Obesity

GLP ‐1 Receptor Agonists Post‐Bariatric Surgery ( GRABS ) Trial: Rationale, Design and Baseline Characteristics

Diabetes Obes MetabPublished Randomised controlled trial

Authors' conclusion

GRABS is the first randomized trial to investigate GLP1RA effectiveness in patients with persistent obesity following RYGB

Study context

Population
Patients aged 25–65 with persistent obesity (BMI ≥ 30 kg/m²) enrolled 12 months after RYGB; excluded T1D, T2D treatment other than metformin, conversion to RYGB from prior bariatric surgery, GLP1RA use in past 3 months28 in final sample
Participants
33 patients
Comparison
Tirzepatide (TRZ) with standard of care (SOC) vs SOC alone after RYGB
Primary endpoint
Total percent weight change from baseline
Follow-up
24 weeks after trial initiation
Methodological detailsrationale, design and baseline characteristics, open-label, proof-of-concept, randomized 1:1
  • Rationale, design and baseline characteristics
  • Open-label
  • Proof-of-concept
  • Randomized 1:1

Primary result

As reported in the abstract

Baseline characteristics of final cohort
Female
82%
White
75%
Median age
42.0 years
Pre-surgery BMI
48.3 kg/m²
Baseline BMI at randomization
36.0 kg/m²
Baseline weight
95.6 kg

Original publication

GLP ‐1 Receptor Agonists Post‐Bariatric Surgery ( GRABS ) Trial: Rationale, Design and Baseline Characteristics. Diabetes Obes Metab. Published 8 September 2026. doi:10.1111/dom.71320

Composed by AI from the published abstract and checked against it. How Briefs are made →

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