ObesityABSNCT02766322
Alcohol and Bariatric Surgery
An observational study of Obesity, run by University of Illinois at Urbana-Champaign at 1 site in United States.
Trial summary
The investigators wish to study the effects of alcohol on three forms of bariatric surgery, Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG) and laparoscopic adjustable gastric banding (LAGB) and compare them with a non-surgical group. The surgery is not part of the clinical trial. Read more about this study
- Who is it for?
- Ages 21 to 64 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Obesity
- What is being tested?
- Oral Alcohol challenge test Alcohol visit first, Intravenous Alcohol Challenge Test (Clamp) and Intravenous Alcohol Self-administration Test
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 54 participants
- Where
- 1 siteUnited States
- Study dates
- Mar 2016to 25 May 2022
- Phase
- Observational
- Are there results?
- None posted in the registry
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 21 to 64 years
- Women only
- Healthy volunteers accepted
- Adult
Study population: Bariatric surgery clinic
Who may be able to join
- Female
- Drink at least 1 standard alcoholic beverage/ month
- Underwent RYGB, SG, or LAGB 1-5 years ago or will undergo RYGB, SG, or LAGB surgery
- Did not undergo bariatric surgery (for the non-surgical group)
Who cannot join
- Male
- Smoker or quit < 6 months ago
- Anemia
- Liver disease
- Body weight > 450 pounds
- Taking medications that can interact with alcohol metabolism or the subjective effects of alcohol
Trial locations and contacts
1 site in 1 country.
United States1 site
University of Illinois at Urbana Champaign
Urbana, Illinois, 61801
About this study
Official title: Pharmacokinetics and Subjective Responses to Alcohol After Bariatric Surgery
The investigators wish to study the effects of alcohol on three forms of bariatric surgery, Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG) and laparoscopic adjustable gastric banding (LAGB) and compare them with a non-surgical group. The surgery is not part of the clinical trial. If insurance does not cover the procedure, then the patient is responsible for payment of the surgical process. The investigators are doing pre and post surgery testing to provide a better understanding of the effect of bariatric surgery-induced weight loss on 1) alcohol absorption, distribution and elimination from the body, 2) the effects of alcohol on mood, and 3) the effects of alcohol on driving.
Read the detailed description
The study includes seven groups of women: One group will be undergoing RYGB another group will be undergoing LAGB, a third group will be undergoing SG, the fourth group will be women who underwent RYGB 1-5 years ago, the fifth group will be women who underwent LAGB 1-5 years ago, the sixth group will be women who underwent SG 1-5 years ago and the seventh group will be women who have equivalent age and body mass index than women in the groups who underwent RYGB or SG 1-5 years ago but did not have bariatric surgery (non-surgical group).
- Conditions
- Obesity
- Being tested
- Oral Alcohol challenge test Alcohol visit first, Oral Alcohol challenge test Placebo visit first, Intravenous Alcohol Challenge Test (Clamp), Intravenous Alcohol Self-administration Test
- Keywords
- Alcohol metabolism, Bariatric surgery
- Medical subject headings
- Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Oral Alcohol challenge test Alcohol visit firstOther
Subjects will be assessed in two testing sessions about 1 week apart, in which their response to alcohol or nonalcoholic (placebo) beverage will be evaluated in a randomized cross-over fashion (visit 1 alcohol, visit 2 placebo).
Oral Alcohol challenge test Placebo visit firstOther
Subjects will be assessed in two testing sessions about 1 week apart, in which their response to alcohol or nonalcoholic (placebo) beverage will be evaluated in a randomized cross-over fashion (visit 1 placebo, visit 2 alcohol).
Intravenous Alcohol Challenge Test (Clamp)Other
Subjects will be evaluated with an alcohol clamp (i.e. alcohol will be infused intravenously until reaching 60mg/dl and this blood alcohol concentration will be kept constant for two hours). We will record subjective responses to alcohol throughout different times of the clamp.
Intravenous Alcohol Self-administration TestOther
Subjects will be asked to press a button ("work") to receive either a "drink" or saline through an IV catheter. The amount of alcohol infused after earning their reward will be based on their body composition and will raise their blood alcohol level by 10 mg/dl (eight time less than the legal limit for driving). We will set a safety limit to 150 mg/dl so that subjects will not be allowed to work for alcohol until their blood alcohol levels go below that limit.
| Study group | Role | What they receive |
|---|---|---|
| Gastric Bypass longitudinal | Morbidly obese subjects undergoing gastric bypass surgery. Subjects will be assessed in four testing sessions about 1 week apart in a randomized cross-over fashion before surgery. During the first two sessions, their response to alcohol or nonalcoholic (placebo) beverage will be evaluated. During testing sessions three and four, their response to alcohol administered intravenously will be evaluated. These four testing sessions will be repeated when subjects loose ~ 16% of their presurgery body weight. Receives: Other: Oral Alcohol challenge test Alcohol visit first; Other: Oral Alcohol challenge test Placebo visit first; Other: Intravenous Alcohol Challenge Test (Clamp); Other: Intravenous Alcohol Self-administration Test | |
| Gastric Banding longitudinal | Morbidly obese subjects undergoing laparoscopic gastric banding surgery. Subjects will be assessed in four testing sessions about 1 week apart in a randomized cross-over fashion before surgery. During the first two sessions, their response to alcohol or nonalcoholic (placebo) beverage will be evaluated. During testing sessions three and four, their response to alcohol administered intravenously will be evaluated. These four testing sessions will be repeated when subjects loose ~ 16% of their presurgery body weight. Receives: Other: Oral Alcohol challenge test Alcohol visit first; Other: Oral Alcohol challenge test Placebo visit first; Other: Intravenous Alcohol Challenge Test (Clamp); Other: Intravenous Alcohol Self-administration Test | |
| Sleeve gastrectomy longitudinal | Morbidly obese subjects undergoing sleeve gastrectomy surgery. Subjects will be assessed in four testing sessions about 1 week apart in a randomized cross-over fashion before surgery. During the first two sessions, their response to alcohol or nonalcoholic (placebo) beverage will be evaluated. During testing sessions three and four, their response to alcohol administered intravenously will be evaluated. These four testing sessions will be repeated when subjects loose ~ 16% of their presurgery body weight.. Receives: Other: Oral Alcohol challenge test Alcohol visit first; Other: Oral Alcohol challenge test Placebo visit first; Other: Intravenous Alcohol Challenge Test (Clamp); Other: Intravenous Alcohol Self-administration Test | |
| Gastric Bypass (cross-sectional) | Subjects who underwent gastric bypass surgery 1-5 years ago. Subjects will be assessed in four testing sessions about 1 week apart in a randomized cross-over fashion after surgery. During the first two sessions, their response to alcohol or nonalcoholic (placebo) beverage will be evaluated. During testing sessions three and four, their response to alcohol administered intravenously will be evaluated. Receives: Other: Oral Alcohol challenge test Alcohol visit first; Other: Oral Alcohol challenge test Placebo visit first; Other: Intravenous Alcohol Challenge Test (Clamp); Other: Intravenous Alcohol Self-administration Test | |
| Gastric Banding (cross-sectional) | Subjects who underwent gastric banding surgery 1-5 years ago. Subjects will be assessed in four testing sessions about 1 week apart in a randomized cross-over fashion after surgery. During the first two sessions, their response to alcohol or nonalcoholic (placebo) beverage will be evaluated. During testing sessions three and four, their response to alcohol administered intravenously will be evaluated. Receives: Other: Oral Alcohol challenge test Alcohol visit first; Other: Oral Alcohol challenge test Placebo visit first; Other: Intravenous Alcohol Challenge Test (Clamp); Other: Intravenous Alcohol Self-administration Test | |
| Sleeve gastrectomy (cross-sectional) | Subjects who underwent sleeve gastrectomy surgery 1-5 years ago. Subjects will be assessed in four testing sessions about 1 week apart in a randomized cross-over fashion after surgery. During the first two sessions, their response to alcohol or nonalcoholic (placebo) beverage will be evaluated. During testing sessions three and four, their response to alcohol administered intravenously will be evaluated. Receives: Other: Oral Alcohol challenge test Alcohol visit first; Other: Oral Alcohol challenge test Placebo visit first; Other: Intravenous Alcohol Challenge Test (Clamp); Other: Intravenous Alcohol Self-administration Test | |
| Non-surgical group | Subjects who are age and body mass index equivalent to gastric bypass (cross-sectional) and Sleeve gastrectomy (cross-sectional) but did not undergo any type of bariatric surgery. Subjects will be assessed in four testing sessions about 1 week apart in a randomized cross-over fashion after surgery. During the first two sessions, their response to alcohol or nonalcoholic (placebo) beverage will be evaluated. During testing sessions three and four, their response to alcohol administered intravenously will be evaluated. Receives: Other: Oral Alcohol challenge test Alcohol visit first; Other: Oral Alcohol challenge test Placebo visit first; Other: Intravenous Alcohol Challenge Test (Clamp); Other: Intravenous Alcohol Self-administration Test |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in the peak blood alcohol level achieved before-after bariatric surgery and among bariatric surgery and control groups
Time to reach peak blood alcohol levels and height of blood alcohol levels will be examined before and after surgery and compared between those who had gastric bypass or gastric sleeve versus lap banding and the non-surgery control group.
Measured: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
Change in alcohol subjective effects from pre- to post- bariatric surgery and among bariatric surgery and control groups
Validated instruments (such as the Addiction Research Center Inventory and the biphasic alcohol effect scale) will be used to measure alcohol's subjective effects at different timepoints after drinking an alcoholic or a non-alcoholic (control) beverage as well as receiving alcohol vs placebo orally or alcohol intravenously
Measured: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
Change in the area under the curve for blood alcohol concentration (BAC) versus time pre- to post-bariatric surgery and among different bariatric surgery groups and controls
The area under the curve for BAC will be examined before and after surgery and compared among those who had gastric bypass or gastric sleeve versus lap banding or the non-surgery control group.
Measured: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
Change in the rate of alcohol elimination between pre- and post-surgery and among the different bariatric surgery groups and the control groups.
The systemic alcohol elimination rate calculated from the alcohol infusion rate during the iv alcohol clamp technique will be compared pre- to post- surgery and among bariatric and control groups
Measured: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
Secondary outcomes (6)
Changes in alcohol's effects on glucose homeostasis [pre- to post-surgery and among bariatric surgery groups and control groups.
mmol/L
Measured: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
Changes in alcohol's effects on insulin [pre- to post-surgery and among bariatric surgery groups and control groups.
pmol/L
Measured: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
Changes in alcohol's effects on C-peptide [pre- to post-surgery and among bariatric surgery groups and control groups.
nmol/L
Measured: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
Changes in alcohol's effects on FGF21 [pre- to post-surgery and among bariatric surgery groups and control groups.
pg/ml
Measured: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
Changes in alcohol's effects on ghrelin [pre- to post-surgery and among bariatric surgery groups and control groups.
pg/ml
Measured: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
Changes in alcohol's effects on GLP-1 [pre- to post-surgery and among bariatric surgery groups and control groups.
pmol/L
Measured: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 May 2016 (estimated)
- Study startMar 2016
- Primary completion25 May 2022
- Study completion25 May 2022
Why it stopped: Recruitment affected by COVID, then grant ended
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (6)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
- Observational
- Observational model
- Other
- Time perspective
- Other
- Enrolment
- 54 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Illinois at Urbana-Champaign
- Sponsor type
- University, hospital or other
- Collaborators
- Carle Foundation Hospital
- Responsible party
- Sponsor
- Investigators
- Marta Y Pepino de Gruev, PhD, Principal investigator, UIUC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02766322
- Sponsor's protocol ID
- 16135
- Other IDs
- 17205
- Acronym
- ABS
- Status last verified
- Mar 2025
- First submitted
- 27 Apr 2016
- Last updated
- 11 Mar 2025
- Results posted
- No
- Data monitoring committee
- Yes
- Individual data sharing
- Undecided
Publications
Seyedsadjadi N, Acevedo MB, Alfaro R, Ramchandani VA, Plawecki MH, Rowitz B, Pepino MY. Site of Alcohol First-Pass Metabolism Among Women. JAMA Netw Open. 2022 Mar 1;5(3):e223711. doi: 10.1001/jamanetworkopen.2022.3711.
PubMed 35315921Seyedsadjadi N, Ramchandani VA, Plawecki MH, Kosobud AEK, O'Connor S, Rowitz B, Pepino MY. Fat-free mass accounts for most of the variance in alcohol elimination rate in women. Alcohol Clin Exp Res (Hoboken). 2023 May;47(5):848-855. doi: 10.1111/acer.15047. Epub 2023 Mar 14.
PubMed 36871954Seyedsadjadi N, Ramchandani VA, Plawecki MH, Kosobud AEK, O'Connor S, Rowitz B, Pepino MY. Response to commentary on: "Fat-free mass accounts for most of the variance in alcohol elimination rate in women". Alcohol Clin Exp Res (Hoboken). 2023 Sep;47(9):1646-1648. doi: 10.1111/acer.15142. Epub 2023 Jul 11. No abstract available.
PubMed 37407434Acevedo MB, Teran-Garcia M, Bucholz KK, Eagon JC, Bartholow BD, Burd NA, Khan N, Rowitz B, Pepino MY. Alcohol sensitivity in women after undergoing bariatric surgery: a cross-sectional study. Surg Obes Relat Dis. 2020 Apr;16(4):536-544. doi: 10.1016/j.soard.2020.01.014. Epub 2020 Jan 23.
PubMed 32075778Acevedo MB, Eagon JC, Bartholow BD, Klein S, Bucholz KK, Pepino MY. Sleeve gastrectomy surgery: when 2 alcoholic drinks are converted to 4. Surg Obes Relat Dis. 2018 Mar;14(3):277-283. doi: 10.1016/j.soard.2017.11.010. Epub 2017 Nov 10.
PubMed 29305304Molina-Castro M, Rowitz B, Pepino MY. Glucagon-like peptide-1, fibroblast growth factor 21, and other endocrine responses to alcohol ingestion in women before and after metabolic surgery. Front Pharmacol. 2025 May 22;16:1575156. doi: 10.3389/fphar.2025.1575156. eCollection 2025.
PubMed 40474966
Study at a glance
From the registry record, last updated by the sponsor on 11 Mar 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Pharmacokinetics and Subjective Responses to Alcohol After Bariatric Surgery
- ClinicalTrials.gov ID
- NCT02766322
- Acronym / sponsor ID
- ABS / 16135
- Conditions
- Obesity
- Keywords
- Alcohol metabolism, Bariatric surgery
- Study type
- Observational
- Recruitment status
- TerminatedReason stopped: Recruitment affected by COVID, then grant ended
- Enrolment
- 54 participants (actual)
- Lead sponsor
- University of Illinois at Urbana-ChampaignUniversity, hospital or other
- Collaborators
- Carle Foundation Hospital
- Study start
- Mar 2016 (actual)
- Primary completion
- 25 May 2022 (actual)
- Study completion
- 25 May 2022 (actual)
- First posted
- 9 May 2016 (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.
The investigators wish to study the effects of alcohol on three forms of bariatric surgery, Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG) and laparoscopic adjustable gastric banding (LAGB) and compare them with a non-surgical group. The surgery is not part of the clinical trial. If insurance does not cover the procedure, then the patient is responsible for payment of the surgical process. The investigators are doing pre and post surgery testing to provide a better understanding of the effect of bariatric surgery-induced weight loss on 1) alcohol absorption, distribution and elimination from the body, 2) the effects of alcohol on mood, and 3) the effects of alcohol on driving.
Detailed description
The study includes seven groups of women: One group will be undergoing RYGB another group will be undergoing LAGB, a third group will be undergoing SG, the fourth group will be women who underwent RYGB 1-5 years ago, the fifth group will be women who underwent LAGB 1-5 years ago, the sixth group will be women who underwent SG 1-5 years ago and the seventh group will be women who have equivalent age and body mass index than women in the groups who underwent RYGB or SG 1-5 years ago but did not have bariatric surgery (non-surgical group).
Study design
- Observational model
- Other
- Time perspective
- Other
- Number of arms
- 7
| Arm | Type | Receives |
|---|---|---|
| Gastric Bypass longitudinal | – | Other: Oral Alcohol challenge test Alcohol visit first, Other: Oral Alcohol challenge test Placebo visit first, Other: Intravenous Alcohol Challenge Test (Clamp), Other: Intravenous Alcohol Self-administration TestMorbidly obese subjects undergoing gastric bypass surgery. Subjects will be assessed in four testing sessions about 1 week apart in a randomized cross-over fashion before surgery. During the first two sessions, their response to alcohol or nonalcoholic (placebo) beverage will be evaluated. During testing sessions three and four, their response to alcohol administered intravenously will be evaluated. These four testing sessions will be repeated when subjects loose ~ 16% of their presurgery body weight. |
| Gastric Banding longitudinal | – | Other: Oral Alcohol challenge test Alcohol visit first, Other: Oral Alcohol challenge test Placebo visit first, Other: Intravenous Alcohol Challenge Test (Clamp), Other: Intravenous Alcohol Self-administration TestMorbidly obese subjects undergoing laparoscopic gastric banding surgery. Subjects will be assessed in four testing sessions about 1 week apart in a randomized cross-over fashion before surgery. During the first two sessions, their response to alcohol or nonalcoholic (placebo) beverage will be evaluated. During testing sessions three and four, their response to alcohol administered intravenously will be evaluated. These four testing sessions will be repeated when subjects loose ~ 16% of their presurgery body weight. |
| Sleeve gastrectomy longitudinal | – | Other: Oral Alcohol challenge test Alcohol visit first, Other: Oral Alcohol challenge test Placebo visit first, Other: Intravenous Alcohol Challenge Test (Clamp), Other: Intravenous Alcohol Self-administration TestMorbidly obese subjects undergoing sleeve gastrectomy surgery. Subjects will be assessed in four testing sessions about 1 week apart in a randomized cross-over fashion before surgery. During the first two sessions, their response to alcohol or nonalcoholic (placebo) beverage will be evaluated. During testing sessions three and four, their response to alcohol administered intravenously will be evaluated. These four testing sessions will be repeated when subjects loose ~ 16% of their presurgery body weight.. |
| Gastric Bypass (cross-sectional) | – | Other: Oral Alcohol challenge test Alcohol visit first, Other: Oral Alcohol challenge test Placebo visit first, Other: Intravenous Alcohol Challenge Test (Clamp), Other: Intravenous Alcohol Self-administration TestSubjects who underwent gastric bypass surgery 1-5 years ago. Subjects will be assessed in four testing sessions about 1 week apart in a randomized cross-over fashion after surgery. During the first two sessions, their response to alcohol or nonalcoholic (placebo) beverage will be evaluated. During testing sessions three and four, their response to alcohol administered intravenously will be evaluated. |
| Gastric Banding (cross-sectional) | – | Other: Oral Alcohol challenge test Alcohol visit first, Other: Oral Alcohol challenge test Placebo visit first, Other: Intravenous Alcohol Challenge Test (Clamp), Other: Intravenous Alcohol Self-administration TestSubjects who underwent gastric banding surgery 1-5 years ago. Subjects will be assessed in four testing sessions about 1 week apart in a randomized cross-over fashion after surgery. During the first two sessions, their response to alcohol or nonalcoholic (placebo) beverage will be evaluated. During testing sessions three and four, their response to alcohol administered intravenously will be evaluated. |
| Sleeve gastrectomy (cross-sectional) | – | Other: Oral Alcohol challenge test Alcohol visit first, Other: Oral Alcohol challenge test Placebo visit first, Other: Intravenous Alcohol Challenge Test (Clamp), Other: Intravenous Alcohol Self-administration TestSubjects who underwent sleeve gastrectomy surgery 1-5 years ago. Subjects will be assessed in four testing sessions about 1 week apart in a randomized cross-over fashion after surgery. During the first two sessions, their response to alcohol or nonalcoholic (placebo) beverage will be evaluated. During testing sessions three and four, their response to alcohol administered intravenously will be evaluated. |
| Non-surgical group | – | Other: Oral Alcohol challenge test Alcohol visit first, Other: Oral Alcohol challenge test Placebo visit first, Other: Intravenous Alcohol Challenge Test (Clamp), Other: Intravenous Alcohol Self-administration TestSubjects who are age and body mass index equivalent to gastric bypass (cross-sectional) and Sleeve gastrectomy (cross-sectional) but did not undergo any type of bariatric surgery. Subjects will be assessed in four testing sessions about 1 week apart in a randomized cross-over fashion after surgery. During the first two sessions, their response to alcohol or nonalcoholic (placebo) beverage will be evaluated. During testing sessions three and four, their response to alcohol administered intravenously will be evaluated. |
Who may qualify
- Ages
- 21 to 64 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
- Study population
- Bariatric surgery clinic
Key inclusion criteria (4 listed)
- Female
- Drink at least 1 standard alcoholic beverage/ month
- Underwent RYGB, SG, or LAGB 1-5 years ago or will undergo RYGB, SG, or LAGB surgery
- Did not undergo bariatric surgery (for the non-surgical group)
Key exclusion criteria (6 listed)
- Male
- Smoker or quit < 6 months ago
- Anemia
- Liver disease
- Body weight > 450 pounds
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 |
|---|---|---|
| Oral Alcohol challenge test Alcohol visit firstSubjects will be assessed in two testing sessions about 1 week apart, in which their response to alcohol or nonalcoholic (placebo) beverage will be evaluated in a randomized cross-over fashion (visit 1 alcohol, visit 2 placebo). | Other | Gastric Banding (cross-sectional), Gastric Banding longitudinal, Gastric Bypass (cross-sectional), Gastric Bypass longitudinal, Non-surgical group, Sleeve gastrectomy (cross-sectional), Sleeve gastrectomy longitudinal |
| Oral Alcohol challenge test Placebo visit firstSubjects will be assessed in two testing sessions about 1 week apart, in which their response to alcohol or nonalcoholic (placebo) beverage will be evaluated in a randomized cross-over fashion (visit 1 placebo, visit 2 alcohol). | Other | Gastric Banding (cross-sectional), Gastric Banding longitudinal, Gastric Bypass (cross-sectional), Gastric Bypass longitudinal, Non-surgical group, Sleeve gastrectomy (cross-sectional), Sleeve gastrectomy longitudinal |
| Intravenous Alcohol Challenge Test (Clamp)Subjects will be evaluated with an alcohol clamp (i.e. alcohol will be infused intravenously until reaching 60mg/dl and this blood alcohol concentration will be kept constant for two hours). We will record subjective responses to alcohol throughout different times of the clamp. | Other | Gastric Banding (cross-sectional), Gastric Banding longitudinal, Gastric Bypass (cross-sectional), Gastric Bypass longitudinal, Non-surgical group, Sleeve gastrectomy (cross-sectional), Sleeve gastrectomy longitudinal |
| Intravenous Alcohol Self-administration TestSubjects will be asked to press a button ("work") to receive either a "drink" or saline through an IV catheter. The amount of alcohol infused after earning their reward will be based on their body composition and will raise their blood alcohol level by 10 mg/dl (eight time less than the legal limit for driving). We will set a safety limit to 150 mg/dl so that subjects will not be allowed to work for alcohol until their blood alcohol levels go below that limit. | Other | Gastric Banding (cross-sectional), Gastric Banding longitudinal, Gastric Bypass (cross-sectional), Gastric Bypass longitudinal, Non-surgical group, Sleeve gastrectomy (cross-sectional), Sleeve gastrectomy longitudinal |
Primary outcome
Change in the peak blood alcohol level achieved before-after bariatric surgery and among bariatric surgery and control groups
Time frame: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
Time to reach peak blood alcohol levels and height of blood alcohol levels will be examined before and after surgery and compared between those who had gastric bypass or gastric sleeve versus lap banding and the non-surgery control group.
Change in alcohol subjective effects from pre- to post- bariatric surgery and among bariatric surgery and control groups
Time frame: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
Validated instruments (such as the Addiction Research Center Inventory and the biphasic alcohol effect scale) will be used to measure alcohol's subjective effects at different timepoints after drinking an alcoholic or a non-alcoholic (control) beverage as well as receiving alcohol vs placebo orally or alcohol intravenously
Change in the area under the curve for blood alcohol concentration (BAC) versus time pre- to post-bariatric surgery and among different bariatric surgery groups and controls
Time frame: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
The area under the curve for BAC will be examined before and after surgery and compared among those who had gastric bypass or gastric sleeve versus lap banding or the non-surgery control group.
Change in the rate of alcohol elimination between pre- and post-surgery and among the different bariatric surgery groups and the control groups.
Time frame: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
The systemic alcohol elimination rate calculated from the alcohol infusion rate during the iv alcohol clamp technique will be compared pre- to post- surgery and among bariatric and control groups
6 secondary outcomes
Changes in alcohol's effects on glucose homeostasis [pre- to post-surgery and among bariatric surgery groups and control groups.
Time frame: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
Changes in alcohol's effects on insulin [pre- to post-surgery and among bariatric surgery groups and control groups.
Time frame: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
Changes in alcohol's effects on C-peptide [pre- to post-surgery and among bariatric surgery groups and control groups.
Time frame: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
Changes in alcohol's effects on FGF21 [pre- to post-surgery and among bariatric surgery groups and control groups.
Time frame: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
Changes in alcohol's effects on ghrelin [pre- to post-surgery and among bariatric surgery groups and control groups.
Time frame: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
Changes in alcohol's effects on GLP-1 [pre- to post-surgery and among bariatric surgery groups and control groups.
Time frame: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.
Results and safety
The study was stopped early (reason given: Recruitment affected by COVID, then grant ended). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Mar 2025.
- Background: PubMed 35315921Seyedsadjadi N, Acevedo MB, Alfaro R, Ramchandani VA, Plawecki MH, Rowitz B, Pepino MY. Site of Alcohol First-Pass Metabolism Among Women. JAMA Netw Open. 2022 Mar 1;5(3):e223711. doi: 10.1001/jamanetworkopen.2022.3711.
- Background: PubMed 36871954Seyedsadjadi N, Ramchandani VA, Plawecki MH, Kosobud AEK, O'Connor S, Rowitz B, Pepino MY. Fat-free mass accounts for most of the variance in alcohol elimination rate in women. Alcohol Clin Exp Res (Hoboken). 2023 May;47(5):848-855. doi: 10.1111/acer.15047. Epub 2023 Mar 14.
- Background: PubMed 37407434Seyedsadjadi N, Ramchandani VA, Plawecki MH, Kosobud AEK, O'Connor S, Rowitz B, Pepino MY. Response to commentary on: "Fat-free mass accounts for most of the variance in alcohol elimination rate in women". Alcohol Clin Exp Res (Hoboken). 2023 Sep;47(9):1646-1648. doi: 10.1111/acer.15142. Epub 2023 Jul 11. No abstract available.
- Results publication: PubMed 32075778Acevedo MB, Teran-Garcia M, Bucholz KK, Eagon JC, Bartholow BD, Burd NA, Khan N, Rowitz B, Pepino MY. Alcohol sensitivity in women after undergoing bariatric surgery: a cross-sectional study. Surg Obes Relat Dis. 2020 Apr;16(4):536-544. doi: 10.1016/j.soard.2020.01.014. Epub 2020 Jan 23.
- Results publication: PubMed 29305304Acevedo MB, Eagon JC, Bartholow BD, Klein S, Bucholz KK, Pepino MY. Sleeve gastrectomy surgery: when 2 alcoholic drinks are converted to 4. Surg Obes Relat Dis. 2018 Mar;14(3):277-283. doi: 10.1016/j.soard.2017.11.010. Epub 2017 Nov 10.
- Derived from this study: PubMed 40474966Molina-Castro M, Rowitz B, Pepino MY. Glucagon-like peptide-1, fibroblast growth factor 21, and other endocrine responses to alcohol ingestion in women before and after metabolic surgery. Front Pharmacol. 2025 May 22;16:1575156. doi: 10.3389/fphar.2025.1575156. eCollection 2025.
- Individual participant dataSharing planned: Undecided
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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. This study is not recruiting at the moment.
Marta Y Pepino de Gruev, PhD principal investigator
UIUC
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Obesity, run by University of Illinois at Urbana-Champaign at 1 site in United States.
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 4 inclusion and 6 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: stopped early, as of the sponsor's last update on 11 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. 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?
The study was stopped early (reason given: Recruitment affected by COVID, then grant ended). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in the peak blood alcohol level achieved before-after bariatric surgery and among bariatric surgery and control groups (time frame: Subjects in the longitudinal arm of the study will be assessed before surgery and approximately 9 months after surgery. A group of subjects will be assessed 1-5 years after surgery only.). The study lists 4 primary outcomes in all. 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 NCT02766322, which also lists 6 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 11 Mar 2025.