Investigations on the Influence of Bariatric Surgery on the Metabolism and Absorption of Atorvastatin

NCT ID: NCT00331565

Last Updated: 2014-12-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-08-31

Study Completion Date

2010-12-31

Brief Summary

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Altered bioavailability of drugs will potentially affect both drug efficacy as well as safety. In patients subjected to bariatric surgery due to morbid obesity the gastro intestinal tract is considerably reconstructed and a change in drug bioavailability is very likely. Getting further knowledge on important mechanisms responsible for altered bioavailability would help in predicting clinically relevant consequences on different drugs.

In the present study we aim to investigate the effect of bariatric surgery on atorvastatin bioavailability. Atorvastatin is subjected to both extensive metabolism and drug transport and will potentially be a good predictor for mechanisms relevant for other drugs as well.

In addition will the expression of different enzymes and transporters be measured in the gastrointestinal tract and in the liver to elucidate on mechanism behind the eventual effects.

Detailed Description

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The primary objective of the study is to compare the effect of gastric bypass and BPD+DS operations on atorvastatin bioavailability.

Secondary objectives are to determine the relative change in atorvastatin bioavailability following gastric bypass as well as BPD+DS operations. In addition will the individual CYP3A4, CYP3A5 and P-gp activity in the different organs from where biopsies can be obtained be descriptively compared with atorvastatin pharmacokinetic variables.

Conditions

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Morbid Obesity

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

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Surgery

Bariatric surgery

Group Type EXPERIMENTAL

Bariatric surgery

Intervention Type PROCEDURE

Gastric bypass, duodenal switch and sleeve surgery

Interventions

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Bariatric surgery

Gastric bypass, duodenal switch and sleeve surgery

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Scheduled for bariatric surgery.
* 18 years of age or older.
* Ongoing treatment with statin.
* Able and willing to donate GI-tract and liver biopsies.
* Signed informed consent.

Exclusion Criteria

* Concomitant treatment with drugs and/or other factors that may influence atorvastatin pharmacokinetics
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Hospital of Vestfold

OTHER

Sponsor Role collaborator

University of Oslo School of Pharmacy

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rune Sandbu, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hospital in Vestfold

Locations

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Hospital in Vestfold

Tønsberg, , Norway

Site Status

Countries

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Norway

Other Identifiers

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ATORVA-06

Identifier Type: -

Identifier Source: org_study_id