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Roux-en-Y Gastric Bypass for BMI 27-32 Type 2 Diabetes Versus Best Medical Treatment
Roux-en-Y Gastric Bypass for BMI 27-32 Type 2 Diabetes vs Best Medical Treatment
Lead sponsor
Asset
Liraglutide
Subcutaneous · GLP-1 agonist
Listed sites
1
Recruiting sites
—
Enrollment
40
estimated
Study population
Bariatric Surgery, Obesity / overweight, Type 2 diabetes
Key I/E criteria
•BMI 27-32•HbA1c ≥8%
Primary endpoints
•HbA1c <6.0% achievement•Systolic BP, change•LDL-C, change
Footprint
Where this trial recruits
Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.
Identifiers
Registered as
Timeline
Milestones
Assets
Investigational agents
Study populations
Who this study enrolls
Eligibility
Who can enroll
Inclusion criteria
1. Established diagnosis of DM2 = or < 10 years
2. Age 21-65
3. BMI 27-32.
4. HBA1c ≥ 8%, on maximum treatment from primary care physician
5. At least one of the following co-morbidities on treatment: hypertension, hyperlipidaemia, micro/macro-proteinuria or ≤class I nephropathy, retinopathy.
Exclusion criteria
1. Subjects who had previous Bariatric surgery or extensive upper abdominal surgery
2. Pregnant subjects.
3. Nephropathy requiring dialysis
4. Subjects who are not fit for general anaesthesia.
5. Subjects who are unsuitable for RYGB for whatever reason, medical/surgical/psychological.
6. Subjects who are unwilling or possibly unable to participate in the follow up process.
7. Subjects who are reluctant to be randomised into the two study groups.
8. Subjects who suffers from unstable psychiatric illness
9. Subjects who are active substance abusers
10. Glutamic acid decarboxylase antibody positive.
11. fasting C-peptide < 300 pmol/L
Endpoints (16)
What's being measured
Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.
Coverage by outcome category
Weight & body composition
1 endpointWeight loss
Time frame:12 months post randomisation
change from baseline, improvement
Glycemic / diabetes
5 endpointsNumber of subjects achieving HBA1c of 6% without diabetic medication
Time frame:at 12 month after randomisation
HbA1c <6.0% achievement
threshold achievement, improvement
LOINC 4548-4
fasting plasma glucose
Time frame:12 months after Randomisation
Fasting glucose, change
change from baseline, improvement
LOINC 1558-6
Fasting Insulin
Time frame:12 months after radomisation
change from baseline, improvement
serum c-peptide level
Time frame:12 months post randomisation
change from baseline, improvement
HOMA-IR
Time frame:12 months post randomisation
HOMA-IR (insulin sensitivity)
change from baseline, improvement
Cardiometabolic biomarkers
5 endpointsNumber of subjects achieving systolic BP <130mm hg without antihypertension medication
Time frame:12 months post randomisation
Systolic BP, change
threshold achievement, improvement
LOINC 8480-6
number of subjects achieving LDL level of <100mg/dl without lipid lowering medication
Time frame:12 months post randomisation
LDL-C, change
threshold achievement, improvement
LOINC 13457-7
serum lipid levels
Time frame:12 months post randomisation
descriptive, improvement
C-reactive protein level
Time frame:12 months post randolmisation
hs-CRP, change
change from baseline, improvement
LOINC 30522-7
Blood Pressure measurement
Time frame:12 months post randomisation
descriptive, improvement
Safety / tolerability / PK
1 endpointnumber of adverse events
Time frame:12 months post randomisaiton
Treatment-emergent AEs (any)
event count, event
Other (unclassified)
4 endpointschange in medications usage
Time frame:12 months post randomisation
descriptive
changes in gut hormones levels
Time frame:12 months post randomisation
change from baseline, improvement
changes in metabolic hormones level
Time frame:12 months post randomisation
change from baseline, improvement
health resource utilisation
Time frame:12 months post randomisation
descriptive
Publications (9)
Bibliography
Records linked to this trial through ClinicalTrials.gov references, PubMed NCT search, and curated study seeds. 'Canonical' marks design/result papers; others are registry references or candidates.
Registry references + supporting bibliography
- Diabetes research and clinical practice2022 Jun (month)PMID35513159doi:10.1016/j.diabres.2022.109900via clinicaltrials gov reference derived + pubmed nct search
- The New England journal of medicine2012 Apr 26PMID22449317doi:10.1056/NEJMoa1200111via CT.gov background
- The New England journal of medicine2012 Apr 26PMID22449319doi:10.1056/NEJMoa1200225via CT.gov background
- Diabetic medicine : a journal of the British Diabetic Association2011 Jun (month)PMID21480973doi:10.1111/j.1464-5491.2011.03306.xvia CT.gov background
- The Cochrane database of systematic reviews2009 Apr 15PMID19370590doi:10.1002/14651858.CD003641.pub3via CT.gov background
- The American journal of medicine2009 Mar (month)PMID19272486doi:10.1016/j.amjmed.2008.09.041via CT.gov background
- The New England journal of medicine2007 Aug 23PMID17715408doi:10.1056/NEJMoa066254via CT.gov background
- Annals of surgery1995 Sep (month)PMID7677463doi:10.1097/00000658-199509000-00011via CT.gov background
Provenance
Sources
Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 1, 2026 snapshot.