Trial Outcomes & Findings for GAstric Bypass to Treat obEse Patients With steAdy hYpertension (NCT NCT01784848)
NCT ID: NCT01784848
Last Updated: 2022-04-07
Results Overview
Evaluate the efficacy of Roux-en-Y Gastric Bypass on the reduction of the number of antihypertensive drugs, maintaining a controlled blood pressure (\<140x90 mmHg), in 12 months.
COMPLETED
NA
100 participants
12 months
2022-04-07
Participant Flow
Participant milestones
| Measure |
Laparoscopic Roux-en-Y Gastric Bypass
Laparoscopic Roux-en-Y gastric bypass performed as a treatment for obesity.
Laparoscopic Roux-en-Y gastric bypass (LRYGB): Laparoscopic Roux-en-Y gastric bypass (LRYGB)is the one of the techniques of bariatric surgery
Clinical treatment: Medical treatment aiming the control of risk factors for cardiovascular diseases (including adequate control of blood pressure), psychological assistance and dietetic advice for body weight reduction.
|
Clinical Treatment
Optimized clinical treatment including medical management of hypertension.
Clinical treatment: Medical treatment aiming the control of risk factors for cardiovascular diseases (including adequate control of blood pressure), psychological assistance and dietetic advice for body weight reduction.
|
|---|---|---|
|
Overall Study
STARTED
|
50
|
50
|
|
Overall Study
COMPLETED
|
49
|
47
|
|
Overall Study
NOT COMPLETED
|
1
|
3
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
GAstric Bypass to Treat obEse Patients With steAdy hYpertension
Baseline characteristics by cohort
| Measure |
Laparoscopic Roux-en-Y Gastric Bypass
n=50 Participants
Laparoscopic Roux-en-Y gastric bypass performed as a treatment for obesity.
Laparoscopic Roux-en-Y gastric bypass (LRYGB): Laparoscopic Roux-en-Y gastric bypass (LRYGB)is the one of the techniques of bariatric surgery
Clinical treatment: Medical treatment aiming the control of risk factors for cardiovascular diseases (including adequate control of blood pressure), psychological assistance and dietetic advice for body weight reduction.
|
Clinical Treatment
n=50 Participants
Optimized clinical treatment including medical management of hypertension.
Clinical treatment: Medical treatment aiming the control of risk factors for cardiovascular diseases (including adequate control of blood pressure), psychological assistance and dietetic advice for body weight reduction.
|
Total
n=100 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
43.1 years
STANDARD_DEVIATION 9.2 • n=5 Participants
|
44.6 years
STANDARD_DEVIATION 9.2 • n=7 Participants
|
43.8 years
STANDARD_DEVIATION 9.2 • n=5 Participants
|
|
Sex: Female, Male
Female
|
41 Participants
n=5 Participants
|
35 Participants
n=7 Participants
|
76 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
9 Participants
n=5 Participants
|
15 Participants
n=7 Participants
|
24 Participants
n=5 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Black or African American
|
19 Participants
n=5 Participants
|
16 Participants
n=7 Participants
|
35 Participants
n=5 Participants
|
|
Race (NIH/OMB)
White
|
31 Participants
n=5 Participants
|
34 Participants
n=7 Participants
|
65 Participants
n=5 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Anti-hypertensive medications
|
3 Anti-hypertensive medications
n=5 Participants
|
3 Anti-hypertensive medications
n=7 Participants
|
3 Anti-hypertensive medications
n=5 Participants
|
PRIMARY outcome
Timeframe: 12 monthsEvaluate the efficacy of Roux-en-Y Gastric Bypass on the reduction of the number of antihypertensive drugs, maintaining a controlled blood pressure (\<140x90 mmHg), in 12 months.
Outcome measures
| Measure |
Laparoscopic Roux-en-Y Gastric Bypass
n=49 Participants
Laparoscopic Roux-en-Y gastric bypass performed as a treatment for obesity.
Laparoscopic Roux-en-Y gastric bypass (LRYGB): Laparoscopic Roux-en-Y gastric bypass (LRYGB)is the one of the techniques of bariatric surgery
Clinical treatment: Medical treatment aiming the control of risk factors for cardiovascular diseases (including adequate control of blood pressure), psychological assistance and dietetic advice for body weight reduction.
|
Clinical Treatment
n=47 Participants
Optimized clinical treatment including medical management of hypertension.
Clinical treatment: Medical treatment aiming the control of risk factors for cardiovascular diseases (including adequate control of blood pressure), psychological assistance and dietetic advice for body weight reduction.
|
|---|---|---|
|
Number of Participants With a Reduction in the Number of Anti-hypertensive Drugs Used and Maintaining Blood Pressure Below 140x90mmHg
|
41 Participants
|
6 Participants
|
SECONDARY outcome
Timeframe: 12, 24, 36, 48 and 60 monthsEvaluate the efficacy of Roux-en-Y Gastric Bypass on the reduction of the number of antihypertensive drugs, maintaining a controlled blood pressure (\<140x90 mmHg).
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 12, 24, 36, 48 and 60 monthsChange on systemic blood pressure assessed by ambulatory blood pressure monitoring (ABPM).
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 12, 24, 36, 48 and 60 monthsChange on central blood pressure augmentation index and pulse wave velocity as measured by SphygmoCor device
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 12, 24, 36, 48 and 60 monthsAbsolute change from baseline in systolic blood pressure
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 12, 24, 36, 48 and 60 monthsAbsolute change from baseline in diastolic blood pressure
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 12, 24, 36, 48 and 60 monthsAbsolute change from baseline on weight loss
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 12, 24, 36, 48 and 60 monthsAbsolute change from baseline on BMI
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 12, 24, 36, 48 and 60 monthsAbsolute change from baseline on waist circumference
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 12, 24, 36, 48 and 60 monthsChange from baseline on fasting plasm glucose level, HbA1c and insulin resistance
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 12, 24, 36, 48 and 60 monthsAbsolute change from baseline on LDL-cholesterol level
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 12, 24, 36, 48 and 60 monthsAbsolute change from baseline on HDL-cholesterol level
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 12, 24, 36, 48 and 60 monthsAbsolute change from baseline on triglycerides levels
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 12, 24, 36, 48 and 60 monthsAbsolute change from baseline on uric acid levels
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 12, 24, 36, 48 and 60 monthsAbsolute change from baseline on ultra-sensitive CRP levels
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 12, 24, 36, 48 and 60 monthsAbsolute change from baseline of cardiovascular risk calculated by Framingham Score
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 12, 24, 36, 48 and 60 monthsChange on heart anatomy as evaluated by echocardiogram
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 12, 24, 36, 48 and 60 monthsChange on sleep quality as evaluated by polysomnography
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: At any time during the study periodDescribe the main adverse events
Outcome measures
Outcome data not reported
Adverse Events
Laparoscopic Roux-en-Y Gastric Bypass
Clinical Treatment
Serious adverse events
| Measure |
Laparoscopic Roux-en-Y Gastric Bypass
n=49 participants at risk
Laparoscopic Roux-en-Y gastric bypass performed as a treatment for obesity.
Laparoscopic Roux-en-Y gastric bypass (LRYGB): Laparoscopic Roux-en-Y gastric bypass (LRYGB)is the one of the techniques of bariatric surgery
Clinical treatment: Medical treatment aiming the control of risk factors for cardiovascular diseases (including adequate control of blood pressure), psychological assistance and dietetic advice for body weight reduction.
|
Clinical Treatment
n=47 participants at risk
Optimized clinical treatment including medical management of hypertension.
Clinical treatment: Medical treatment aiming the control of risk factors for cardiovascular diseases (including adequate control of blood pressure), psychological assistance and dietetic advice for body weight reduction.
|
|---|---|---|
|
Injury, poisoning and procedural complications
Rehospitalization
|
12.2%
6/49 • Number of events 6 • 1 year
|
0.00%
0/47 • 1 year
|
Other adverse events
| Measure |
Laparoscopic Roux-en-Y Gastric Bypass
n=49 participants at risk
Laparoscopic Roux-en-Y gastric bypass performed as a treatment for obesity.
Laparoscopic Roux-en-Y gastric bypass (LRYGB): Laparoscopic Roux-en-Y gastric bypass (LRYGB)is the one of the techniques of bariatric surgery
Clinical treatment: Medical treatment aiming the control of risk factors for cardiovascular diseases (including adequate control of blood pressure), psychological assistance and dietetic advice for body weight reduction.
|
Clinical Treatment
n=47 participants at risk
Optimized clinical treatment including medical management of hypertension.
Clinical treatment: Medical treatment aiming the control of risk factors for cardiovascular diseases (including adequate control of blood pressure), psychological assistance and dietetic advice for body weight reduction.
|
|---|---|---|
|
Cardiac disorders
Hypertensive crisis
|
0.00%
0/49 • 1 year
|
2.1%
1/47 • Number of events 1 • 1 year
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place