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RECRUITING
NCT07901777

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

Sponsor: Yuzuncu Yil University

View on ClinicalTrials.gov

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.

Official title: Comparison of Two-Year Weight-Loss Effectiveness of GLP-1 Receptor Agonists and Laparoscopic Sleeve Gastrectomy in the Treatment of Obesity: An Ambispective Propensity Score-Matched Cohort Study

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

OBSERVATIONAL

Enrollment

200

Start Date

2026-09-15

Completion Date

2028-11-15

Last Updated

2026-10-28

Healthy Volunteers

No

Interventions

DRUG

GLP-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.

PROCEDURE

Laparoscopic 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.

Locations (1)

Yüzüncü Yıl University

Van, Turkey (Türkiye)