ObesityMGBvsRYGBNCT03045679
One-anastomosis Gastric Bypass/Mini-Gastric Bypass Versus Roux-en Y Gastric Bypass
A study testing RYGB and OAGB/MGB in people with Obesity, run by Sana Klinikum Offenbach at 1 site in Germany.
Trial summary
The aim of this prospective randomized controlled trial is to compare the two procedures One-anastomosis gastric Bypass/Mini-gastric Bypass (OAGB/MGB) and Roux-en Y gastric bypass (RYGB) in relation to intraoperative and postoperative complications (classification of Clavien-Dindo), mortality, metabolic impact… Read more about this study
- Who is it for?
- Ages 18 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Obesity
- What is being tested?
- RYGB and OAGB/MGB
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 100 participants
- Where
- 1 siteGermany
- Study dates
- 1 Jan 2018to 1 Dec 2020
- Phase
- Interventional
- 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 18 to 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- primary obesity surgery and indication for gastric bypass
- age: 18 - 65 years
- BMI > 40 kg/m² or BMI > 35 kg/m² with obesity related comorbidities
- informed consent
Who cannot join
- obesity surgery in the anamnesis
- visceral surgery in the anamnesis (excluding appendectomy and cholecystectomy)
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Evidence of One-anastomosis Gastric Bypass/Mini-Gastric Bypass Versus Roux-en Y Gastric Bypass in Metabolic Surgery - a Prospective Randomized Controlled Trial
The aim of this prospective randomized controlled trial is to compare the two procedures One-anastomosis gastric Bypass/Mini-gastric Bypass (OAGB/MGB) and Roux-en Y gastric bypass (RYGB) in relation to intraoperative and postoperative complications (classification of Clavien-Dindo), mortality, metabolic impact (remission of type 2 diabetes mellitus, hypertonus, gastro-esophageal reflux disease, sleep apnea, dyslipidemia, quality of life, operation time, postoperative excess weight loss, malnutrition and re-do/revisonal surgery.
Read the detailed description
OAGB/MGB is gaining popularity as a primary surgical treatment for morbid obesity due to reduced operation time, a shorter learning curve, better weight loss, higher metabolic impact and fewer major complications compared to RYGB.
In this prospective randomized controlled trial we want to compare OAGB/MGB and RYGB with a FU of up to 24 month.
Patients with indication for gastric bypass get randomized in group A (RYGB, n = 50) or B (OAGB/MGB, n = 50). FU is performed 1, 3, 6, 12 and 24 month after surgery.
- Conditions
- Obesity
- Being tested
- RYGB, OAGB/MGB
- Keywords
- Roux-en Y gastric bypass, One-anastomosis gastric bypass, Mini-gastric bypass, metabolic surgery
- Medical subject headings
- Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RYGBOther
laparoscopic RYGB
OAGB/MGBOther
laparoscopic OAGB/MGB
| Study group | Role | What they receive |
|---|---|---|
| RYGB-group | Experimental | Patients who undergo laparoscopic RYGB (150 cm alimentary limb, 50 cm biliopancreatic limb) as a primary surgery in obesity surgery; n = 50 Receives: Other: RYGB |
| OAGB/MGB-group | Experimental | Patients who undergo laparoscopic OAGB/MGB (200 cm biliopancreatic limb) as a primary surgery in obesity surgery; n = 50 Receives: Other: OAGB/MGB |
What is being measured
The primary outcome is the main question the study is designed to answer.
complications
complications classified next to Clavien-Dindo
Measured: up to 2 years after surgery
Secondary outcomes (19)
mortality
death up to 2 years after surgery
Measured: up to 2 years after surgery
remission of type 2 diabetes mellitus
HbA1c < 6.5% without medication
Measured: up to 2 years after surgery
remission of hypertonus
blood pressure < 140/90 mmHg without medication
Measured: up to 2 years after surgery
gastro-esophageal reflux disease
GERD-HRGL Heartburn Scale
Measured: up to 2 years after surgery
remission of sleep apnea
presence/absence of CPAP
Measured: up to 2 years after surgery
remission of hypertrigliceridemia
triglyceride < 200mg/dl without medication
Measured: up to 2 years after surgery
remission of hypercholesterinemia
cholesterin < 155 mg/dl without medication
Measured: up to 2 years after surgery
quality of life questionnaire
changing in quality of life measured by questionnaire
Measured: up to 2 years after surgery
weight loss
postoperative excess weight loss in %
Measured: up to 2 years after surgery
operation time
operation time during surgery in minutes
Measured: operation time during surgery in minutes
malnutrition 1
postoperative malnutrition: protein < 64 g/l
Measured: up to 2 years after surgery
malnutrition 2
postoperative malnutrition: albumin < 35 g/l
Measured: up to 2 years after surgery
malnutrition 3
postoperative malnutrition: ferritin (< 30 µg/l)
Measured: up to 2 years after surgery
malnutrition 4
postoperative malnutrition: vitamin E < 12 µmol/l
Measured: up to 2 years after surgery
malnutrition 5
postoperative malnutrition: vitamin K < 90 ng/l
Measured: up to 2 years after surgery
malnutrition 6
postoperative malnutrition: vitamin 25-OH- Vitamin D3 < 50 nmol/l
Measured: up to 2 years after surgery
malnutrition 7
postoperative malnutrition: vitamin A < 1.05 µmol/l
Measured: up to 2 years after surgery
malnutrition 8
postoperative malnutrition: vitamin B12 < 145 pmol/l
Measured: up to 2 years after surgery
revisional surgery
revisional surgery during follow up
Measured: up to 2 years after surgery
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Feb 2017 (estimated)
- Study start1 Jan 2018
- Primary completion1 Dec 2020
- Study completion1 Dec 2020
Why it stopped: Hospital changed in 2019, no recruitment performed
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
- Randomised
- Intervention model
- Parallel groups
- Model description
- prospective randomized controlled trial: RYGB (group A) vs OAGB/MGB (group B)
- Masking
- Single blind
- Who is masked
- Investigator
- Enrolment
- 100 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sana Klinikum Offenbach
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Sonja Chiappetta, MD, Sana Klinikum Offenbach
- Investigators
- Sonja Chiappetta, MD, Study chair, Sana Klinikum Offenbach
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03045679
- Sponsor's protocol ID
- FF 74/2016
- Acronym
- MGBvsRYGB
- Status last verified
- Jan 2023
- First submitted
- 5 Feb 2017
- Last updated
- 17 Jan 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Chevallier JM, Arman GA, Guenzi M, Rau C, Bruzzi M, Beaupel N, Zinzindohoue F, Berger A. One thousand single anastomosis (omega loop) gastric bypasses to treat morbid obesity in a 7-year period: outcomes show few complications and good efficacy. Obes Surg. 2015 Jun;25(6):951-8. doi: 10.1007/s11695-014-1552-z.
PubMed 25585612Jammu GS, Sharma R. A 7-Year Clinical Audit of 1107 Cases Comparing Sleeve Gastrectomy, Roux-En-Y Gastric Bypass, and Mini-Gastric Bypass, to Determine an Effective and Safe Bariatric and Metabolic Procedure. Obes Surg. 2016 May;26(5):926-32. doi: 10.1007/s11695-015-1869-2.
PubMed 26337694Musella M, Apers J, Rheinwalt K, Ribeiro R, Manno E, Greco F, Cierny M, Milone M, Di Stefano C, Guler S, Van Lessen IM, Guerra A, Maglio MN, Bonfanti R, Novotna R, Coretti G, Piazza L. Efficacy of Bariatric Surgery in Type 2 Diabetes Mellitus Remission: the Role of Mini Gastric Bypass/One Anastomosis Gastric Bypass and Sleeve Gastrectomy at 1 Year of Follow-up. A European survey. Obes Surg. 2016 May;26(5):933-40. doi: 10.1007/s11695-015-1865-6.
PubMed 26341086Guenzi M, Arman G, Rau C, Cordun C, Moszkowicz D, Voron T, Chevallier JM. Remission of type 2 diabetes after omega loop gastric bypass for morbid obesity. Surg Endosc. 2015 Sep;29(9):2669-74. doi: 10.1007/s00464-014-3987-7. Epub 2015 Jan 1.
PubMed 25552228Lee WJ, Yu PJ, Wang W, Chen TC, Wei PL, Huang MT. Laparoscopic Roux-en-Y versus mini-gastric bypass for the treatment of morbid obesity: a prospective randomized controlled clinical trial. Ann Surg. 2005 Jul;242(1):20-8. doi: 10.1097/01.sla.0000167762.46568.98.
PubMed 15973097
Study at a glance
From the registry record, last updated by the sponsor on 17 Jan 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Evidence of One-anastomosis Gastric Bypass/Mini-Gastric Bypass Versus Roux-en Y Gastric Bypass in Metabolic Surgery - a Prospective Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT03045679
- Acronym / sponsor ID
- MGBvsRYGB / FF 74/2016
- Conditions
- Obesity
- Keywords
- Roux-en Y gastric bypass, One-anastomosis gastric bypass, Mini-gastric bypass, metabolic surgery
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Hospital changed in 2019, no recruitment performed
- Enrolment
- 100 participants (actual)
- Lead sponsor
- Sana Klinikum OffenbachUniversity, hospital or other
- Study start
- 1 Jan 2018 (actual)
- Primary completion
- 1 Dec 2020 (actual)
- Study completion
- 1 Dec 2020 (actual)
- First posted
- 7 Feb 2017 (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 aim of this prospective randomized controlled trial is to compare the two procedures One-anastomosis gastric Bypass/Mini-gastric Bypass (OAGB/MGB) and Roux-en Y gastric bypass (RYGB) in relation to intraoperative and postoperative complications (classification of Clavien-Dindo), mortality, metabolic impact (remission of type 2 diabetes mellitus, hypertonus, gastro-esophageal reflux disease, sleep apnea, dyslipidemia, quality of life, operation time, postoperative excess weight loss, malnutrition and re-do/revisonal surgery.
Detailed description
OAGB/MGB is gaining popularity as a primary surgical treatment for morbid obesity due to reduced operation time, a shorter learning curve, better weight loss, higher metabolic impact and fewer major complications compared to RYGB.
In this prospective randomized controlled trial we want to compare OAGB/MGB and RYGB with a FU of up to 24 month.
Patients with indication for gastric bypass get randomized in group A (RYGB, n = 50) or B (OAGB/MGB, n = 50). FU is performed 1, 3, 6, 12 and 24 month after surgery.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (investigator)
- Number of arms
- 2
- Model description
- prospective randomized controlled trial: RYGB (group A) vs OAGB/MGB (group B)
| Arm | Type | Receives |
|---|---|---|
| RYGB-group | Experimental | Other: RYGBPatients who undergo laparoscopic RYGB (150 cm alimentary limb, 50 cm biliopancreatic limb) as a primary surgery in obesity surgery; n = 50 |
| OAGB/MGB-group | Experimental | Other: OAGB/MGBPatients who undergo laparoscopic OAGB/MGB (200 cm biliopancreatic limb) as a primary surgery in obesity surgery; n = 50 |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- primary obesity surgery and indication for gastric bypass
- age: 18 - 65 years
- BMI > 40 kg/m² or BMI > 35 kg/m² with obesity related comorbidities
- informed consent
Key exclusion criteria (2 listed)
- obesity surgery in the anamnesis
- visceral surgery in the anamnesis (excluding appendectomy and cholecystectomy)
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 |
|---|---|---|
| RYGBlaparoscopic RYGB | Other | RYGB-group |
| OAGB/MGBlaparoscopic OAGB/MGB | Other | OAGB/MGB-group |
Primary outcome
complications
Time frame: up to 2 years after surgery
complications classified next to Clavien-Dindo
19 secondary outcomes
mortality
Time frame: up to 2 years after surgery
remission of type 2 diabetes mellitus
Time frame: up to 2 years after surgery
remission of hypertonus
Time frame: up to 2 years after surgery
gastro-esophageal reflux disease
Time frame: up to 2 years after surgery
remission of sleep apnea
Time frame: up to 2 years after surgery
remission of hypertrigliceridemia
Time frame: up to 2 years after surgery
remission of hypercholesterinemia
Time frame: up to 2 years after surgery
quality of life questionnaire
Time frame: up to 2 years after surgery
weight loss
Time frame: up to 2 years after surgery
operation time
Time frame: operation time during surgery in minutes
malnutrition 1
Time frame: up to 2 years after surgery
malnutrition 2
Time frame: up to 2 years after surgery
malnutrition 3
Time frame: up to 2 years after surgery
malnutrition 4
Time frame: up to 2 years after surgery
malnutrition 5
Time frame: up to 2 years after surgery
malnutrition 6
Time frame: up to 2 years after surgery
malnutrition 7
Time frame: up to 2 years after surgery
malnutrition 8
Time frame: up to 2 years after surgery
revisional surgery
Time frame: up to 2 years after surgery
Results and safety
The study was stopped early (reason given: Hospital changed in 2019, no recruitment performed). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Jan 2023.
- Results publication: PubMed 25585612Chevallier JM, Arman GA, Guenzi M, Rau C, Bruzzi M, Beaupel N, Zinzindohoue F, Berger A. One thousand single anastomosis (omega loop) gastric bypasses to treat morbid obesity in a 7-year period: outcomes show few complications and good efficacy. Obes Surg. 2015 Jun;25(6):951-8. doi: 10.1007/s11695-014-1552-z.
- Results publication: PubMed 26337694Jammu GS, Sharma R. A 7-Year Clinical Audit of 1107 Cases Comparing Sleeve Gastrectomy, Roux-En-Y Gastric Bypass, and Mini-Gastric Bypass, to Determine an Effective and Safe Bariatric and Metabolic Procedure. Obes Surg. 2016 May;26(5):926-32. doi: 10.1007/s11695-015-1869-2.
- Results publication: PubMed 26341086Musella M, Apers J, Rheinwalt K, Ribeiro R, Manno E, Greco F, Cierny M, Milone M, Di Stefano C, Guler S, Van Lessen IM, Guerra A, Maglio MN, Bonfanti R, Novotna R, Coretti G, Piazza L. Efficacy of Bariatric Surgery in Type 2 Diabetes Mellitus Remission: the Role of Mini Gastric Bypass/One Anastomosis Gastric Bypass and Sleeve Gastrectomy at 1 Year of Follow-up. A European survey. Obes Surg. 2016 May;26(5):933-40. doi: 10.1007/s11695-015-1865-6.
- Results publication: PubMed 25552228Guenzi M, Arman G, Rau C, Cordun C, Moszkowicz D, Voron T, Chevallier JM. Remission of type 2 diabetes after omega loop gastric bypass for morbid obesity. Surg Endosc. 2015 Sep;29(9):2669-74. doi: 10.1007/s00464-014-3987-7. Epub 2015 Jan 1.
- Results publication: PubMed 15973097Lee WJ, Yu PJ, Wang W, Chen TC, Wei PL, Huang MT. Laparoscopic Roux-en-Y versus mini-gastric bypass for the treatment of morbid obesity: a prospective randomized controlled clinical trial. Ann Surg. 2005 Jul;242(1):20-8. doi: 10.1097/01.sla.0000167762.46568.98.
- Individual participant dataSharing planned: No
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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.
Sonja Chiappetta, MD study chair
Sana Klinikum Offenbach
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing RYGB and OAGB/MGB in people with Obesity, run by Sana Klinikum Offenbach at 1 site 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 4 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: stopped early, as of the sponsor's last update on 17 Jan 2023. 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 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?
The study was stopped early (reason given: Hospital changed in 2019, no recruitment performed). 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?
complications (time frame: up to 2 years after surgery). 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 NCT03045679, 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 17 Jan 2023; AzTrials last refreshed its copy on 7 Nov 2026.