Which weight loss surgery works best? major trial launches
NCT ID NCT04915014
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two weight loss surgeries for people with severe obesity: sleeve gastrectomy with transit bipartition (SG+TB) and Roux-en-Y gastric bypass (RYGB). About 320 participants will be followed for two years to see which surgery leads to greater weight loss and fewer side effects. The goal is to find the best surgical option for long-term weight control and health improvement.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 320 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2021
- Expected to finish
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Jul 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patient who has benefited from a pluridisciplinary evaluation, with a favorable opinion for SG+TB or RYGB as a first intention procedure with BMI ≥40 kg/m2 or BMI ≥ 35 kg/m2 associated with one co-morbidity which will be improved by surgery (according to HAS 2009 recommendation3) OR as a second intention procedure (revisional surgery) after failure of Sleeve gastrectomy (defined as insufficient weight loss at 18 months after surgery (EWL% \<50), or as weight regain (+ 20%)). * Patient who had benefited from an Upper GI Endoscopy with biopsies to look for Helicobacter Pylori (HP) and a HP eradication. * Patient who understands and accepts the need for a long-term follow-up * Patient who agrees to be included in the study and who signs the informed consent form * Patient affiliated to a healthcare insurance plan Exclusion Criteria: * History of previous bariatric surgery, other than a Sleeve Gastrectomy * Patient with current BMI \> 60 kg/m2 * Presence of a severe and evolutive life threatening pathology, unrelated to obesity * History of Chronic inflammatory bowel disease * Type 1 Diabetes * Pregnancy or desire to be pregnant during the study * Nursing woman * Presence of Pylori Helicobacter resistant to medical treatment * Presence of a non-healed gastro-duodenal ulcer or diagnosed less than 2 months previously * Severe esophagitis (grade C of Los Angeles classification) * Hiatal hernia * Patients with unstable psychiatric disorder, under supervision or guardianship * Patient who does not understand French/ is unable to give consent * Patient not affiliated to a French or European healthcare insurance * Patient who has already been included in a trial which has a conflict of interests with the present study * Patient incarcerated
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AP-HP Hôpital Bichat
Paris, France
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AP-HP Hôpital Georges Pompidou
Paris, France
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CHU Orléans
Orléans, France
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CHU de Lyon
Lyon, France
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CHU de Nancy
Vandœuvre-lès-Nancy, France
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CHU de Nantes
Nantes, France
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CHU de Poitiers
Poitiers, France
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Hop Claude Huriez Chu Lille
Lille, 59037, France
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