RecruitingPhase 4NCT01501201

Comparison of Gastric By-Pass and Optimized Medical Treatment in Obese Diabetic Patients

Comparison of Gastric By-Pass and Optimized Medical Treatment in Obese Diabetic Patients in Terms of Mortality, Glycemic Control, and Cost Effectiveness - Prospective, Multicenter, Randomized Study


Sponsor

University Hospital, Lille

Enrollment

490 participants

Start Date

Aug 8, 2011

Study Type

INTERVENTIONAL

Conditions

Summary

The objectives are to compare the results of the Gastric By-Pass (GBP) to that of optimized medical therapy in patients with obesity and poorly controlled type 2 diabetes in terms of mortality, weight loss, glycemic control, quality of life, cost, cost-effectiveness and cost utility of these two strategies.


Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria4

  • Type 2 diabetes mellitus with HbA1c > 7.5 %
  • Body mass index > 35 and < 50 kg/m2
  • Candidate for Gastric By-Pass
  • Treatment with GLP1 (glucagon-like peptide) analogue or insulin

Exclusion Criteria4

  • Contraindication to bariatric surgery
  • Pregnancy
  • Affiliation of health care assurance
  • Psychiatric disorders

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Interventions

PROCEDUREGastric By-Pass

Bariatric surgery laparoscopic Roux-en-Y Gastric Bypass (RYGBP)

DRUGoptimized medical management

group receiving an optimized medical management, among patients with obesity and poorly controlled type 2 diabetes


Locations(10)

University Hospital of Lille

Lille, Nord, France

Centre Hospitalier Regional D' Angers

Angers, France

Hopital de Bois-Guillaume Chu Rouen

Bois-Guillaume, France

Hu Ouest Site Ambroise Pare Aphp -

Boulogne-Billancourt, France

Hopital Jeanne D'Arc Chu Nancy

Dommartin-lès-Toul, France

Hopital Lyon Sud - Hcl - Pierre Benite

Lyon, France

Hopital Lapeyronie Chu Montpellier

Montpellier, France

Hu Pitie Salpetriere Aphp

Paris, France

Hopital Larrey Chu Toulouse

Toulouse, France

Ch Valenciennes

Valenciennes, France

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