Bariatric Surgery Combined With GLP-1RA: A Multicenter Study.

ConditionObesity
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age16-70
SponsorChina-Japan Friendship Hospital

About this trial

Obese patients exhibit considerable heterogeneity and complex comorbidities, making long-term effective management challenging with single therapies. While bariatric surgery remains the most effective weight-loss intervention, postoperative weight regain and metabolic deterioration require attention. GLP-1 RAs offer distinct advantages for weight and metabolic improvement, and their combined application with surgery may yield synergistic benefits.

Given the lack of multi-regional validation in China's diverse population, this multicenter study aims to confirm the real-world effectiveness and generalizability of bariatric surgery plus GLP-1RA across distinct regional cohorts.

Eligibility criteria

Qualifiers

Primary metabolic surgery candidates: Patients undergoing initial laparoscopic sleeve gastrectomy (LSG).

obesity:BMI ≥27.5 kg/m².

Metabolic comorbidities: Diagnosis of metabolic syndrome or type 2 diabetes mellitus (T2DM) meeting standard criteria.

Age range: 16-70 years (inclusive).

Disqualifiers

Recent GLP-1RA use: Treatment with GLP-1 receptor agonists within 6 months preoperatively.

Prior bariatric surgery: History of any metabolic/bariatric surgical procedure.

Postoperative complications: Requiring reoperation for severe complications (e.g., hemorrhage, anastomotic leak).

Non-indicated candidates: Patients not meeting standard bariatric surgery indications.

Trial design

Treatments tested in this trial

  • BS-GLP1RA group
  • BS group

Treatment groups

400 Participants
are divided into 2 treatment groups