomy |
| Study Type: | Observational |
| Study Design: | Time Perspective: Prospective |
| Official Title: | Can Genetic Changes Predict Weight Loss and Outcome After Bariatric Surgery and Can it Related to Virus Infection and Function of Liver and Adipose Tissue as Well as Lipid and Protein Profiles. |
- Genetic markers [ Time Frame: day of surgery and 1 and 2 years after surgery ] [ Designated as safety issue: No ]Blood samples and tissue biopsies taken at the time of surgery and at follow-up.
- Lipid and protein patterns in plasma and tissues [ Time Frame: day of surgery and at 1 and 2 years postoperatively ] [ Designated as safety issue: No ]Blood samples taken and tissue biopsies taken at the time of surgery and at follow-up
- Previous viral infection [ Time Frame: At time of surgery ] [ Designated as safety issue: No ]Blood samples taken before surgery
- Genexpression and comorbid disease [ Time Frame: At time of bariatric surgery and 1-2 years postoperatively ] [ Designated as safety issue: No ]Gene expression studies in tissue biopsies and whole blood at time of surgery and follow-up
Biospecimen Retention: Samples With DNA
Tissue biopies, liver and subcutaneous and omental fat Whole blood EDTA-plasma Serum
| Estimated Enrollment: | 3000 |
| Study Start Date: | February 2009 |
| Estimated Primary Completion Date: | January 2015 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Obesity
Gastric bypass surgery and non-obese controls undergoing cholecystectomy
|
Procedure: Gastric bypass or cholecystectomy |
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Obesity
Inclusion Criteria:
- laparoscopic gastric by-pass with BMI greater than 35
Exclusion Criteria:
- unable to understand swedish
Contacts and Locations| Contact: Erik Näslund, Professor | +76 (0) 8 123 550 17 | erik.naslund@ki.se |
| Contact: Anders Thorell, Ass. Prof. | +46 (0) 8 714 6541 ext 6541 | anders.thorell@erstadiakoni.se |
| Sweden | |
| Karolinska Institutet, Danderyds Hospital | Recruiting |
| Stockholm, Sweden, SE-182 88 | |
| Contact: Erik Näslund, professor +46 (0) 8 123 550 17 erik.naslund@ki.se | |
| Principal Investigator: Erik Näslund, Professor | |
| Karolinska Institutet, Ersta Hospital | Recruiting |
| Stockholm, Sweden, SE-116 91 | |
| Contact: Anders Thorell, Ass. prof. +46 (0) 8 7146541 ext 6541 anders.thorell@erstadiakoni.se | |
| Sub-Investigator: Anders Thorell, Ass. Prof. | |
| Karolinska University Hospital | Active, not recruiting |
| Stockholm, Sweden | |
| Principal Investigator: | Erik Näslund, Professor | Karolinska Institutet |
More Information
No publications provided
| Responsible Party: | Erik Näslund, Professor, Karolinska Institutet |
| ClinicalTrials.gov Identifier: | NCT01736384 History of Changes |
| Other Study ID Numbers: | 2008/1010-31/3 |
| Study First Received: | November 12, 2012 |
| Last Updated: | November 26, 2012 |
| Health Authority: | Sweden: The National Board of Health and Welfare |
Additional relevant MeSH terms:
|
Obesity Weight Loss Overnutrition Nutrition Disorders |
Overweight Body Weight Signs and Symptoms Body Weight Changes |
ClinicalTrials.gov processed this record on May 16, 2013