Clinical trial Recruiting at 3 sites Interventional Ages 18 to 65

Low-calorie, high-protein diet before weight-loss surgery

Official title: NUTritional Impact of a Hypocaloric Hyperprotein Diet Before Obesity Surgery

Run by University Hospital, Rouen · NCT04942093 · Data updated 2026-11-12

This project will try whether a short low-calorie, high-protein diet before sleeve gastrectomy reduces liver fat and weight in adults with severe obesity.

Quick facts

Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment200 (estimated)
SponsorUniversity Hospital, Rouen
Academic / other
Locations3 sites (Dieppe and 2 other locations)
StatusRecruiting
StartedOctober 9, 2023
Main results expectedNovember 20, 2026
Study endsMarch 20, 2027
Registry record updatedSeptember 22, 2025
Trial IDNCT04942093 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–65 with morbid obesity (BMI ≥ 40) who are eligible and scheduled for sleeve gastrectomy, speak French, meet basic lab and contraception requirements, and provide informed consent.

Probably not a fit

People who are not candidates for bariatric surgery, have medical contraindications, cannot follow the diet, are pregnant, or have lower BMIs are unlikely to benefit from this intervention.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The trial compares a preoperative low-calorie, high-protein dietary program to no specific preoperative diet in adults scheduled for sleeve gastrectomy. Participants who meet inclusion criteria will be assigned to either receive the diet for the preoperative period or continue usual care, with adherence and tolerance monitored. Primary outcomes focus on liver size/fat load and preoperative weight loss, and secondary outcomes include surgical conditions and short-term perioperative safety. The design follows prior evidence suggesting a roughly 4-week diet can rapidly reduce liver volume, and the study will measure whether that translates into clinical benefits.

Why it matters

Potential benefit: If successful, the diet could shrink the liver and abdominal fat before surgery, making the operation easier and reducing surgical risk.

How similar studies have gone: Previous trials and a 2016 meta-analysis reported that short low-calorie, high-protein preoperative diets effectively reduce liver volume and fat, so this approach has supporting evidence.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patient eligible for bariatric surgery (according to HAS criteria) whose sleeve gastrectomy is scheduled
* Patient with morbid obesity (BMI ≥ 40)
* Age ≥ 18 years and ≤ 65 years
* Haemoglobinemia ≥ 12 g/dL in men and ≥ 11 g/dL in women
* Patient speaking and understanding French
* Adult having read and understood the information letter and signed the consent form
* Woman of childbearing age with effective / very effective contraception (Cf. CTFG) (estrogen-progestin or intrauterine device or tubal ligation) prior to surgery and a negative -HCG blood pregnancy test at inclusion, for the duration of the study
* Postmenopausal woman: confirmatory diagnosis (non-medically induced amenorrhoea for at least 12 months prior to the inclusion visit)
* Patient affiliated with, or beneficiary of a social security (health insurance) category

Exclusion Criteria:

* Contraindication to bariatric surgery detected during the preoperative assessment
* Medical contraindication to a restrictive diet
* Type I or II insulin-requiring diabetes
* Severe renal insufficiency defined by a blood filtration rate \< 30 mL/min
* Person wearing a pacemaker or any other implant with the same functions (cochlear implant, bladder battery, etc.)
* Person deprived of liberty by an administrative or judicial decision or person placed under judicial protection / sub-guardianship or curatorship
* A history of illness or psychological or sensory abnormality likely to prevent the subject from fully understanding the conditions required for participation in the protocol or to prevent him/her from giving informed consent

Where it's running

  • Ch Dieppe
    Dieppe, France
    Recruiting
  • Hpe
    Le Havre, France
    Recruiting
  • CHU de ROUEN
    Rouen, France
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.