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Obesity & OverweightNCT07345429

One-Year Outcomes After Conversion Bariatric Surgery

An observational study of Obesity & Overweight and Bariatric Surgery, run by Medipol University at 1 site in Turkey (Türkiye).

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Obesity is a growing global public health problem, and bariatric surgery is currently the most effective treatment for achieving sustained weight loss and improving obesity-related comorbidities. Read more about this study

Who is it for?
Ages 18 to 65 years
How many people
14 participants
Where
1 siteTurkey (Türkiye)
Study dates
12 Nov 2024to 21 Feb 2026
Phase
Observational
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

Study population: Adult patients aged 18-65 years who had previously undergone bariatric surgery and subsequently received conversion bariatric surgery due to suboptimal clinical response, defined as suboptimal weight loss or recurrent weight gain. Participants are followed in routine clinical practice and evaluated preoperatively and at postoperative 1 year for anthropometric, biochemical, nutritional, and physical activity outcomes.

Who may be able to join

  • Adults aged 18-45 years
  • Previously underwent bariatric surgery
  • Subsequently underwent conversion bariatric surgery due to suboptimal clinical response
  • Suboptimal clinical response defined as either:
  • Suboptimal Clinical Response (SCR): maximum total weight loss (TWL%) of <20% within 18 months after metabolic and bariatric surgery
  • Recurrent Weight Gain (RWG): regaining >30% of initial postoperative weight loss after achieving initial weight reduction

Who cannot join

  • Pregnancy or lactation
  • Presence of acute illness or infection
  • Comorbid conditions that could limit treatment efficacy or compromise safety
  • Participation in professional athletic activity

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Mudanya Univesity

    Osmangazi, Bursa, 16160

Other trials in Turkey (Türkiye)

About this study

Official title: ONE-YEAR OUTCOMES OF ANTHROPOMETRIC, BIOCHEMICAL, AND NUTRITIONAL PARAMETERS AFTER CONVERSION BARIATRIC SURGERY

Obesity is a growing global public health problem, and bariatric surgery is currently the most effective treatment for achieving sustained weight loss and improving obesity-related comorbidities. However, a subset of patients experience inadequate weight loss or weight regain following primary bariatric surgery, which may lead to the recurrence of metabolic complications and reduced quality of life. In such cases, conversion bariatric surgery, defined as the surgical conversion from one bariatric procedure to another, is considered an important therapeutic option. Despite the increasing number of conversion procedures, comprehensive longitudinal data evaluating anthropometric, biochemical, and nutritional outcomes after conversion bariatric surgery remain limited.

This study aims to prospectively evaluate individuals undergoing conversion bariatric surgery due to weight regain following primary bariatric surgery. Anthropometric measurements, biochemical parameters, and nutritional status will be assessed preoperatively and at 1 year after surgery. By evaluating weight loss outcomes together with metabolic and nutritional changes, this study seeks to provide clinically relevant evidence to guide postoperative follow-up strategies, optimize nutritional management, and support multidisciplinary care in patients undergoing conversion bariatric surgery.

Keywords
conversion bariatric surgery, obesity, nutritional assessment, weight regain, metabolic outcomes, anthropometric measurements
Medical subject headings
Obesity, Overweight

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT07345429
Study groupRoleWhat they receive
Conversion Bariatric SurgeryThis cohort includes patients who previously underwent conversion bariatric surgery as part of routine clinical care and were followed observationally. Anthropometric measurements, biochemical parameters, and nutritional status were assessed at the preoperative period and postoperative month 12 (1 year).

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Body Composition Parameters

    Body composition parameters including fat mass, fat percentage, fat-free mass, fat-free mass percentage, skeletal muscle mass, muscle percentage, and extracellular water to total body water ratio assessed using multi-frequency bioelectrical impedance analysis (BIA).

    Measured: Preoperative baseline and postoperative 1 year

  2. Change in Body Weight

    Change in body weight (kg) measured using a digital scale with participants wearing light clothing and no shoes.

    Measured: Preoperative baseline and postoperative 1 year

  3. Change in Body Mass Index (BMI)

    Change in body mass index (kg/m²) calculated from measured body weight and height.

    Measured: Preoperative baseline and postoperative 1 year

  4. Percentage of Total Weight Loss

    Percentage of total weight loss calculated as [(preoperative weight - postoperative weight) / preoperative weight] × 100.

    Measured: postoperative 1 year

  5. Percentage of Excess Weight Loss

    Percentage of excess weight loss calculated as [(preoperative weight - postoperative weight) / (preoperative weight - ideal body weight)] × 100, with ideal body weight defined as a BMI of 25 kg/m².

    Measured: postoperative 1 year

  6. Change in Waist Circumference

    Waist circumference (cm) measured in the standing position using a non-elastic measuring tape at the midpoint between the lowest rib and the iliac crest.

    Measured: Preoperative baseline and postoperative 1 year

  7. Change in Hip Circumference

    Hip circumference (cm) measured in the standing position at the point of maximum protrusion of the gluteal muscles using a non-elastic measuring tape.

    Measured: Preoperative baseline and postoperative 1 year

  8. Change in Body Fat Percentage (%)

    Body fat percentage measured using multi-frequency bioelectrical impedance analysis (BIA).

    Measured: Preoperative baseline and postoperative 1 year

  9. Change in Fat-Free Mass (kg)

    Fat-free mass measured using multi-frequency bioelectrical impedance analysis (BIA).

    Measured: Preoperative baseline and postoperative 1 year

  10. Change in Skeletal Muscle Mass (kg)

    Skeletal muscle mass measured using multi-frequency bioelectrical impedance analysis (BIA).

    Measured: Preoperative baseline and postoperative 1 year

Secondary outcomes (14)
  1. Change in Fasting Plasma Glucose

    Changes in fasting plasma glucose levels measured from venous blood samples.

    Measured: Preoperative baseline and postoperative 1 year

  2. Change in Alanine Aminotransferase (ALT)

    Changes in alanine aminotransferase (ALT) levels measured from venous blood samples.

    Measured: Preoperative baseline and postoperative 1 year

  3. Change in Hematological Parameters

    Changes in hemoglobin and hematocrit levels measured from venous blood samples.

    Measured: Preoperative baseline and postoperative 1 year

  4. Change in Iron Status Parameters

    Changes in serum ferritin, serum iron, and total iron-binding capacity levels measured from venous blood samples.

    Measured: Preoperative baseline and postoperative 1 year

  5. Change in Micronutrient and Electrolyte Levels

    Changes in serum vitamin B12, folic acid, magnesium, total calcium, sodium, and potassium levels measured from venous blood samples.

    Measured: Preoperative baseline and postoperative 1 year

  6. Change in Fasting Insulin

    Changes in fasting insulin levels measured from venous blood samples.

    Measured: Preoperative baseline and postoperative 1 year

  7. Change in Glycated Hemoglobin (HbA1c)

    Changes in glycated hemoglobin (HbA1c) levels measured from venous blood samples.

    Measured: Preoperative baseline and postoperative 1 year

  8. Change in Total Cholesterol

    Changes in total cholesterol levels measured from venous blood samples.

    Measured: Preoperative baseline and postoperative 1 year

  9. Change in LDL Cholesterol

    Changes in low-density lipoprotein (LDL) cholesterol levels measured from venous blood samples.

    Measured: Preoperative baseline and postoperative 1 year

  10. Change in HDL Cholesterol

    Changes in high-density lipoprotein (HDL) cholesterol levels measured from venous blood samples.

    Measured: Preoperative baseline and postoperative 1 year

  11. Change in Triglyceride Levels

    Changes in triglyceride levels measured from venous blood samples

    Measured: Preoperative baseline and postoperative 1 year

  12. Change in Aspartate Aminotransferase (AST)

    Changes in aspartate aminotransferase (AST) levels measured from venous blood samples.

    Measured: Preoperative baseline and postoperative 1 year

  13. Change in Urea Levels

    Changes in serum urea levels measured from venous blood samples.

    Measured: Preoperative baseline and postoperative 1 year

  14. Change in Uric Acid Levels

    Changes in serum uric acid levels measured from venous blood samples.

    Measured: Preoperative baseline and postoperative 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Jan 2026
  2. Study start12 Nov 2024
  3. Primary completion10 Jan 2026
  4. Study completion21 Feb 2026 (estimated)

Resources

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
Cohort
Time perspective
Prospective
Enrolment
14 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07345429
Sponsor's protocol ID
MUDU-SBE-SS-01
Status last verified
Feb 2026
First submitted
17 Dec 2025
Last updated
3 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data will not be shared due to the need to protect patient privacy and confidentiality.

Questions about this trial

What is this clinical trial studying?

An observational study of Obesity & Overweight and Bariatric Surgery, run by Medipol University at 1 site in Turkey (Türkiye).

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 6 inclusion and 4 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: under way, not looking for participants, as of the sponsor's last update on 3 Feb 2026. 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 Turkey (Türkiye). 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?

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 Body Composition Parameters (time frame: Preoperative baseline and postoperative 1 year). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 3 Feb 2026.

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