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CompletedNCT04043585Updated Nov 29, 2023

Bariatric Surgery on NASH

An observational study in Non-Alcoholic Fatty Liver Disease and Obesity, sponsored by University Hospital, Gentofte, Copenhagen. Completed at 1 site in Denmark. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-11-29.

Sponsored by University Hospital, Gentofte, Copenhagen · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
29
Ages
18 Years to 60 Years
Sex
All
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Study summary

The study investigates non-alcoholic fatty liver disease from serial liver biopsies collected from participants referred for assessment of bariatric surgery, RYGB or SG.

Read the detailed description

Non-alcoholic fatty liver disease (NAFLD) is an increasing health care problem closely related to obesity and has become the most common cause of chronic liver disease in developed countries. Today, bariatric surgery is the most efficient treatment of morbid obesity in terms of a rapid and sustained loss of weight. In addition, bariatric surgery is accompanied by improvement of weight-related comorbidities including features of the metabolic syndrome and possibly regression of the entire NAFLD spectrum.

The study is designed as an observational study including 40 patients referred to laparoscopic bariatric surgery (either RYGB or SG). The primary endpoint is change in NAFLD activity score (NAS) in serial liver biopsies collected from participants. Additional tests include blood samples, anthropometry measurements, Fibroscan and full body dual-energy X-ray absorptiometry (DEXA) scan performed together with each biopsy.

This unique model of serial liver biopsies in morbidly obese patients referred to bariatric surgery (RYGB or SG), combined with state-of-the-art technologies and bioinformatics, will provide important information about the effects of weight loss on NASH. The results will improve our understanding of the underlying mechanisms with the potential of identifying new potential NASH targets or diagnostic biomarkers.

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Conditions studied

  • Non-Alcoholic Fatty Liver Disease
  • Obesity
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In context

Non-alcoholic Fatty Liver Disease

1,507 studies on the registry are indexed under Non-alcoholic Fatty Liver Disease; 303 are open to participants now.

This study's enrollment of 29 is below the median of 150 across 359 observational studies indexed under Non-alcoholic Fatty Liver Disease.

Browse Non-alcoholic Fatty Liver Disease studies →

Lead sponsor

University Hospital, Gentofte, Copenhagen is the lead sponsor of 160 studies on the registry; 9 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

30-40 patients referred to laparoscopic bariatric surgery (either RYGB or SG)

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

  • Obese (BMI≥35 kg/m2) individuals referred for bariatric surgery, either RYGB or SG
  • Age between 18 and 60 years at the time of inclusion
  • Evidence of potential NASH with fibrosis
  • Willing to give informed consent and comply with all study procedures

Exclusion criteria

Exclusion Criteria:

  • Type 1 diabetes
  • Alcohol consumption ≥20 g/day for women or ≥30 g/day for men over a two-year period prior to inclusion
  • Clinically significant kidney function impairment or other laboratory findings at time of screening leading to the diagnosis of clinically relevant disorders
  • Any physical or psychological condition that the investigator evaluates would interfere with trial participation
  • Previous gastrointestinal surgery (excluding cholecystectomy and appendectomy)
  • Planned elective surgery (other than bariatric surgery) during the study period with the exception of dermatosurgical, ENT (ear, nose, throat) or dental procedures not requiring general anaesthesia and/or perioperative antibiotic treatment
  • Pregnancy or desire to become pregnant during the study period
  • Any ongoing medication that the investigator evaluates would interfere with trial participation including anticoagulant medication, and medication that could cause NAFLD
  • Contraindications to liver biopsy
  • Other causes of liver disease than NAFLD, including viral hepatitis, Wilsons disease, cystic fibrosis, coeliac disease and alpha-1 antitrypsin deficiency.
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Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
29 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna
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What researchers measure

Primary outcomes

  1. NAFLD activity score

    Change in NAFLD activity score (NAS). Assessment of NAS, a standardized tool for assessment of liver histology, is often used for quantification of disease activity, allowing comparison of biopsies in clinical studies and improved reproducibility. The NAS is defined as the sum of scores for steatosis (0-3), lobular inflammation (0-3) and ballooning degeneration (0-2)

    Time frame: 18 months

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Study locations

1 site
  • Center for Clinical Metabolic Research
    Hellerup, 2900, Denmark
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 29, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04043585
Collaborators
Gubra ApS
Responsible party
Filip Krag Knop (Professor, head of department, University Hospital, Gentofte, Copenhagen) — Principal investigator
First posted
Aug 2, 2019
Start date
Jul 31, 2019
Primary completion
Mar 29, 2023
Completion
Mar 29, 2023
Last update
Nov 29, 2023

Study contacts

Filip K Knop, MD, PhD
study director · UGGentofte

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.

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