Genetic Susceptibility to Predict Weight Loss After Bariatric Surgery (GENBASU)

Institut de Recerca Biomèdica de Lleida

Status

Enrolling

Conditions

Weight Loss

Genetic Predisposition

Bariatric Surgery Candidate

Metabolic Syndrome

Obesity, Morbid

Study type

Observational

Funder types

Other

Identifiers

NCT06226194

IRBLleida

Details and patient eligibility

About

Obesity is a complex chronic disease, in which both genetic and environmental factors are involved, that shows a great heterogeneity in the response to different weight loss programs. Identifying patients as responder or no responder to the different obesity treatment options is a concept of great interest, both due to the high prevalence of obesity and its high consumption of resources. More than 500,000 surgeries are performed every year around the world, of which approximately 30% will present unsatisfactory results.

The general objective is to carry out a multi-omics approach for the discovery and validation of markers of weight response to bariatric surgery (BS) in a large sample of people with severe obesity (n=6,966 men and women who underwent sleeve gastrectomy or gastric bypass, including an additional external validation set). Thus, the investigators want to know the integrated contribution of several genomic markers (Genome Wide Association study, GWAs), new clinical and analytical variables (human exposome concept) and gender perspective to the prediction of response to the intervention at 12 month and its long-term longitudinal maintenance (3 years). The investigators intend, therefore, to provide new evidence to advance towards precision medicine. The investigators will focus our attention also on identifying those patients who, after being classified at the weight loss nadir as responders experienced weight regain.

Enrollment

6,966 estimated patients

Sex

All

Ages

18 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Men and women between the ages of 18 and 65 at the time of surgery
SG or RYBP as bariatric procedure.
With a BMI≥35.0 kg/m2 with one or more comorbidities or a BMI>40.0 kg/m2 at the time of surgery.
Provision of an informed consent form signed and personally dated by the patient.
With available baseline data (anthropometric, analytical, surgical procedure, pharmacological therapies, and obesity-related comorbidities).

Exclusion criteria

Any previous gastrointestinal surgery
Treatment with any approved antiobesity drug in Spain (orlistat, liraglutide 3.0 mg and/or naltrexone/bupropion extended release) or systemic glucocorticoids for more than 4 consecutive weeks during the 3 years following BS
End stage kidney disease (eGFR <15 ml/min/1.73m2) or liver cirrhosis at baseline
Patients who developed any major medical conditions that limits the practice of a healthy life within normal limits (advanced cardiovascular disease or heart failure, stroke with neurological sequelae, chronic pulmonary obstructive disease with dyspnea at minimal exertion, severe joint pathology, end stage renal failure, or active cancer)
Known type 1 diabetes or LADA diabetes
Women who become pregnant during the follow-up period
Current drug or alcohol abuse
Uncontrolled psychiatric illness or eating disorders developed during the follow-up period.