BAriaTric Surgery After Breast Cancer Treatment (BATS)

University of Minnesota (UMN)

Status

Begins enrollment in 3 months

Conditions

Early-stage Breast Cancer

Obesity

Treatments

Procedure: Bariatric Surgery with Sleeve Gastrectomy

Behavioral: Lifestyle Intervention

Study type

Interventional

Funder types

Other

Identifiers

NCT03946423

2018LS148

Details and patient eligibility

About

This is a feasibility study to gain an understanding of the willingness of women with a history of early stage breast cancer and current obesity to enroll in a weight-loss study, accept an assigned intervention (bariatric surgery with lifestyle intervention or lifestyle intervention alone), and comply with the study plan for 1 year. If there is successful enrollment in this study, the plan is to use what is learned in this study to design a larger, longer-term clinical trial to look at the effect of weight loss and incidence of cancer recurrence.

Enrollment

40 estimated patients

Sex

Female

Ages

18 to 67 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Diagnosis of breast cancer in the previous 10 years and currently disease free.
Completion of breast cancer treatment (radiation, chemotherapy) at least > 6 months prior to enrollment
Body mass index (BMI) of ≥ 35 kg/m2, but < 50 kg/m2.
18 through 67 years of age at enrollment
Deemed healthy enough to undergo bariatric surgery, if assigned intervention, as determined by a surgeon and documented in the medical record.
Must have insurance coverage with no exclusion for obesity related treatment or management of obesity related surgical complications - in general insurance coverage is available for persons with a BMI ≥ 35 kg/m2.
Anticipated ability to abide by study requirements demonstrated in part by, but not limited to, successful completion of run-in assessments.
Willingness to accept randomization into either interventional group.
Provides voluntary written consent prior to performance of any research related activities.

Exclusion criteria

Cardiovascular event (myocardial infarction, acute coronary syndrome, coronary artery angioplasty or bypass, stroke) in the past six months.
Current evidence of congestive heart failure, angina pectoris, or symptomatic peripheral vascular disease.
Cardiac stress test indicating that surgery or lifestyle would not be safe.
12-lead EKG indicating that surgery would not be safe.
Significant anemia (hemoglobin 1.0 g/dL or more below normal range) or history of coagulopathy.
History of stomach surgery, bile duct surgery, pancreatic surgery, splenectomy, or colon resection.
Gastric or duodenal ulcer in the past six months.
History of intra-abdominal sepsis except for uncomplicated appendicitis or diverticulitis more than six months prior to enrollment.
Self-reported HIV-positive status, active tuberculosis, active malaria, chronic hepatitis B or C, cirrhosis, or inflammatory bowel disease.
Currently pregnant or nursing, or planning to become pregnant in the next 15 months.
History of alcohol, drug, or opioid dependency (excluding nicotine) in the past five years.
Active psychosocial or psychiatric problem that is likely to interfere with adherence to the protocol.
Deemed not an acceptable candidate by a trained psychologist.
Current participation in a conflicting research protocol.
Presence of any chronic or debilitating disease that would make adherence to the protocol difficult.
Gastroesophageal reflux disease requiring medications. History of endoscopy demonstrating esophagitis or Barrett's changes in the esophagus.
Any history of dysphagia.