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TerminatedNCT04147000ANTILOPUpdated Mar 22, 2024

Pharmacokinetics and Pharmacodynamics of Oral Sertraline Before and After Bariatric Surgery

An observational study in Overweight, Depression and Anxiety Disorders, sponsored by Linkoeping University. Terminated at 2 sites in Sweden. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2024-03-22.

Sponsored by Linkoeping University · Observational

Why this study was terminated
Problem with recruiting as a consequence of COVID-19
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
3
Ages
18 Years to 70 Years
Sex
All
01

Study summary

Volunteers with a prescription of oral sertraline who have been scheduled to bariatric surgery in either Norrköping/Sweden or Lindesberg/Sweden will be asked to participate in a observational study. The aim of this study is to evaluate the absorption and the effect and side effects of sertraline in volunteers 8 weeks before and 1, 6 and 12 months after bariatric surgery.

Read the detailed description

The pharmacokinetic changes of sertraline after bariatric surgery are studied by assessing the exposition for sertraline in individuals with long term treatment by measuring the area under the curve (AUC0-τ) 8 weeks before and one, six and twelve months after bariatric surgery in 30 participants.

The effect of variation of sertraline concentration is studied by a psychiatric assessment of depressive symptoms and symptoms of anxiety disorder. The aim ist to study if there is a relation between changes in pharmacokinetics and effect of sertraline after bariatric surgery.

For the assessment of side effects a self-reporting scale is used. These participants are recruited consequentially with the aim to get equal numbers of patients with both most usual types of surgery in Sweden (laparoscopic RYGB and gastric sleeve).

02

Conditions studied

  • Overweight
  • Depression
  • Anxiety Disorders

Keywords

  • Pharmacokinetics
  • Pharmacodynamics
03

In context

Overweight

3,670 studies on the registry are indexed under Overweight; 849 are open to participants now.

This study's enrollment of 3 is below the median of 150 across 436 observational studies indexed under Overweight.

Browse Overweight studies →

Lead sponsor

Linkoeping University is the lead sponsor of 189 studies on the registry; 40 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Volunteers scheduled for bariatric surgery in one of the two participating surgical clinics. Consecutive sampling until 30 volunteers are recruited.

Inclusion criteria

  • scheduled to undergo either gastric bypass or gastric sleeve surgery via surgeon clinics in Örebro or Norrköping
  • prescription of sertraline
  • since at least one month
  • planned to be continued at the time of inclusion
  • swedish speaking

Exclusion criteria

Exclusion Criteria:

  • comorbidity with the consequence that the potential participant may not be able to complete the study
  • if participation should result in a high risk for patients health or safety
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
3 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna
06

What researchers measure

Primary outcomes

  1. Change in Area under the concentration curve of sertraline

    Changes in the area under sertraline serum concentration vs time curve (AUC(0-t))

    Time frame: 8 weeks before, 1, 6 and 12 month after bariatric surgery before sertraline intake and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8 and 24 hours post dose

  2. Change in Clinical Anxiety Scale

    Psychiatric assessment of symptoms of anxiety disorders with an 5-items-scale (Psychic tension, Ability to relax/muscular tension, Startle response/hyperarousability, Worrying, Apprehension). Every item has values between 0 (no symptoms) and 4 (marked symptoms). The overall score ranges from 0 to 20.Higher scores indicate higher anxiety symptoms.

    Time frame: 8 weeks before, 1, 6 and 12 month after bariatric surgery

  3. Change in Montgomery-Åsberg-depression rating scale (MADRS-B)

    Assessment of depressive symptoms with a 10-items scale (Apparent Sadness, Reported Sadness, Inner Tension, Reduced Sleep, Reduced Appetite, Concentration Difficulties, Lassitude, Inability to Feel, Pessimistic Thoughts, Suicidal Thoughts). Higher score indicates more depressive symptoms, each item spans over a score from 0 to 6; the overall score ranges from 0 to 60.

    Time frame: 8 weeks before, 1, 6 and 12 month after bariatric surgery

Secondary outcomes

  1. Changes in the area under concentration vs time curve of desmethylsertraline

    Changes in the area under concentration vs time curve of desmethylsertraline

    Time frame: 8 weeks before, 1, 6 and 12 month after bariatric surgerybefore sertraline intake and 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8 and 24 hours post dose

07

Study locations

2 sites
  • Lindesbergs lasarett
    Lindesberg, Örebro 71135, Sweden
  • Vrinnevisjukhus
    Norrköping, Östergötland 60379, Sweden
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04147000
Lead sponsor
Linkoeping University
Collaborators
Örebro University, Sweden
Responsible party
Michael Andresen (Principal Investigator, Linkoeping University) — Principal investigator
First posted
Oct 31, 2019
Start date
Jan 1, 2020
Primary completion
Nov 12, 2023
Completion
Nov 12, 2023
Last update
Mar 22, 2024

Study contacts

Michael Andresen, MD
principal investigator · Linkoping university, Örebro university
Ylva Böttiger, Professor
study director · Linkoeping University

Oversight

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

Not currently enrolling

This study is terminated, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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