ClinicalTrials.gg
RecruitingNCT07901777GLP-BARI-VANUpdated Oct 28, 2026

Two-Year Weight Loss With GLP-1 Medications Compared With Sleeve Gastrectomy in Adults With Obesity

An observational study in Obesity & Overweight, sponsored by Yuzuncu Yil University. Recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-28.

Sponsored by Yuzuncu Yil University · Observational

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Oct 28, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
200
Ages
18 Years and older
Sex
All
01

Study summary

This observational study will compare weight loss over two years in adults receiving GLP-1 receptor agonist medications with weight loss in adults who previously underwent laparoscopic sleeve gastrectomy, an operation that reduces the size of the stomach.

Adults starting GLP-1 medications as part of their usual care will be followed for 24 months. Their results will be compared with existing medical records of adults who underwent sleeve gastrectomy at the same center. Treatment decisions will be made by patients and their treating clinicians as part of routine care, rather than assigned by the study.

The main outcome is the percentage of starting body weight lost at 24 months. The study will also assess weight changes at earlier visits, medication side effects, treatment continuation and reasons for stopping treatment, and changes in weight-related health conditions. The groups will be matched using baseline characteristics to make the comparison more balanced.

02

Conditions studied

  • Obesity & Overweight

Keywords

  • Obesity
  • Weight Loss
  • GLP-1 Receptor Agonists
  • Laparoscopic Sleeve Gastrectomy
  • Adverse Events
03

In context

Obesity

6,616 studies on the registry are indexed under Obesity; 1,726 are open to participants now.

This study's planned enrollment of 200 is above the median of 134 across 1,347 observational studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

Yuzuncu Yil University is the lead sponsor of 78 studies on the registry; 20 are open to participants now.

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

04

Who can participate

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

Study population

Adults aged 18 years or older receiving treatment for obesity or overweight at the Obesity Center of Van Training and Research Hospital, Türkiye. The prospective cohort will include consecutive eligible patients initiating GLP-1 receptor agonist therapy for weight management as part of routine clinical care. The retrospective cohort will include eligible patients who underwent primary laparoscopic sleeve gastrectomy for obesity at the same center between January 1, 2020, and January 1, 2026. Treatment decisions are made independently of study participation. The cohorts will be matched using propensity scores based on pretreatment demographic and clinical characteristics.

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

GLP-1 Receptor Agonist Cohort:

  • Age 18 years or older at treatment initiation.
  • Initiation of a GLP-1 receptor agonist for obesity or overweight as part of routine clinical care.
  • Available baseline height and body weight measurements.
  • Willingness to attend at least one follow-up assessment.
  • Ability to comply with the center's standard follow-up program.
  • Provision of written informed consent.

Laparoscopic Sleeve Gastrectomy Cohort:

  • Age 18 years or older at surgery.
  • Primary laparoscopic sleeve gastrectomy for obesity performed at the study center between January 1, 2020, and January 1, 2026.
  • Available preoperative height, body weight, and body mass index measurements.
  • Available demographic and baseline clinical data.
  • At least one documented postoperative body weight measurement. Availability of a 24-month weight measurement is preferred for the primary comparison.

Exclusion criteria

Exclusion Criteria:

Both Cohorts:

  • Bariatric or metabolic surgery before the index treatment.
  • Revisional bariatric surgery as the index treatment.
  • Active malignancy or a serious systemic disease substantially affecting body weight.
  • Pregnancy or breastfeeding at the index treatment.
  • Uncontrolled endocrine disease that may cause weight loss.
  • Missing baseline height or body weight measurements.
  • Recent participation in another intensive weight-loss program before the index treatment.
  • Concurrent use of another anti-obesity treatment that could substantially affect study outcomes.
  • Inability to reliably verify study data.

GLP-1 Receptor Agonist Cohort:

  • Short-term GLP-1 receptor agonist use for an indication other than weight management.
  • Medication prescribed but never administered.

Laparoscopic Sleeve Gastrectomy Cohort:

  • Sleeve gastrectomy performed concurrently with another bariatric procedure.
  • Sleeve gastrectomy performed for an indication other than primary obesity treatment.
05

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
200 participants (estimated)
Target follow-up
24 Months
Patient registry
Yes

Groups and cohorts

  • GLP-1 Receptor Agonist Cohort

    Adults aged 18 years or older starting a GLP-1 receptor agonist, such as liraglutide or semaglutide, for weight management as part of routine clinical care. Participants will be followed prospectively for 24 months, with assessments at baseline and months 1, 3, 6, 12, and 24. Weight changes, medication use, treatment adherence, adverse events, and treatment discontinuation will be recorded. Medication selection and dosing will be determined by the treating clinician independently of study participation.

    Drug: GLP-1 Receptor Agonist Therapy

  • Laparoscopic Sleeve Gastrectomy Cohort

    Adults who underwent primary laparoscopic sleeve gastrectomy for obesity at the same center between January 1, 2020, and January 1, 2026, and were aged 18 years or older at surgery. Existing medical records will be reviewed retrospectively for baseline characteristics, postoperative weight measurements through 24 months, and surgical complications. This cohort will be matched with the GLP-1 receptor agonist cohort using propensity scores based on pretreatment characteristics. Surgery was performed as part of routine clinical care independently of this study.

    Procedure: Laparoscopic Sleeve Gastrectomy

Interventions

  • DrugGLP-1 Receptor Agonist Therapy

    GLP-1 receptor agonists, such as liraglutide or semaglutide, prescribed for weight management as part of routine clinical care. Medication selection, dose escalation, dose adjustment, and treatment discontinuation are determined by the treating clinician and are not assigned by the study protocol. Medication use, weight changes, treatment adherence, and adverse events will be recorded during 24 months of prospective follow-up.

    Also known as: Glucagon-Like Peptide-1 Receptor Agonist Therapy

  • ProcedureLaparoscopic Sleeve Gastrectomy

    Primary laparoscopic sleeve gastrectomy performed for obesity as part of routine clinical care between January 1, 2020, and January 1, 2026. The procedure involves removing a large portion of the stomach to create a narrow, sleeve-shaped stomach. Existing medical records will be reviewed retrospectively to assess weight changes and surgical complications through 24 months 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. Percentage of Total Body Weight Loss at 24 Months

    Percentage of total body weight loss (%TWL), calculated as \[(baseline body weight - body weight at 24 months) / baseline body weight\] × 100. Baseline is the date of GLP-1 receptor agonist treatment initiation or sleeve gastrectomy. The outcome will be compared between the propensity score-matched treatment cohorts.

    Time frame: 24 months after GLP-1 receptor agonist treatment initiation or sleeve gastrectomy.

Secondary outcomes

  1. Percentage of Total Body Weight Loss at Earlier Follow-Up Visits

    Percentage of total body weight loss (%TWL), calculated as \[(baseline body weight - follow-up body weight) / baseline body weight\] × 100, compared between the treatment cohorts.

    Time frame: At 1, 3, 6, and 12 months after treatment initiation.

  2. Change in Body Weight

    Change in body weight from baseline, measured in kilograms, compared between the treatment cohorts.

    Time frame: Baseline to months 1, 3, 6, 12, and 24.

  3. Change in Body Mass Index

    Change in body mass index (BMI) from baseline, calculated as body weight in kilograms divided by height in meters squared, compared between the treatment cohorts.

    Time frame: Baseline to months 1, 3, 6, 12, and 24.

  4. Percentage of Participants Achieving at Least 5% Total Body Weight Loss

    Percentage of participants losing at least 5% of their baseline body weight, compared between the treatment cohorts.

    Time frame: At months 1, 3, 6, 12, and 24.

  5. Percentage of Participants Achieving at Least 10% Total Body Weight Loss

    Percentage of participants losing at least 10% of their baseline body weight, compared between the treatment cohorts.

    Time frame: At months 1, 3, 6, 12, and 24.

  6. Percentage of Participants Achieving at Least 15% Total Body Weight Loss

    Percentage of participants losing at least 15% of their baseline body weight, compared between the treatment cohorts.

    Time frame: At months 1, 3, 6, 12, and 24.

  7. Percentage of Participants Achieving at Least 20% Total Body Weight Loss

    Percentage of participants losing at least 20% of their baseline body weight, compared between the treatment cohorts.

    Time frame: At months 1, 3, 6, 12, and 24.

  8. Percentage of Participants Achieving at Least 25% Total Body Weight Loss

    Percentage of participants losing at least 25% of their baseline body weight, compared between the treatment cohorts.

    Time frame: At months 1, 3, 6, 12, and 24.

  9. Percentage of Participants Experiencing Any Adverse Event During GLP-1 Therapy

    Percentage of participants in the GLP-1 receptor agonist cohort experiencing at least one adverse event. Event type, onset, severity, and suspected relationship to medication will be recorded.

    Time frame: From the first medication dose through 24 months.

  10. Percentage of Participants Experiencing Gastrointestinal Adverse Events During GLP-1 Therapy

    Percentage of participants in the GLP-1 receptor agonist cohort experiencing gastrointestinal adverse events, including nausea, vomiting, diarrhea, constipation, abdominal pain, or reflux/dyspepsia.

    Time frame: From the first medication dose through 24 months.

  11. Percentage of Participants Experiencing Serious Adverse Events During GLP-1 Therapy

    Percentage of participants in the GLP-1 receptor agonist cohort experiencing an adverse event resulting in death, a life-threatening condition, inpatient hospitalization or prolonged hospitalization, persistent or significant disability, a congenital anomaly, or another medically important event.

    Time frame: From the first medication dose through 24 months.

  12. Percentage of Participants Requiring GLP-1 Dose Reduction Due to Adverse Events

    Percentage of participants in the GLP-1 receptor agonist cohort whose medication dose is reduced because of an adverse event.

    Time frame: From treatment initiation through 24 months.

  13. Percentage of Participants Permanently Discontinuing GLP-1 Therapy Due to Adverse Events

    Percentage of participants in the GLP-1 receptor agonist cohort who permanently discontinue medication because of an adverse event.

    Time frame: From treatment initiation through 24 months.

  14. Percentage of Participants Permanently Discontinuing GLP-1 Therapy for Any Reason

    Percentage of participants in the GLP-1 receptor agonist cohort who permanently discontinue medication for any reason. Reasons for discontinuation will be recorded.

    Time frame: From treatment initiation through 24 months.

  15. Duration of GLP-1 Treatment Persistence

    Time in months from GLP-1 receptor agonist treatment initiation to permanent discontinuation. Participants without permanent discontinuation will be censored at their last known follow-up or the end of the 24-month observation period.

    Time frame: From treatment initiation through 24 months.

  16. Improvement or Remission of Obesity-Related Comorbidities

    Percentage of participants with improvement or remission of baseline obesity-related comorbidities, including type 2 diabetes, hypertension, and dyslipidemia, assessed separately for each condition using available clinical records, laboratory results, and medication changes.

    Time frame: At months 3, 6, 12, and 24.

  17. Percentage of Participants With Emergency Department Visits

    Percentage of participants with at least one emergency department visit during follow-up, assessed in each treatment cohort using available records.

    Time frame: From treatment initiation through 24 months.

  18. Percentage of Participants With Hospital Admissions

    Percentage of participants with at least one hospital admission during follow-up, excluding the index admission for sleeve gastrectomy, assessed in each treatment cohort using available records.

    Time frame: From treatment initiation through 24 months.

  19. Percentage of Participants With Early Surgical Complications

    Percentage of participants in the sleeve gastrectomy cohort experiencing a complication within 30 days after surgery, including bleeding, staple-line leak, or complications requiring reoperation. Complications will be graded using the Clavien-Dindo classification when sufficient information is available.

    Time frame: Within 30 days after sleeve gastrectomy.

  20. Percentage of Participants With Late Surgical Complications

    Percentage of participants in the sleeve gastrectomy cohort experiencing complications more than 30 days after surgery, including stenosis, gastroesophageal reflux, nutritional deficiencies, or complications requiring revision surgery, as documented in available records.

    Time frame: From postoperative day 31 through 24 months.

07

Study locations

1 of 1 sites recruiting
  • Yüzüncü Yıl University
    Van, Turkey (Türkiye)
    Recruiting
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08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update 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 Sep 2026 (actual). Primary completion is estimated for Sep 2028, 24 months after the start.

Of 541 non-industry observational studies under Obesity, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 111. This study's planned 24 months is below that.

Counting every sponsor, half of 573 studies reached it within 40 months; a quarter within 19 and three quarters within 110.

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

Registered
Oct 22, 2026
First posted
Oct 28, 2026
StartActual
Sep 15, 2026
Primary completionEst.
Sep 15, 2028
CompletionEst.
Nov 15, 2028
Last update
Oct 28, 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.
Registered
First appeared on the registry. No changes since
Oct 28, 2026
Show all 1 update
  1. Oct 28, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07901777
Lead sponsor
Yuzuncu Yil University
Responsible party
Sebahattin Celik MD (Professor, Yuzuncu Yil University) — Principal investigator
First posted
Oct 28, 2026
Start date
Sep 15, 2026
Primary completion
Sep 15, 2028 (estimated)
Completion
Nov 15, 2028 (estimated)
Last update
Oct 28, 2026

Study contacts

Sebahattin Çelik
Contact
s.celik@yyu.edu.tr
+90 505 705 79 57

Oversight

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

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