Gastro-Intestinal Digestion and Physiology After Bariatric Surgery

NCT ID: NCT07286968

Last Updated: 2025-12-24

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

NOT_YET_RECRUITING

Total Enrollment

51 participants

Study Classification

OBSERVATIONAL

Study Start Date

2026-01-10

Study Completion Date

2027-07-01

Brief Summary

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The goal of this clinical trial is to characterize gastrointestinal digestion and physiology in patients after bariatric surgery, or people living with obesity. The main question it aims to answer is: what is the status of gastrointestinal digestion and physiology after bariatric surgery? Participants will have two study visits: 1) participants will undergo collection of gastrointestinal samples and 2) participants will ingest an ingestible capsule that measures multiple physiological parameters along the gastrointestinal tract.

Detailed Description

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This clinical trial aims to characterize gastric and pancreatic enzyme activity in adults aged 18 to 65 who have previously (at least 1 year ago) undergone Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG), as well as in individuals with obesity. In addition, the study seeks to quantify bile acid concentrations and pH at various locations within the gastrointestinal tract and to assess gastrointestinal transit time. During the study, aspirates will be collected from multiple regions of the gastrointestinal tract using a naso-intestinal catheter (study visit 1). An ingestible capsule will also be used to obtain continuous in vivo measurements of physiological conditions along the entire gastrointestinal tract (study visit 2).

Conditions

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Bariatric Surgery Roux-en Y Gastric Bypass Sleeve Gastrectomy Obesity & Overweight

Keywords

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Gastro-intestinal aspiration ingestible telemetric capsule

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Roux-en-Y gastric bypass

Patients who had undergone Roux-en-Y gastric bypass surgery

Gastro-intestinal aspiration

Intervention Type OTHER

Aspiration of fluids from the stomach and small intestine using a naso-intestinal catheter.

Telemetric

Intervention Type DEVICE

Telemetric ingestible capsule

Sleeve gastrectomy

Patients who had undergone sleeve gastrectomy surgery

Gastro-intestinal aspiration

Intervention Type OTHER

Aspiration of fluids from the stomach and small intestine using a naso-intestinal catheter.

Telemetric

Intervention Type DEVICE

Telemetric ingestible capsule

Patients living with obesity

Patients without previous bariatric surgery

Gastro-intestinal aspiration

Intervention Type OTHER

Aspiration of fluids from the stomach and small intestine using a naso-intestinal catheter.

Telemetric

Intervention Type DEVICE

Telemetric ingestible capsule

Interventions

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Gastro-intestinal aspiration

Aspiration of fluids from the stomach and small intestine using a naso-intestinal catheter.

Intervention Type OTHER

Telemetric

Telemetric ingestible capsule

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

Participants eligible for inclusion in this Investigation have to meet all of the following criteria:

1. Voluntary written informed consent of the participant has been obtained prior to any screening procedures
2. Age: 18-65 years


Patients with obesity:
3. Body Mass Index: \> 30 kg/m2

Patients after bariatric surgery:
4. Surgery: at least one year after Roux-en-Y gastric bypass or sleeve gastrectomy

Exclusion Criteria

Participants eligible for this Investigation must not meet any of the following criteria:

1. Patient has history of more than one bariatric surgery
2. Patient has a waist circumference \> 125.6 cm
3. Patient had gastrointestinal surgery in the past three months
4. Patient has a pacemaker, defibrillator, infusion pump, or other portable or implanted electromedical device
5. Patient had frequent exposure to X-rays in the past year
6. Patient has swallowing disorders, among others: dysphagia for food or pills, any oropharyngeal or oesophageal stricture, anxiety or functional abnormality
7. Patient has Crohn's disease or Diverticulitis
8. Patient has gastrointestinal strictures, fistulas or physiological/mechanical obstructions
9. Patient has gastric bezoar
10. Patient has a history of complex bowel resection or known abdominal adhesions
11. Patient has short bowel syndrome or ostomy
12. Patient has currently ongoing infections
13. Patient is planned to undergo usage of rectal foam/enema or treatment with adjuvant chemotherapy or radiotherapy
14. Patient is currently on parenteral diet
15. Patient is planned to undergo MRI procedure during usage of the wireless capsule
16. Patient is working in a professional healthcare facility (e.g. hospital, dental office, emergency room), military area (e.g. submarine, near radar installation), or heavy industrial area (e.g. power plants, automotive, mining, refineries) during the duration of the clinical investigation
17. Patient is pregnant, breastfeeding, actively trying to get pregnant or had recent childbirth in last 6 months
18. Patient cannot discontinue medication that affects gastrointestinal transit time and/or pH for at least 3 days before and during the study (and 4 weeks for weekly/long-acting GLP-1 analogues such as Saxenda, Ozempic, Wegovy, Mounjaro). This includes opioids (e.g., morphine, codeine), proton pump inhibitors (e.g., omeprazole, esomeprazole, pantoprazole), H2-receptor antagonists (e.g., cimetidine, famotidine), antacids, sucralfate, prokinetics (e.g., domperidone, metoclopramide), antidiarrheal agents (e.g., loperamide), antibiotics, probiotics and prebiotics.
19. Any disorder, which in the investigator's opinion might jeopardise participant's safety or compliance with the CIP.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universitaire Ziekenhuizen KU Leuven

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Universitaire Ziekenhuizen KU Leuven

Leuven, , Netherlands

Site Status

Countries

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Netherlands

Central Contacts

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Maaike De Kreek, MSc

Role: CONTACT

Phone: +32 16 34 72 89

Email: [email protected]

Bart Van der Schueren, Prof. Dr.

Role: CONTACT

Facility Contacts

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Maaike De Kreek, MSc

Role: primary

Other Identifiers

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CIV-25-08-054154

Identifier Type: OTHER

Identifier Source: secondary_id

S70844

Identifier Type: -

Identifier Source: org_study_id