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Obesity & OverweightPANFAT-BSNCT07464223

MRI Assessment of Pancreatic Fat Changes and Islet Function Recovery After Bariatric Surgery in Obese Patients

An observational study of Obesity & Overweight and Type 2 Diabetes Mellitus (T2DM), run by yu li,MD at 1 site in China.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This study evaluates changes in pancreatic fat and recovery of pancreatic function in obese patients undergoing laparoscopic sleeve gastrectomy (LSG), a weight-loss surgery. Obesity can cause fat to accumulate in the pancreas, which may impair insulin production and lead to type 2 diabetes. Read more about this study

Who is it for?
Ages 16 to 60 years
What is being tested?
Laparoscopic Sleeve Gastrectomy (LSG)
Type of treatment
Surgery or procedure
How many people
50 participants
Where
1 siteChina
Study dates
1 Sep 2024to 30 Apr 2026
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 16 to 60 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Study population: Obese patients aged 16-60 years with BMI >32 kg/m² undergoing laparoscopic sleeve gastrectomy at Qingdao University Affiliated Hospital. Participants must have preoperative evidence of pancreatic fat infiltration and complete medical records. Both male and female patients are eligible.

Who may be able to join

  • Age between 16 and 60 years
  • BMI > 32 kg/m²
  • Preoperative auxiliary examination supports diagnosis of pancreatic fat infiltration
  • Willing to undergo pancreatic MRI examination
  • Previous attempts at other weight loss methods have been ineffective
  • Complete medical records available
  • Voluntary signed informed consent
  • Scheduled to undergo laparoscopic sleeve gastrectomy (LSG) at Qingdao University Affiliated Hospital

Who cannot join

  • Secondary obesity
  • Previous major gastrointestinal surgery
  • Diagnosed gastric or duodenal ulcer
  • Gastrointestinal diseases associated with malabsorption
  • Other diseases causing abnormal pancreatic function
  • BMI < 32 kg/m²
Show all 10Show fewer
  • Poor compliance or self-control, unable to follow dietary guidance after surgery
  • Unable to complete follow-up visits
  • Contraindications for MRI examination
  • Pregnancy or lactation

Trial locations and contacts

1 site in 1 country.

China1 site
  • Qingdao University Affiliated Hospital

    Qingdao, Shandong, 266003

Other trials in China

About this study

Official title: A Longitudinal Study Based on MRI to Evaluate the Changes of Pancreatic Fat and the Recovery of Pancreatic Function in Obese Patients After Bariatric Surgery

This study evaluates changes in pancreatic fat and recovery of pancreatic function in obese patients undergoing laparoscopic sleeve gastrectomy (LSG), a weight-loss surgery.

Obesity can cause fat to accumulate in the pancreas, which may impair insulin production and lead to type 2 diabetes. This study uses magnetic resonance imaging (MRI) to measure pancreatic fat before and after surgery to understand how weight loss affects pancreatic function.

Read more

About 50 obese patients (BMI > 32 kg/m²) aged 16-60 years who are scheduled for LSG will be enrolled. Participants will undergo MRI scans of the pancreas and blood tests before surgery and at 1, 3, and 6 months after surgery. The MRI uses a safe, non-invasive technique called Dixon imaging to measure fat content in different parts of the pancreas (head, body, and tail). Blood tests will measure fasting glucose, insulin, C-peptide, and HbA1c to assess pancreatic function.

The study aims to determine whether reduction in pancreatic fat after weight-loss surgery is associated with improved insulin secretion and reduced insulin resistance. This information may help doctors better understand how bariatric surgery improves metabolic health and guide postoperative patient management.

Participation involves no additional risk beyond routine clinical care. All MRI scans and blood tests are part of standard postoperative monitoring for bariatric surgery patients.

Read the detailed description

See attached protocol for detailed study design, eligibility criteria, and outcome measures.

Being tested
Laparoscopic Sleeve Gastrectomy (LSG)
Keywords
Bariatric Surgery, Sleeve Gastrectomy, Pancreatic Fat, MRI, Dixon Imaging, Islet Function, Insulin Secretion, Metabolic Surgery, Diabetes Remission
Medical subject headings
Obesity, Overweight, Diabetes Mellitus, Type 2, Insulin Resistance

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Laparoscopic Sleeve Gastrectomy (LSG)Procedure or surgery

    Standard laparoscopic sleeve gastrectomy performed by experienced surgeons. This is the routine clinical procedure for weight loss, not an experimental intervention. The study observes pancreatic fat changes and metabolic outcomes following this standard surgery.

Study groups in NCT07464223
Study groupRoleWhat they receive
Obese patients undergoing LSGObese patients (BMI > 32 kg/m²) aged 16-60 years undergoing laparoscopic sleeve gastrectomy (LSG), with pancreatic fat infiltration confirmed by preoperative MRI. Participants will be assessed at baseline (preoperative) and at 1, 3, and 6 months postoperatively.
Receives: Procedure: Laparoscopic Sleeve Gastrectomy (LSG)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Pancreatic Fat Content

    Pancreatic fat fraction will be measured using MRI Dixon imaging at pancreatic head, body, and tail. Fat fraction (%) = [(SI in-phase - SI opposed-phase) / (2 × SI in-phase)] × 100.

    Measured: Baseline (preoperative), 1 month, 3 months, and 6 months postoperatively

  2. Change in Insulin Resistance Index (HOMA-IR)

    Insulin resistance will be assessed using the Homeostasis Model Assessment for Insulin Resistance (HOMA-IR) calculated as: [fasting plasma glucose (mmol/L) × fasting insulin (μU/mL)] / 22.5. Fasting plasma glucose will be measured by glucose oxidase method and fasting insulin will be measured by chemiluminescence immunoassay. Higher HOMA-IR values indicate greater insulin resistance.

    Measured: Baseline (preoperative), 1 month, 3 months, and 6 months postoperatively

  3. Change in Pancreatic Beta-cell Function

    Pancreatic beta-cell function will be assessed using HOMA-%β (Homeostasis Model Assessment for beta-cell function) calculated as: HOMA-%β = [20 × fasting insulin (μU/mL)] / [fasting glucose (mmol/L) - 3.5] (%). Fasting blood glucose, fasting insulin, C-peptide, and HbA1c will be measured at each time point.

    Measured: Baseline (preoperative), 1 month, 3 months, and 6 months postoperatively

Secondary outcomes (3)
  1. Change in Body Weight and BMI

    Body weight will be measured using calibrated electronic scales with subjects wearing light clothing and no shoes. Height will be measured using a stadiometer. BMI will be calculated as weight (kg) divided by height squared (m²). Percentage of total weight loss (%TWL) and percentage of excess weight loss (%EWL) will also be calculated to assess surgical efficacy.

    Measured: Baseline (preoperative), 1 month, 3 months, and 6 months postoperatively

  2. Change in Pancreatic Fat Distribution (Head, Body, Tail)

    Regional pancreatic fat content will be measured separately at pancreatic head, body, and tail using MRI Dixon imaging. Three regions of interest (ROI) will be drawn at the maximal cross-sectional area of each pancreatic segment. Fat fraction (%) = [(SI in-phase - SI opposed-phase) / (2 × SI in-phase)] × 100. This allows assessment of differential fat reduction patterns across pancreatic regions and correlation with regional islet function recovery.

    Measured: Baseline (preoperative), 1 month, 3 months, and 6 months postoperatively

  3. Correlation Between Pancreatic Fat Reduction and Islet Function Recovery

    Correlation analysis between the magnitude of pancreatic fat reduction (measured by MRI Dixon) and improvement in islet function parameters (HOMA-%β, HOMA-IR, fasting insulin, C-peptide). This will identify whether pancreatic fat reduction is an independent predictor of beta-cell function recovery after laparoscopic sleeve gastrectomy.

    Measured: Baseline to 6 months postoperatively (change scores will be calculated)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Mar 2026
  2. Study start1 Sep 2024
  3. Primary completion30 Apr 2026 (estimated)
  4. Study completion30 Apr 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07464223
Sponsor's protocol ID
QYFYEC2024-233
Acronym
PANFAT-BS
Status last verified
Mar 2026
First submitted
6 Mar 2026
Last updated
12 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual participant data (IPD) underlying published results will be shared upon reasonable request to the corresponding author (Dr. Yu Li, Liyu11920@hotmail.com) after publication of primary results. Data sharing will begin: 12 months after publication of primary results Data will be shared with: Researchers who provide a methodologically sound proposal Data sharing mechanism: Secure file transfer or email Types of data to be shared: De-identified participant-level data, data dictionary, and statistical analysis plan Supporting documents: Study protocol and informed consent form will be available upon request

Publications

  • Silva Junior MF, Batista MJ, de Sousa MDLR. Correction: Risk factors for tooth loss in adults: A population-based prospective cohort study. PLoS One. 2019 Dec 16;14(12):e0226794. doi: 10.1371/journal.pone.0226794. eCollection 2019.

    PubMed 31841552
  • Yoshino M, Kayser BD, Yoshino J, Stein RI, Reeds D, Eagon JC, Eckhouse SR, Watrous JD, Jain M, Knight R, Schechtman K, Patterson BW, Klein S. Effects of Diet versus Gastric Bypass on Metabolic Function in Diabetes. N Engl J Med. 2020 Aug 20;383(8):721-732. doi: 10.1056/NEJMoa2003697.

    PubMed 32813948
  • Vieira-Leite-Segundo A, Lima Falcao MF, Correia-Lins Filho R, Marques Soares MS, Lopez Lopez J, Chimenos Kustner E. Multiple myeloma with primary manifestation in the mandible: a case report. Med Oral Patol Oral Cir Bucal. 2008 Apr 1;13(4):E232-4.

    PubMed 18379446
  • Nannipieri M, Baldi S, Mari A, Colligiani D, Guarino D, Camastra S, Barsotti E, Berta R, Moriconi D, Bellini R, Anselmino M, Ferrannini E. Roux-en-Y gastric bypass and sleeve gastrectomy: mechanisms of diabetes remission and role of gut hormones. J Clin Endocrinol Metab. 2013 Nov;98(11):4391-9. doi: 10.1210/jc.2013-2538. Epub 2013 Sep 20.

    PubMed 24057293
  • De Luca M, Zese M, Bandini G, Chiappetta S, Iossa A, Merola G, Piatto G, Tolone S, Vitiello A, Silverii GA, Ragghianti B, Mannucci E, Monami M; Expert Panel and Evidence Review Team for the Italian Guidelines on Bariatric and Metabolic Surgery. Metabolic bariatric surgery as a therapeutic option for patients with type 2 diabetes: A meta-analysis and network meta-analysis of randomized controlled trials. Diabetes Obes Metab. 2023 Aug;25(8):2362-2373. doi: 10.1111/dom.15117. Epub 2023 Jun 5.

    PubMed 37272316
  • Lean ME, Leslie WS, Barnes AC, Brosnahan N, Thom G, McCombie L, Peters C, Zhyzhneuskaya S, Al-Mrabeh A, Hollingsworth KG, Rodrigues AM, Rehackova L, Adamson AJ, Sniehotta FF, Mathers JC, Ross HM, McIlvenna Y, Stefanetti R, Trenell M, Welsh P, Kean S, Ford I, McConnachie A, Sattar N, Taylor R. Primary care-led weight management for remission of type 2 diabetes (DiRECT): an open-label, cluster-randomised trial. Lancet. 2018 Feb 10;391(10120):541-551. doi: 10.1016/S0140-6736(17)33102-1. Epub 2017 Dec 5.

    PubMed 29221645

Questions about this trial

What is this clinical trial studying?

An observational study of Obesity & Overweight and Type 2 Diabetes Mellitus (T2DM), run by yu li,MD at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 12 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Pancreatic Fat Content (time frame: Baseline (preoperative), 1 month, 3 months, and 6 months postoperatively). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07464223, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Mar 2026.

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