ClinicalTrials.gg
RecruitingNCT07732738BS-GLPUpdated Jul 29, 2026

Bariatric Surgery Combined With GLP-1RA: A Multicenter Study.

An interventional study of BS-GLP1RA group and BS group in Obesity, sponsored by China-Japan Friendship Hospital. Recruiting at 7 sites in China. Open to participants aged 16 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-07-29.

Sponsored by China-Japan Friendship Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 6 months after the study started (first participant enrolled Jan 2025, registered Jul 2026).
  • Started Jan 2025; still recruiting 1 year 10 months later.

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Phase
Not applicable
Study type
Interventional
Enrollment
400
Allocation
Non-randomized
Ages
16 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 10 studies in Obesity by China-Japan Friendship Hospital — 8 open to participants now, 8 under way, none of them phase 3. Obesity · China-Japan Friendship Hospital.

Started
2025
with 2 others
No phase
4 of 10
4 open now
Registered
10th of 10
by date

Among the 10 studies in Obesity by China-Japan Friendship Hospital, this one is one of 3 that started in 2025, is one of 4 with no phase, and was the 10th registered.

Obesity

11,536 studies on the registry are indexed under Obesity; 2,042 are open to participants now.

Browse Obesity studies →

Open to participants now

8 of the 10 studies in Obesity by China-Japan Friendship Hospital are open now, in 1 country. Recruiting first, the newest first:

2 more — sign in →

By country, each count listing its studies:

All 8 open studies →

Where they have run

Who these studies take

Of the 1,339 Obesity studies recruiting now, 377 (28%) set no upper age limit and 859 (64%) stop at 75 or younger; 167 take children under 18; 490 take healthy volunteers.

This study: 16 Years to 70 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 10 studies in Obesity by China-Japan Friendship Hospital, or all of them as a file.
02

Study summary

Obese patients exhibit considerable heterogeneity and complex comorbidities, making long-term effective management challenging with single therapies. While bariatric surgery remains the most effective weight-loss intervention, postoperative weight regain and metabolic deterioration require attention. GLP-1 RAs offer distinct advantages for weight and metabolic improvement, and their combined application with surgery may yield synergistic benefits.

Given the lack of multi-regional validation in China's diverse population, this multicenter study aims to confirm the real-world effectiveness and generalizability of bariatric surgery plus GLP-1RA across distinct regional cohorts.

Read the detailed description

"bariatric surgery is guideline-recommended as an effective obesity treatment. Substantial evidence demonstrates its ability to significantly reduce weight, improve comorbidities like type 2 diabetes (T2DM) and dyslipidemia, and lower cardiovascular risk. However, the significant heterogeneity and complex comorbidity profiles among obese patients challenge long-term effective management with single therapeutic approaches. While currently the most effective weight-loss intervention, bariatric surgery requires attention to issues such as postoperative weight regain and metabolic deterioration.

In parallel, Glucagon-like peptide-1 receptor agonists (GLP-1RA) have demonstrated significant efficacy in obesity management. Agents like semaglutide promote weight loss and metabolic improvement through mechanisms including insulin secretion promotion, appetite suppression, delayed gastric emptying, and enhanced satiety.

Previous single-center studies have confirmed the efficacy of this combination therapy. However, given China's vast geographic and ethnic diversity, it remains unclear whether these findings are generalizable to broader populations. This multicenter study is therefore designed to assess the real-world effectiveness and generalizability of bariatric surgery plus GLP-1RA across distinct regional cohorts in China.

03

Conditions studied

  • Obesity

Browse trials for

Keywords

  • obesity
  • Glucagon-Like Peptide-1 Receptor Agonist
  • Bariatric Surgery
  • multicenter
04

Who can participate

Ages eligible
16 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  1. Primary metabolic surgery candidates: Patients undergoing initial laparoscopic sleeve gastrectomy (LSG).
  2. obesity: ≥27.5 kg/m².
  3. Metabolic comorbidities: Diagnosis of metabolic syndrome or type 2 diabetes mellitus (T2DM) meeting standard criteria.
  4. Age range: 16-70 years (inclusive).
  5. : Willing participation with documented consent.

Exclusion criteria

Exclusion Criteria:

  1. Recent GLP-1RA use: Treatment with GLP-1 receptor agonists within 6 months preoperatively.
  2. Prior bariatric surgery: History of any metabolic/bariatric surgical procedure.
  3. Postoperative complications: Requiring reoperation for severe complications (e.g., hemorrhage, anastomotic leak).
  4. Non-indicated candidates: Patients not meeting standard bariatric surgery indications.
  5. Significant comorbidities:

Advanced hepatic/renal dysfunction ( C or \<30 mL/min/1.73m²) Active (except non-melanoma skin cancers) disorders requiring Uncontrolled psychiatric conditions (e.g., active psychosis, severe depression)

Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
400 participants (estimated)

Study arms

  • Experimental
    BS-GLP1RA group

    Names for Surgery: Laparoscopic Sleeve Gastrectomy. Names for drugs: Semaglutide. Dosage:The starting dose was 0.25 mg per week and was subsequently titrated up based on individual patient response to a maximum maintenance dose of 2.4 mg per week. Frequency: Once per week. Duration: The treatment continued until the completion of the 6-month postoperative period.

    Combination Product: BS-GLP1RA group

  • Other
    BS group

    Names for Surgery: Laparoscopic Sleeve Gastrectomy. Names for drugs: N/A. Observation Group: Received only basic nutritional recommendation interventions after surgery.

    Procedure: BS group

Interventions

  • Combination productBS-GLP1RA group

    1.Basic Treatment Measures Within 0-30 days after sleeve gastrectomy, all patients received very low-calorie enteral nutrition powder (100 kcal/day). From 30 to 90 days post-surgery, a low-energy diet (400 kcal/day) was provided. Beyond 90 days post-surgery, a calorie-restricted diet was implemented (1,500 kcal/day for men and 1,200 kcal/day for women). 2.In addition to laparoscopic sleeve gastrectomy and postoperative basic nutritional counseling,the intervention group received subcutaneous semaglutide injections from 1 to 6 months postoperatively.The specific protocol was as follows:In the intervention group, semaglutide treatment was initiated at 1 month after LSG. The starting dose was 0.25 mg per week and was subsequently titrated up based on individual patient response to a maximum maintenance dose of 2.4 mg per week. The treatment continued until the completion of the 6-month postoperative period.

  • ProcedureBS group

    1.Basic Treatment Measures Within 0-30 days after sleeve gastrectomy, all patients received very low-calorie enteral nutrition powder (100 kcal/day). From 30 to 90 days post-surgery, a low-energy diet (400 kcal/day) was provided. Beyond 90 days post-surgery, a calorie-restricted diet was implemented (1,500 kcal/day for men and 1,200 kcal/day for women). 2.Observation Group: Received only basic nutritional recommendation interventions after surgery.

This study also gives Semaglutide. No intervention listed here names it: that was found by reading the record.

06

What researchers measure

Primary outcomes

  1. the Percentage of weight loss

    Time frame: 1 year

Secondary outcomes

  1. Weight in kilograms

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

  2. Waist circumference in centimeters

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

  3. Serum creatinine

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

  4. Glomerular filtration rate

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

  5. Fasting blood glucose

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

  6. Postprandial 2-hour blood glucose

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

  7. HbA1c

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

  8. Total cholesterol

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

  9. Low-Density Lipoprotein(LDL)

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

  10. High-Density Lipoprotein(HDL)

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

  11. Triglycerides

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

  12. Alanine Aminotransferase(ALT)

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

  13. Aspartate Aminotransferase(AST)

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

  14. uric acid(UA)

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

  15. Blood pressure

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

Other outcomes

  1. body fat percentage(BFP)

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

  2. Visceral fat area

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

  3. Muscle mass in kilograms

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

  4. Body fat percentage

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

  5. lean body mass (LBM)

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

  6. lean body mass percentage (LBMP)

    Time frame: Immediately postoperatively (Day 0), and at 1, 3, 6, and 12 months postoperatively.

07

Study locations

7 of 7 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jan 2025 (actual). Primary completion is estimated for Dec 2027, 35 months after the start.

Of 3,685 non-industry interventional studies with no phase under Obesity, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 43. This study's planned 35 months is above that.

Counting every sponsor, half of 3,848 studies reached it within 22 months; a quarter within 9 and three quarters within 42.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 19, 2026
First posted
Jul 29, 2026
StartActual
Jan 1, 2025
Primary completionEst.
Dec 30, 2027
CompletionEst.
Dec 30, 2027
Last update
Jul 29, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07732738
Responsible party
Hua Meng (Department of General Surgery & Obesity and Metabolic Disease Center, China-Japan Friendship Hospital) — Principal investigator
First posted
Jul 29, 2026
Start date
Jan 1, 2025
Primary completion
Dec 30, 2027 (estimated)
Completion
Dec 30, 2027 (estimated)
Last update
Jul 29, 2026

Study contacts

Yishan Huang
Contact
bucmyishan@163.com
86+18810621201

Oversight

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

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Studies of the drug tested here: Semaglutide

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