Clinical trial

Collection of Human Metabolic Tissues

Recruiting now · Not applicable · 1 countries · Registry ID NCT02861781

Recruiting nowNot applicableObservational

What this study is about

This project aims at identifying new determinants of type 2 diabetes in severe obesity. To do so, a biological collection, including tissues of interest in the field of metabolism, will be collected during bariatric surgery in obese patients. Three different groups of metabolic status of patients, corresponding to different stages of evolution of the disease, will be constituted: type 2 diabetes, insulin resistance, insulin sensitivity. The main objective is to compare, between these 3 groups of patients, several biological processes that may be involved in the pathophysiology of type 2 diabetes and disorders associated with obesity, including: * Abnormalities of the transcriptome, proteome, metabolome in all target tissues (plasma, serum, muscle, subcutaneous and visceral adipose tissue, omental artery, liver) * Identification of metabolic signatures, protein and miRNA in plasma * Immunoinflammatory response in adipose tissue * Polymorphisms SNP from whole blood * Histological analysis of tissue sections This main objective will be studied on samples taken at the time of surgery Secondary objectives will be to study the changes in metabolites, proteins and miRNA in plasma level 3 and 12 months after the completion of surgery, according to the initial metabolic state.

A promising-looking record is not the same as confirmed eligibility. The study team must review the full criteria and current recruitment status.

Basic eligibility

Age18 Years to 65 Years

SexAll

Healthy volunteersNot accepted

ConditionObesity, Insulin Resistance, Diabetes Mellitus, Type 2

Full registry criteria

Inclusion Criteria: 1. Written informed consent 2. Age 18 - 65 years inclusive at surgery 3. IMC \> 35 4. Subject qualified for bariatric surgery (sleeve gastrectomy or gastric bypass) 5. Specific criteria : * Type 2 diabetes group (D) (90 patients) : type 2 diabetes according to ADA criteria * Insulin resistance non diabetes group (IR) (80 patients) : HOMA-IR criteria ≥ 3 * Insulin Sensitivity non diabetes group (N) (100 patients) : N1.HOMA-IR criteria \< 3 Non inclusion Criteria: 1. Vulnerability according to article L1121-6 of the Public Health Code 2. Protected adult or unability to give consent according to article L1121-8 of the Public Health Code 3. Unability to understand the design and aims of the study or to communicate with the investigator 4. Non affiliation to a social security system 5. Prior bariatric surgery (except lap-band procedure) 6. Serologic profile indicating hepatitis B, hepatitis C or HIV infection 7. Inflammatory, infectious or autoimmune disease (current or in the previous 3 month) 8. Malignancies within 5 years prior to inclusion or not considered as treated curatively 9. Concomitant use of steroids or NSAI or use in the 8 days before surgery 10. alcohol abuse/addiction 11. Anticipated poor compliance to study procedures 12. Other type of diabetes than type 2 Exclusion Criteria : 1. Cancelled bariatric surgery 2. Tissue collection not possible during the bariatric surgery

Treatments and study arms

Collection of blood samples and tissues

Other

Collection of blood samples and tissues during bariatric surgery and blood samples during followup visits

Primary outcomes

comparison of metabolitesAt baseline (day of surgery)

comparison of proteins levelsAt baseline (day of surgery)

in liver, muscle, adipose tissue and plasma according to metabolic state

comparison of miRNAAt baseline (day of surgery)

in liver, muscle, adipose tissue and plasma according to metabolic state

Study locations

1 locations were listed when this page was built. The first 40 are shown.

Hôpital Saint Eloi🇫🇷 Montpellier, France

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Florence Galtier, MDContact

Florence Galtier, MDPrincipal Investigator