Actively Recruiting

Phase Not Applicable
Age: 45Years - 70Years
All Genders
NCT06065124

Bariatric Surgery Evaluation and Assessment of Treatment Efficacy - Intervention Trial

Led by University Medical Center Groningen · Updated on 2025-04-01

108

Participants Needed

2

Research Sites

169 weeks

Total Duration

On this page

Sponsors

U

University Medical Center Groningen

Lead Sponsor

R

Rijnstate Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this clinical trial is to evaluate if a bariatric surgery strategy will improve clinical endpoints, cardiac parameters and functional status in patients with obesity (with BMI 32-40 kg/m2) and symptomatic HF with preserved or mildly reduced LVEF in combination with AF, as compared to standard of care. Patients will be randomized to either the Intervention group receiving bariatric surgery including an intensive pre- and postoperative treatment scheme or to the control group receiving standard of care.

CONDITIONS

Official Title

Bariatric Surgery Evaluation and Assessment of Treatment Efficacy - Intervention Trial

Who Can Participate

Age: 45Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signs and symptoms of heart failure according to European Society of Cardiology guidelines
  • Left ventricular ejection fraction 40% or higher
  • HFA-PEFF score 5 or higher, or score 2-4 with a positive stress test
  • Age between 45 and 70 years
  • Body mass index (BMI) between 32 and 40 kg/m2
  • Paroxysmal or persistent atrial fibrillation managed with a rhythm control strategy
  • Willing to undergo either treatment strategy
  • Able to provide written informed consent
Not Eligible

You will not qualify if you...

  • BMI 40 kg/m2 or higher
  • BMI less than 32 kg/m2
  • Unable or unwilling to provide informed consent
  • More than moderate mitral or aortic valve regurgitation
  • More than mild mitral or aortic valve stenosis
  • Inadequate echocardiographic imaging for left ventricular mass or HFA-PEFF score assessment
  • History of myocardial infarction, myocarditis, invasive cardiac intervention, or stroke within 3 months before enrollment
  • Scheduled for atrial fibrillation ablation
  • Complex congenital heart disease
  • Unstable psychotic disorders, severe depression, or personality disorders as advised by psychiatrist
  • Unable to care for self or adapt to lifestyle changes after bariatric surgery
  • Medical condition limiting life expectancy to less than 2 years
  • Diseases requiring long-term anti-inflammatory treatment
  • Use of medications causing significant weight change (over 5 kg)

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 2 locations

1

Rijnstate Hospital

Arnhem, Gelderland, Netherlands, 6815AD

Active, Not Recruiting

2

University Medical Center Groningen

Groningen, Provincie Groningen, Netherlands, 9713GZ

Actively Recruiting

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Research Team

M

Michiel Rienstra, MD, PhD

CONTACT

T

Thomas M Gorter, MD, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Bariatric Surgery Evaluation and Assessment of Treatment Efficacy - Intervention Trial | DecenTrialz