AzTrials
AzTrials

Obesity & OverweightBARI-PKNCT07748273

Rosuvastatin and Losartan Pharmacokinetics After Bariatric Surgery

A study testing Rosuvastatin in people with Obesity & Overweight and Bariatric Surgery, run by Hospital das Clínicas de Ribeirão Preto at 1 site in Brazil.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

This prospective, open-label, non-randomized pharmacokinetic study will evaluate how Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy affect systemic exposure to single oral test doses of rosuvastatin and losartan. Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
Rosuvastatin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteBrazil
Study dates
2 Aug 2026to 15 May 2027
Phase
Interventional
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 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults aged 18 to 65 years;
  • Formal clinical indication for RYGB or sleeve gastrectomy after multidisciplinary assessment;
  • Bariatric surgery scheduled and no previous bariatric procedure;
  • Able to understand the study and provide written informed consent.

Who cannot join

  • Moderate or severe hepatic impairment, liver enzymes greater than 3 times the upper limit of normal, or Child-Pugh class B or C.
  • Estimated glomerular filtration rate below 30 mL/min/1.73 m².
  • Concomitant use of drugs that substantially affect rosuvastatin pharmacokinetics and cannot be temporarily discontinued, including cyclosporine, gemfibrozil, or potent OATP1B1/BCRP or CYP2C9 inhibitors.
  • Systemic antibiotic use within 3 months or probiotic, prebiotic, or synbiotic use within 4 weeks before sampling.
  • Continuous current rosuvastatin or other statin therapy unless medically discontinued with an adequate washout period under physician supervision.
  • Clinically relevant baseline hypotension, significant hyperkalemia, renal impairment, or another condition that makes a losartan test dose unsafe.
  • Severe postoperative complication preventing oral dosing, including active gastrointestinal leak, intractable vomiting, or severe anastomotic stenosis.
  • Pregnancy. Participants of childbearing potential undergo routine preoperative beta-hCG testing.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Wilson Salgado Jr, MD, PhD contact

+5516981564846

wsalgado@fmrp.usp.br

Joao A Ferreira-Filho, MD contact

+5516988250557

joaoalmiroff@gmail.com

Brazil1 site
  • Hospital das Clínicas, Ribeirão Preto Medical School, University of São Paulo

    Ribeirão Preto, São Paulo, 14048900

    Fabiana CP Valera, MD PhD, +5516981548312, facpvalera@fmrp.usp.br

Other trials in Brazil

About this study

Official title: Comparative Evaluation of Rosuvastatin and Losartan Pharmacokinetics and the Associations Between Gut Microbiota Alterations and Changes in Systemic Drug Exposure in Patients Undergoing Roux-en-Y Gastric Bypass or Sleeve Gastrectomy

This prospective, open-label, non-randomized pharmacokinetic study will evaluate how Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy affect systemic exposure to single oral test doses of rosuvastatin and losartan. Sixty adults scheduled for bariatric surgery will enter one of two parallel groups according to the clinically selected operation (30 RYGB and 30 sleeve gastrectomy). Each participant will receive rosuvastatin 10 mg and losartan 25 mg once within 30 days before surgery and again approximately 12 weeks after surgery. Plasma samples collected before dosing and at 1.5 and 4 hours after dosing will be used with maximum a posteriori Bayesian estimation to estimate individual pharmacokinetic parameters. In the 30-participant RYGB group only, paired stool samples will be used to explore gut microbiota and untargeted fecal metabolomic changes. The primary objective is to compare within-participant changes and between-procedure differences in drug exposure after bariatric surgery.

Read the detailed description

Anatomical and physiological changes after bariatric surgery may alter oral drug absorption, first-pass metabolism, transporter activity, and systemic exposure. RYGB bypasses the duodenum and proximal jejunum, whereas sleeve gastrectomy preserves intestinal continuity but reduces gastric volume and may accelerate gastric emptying. Rosuvastatin is strongly influenced by transporters such as OATP1B1 and BCRP; losartan is affected by absorption and CYP2C9-mediated formation of its active metabolite E-3174. Direct comparative evidence between these procedures is limited.

Eligible adults will be enrolled before clinically indicated surgery. Surgical procedure selection is not assigned by the study. At each pharmacokinetic visit, after at least 8 hours of fasting, participants will receive single oral doses of rosuvastatin 10 mg and losartan 25 mg with 200 mL water. Venous plasma samples will be obtained at 0, 1.5, and 4 hours. Concentrations of rosuvastatin, losartan, and E-3174 will be quantified using validated HPLC-MS/MS. Individual AUC0-infinity, apparent clearance, half-life, and apparent volume of distribution will be estimated using MAP Bayesian methods informed by published population pharmacokinetic models. Clinical and laboratory covariates, including weight, BMI, lipid profile, blood pressure, comorbidities, and concomitant medications, will be recorded. In the 30-participant RYGB group only, paired stool samples will be analyzed by 16S rRNA sequencing and untargeted metabolomics. Safety will be monitored during and after each research dosing visit.

Being tested
Rosuvastatin, Losartan (Control)
Keywords
Roux-en-Y gastric bypass, sleeve gastrectomy, rosuvastatin, losartan, E-3174, gut microbiota, metabolomics, systemic exposure
Medical subject headings
Obesity, Overweight

What participants receive

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

  • RosuvastatinDrug

    Rosuvastatin 10 mg tablet, single oral dose at each of two pharmacokinetic visits. Other name: rosuvastatin calcium.

  • Losartan (Control)Drug

    Losartan 25 mg tablet, single oral dose at each of two pharmacokinetic visits. Other name: losartan potassium.

Study groups in NCT07748273
Study groupRoleWhat they receive
Roux-en-Y Gastric Bypass GroupExperimentalParticipants scheduled for clinically indicated laparoscopic RYGB receive a single oral research dose of rosuvastatin 10 mg plus losartan 25 mg within 30 days before surgery and again approximately 12 weeks after surgery. Plasma is collected at 0, 1.5, and 4 hours at each visit. Paired stool samples are collected before and after surgery for microbiome and untargeted metabolomics analyses.
Receives: Drug: Rosuvastatin; Drug: Losartan (Control)
Sleeve Gastrectomy GroupActive comparatorParticipants scheduled for clinically indicated laparoscopic sleeve gastrectomy receive the same single oral research doses and pharmacokinetic plasma sampling schedule before and approximately 12 weeks after surgery. Stool collection and microbiome/metabolomics analyses are not performed in this group.
Receives: Drug: Rosuvastatin; Drug: Losartan (Control)

What is being measured

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

  1. Change in rosuvastatin area under the plasma concentration-time curve extrapolated to infinity (AUC0-infinity)

    Individual rosuvastatin AUC0-infinity will be estimated from plasma concentrations at 0, 1.5, and 4 hours using maximum a posteriori Bayesian estimation based on a published population pharmacokinetic model. Within-participant postoperative/preoperative geometric mean ratios and between-procedure differences will be estimated.

    Measured: Within 30 days before surgery and approximately 12 weeks after surgery (postoperative visit may be delayed up to 6 months for clinical safety).

  2. Change in losartan area under the plasma concentration-time curve extrapolated to infinity (AUC0-infinity)

    Individual losartan AUC0-infinity will be estimated using the same sparse-sampling MAP Bayesian strategy and a published parent-metabolite population model.

    Measured: Within 30 days before surgery and approximately 12 weeks after surgery (up to 6 months if delayed for clinical safety).

Secondary outcomes (11)
  1. Change in apparent oral clearance (CL/F) of rosuvastatin, losartan, and E-3174; same two study visits.

    Change in apparent oral clearance (CL/F) of rosuvastatin, losartan, and E-3174; same two study visits.

    Measured: Within 30 days before surgery and approximately 12 weeks after surgery (up to 6 months if delayed for clinical safety).

  2. Change in estimated elimination half-life of rosuvastatin, losartan, and E-3174; same two study visits.

    Change in estimated elimination half-life of rosuvastatin, losartan, and E-3174; same two study visits.

    Measured: Within 30 days before surgery and approximately 12 weeks after surgery (up to 6 months if delayed for clinical safety).

  3. Change in plasma concentrations of rosuvastatin, losartan, and E-3174 at 1.5 and 4 hours after the single oral dose; each pharmacokinetic visit.

    Change in plasma concentrations of rosuvastatin, losartan, and E-3174 at 1.5 and 4 hours after the single oral dose; each pharmacokinetic visit.

    Measured: Within 30 days before surgery and approximately 12 weeks after surgery (up to 6 months if delayed for clinical safety).

  4. Incidence of adverse events following research test dosing, assessed from dose administration through completion of the 4-hour observation period at each visit and by clinically indicated follow-up.

    Incidence of adverse events following research test dosing, assessed from dose administration through completion of the 4-hour observation period at each visit and by clinically indicated follow-up.

    Measured: Within 30 days before surgery and approximately 12 weeks after surgery (up to 6 months if delayed for clinical safety).

  5. In the RYGB group only (30 participants), change in gut microbial in paired stool samples

    In the RYGB group only (30 participants), change in gut microbial alpha diversity (Shannon and Simpson indices) in paired stool samples; preoperative and approximately 12 weeks postoperative.

    Measured: Within 30 days before surgery and approximately 12 weeks after surgery (up to 6 months if delayed for clinical safety).

  6. In the RYGB group only (30 participants), differential abundance of gut microbial taxa in paired stool samples

    In the RYGB group only (30 participants), differential abundance of gut microbial taxa in paired stool samples; preoperative and approximately 12 weeks postoperative.

    Measured: Within 30 days before surgery and approximately 12 weeks after surgery (up to 6 months if delayed for clinical safety).

  7. Change in apparent volume of distribution of rosuvastatin, losartan, and E-3174; same two study visits.

    Change in apparent volume of distribution of rosuvastatin, losartan, and E-3174; same two study visits.

    Measured: Within 30 days before surgery and approximately 12 weeks after surgery (up to 6 months

  8. In the RYGB group only (30 participants), change in beta diversity (Bray-Curtis, Jensen-Shannon, and Jaccard distances) in paired stool samples; preoperative and approximately 12 weeks postoperative.

    In the RYGB group only (30 participants), change in beta diversity (Bray-Curtis, Jensen-Shannon, and Jaccard distances) in paired stool samples; preoperative and approximately 12 weeks postoperative.

    Measured: Within 30 days before surgery and approximately 12 weeks after surgery (up to 6 months if delayed for clinical safety).

  9. In the RYGB group only (30 participants), change in untargeted fecal metabolomic features in paired stool samples; preoperative and approximately 12 weeks postoperative.

    In the RYGB group only (30 participants), change in untargeted fecal metabolomic features in paired stool samples; preoperative and approximately 12 weeks postoperative.

    Measured: Within 30 days before surgery and approximately 12 weeks after surgery (up to 6 months if delayed for clinical safety).

  10. Pearson Correlation Between Percent Change in Rosuvastatin Systemic Exposure and Change in Gut Microbiota Shannon Diversity Index

    Pearson correlation between percent change in rosuvastatin AUC0-inf and change in gut microbiota alpha diversity. Plasma concentrations are measured by HPLC-MS/MS at predose, 1.5, and 4 hours; AUC0-inf (ng*h/mL) is estimated by maximum a posteriori Bayesian estimation. Percent AUC change = 100 x [(postoperative - preoperative)/preoperative]. In paired fecal samples from the Roux-en-Y gastric bypass group, V3-V4 16S rRNA sequencing with Illumina MiSeq is used to calculate the unitless Shannon Diversity Index; change = postoperative - preoperative. Pearson's r is unitless and ranges from -1 to +1. Positive values indicate changes in the same direction, negative values indicate changes in opposite directions, and absolute values closer to 1 indicate stronger correlation.

    Measured: Within 30 days before surgery and approximately 12 weeks after surgery (up to 6 months if delayed for clinical safety)

  11. Pearson Correlation Between Change in Losartan AUC0-inf and Change in Gut Microbiota Shannon Diversity Index

    Pearson correlation between percent change in losartan AUC0-inf and change in gut microbiota alpha diversity. Plasma concentrations are measured by HPLC-MS/MS at predose, 1.5, and 4 hours; AUC0-inf (ng*h/mL) is estimated by maximum a posteriori Bayesian estimation. Percent AUC change = 100 x [(postoperative - preoperative)/preoperative]. In paired fecal samples from the Roux-en-Y gastric bypass group, V3-V4 16S rRNA sequencing with Illumina MiSeq is used to calculate the unitless Shannon Diversity Index; change = postoperative - preoperative. Pearson's r is unitless and ranges from -1 to +1. Positive values indicate changes in the same direction, negative values indicate changes in opposite directions, and absolute values closer to 1 indicate stronger correlation.

    Time Frame

    Measured: Within 30 days before surgery and approximately 12 weeks after surgery (up to 6 months if delayed for clinical safety).

Timeline

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

  1. First posted5 Aug 2026
  2. Study start2 Aug 2026 (estimated)
  3. Primary completion15 May 2027 (estimated)
  4. Study completion15 May 2027 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Participants enter the RYGB or sleeve gastrectomy group according to the operation selected for clinical care. Within each group, every participant undergoes identical paired pharmacokinetic test-dose visits before and after surgery.
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07748273
Sponsor's protocol ID
HCFMRP-PK-BARI-2026
Other IDs
CAAE 98218026.5.0000.5440
Acronym
BARI-PK
Status last verified
Jul 2026
First submitted
22 Jul 2026
Last updated
5 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Deidentified individual participant data underlying the results reported in peer-reviewed publications may be shared, together with the data dictionary, study protocol, and statistical analysis plan. Requests must include a scientifically sound proposal, analysis plan, and evidence of ethics and institutional approvals where applicable. Access will be subject to a data-use agreement and protection of participant confidentiality.

Questions about this trial

What is this clinical trial studying?

A study testing Rosuvastatin in people with Obesity & Overweight and Bariatric Surgery, run by Hospital das Clínicas de Ribeirão Preto at 1 site in Brazil.

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 4 inclusion and 8 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: opening soon, as of the sponsor's last update on 5 Aug 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 Brazil. 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?

Contact Wilson Salgado Jr, MD, PhD (+5516981564846, wsalgado@fmrp.usp.br), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in rosuvastatin area under the plasma concentration-time curve extrapolated to infinity (AUC0-infinity) (time frame: Within 30 days before surgery and approximately 12 weeks after surgery (postoperative visit may be delayed up to 6 months for clinical safety).). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 5 Aug 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in