Randomized Control Trial of Sleeve Gastrectomy with Tirzepatide in Maximizing Weight Loss

NCT ID: NCT06734273

Last Updated: 2025-03-14

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

RECRUITING

Clinical Phase

EARLY_PHASE1

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-10

Study Completion Date

2028-03-31

Brief Summary

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This study examines whether adding tirzepatide-a medication that helps with weight loss-after sleeve gastrectomy surgery can help people lose more weight after the surgery; better improve conditions like Type 2 diabetes, high blood pressure, high cholesterol, and sleep apnea after surgery and; whether this causes more complications or side effects compared to surgery alone.

Detailed Description

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Conditions

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Obesity and Obesity-related Medical Conditions

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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SG-T: sleeve gastrectomy with tirzepatide

In this study, the intervention group (n=21) are patients who will undergo sleeve gastrectomy and receive tirzepatide. Patients who were selected in this arm will undergo a 4-week dose escalation period. Starting at 6 months after surgery they will receive weekly 2.5mg doses (for 4 weeks). Afterwards, they will receive weekly 5mg doses. They will maintain this dose until 12 months after surgery.

Group Type EXPERIMENTAL

Mounjaro

Intervention Type DRUG

In this study, the intervention group (n=21) are patients who will undergo sleeve gastrectomy and receive tirzepatide after surgery. Patients who were selected in this arm will undergo a 4-week dose escalation period. Starting at 6 months they will receive weekly 2.5mg doses (for 4 weeks). Afterwards, they will receive weekly 5mg doses. They will maintain this dose until 12 months after surgery.

Sleeve Gastrectomy

Intervention Type PROCEDURE

Subjects in both the interventional group (n=21) and the control group (n=21) will undergo sleeve gastrectomy.

SG-A: sleeve gastrectomy alone

In this study the control group (n=21) are patients who will undergo sleeve gastrectomy alone.

Group Type ACTIVE_COMPARATOR

Sleeve Gastrectomy

Intervention Type PROCEDURE

Subjects in both the interventional group (n=21) and the control group (n=21) will undergo sleeve gastrectomy.

Interventions

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Mounjaro

In this study, the intervention group (n=21) are patients who will undergo sleeve gastrectomy and receive tirzepatide after surgery. Patients who were selected in this arm will undergo a 4-week dose escalation period. Starting at 6 months they will receive weekly 2.5mg doses (for 4 weeks). Afterwards, they will receive weekly 5mg doses. They will maintain this dose until 12 months after surgery.

Intervention Type DRUG

Sleeve Gastrectomy

Subjects in both the interventional group (n=21) and the control group (n=21) will undergo sleeve gastrectomy.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Adult 18 to 65 years of age
* Body Mass Index \>35 with comorbidity of Type 2 Diabetes and/or Hypertension and/or Hyperlipidemia and/or Obstructive Sleep Apnea OR Body Mass Index \>40 with or without comorbidity
* Undergoing primary sleeve gastrectomy

Exclusion Criteria

* Prior metabolic and bariatric surgery
* Prior use of GLP-1 agonist
* Prior history of pancreatitis
* Personal/family history of medullary thyroid cancer or MEN type 2
* Secondary cause of obesity
* Any eating disorder
* Pregnancy/lactation
* History of acute coronary syndrome or myocardial infarction
* History of stroke
* Hepatic dysfunction: AST/ALT \>3 ULN
* Renal dysfunction eGFR\<45ml/min/1.73m2
* Active malignancy
* History of diabetic retinopathy
* History of gastroparesis
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nicholas Skertich

OTHER

Sponsor Role lead

Responsible Party

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Nicholas Skertich

Assistant Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Nicholas Skertich, MD

Role: PRINCIPAL_INVESTIGATOR

Rush University Medical Center

Locations

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Rush University Medical Center

Chicago, Illinois, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Research Administrator

Role: CONTACT

312-942-5500

Facility Contacts

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Sr. Clinical Research Coordinator

Role: primary

312-942-5500

Other Identifiers

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24101008

Identifier Type: -

Identifier Source: org_study_id

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