Bariatric Surgery vs. Lifestyle Modification for NASH

NCT ID: NCT04298736

Last Updated: 2020-03-06

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-19

Study Completion Date

2022-03-20

Brief Summary

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Randomized Controlled Trial comparing the effects of Bariatric Surgery vs. Lifestyle modification on NASH resolution.

Detailed Description

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Patients with biopsy-proven NASH will be randomized to either bariatric surgery or lifestyle interventions. After 1-year follow-up a liver biopsy will be done to evaluate NASH resolution

Conditions

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NASH - Nonalcoholic Steatohepatitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Blinded pathologist

Study Groups

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Bariatric Surgery

Obese patients, BMI from 30 to 45, with or without type 2 diabetes, submitted to either laparoscopic Roux-en-Y Gastric Bypass or laparoscopic Sleeve Gastrectomy

Group Type EXPERIMENTAL

Bariatric Surgery

Intervention Type PROCEDURE

laparoscopic Roux-en-Y gastric bypass or laparoscopic Sleeve Gastrectomy

Lifestyle Modification

Obese patients, BMI from 30 to 45, with or without type 2 diabetes, submitted to guided diet and physical activity.

Group Type ACTIVE_COMPARATOR

Lifestyle modification

Intervention Type BEHAVIORAL

guided low-calorie diet and physical activity.

Interventions

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Bariatric Surgery

laparoscopic Roux-en-Y gastric bypass or laparoscopic Sleeve Gastrectomy

Intervention Type PROCEDURE

Lifestyle modification

guided low-calorie diet and physical activity.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* BMI between 30 and 45
* with biopsy-proven NASH
* with or without type 2 diabetes
* that fit for bariatric surgery.

Exclusion Criteria

* borderline NASH ou cirrhosis;
* alcohol consumption (\> 20 g/day for men and \> 10 g/day for women, for the last 2 years);
* other hepatic diseases (such as viral hepatitis, autoimmune hepatitis, drug-induced hepatic disease, Wilson's disease, hemochromatosis);
* HIV infection;
* unable to provide informed consent;
* previous foregut or bariatric surgery;
* malignancy;
* patients that unfit for bariatric surgery.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital de Clinicas de Porto Alegre

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Guilherme S Mazzini, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hospital de Clínicas de Porto Alegre

Locations

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Hospital de Clínicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

Countries

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Brazil

Central Contacts

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Guilherme S Mazzini, MD, PhD

Role: CONTACT

+55(51)981364873

Facility Contacts

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Guilherme S Mazzini, MD, PhD

Role: primary

+55(51)981364873

Other Identifiers

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2019-0780

Identifier Type: -

Identifier Source: org_study_id

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