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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 19 February 2015
Main ID:  NCT01041768
Date of registration: 31/12/2009
Prospective Registration: No
Primary sponsor: IRCCS Azienda Ospedaliera Universitaria San Martino - IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
Public title: Multicentric Prospective Randomized Trial on Surgery Versus Standard Medical Care in Type 2 Diabetic Patients BMI 30-35 DIA-CHIR-MULT
Scientific title: Multicentric Prospective Randomized Controlled Trial on the Effect of Gastric Bypass and Bilopancreatic Diversion on Type 2 Diabetes Mellitus in Patients With BMI Between 30 and 35
Date of first enrolment: March 2009
Target sample size: 300
Recruitment status: Recruiting
URL:  http://clinicaltrials.gov/show/NCT01041768
Study type:  Interventional
Study design:  Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment  
Phase:  N/A
Countries of recruitment
Italy
Contacts
Name:     Nicola Scopinaro, MD
Address: 
Telephone: +39 010 3537301
Email: nicola.scopinaro@unige.it
Affiliation: 
Name:     Nicola Scopinaro, MD
Address: 
Telephone:
Email:
Affiliation:  Azienda Ospedaliera Universitaria "San Martino", Genova, Italy
Name:     Nicola Scopinaro, MD
Address: 
Telephone: +39 010 3537301
Email: nicola.scopinaro@unige.it
Affiliation: 
Key inclusion & exclusion criteria

Inclusion Criteria:

- BMI =30 and =34.9 kg/m2

- age between 35 and 70 years

- duration of diabetes = 5 years

- poor glycemic control (i.e., HbA1c = 8%) in spite a medical antidiabetic therapy in
accordance with good clinical practice (GCP)

- presence of significant co-morbidities or complications (such as dyslipidemia,
arterial hypertension, impaired renal function, neuropathy, retinopathy, CVD)

Exclusion Criteria:

- specific contraindication to obesity surgery or GBP or BPD, including any gastric
alteration specifically contraindicating GBP

- HbA1c < 8%

- positive autoantibodies anti-pancreas islet

- serum C-peptide < 0.5 ng/ml

- pregnancy

- medical conditions requiring acute hospitalisation

- severe diabetes complications or associated medical conditions (such as blindness,
end-stage renal failure, liver cirrhosis, malignancy, chronic congestive heart
failure

- recent (within preceding 12 months) myocardial infarction, stroke or TIA

- unstable angina pectoris

- psychological conditions which may hamper patient's cooperation

- geographic inaccessibility

- any condition which, in the judgement of the Investigator, may make risky the
participation in the study or bias the results



Age minimum: 35 Years
Age maximum: 70 Years
Gender: Both
Health Condition(s) or Problem(s) studied
Diabetes Mellitus
Intervention(s)
Procedure: Bariatric surgery
Primary Outcome(s)
Proportion of patients achieving diabetes complete remission (HbA1c 6% or below) or diabetes control (HbA1c between 7% and 6.1%) on free diet and with no antidiabetic medical therapy. [Time Frame: year 1, 3, 5]
Secondary Outcome(s)
Stable reduction of preoperative HbA1c; BMI; mortality/morbidity; Major components of the metabolic syndrome; Diabetes complications; Improvement of beta-cell function; insulin resistance reduction ; Overall and CV disease mortality. [Time Frame: at and post surgery, 1,3, 5 years since randomization]
Secondary ID(s)
DIA-CHIR-MULT-BMI 30-35
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Ospedale S. Timoteo, Termoli
Istituto Clinico Humanitas
IRCCS Multimedica
Azienda Ospedaliera Universitaria Policlinico
Ospedale di Desenzano del Garda
Azienda Ospedaliera San Giovanni Battista
Azienda Ospedaliera Santa Maria degli Angeli Pordenone
ASL Lanciano,Vasto
Azienda Ospedaliero, Universitaria Pisana
Ente Ospedaliero Ospedali Galliera
Humanitas Gavazzeni di Bergamo
Ospedale S. Giovanni Bosco
Policlinico Gemelli, Roma
Policlinico Tor Vergata, Roma
Azienda ospedaliera Garibaldi Catania
Hospital San Pietro Fatebenefratelli
Ospedale Marino, Cagliari
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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