ClinicalTrials.gg
CompletedNCT01013051ABSORB-MetUpdated Mar 3, 2011

Effect of Gastric Bypass on the Absorption of Metformin

An observational study in Obesity and Gastric Bypass, sponsored by University of Alberta. Completed at 1 site in Canada. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2011-03-03.

Sponsored by University of Alberta · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
34
Ages
18 Years to 60 Years
Sex
All
01

Study summary

Background: Gastric bypass is the most commonly performed type of bariatric (obesity) surgery, has dramatically increased in popularity and is now considered to be preferred treatments in severely obese patients that fail non-surgical therapy - particularly in patients with type 2 diabetes. Drug malabsorption is a potential concern post-gastric bypass because intestinal length is reduced.

Purpose: The purpose of this controlled, pharmacokinetic study is to determine whether the absorption of a single dose of metformin, the first line drug treatment in patients with type 2 diabetes, is significantly reduced after gastric bypass.

Methods: A single dose of standard release metformin 1000 mg will be administered to patients who have undergone gastric bypass and to patients who have not received surgery but are on the wait list (wait-listed controls). Blood sampling and urine sampling will occur in standardized fashion over the ensuing 24 hours to measure and compare the absorption of metformin between study arms. 34 patients total will be recruited.

Significance: Following completion of this study, we will better understand how gastric bypass affects metformin absorption. Ultimately, this information will help to ensure that this patient population is receiving optimal doses of this important drug treatment.

02

Conditions studied

  • Obesity
  • Gastric Bypass

Browse trials for

Keywords

  • obesity
  • gastric bypass
  • metformin
  • pharmacokinetics
  • absorption
03

In context

Obesity

6,570 studies on the registry are indexed under Obesity; 1,718 are open to participants now.

This study's planned enrollment of 34 is below the median of 132 across 1,338 observational studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

University of Alberta is the lead sponsor of 819 studies on the registry; 168 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Post gastric bypass and obese controls

  1. Male and Female
  2. 18 - 60 years old
  3. ≥ 3 months post-RYGB surgery or wait listed for bariatric surgery
  4. Able to provide written informed consent.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Patients living within and around Edmonton that have been referred to the Alberta Health Services Weight Wise Program

Exclusion criteria

Exclusion Criteria:

  1. Undergone or undergoing revision of a previous bariatric procedure
  2. Any major post-operative gastrointestinal complications, such as an anastomotic leak, outlet obstruction or persistent vomiting
  3. Currently on metformin therapy
  4. Any contraindications to metformin therapy such as:

    1. allergy to the drug
    2. chronic metabolic acidosis
    3. history of lactic acidosis
    4. liver failure or baseline liver enzymes higher than 3-fold above the upper limit of normal
    5. congestive heart failure
    6. renal failure (glomerular filtration rate \< 60 ml/min)
    7. alcoholism
    8. acute illness
    9. fatty liver disease
  5. Pregnant or nursing
  6. Not taking furosemide or nifedipine (both drugs may increase metformin absorption by 15-20%)the day of visit 2.
  7. Any other medical, social or geographic condition, which, in the opinion of the investigator would not allow safe completion of the study protocol
05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
34 participants (estimated)

Groups and cohorts

  • Post Gastric Bypass
  • Obese Controls

    age, BMI, gender matched

06

What researchers measure

Primary outcomes

  1. Area-under-the-curve of metformin absorption (0-infinity)

    Time frame: cross-sectional

Secondary outcomes

  1. AUC (0-24h)

    Time frame: cross-sectional

  2. tmax

    Time frame: cross-sectional

  3. cmax

    Time frame: cross-sectional

  4. AUC glucose (0-8h)

    Time frame: cross-sectional

  5. bioavailability of metformin (urine metformin concentration from 0-infinity)

    Time frame: cross-sectional

07

Study locations

1 site
  • University of Alberta Hospital Clinical Investigation Unity
    Edmonton, Alberta T6G2B7, Canada
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 3, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01013051
First posted
Nov 13, 2009
Start date
Sep 2009
Completion
Dec 2010
Last update
Mar 3, 2011

Study contacts

Raj Padwal, MD
principal investigator · University of Alberta

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2011. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion