ObesityNCT01344525
Pilot Project on Interdisciplinary Therapy of Obesity
A study testing Laparoscopic gastric sleeve, Gastric Banding and Multidisciplinary lifstyle intervention in people with Obesity and Weight Loss, run by University of Hohenheim at 3 sites in Germany.
Trial summary
Obese individuals that undergo major intervention such as a low-calorie formula diet program or bariatric surgery with the result of substantial weight loss (> 10%) are included and followed-up for at least 3 years. Weight changes and excess weight loss as well as measures of quality of life are monitored. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Obesity, Weight Loss
- What is being tested?
- Laparoscopic gastric sleeve, Gastric Banding and Multidisciplinary lifstyle intervention
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 480 participants
- Where
- 3 sitesGermany
- Study dates
- May 2009to May 2029
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adults (18-65 years at time of inclusion)
- Obesity defined as BMI > 30 kg/m2
- Obesity treatment (multidisciplinary life style intervention with LCD or bariatric surgery) resulting in an estimated body weight loss of >10% of the initial body weight within 6 month
Who cannot join
- Body weight loss after intervention < 10%
- Follow-up period < 1 year or number of consultations within 3 years < 3
Trial locations and contacts
3 sites in 1 country. Contact the study team or a site near you to ask about taking part.
Germany3 sites, 3 recruiting
- Recruiting
University of Heidelberg
Heidelberg, 69120
- Recruiting
University of Hohenheim
Stuttgart, 70599
- Recruiting
University of Tübingen
Tübingen, 72076
About this study
Official title: Pilot Project on Interdisciplinary Therapy of Obesity and Its Consequences on Body Weight, Quality of Life and Gastrointestinal Parameters
Obese individuals that undergo major intervention such as a low-calorie formula diet program or bariatric surgery with the result of substantial weight loss (> 10%) are included and followed-up for at least 3 years. Weight changes and excess weight loss as well as measures of quality of life are monitored. In addition, biomaterials will be collected from these individuals every 6 months for measurement of parameters related to obesity-associated gastrointestinal (GI) impairments such as change in GI hormone levels, change in GI microbiota, or enhanced bacterial translocation. Moreover, micronutrient and metabolomics analysis will be performed. This project allows comparison of non-surgical and surgical intervention and enables to asses the anticipated relationship between obesity and the GI tract in humans in the future.
Read the detailed description
A database and a biomaterial bank will be established to assess, if the role of the gut for the development of obesity and obesity-related diseases such as fatty liver are of relevance in humans, e.g. for classification of afflicted individuals regarding risk or outcome after intervention. During 3 years, the investigators will include 480 obese individuals (4 cohorts of 120 individuals) who undergo a treatment program (either surgical or non-surgical), and follow them up for at least 3 years. Every 6 months, a visit is planned at the obesity center where the initial intervention has been performed. Within the visits, anthropometry (Body Mass Index (BMI), excess body weight (EBW), bioelectrical impedance analysis (BIA)), quality of life (SF36 score, Impact Of Weight On Quality Of Life (IWQOL) questionnaire), and sample collection for laboratory analyses (inflammatory markers, hormones, flora composition, micronutrients, metabolomics etc.) will be performed. Patients will be recruited from 3 centers in Germany. The long-term expectation from this model project is to find gastrointestinal parameters allowing to predict outcome and sustainability of different intervention strategies. In addition, intervention programs will be compared regarding long-term outcome and quality of life changes.
- Conditions
- Obesity, Weight Loss
- Being tested
- Laparoscopic gastric sleeve, Gastric Banding, Multidisciplinary lifstyle intervention, Roux-en-Y Bypass
- Keywords
- obesity therapy, metabolic syndrome, gastrointestinal tract, microbiota, metabolomics, micronutrients, outcome, sustainability
- Medical subject headings
- Obesity, Weight Loss, Metabolic Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Laparoscopic gastric sleeveProcedure or surgery
Laparoscopic gastric sleeve
Gastric BandingProcedure or surgery
Gastric Banding
Multidisciplinary lifstyle interventionProcedure or surgery
Multidisciplinary lifstyle intervention (OPTIFAST®52-program)
Roux-en-Y BypassProcedure or surgery
Roux-en-Y Bypass
| Study group | Role | What they receive |
|---|---|---|
| Control group | No intervention | Nutritional counselings every 6 months, no further intervention |
| "low-calorie-diet (LCD)"-based lifestyle intervention | Experimental | 12 months multidisciplinary weight loss program including three months low-calorie formula diet (800 kcal) (OPTIFAST®52 program) Receives: Procedure: Multidisciplinary lifstyle intervention |
| Laparoscopic gastric sleeve intervention | Experimental | Not described Receives: Procedure: Laparoscopic gastric sleeve |
| Conventional bariatric surgery | Experimental | Gastric Banding and Gastric Bypass Receives: Procedure: Gastric Banding; Procedure: Roux-en-Y Bypass |
What is being measured
The primary outcome is the main question the study is designed to answer.
Body weight loss
Measured: Every 6 months for a period of 3 years
Secondary outcomes (8)
Quality of life
SF-36, IWQOL-lite
Measured: Every 6 months for a period of 3 years
Physical examination
Weight, height, waist circumference, blood pressure, bioelectric impedance analysis, pulse etc.
Measured: Every 6 months for a period of 3 years
Laboratory analysis
Fasting glucose; Glutamat-Pyruvat- Transaminase (GPT); Lipid parameters (cholesterol, high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol, triglycerides)
Measured: Every 6 months for a period of 3 years
Vitamins/micronutrients
Vitamin B1, B6, B12, ß-carotene, niacin, folic acid, selen and oxidative metabolites
Measured: Every 3-6 months for a period of maximal 3 years
Metabolomics, and Microflora analysis
Measured: Every 3-6 months for a period of maximal 3 years
Liver fat
Liver sonography
Measured: Every 6 months for a period of 3 years
gut permeability
assessed by the uptake of inert molecules
Measured: Every 6 months for a period of 3 years
peripheral blood lipopolysaccharide concentrations
Measured: Every 6 months for a period of 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Apr 2011 (estimated)
- Study startMay 2009
- Primary completionMay 2029 (estimated)
- Study completionMay 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for ObesityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Factorial
- Masking
- None (open label)
- Enrolment
- 480 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Hohenheim
- Sponsor type
- University, hospital or other
- Collaborators
- German Federal Ministry of Education and Research
- Responsible party
- Sponsor
- Investigators
- Stephan C. Bischoff, Prof. Dr., Principal investigator, University of Hohenheim, Institute of Nutritional Medicine
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01344525
- Sponsor's protocol ID
- OGIT-FKZ01GI0843
- Status last verified
- Oct 2018
- First submitted
- 27 Apr 2011
- Last updated
- 26 Oct 2018
- Results posted
- No
Publications
Seethaler B, Basrai M, Delzenne NM, Walter J, Nguyen NK, Bischoff SC. Baseline gut microbiome and metabolome profiles predict weight loss after a structured lifestyle intervention. Microbiome. 2026 Aug 28;14(1):207. doi: 10.1186/s40168-026-02501-x.
PubMed 42668355Damms-Machado A, Louis S, Schnitzer A, Volynets V, Rings A, Basrai M, Bischoff SC. Gut permeability is related to body weight, fatty liver disease, and insulin resistance in obese individuals undergoing weight reduction. Am J Clin Nutr. 2017 Jan;105(1):127-135. doi: 10.3945/ajcn.116.131110. Epub 2016 Nov 9.
PubMed 28049662Damms-Machado A, Mitra S, Schollenberger AE, Kramer KM, Meile T, Konigsrainer A, Huson DH, Bischoff SC. Effects of surgical and dietary weight loss therapy for obesity on gut microbiota composition and nutrient absorption. Biomed Res Int. 2015;2015:806248. doi: 10.1155/2015/806248. Epub 2015 Feb 1.
PubMed 25710027Damms-Machado A, Weser G, Bischoff SC. Micronutrient deficiency in obese subjects undergoing low calorie diet. Nutr J. 2012 Jun 1;11:34. doi: 10.1186/1475-2891-11-34.
PubMed 22657586Damms-Machado A, Friedrich A, Kramer KM, Stingel K, Meile T, Kuper MA, Konigsrainer A, Bischoff SC. Pre- and postoperative nutritional deficiencies in obese patients undergoing laparoscopic sleeve gastrectomy. Obes Surg. 2012 Jun;22(6):881-9. doi: 10.1007/s11695-012-0609-0.
PubMed 22403000
Study at a glance
From the registry record, last updated by the sponsor on 26 Oct 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Pilot Project on Interdisciplinary Therapy of Obesity and Its Consequences on Body Weight, Quality of Life and Gastrointestinal Parameters
- ClinicalTrials.gov ID
- NCT01344525
- Acronym / sponsor ID
- OGIT-FKZ01GI0843
- Conditions
- Obesity, Weight Loss
- Keywords
- obesity therapy, metabolic syndrome, gastrointestinal tract, microbiota, metabolomics, micronutrients, outcome, sustainability
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 480 participants (estimated)
- Lead sponsor
- University of HohenheimUniversity, hospital or other
- Collaborators
- German Federal Ministry of Education and Research
- Study start
- May 2009
- Primary completion
- May 2029 (estimated)
- Study completion
- May 2029 (estimated)
- First posted
- 29 Apr 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Obese individuals that undergo major intervention such as a low-calorie formula diet program or bariatric surgery with the result of substantial weight loss (> 10%) are included and followed-up for at least 3 years. Weight changes and excess weight loss as well as measures of quality of life are monitored. In addition, biomaterials will be collected from these individuals every 6 months for measurement of parameters related to obesity-associated gastrointestinal (GI) impairments such as change in GI hormone levels, change in GI microbiota, or enhanced bacterial translocation. Moreover, micronutrient and metabolomics analysis will be performed. This project allows comparison of non-surgical and surgical intervention and enables to asses the anticipated relationship between obesity and the GI tract in humans in the future.
Detailed description
A database and a biomaterial bank will be established to assess, if the role of the gut for the development of obesity and obesity-related diseases such as fatty liver are of relevance in humans, e.g. for classification of afflicted individuals regarding risk or outcome after intervention. During 3 years, the investigators will include 480 obese individuals (4 cohorts of 120 individuals) who undergo a treatment program (either surgical or non-surgical), and follow them up for at least 3 years. Every 6 months, a visit is planned at the obesity center where the initial intervention has been performed. Within the visits, anthropometry (Body Mass Index (BMI), excess body weight (EBW), bioelectrical impedance analysis (BIA)), quality of life (SF36 score, Impact Of Weight On Quality Of Life (IWQOL) questionnaire), and sample collection for laboratory analyses (inflammatory markers, hormones, flora composition, micronutrients, metabolomics etc.) will be performed. Patients will be recruited from 3 centers in Germany. The long-term expectation from this model project is to find gastrointestinal parameters allowing to predict outcome and sustainability of different intervention strategies. In addition, intervention programs will be compared regarding long-term outcome and quality of life changes.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Factorial
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Control group | No intervention | –Nutritional counselings every 6 months, no further intervention |
| "low-calorie-diet (LCD)"-based lifestyle intervention | Experimental | Procedure: Multidisciplinary lifstyle intervention12 months multidisciplinary weight loss program including three months low-calorie formula diet (800 kcal) (OPTIFAST®52 program) |
| Laparoscopic gastric sleeve intervention | Experimental | Procedure: Laparoscopic gastric sleeve |
| Conventional bariatric surgery | Experimental | Procedure: Gastric Banding, Procedure: Roux-en-Y BypassGastric Banding and Gastric Bypass |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Adults (18-65 years at time of inclusion)
- Obesity defined as BMI > 30 kg/m2
- Obesity treatment (multidisciplinary life style intervention with LCD or bariatric surgery) resulting in an estimated body weight loss of >10% of the initial body weight within 6 month
Key exclusion criteria (2 listed)
- Body weight loss after intervention < 10%
- Follow-up period < 1 year or number of consultations within 3 years < 3
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Laparoscopic gastric sleeveLaparoscopic gastric sleeve | Procedure or surgery | Laparoscopic gastric sleeve intervention |
| Gastric BandingGastric Banding | Procedure or surgery | Conventional bariatric surgery |
| Multidisciplinary lifstyle interventionMultidisciplinary lifstyle intervention (OPTIFAST®52-program) | Procedure or surgery | "low-calorie-diet (LCD)"-based lifestyle intervention |
| Roux-en-Y BypassRoux-en-Y Bypass | Procedure or surgery | Conventional bariatric surgery |
Primary outcome
Body weight loss
Time frame: Every 6 months for a period of 3 years
8 secondary outcomes
Quality of life
Time frame: Every 6 months for a period of 3 years
Physical examination
Time frame: Every 6 months for a period of 3 years
Laboratory analysis
Time frame: Every 6 months for a period of 3 years
Vitamins/micronutrients
Time frame: Every 3-6 months for a period of maximal 3 years
Metabolomics, and Microflora analysis
Time frame: Every 3-6 months for a period of maximal 3 years
Liver fat
Time frame: Every 6 months for a period of 3 years
gut permeability
Time frame: Every 6 months for a period of 3 years
peripheral blood lipopolysaccharide concentrations
Time frame: Every 6 months for a period of 3 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Oct 2018.
- Derived from this study: PubMed 42668355Seethaler B, Basrai M, Delzenne NM, Walter J, Nguyen NK, Bischoff SC. Baseline gut microbiome and metabolome profiles predict weight loss after a structured lifestyle intervention. Microbiome. 2026 Aug 28;14(1):207. doi: 10.1186/s40168-026-02501-x.
- Derived from this study: PubMed 28049662Damms-Machado A, Louis S, Schnitzer A, Volynets V, Rings A, Basrai M, Bischoff SC. Gut permeability is related to body weight, fatty liver disease, and insulin resistance in obese individuals undergoing weight reduction. Am J Clin Nutr. 2017 Jan;105(1):127-135. doi: 10.3945/ajcn.116.131110. Epub 2016 Nov 9.
- Derived from this study: PubMed 25710027Damms-Machado A, Mitra S, Schollenberger AE, Kramer KM, Meile T, Konigsrainer A, Huson DH, Bischoff SC. Effects of surgical and dietary weight loss therapy for obesity on gut microbiota composition and nutrient absorption. Biomed Res Int. 2015;2015:806248. doi: 10.1155/2015/806248. Epub 2015 Feb 1.
- Derived from this study: PubMed 22657586Damms-Machado A, Weser G, Bischoff SC. Micronutrient deficiency in obese subjects undergoing low calorie diet. Nutr J. 2012 Jun 1;11:34. doi: 10.1186/1475-2891-11-34.
- Derived from this study: PubMed 22403000Damms-Machado A, Friedrich A, Kramer KM, Stingel K, Meile T, Kuper MA, Konigsrainer A, Bischoff SC. Pre- and postoperative nutritional deficiencies in obese patients undergoing laparoscopic sleeve gastrectomy. Obes Surg. 2012 Jun;22(6):881-9. doi: 10.1007/s11695-012-0609-0.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Stephan C. Bischoff, Prof. Dr. principal investigator
University of Hohenheim, Institute of Nutritional Medicine
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Laparoscopic gastric sleeve, Gastric Banding and Multidisciplinary lifstyle intervention in people with Obesity and Weight Loss, run by University of Hohenheim at 3 sites in Germany.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 26 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Antje Damms-Machado, Dipl. troph. (+49 711 451017707, antje.machado@uni-hohenheim.de), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Body weight loss (time frame: Every 6 months for a period of 3 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01344525, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Oct 2018.