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ObesityPhase 4DIOGENESNCT00390637

Diet, Obesity and Genes (DiOGenes)

A Phase 4 study testing High or low Glycemic Index and high or low Protein Diet in people with Obesity and Metabolic Syndrome, run by University of Copenhagen at 1 site in Denmark.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Study Title: Diogenes, A randomised controlled trial comparing the effect of reduced-fat diets varying in glycaemic index (high vs. low) and protein content (high vs. normal) on bodyweight in overweight and obese subjects after an initial weight loss. Read more about this study

Who is it for?
Ages 5 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Obesity, Metabolic Syndrome, Type 2 Diabetes
What is being tested?
High or low Glycemic Index and high or low Protein Diet
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,020 participants
Where
1 siteDenmark
Study dates
Jan 2006to Dec 2009
Phase
Phase 4
Are there results?
None posted in the registry

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 5 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Families with healthy adults and children

Who cannot join

  • Various

Trial locations and contacts

1 site in 1 country.

Denmark1 site
  • Arne V. Astrup

    Copenhagen

Other trials in Denmark

About this study

Official title: Diet, Obesity and Genes

Study Title: Diogenes, A randomised controlled trial comparing the effect of reduced-fat diets varying in glycaemic index (high vs. low) and protein content (high vs. normal) on bodyweight in overweight and obese subjects after an initial weight loss.

Read the detailed description

DiOGenes is a randomised controlled dietary intervention study in obese/overweight families (adults and children) in 8 different European countries, testing the efficacy and safety of diets differing in Glycaemic Index (GI) and protein content.

The 8 centres are divided into "shop centers" and "instruction centers", that provide different kind of dietary intervention and for a different length(see below):

The 2 Shop Centers (Denmark \& The Netherlands):

Dietary periods and clinical examinations:

  1. Clinical examination 1 with anthropometry, blood etc.
  2. 8 week Low Calorie Diet (LCD) period (800-1000 kcal/day)(Adults only)
  3. Clinical examination 2 with anthropometry, blood etc.
  4. 6 months dietary intervention period 1 (SUPERMARKET period)(Family)
  5. Clinical examination 3 with anthropometry, blood etc.
  6. 6 months dietary intervention period 2 (DIETARY INSTRUCTION period)(Family).
  7. Clinical examination 4 with anthropometry, blood ect.
  8. 12 months free-living period with no dietary intervention. (Family)
  9. Follow up (only body weight registration)

The 6 Instruction Centers (UK, Crete, Germany, Spain, Bulgaria, Czech Republic)

Dietary periods and clinical examinations:

  1. Clinical examination 1 with anthropometry, blood etc.
  2. 8 week Low Calorie Diet (LCD) period (800-1000 kcal/day). (Adults only)
  3. Clinical examination 2 with anthropometry, blood etc.
  4. 6 months dietary intervention period (DIETARY INSTRUCTION period). (Family)
  5. Clinical examination 3 with anthropometry, blood etc.
  6. 6 months free-living period with no dietary intervention. (Family)
  7. Follow up (only body weight registration)

Note that, during the first 6 month intervention all families from the shop centers are provided all foods free of charge "SUPERMARKET PERIOD", whereas in the "Instruction Centers", the families receive dietary instruction only "Instruction Only".

Being tested
High or low Glycemic Index and high or low Protein Diet
Keywords
Diogenes, Diet Intervention, Family, Glycemic Index, Protein
Medical subject headings
Obesity, Metabolic Syndrome, Diabetes Mellitus, Type 2, Cardiovascular Diseases

What participants receive

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

  • High or low Glycemic Index and high or low Protein DietBehavioural

Study groups in NCT00390637
Study groupRoleWhat they receive
1ExperimentalLow Protein, Low GI Diet
Receives: Behavioral: High or low Glycemic Index and high or low Protein Diet
2ExperimentalLow Protein, High Glycemic Index Diet
Receives: Behavioral: High or low Glycemic Index and high or low Protein Diet
3ExperimentalHigh Protein, Low Glycemic Index diet
Receives: Behavioral: High or low Glycemic Index and high or low Protein Diet
4ExperimentalHigh Protein, High glycemic index diet
Receives: Behavioral: High or low Glycemic Index and high or low Protein Diet
5ExperimentalControl diet (current recommendations)
Receives: Behavioral: High or low Glycemic Index and high or low Protein Diet

What is being measured

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

  1. For adults: body weight loss maintenance

    The primary outcome is related to body weight loss maintenance after 6 month of intensive, homogeneous and therefore comparable dietary intervention across all 8 centres.

    Measured: 6 Month

Secondary outcomes (8)
  1. For adults: change in body composition

    The relative loss or gain of fat mass and fat free mass

    Measured: 6 Month

  2. For adults: More than 5% weight loss maintenance

    Achievement of 5% of body weight loss from randomization

    Measured: 6 month

  3. For adults: More than 10% weight loss maintenance

    Achievement of 10% of body weight loss from randomization

    Measured: 6 month

  4. For adults: Drop out rate

    Percentage drop out from randomisation to end of dietary intervention

    Measured: 6 month

  5. For Adults: Change in risk factors for type-2 diabetes

    Change in risk factors for type-2 diabetes

    Measured: 6 month

  6. For Adults: Change in risk factors for cardiovascular disease

    Change in risk factors for cardiovascular disease

    Measured: 6 month

  7. For children: Change in body weight

    Change in body weight from randomization to end of intervention

    Measured: 6 month

  8. For Children: Change in BMI-Z-score

    Change in BMI-Z-score from randomisation to end of intervention

    Measured: 6 month

Timeline

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

  1. First posted20 Oct 2006 (estimated)
  2. Study startJan 2006
  3. Primary completionMar 2008
  4. Study completionDec 2009

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 4
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,020 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00390637
Sponsor's protocol ID
DiOGenes FP6-2005-513946
Other IDs
FOOD-2004-513946
Acronym
DIOGENES
Status last verified
Oct 2018
First submitted
18 Oct 2006
Last updated
25 Oct 2018
Results posted
No
Data monitoring committee
Yes

Publications

  • Saris WH, Harper A. DiOGenes: a multidisciplinary offensive focused on the obesity epidemic. Obes Rev. 2005 May;6(2):175-6. doi: 10.1111/j.1467-789x.2005.00200.x. No abstract available.

    PubMed 15836468
  • Grandjean P, Meddis A, Nielsen F, Astrup A, Budtz-Jorgensen E. Exposure to organochlorine compounds in relation to weight maintenance. Res Sq [Preprint]. 2025 Dec 12:rs.3.rs-8097114. doi: 10.21203/rs.3.rs-8097114/v1.

    PubMed 41510295
  • Kemper EJ, Blaak EE, Adriaens ME, Meex RCR. Muscle and Liver Insulin Resistance Are Associated with Distinct Plasma Protein Profiles: Data from the DiOGenes Trial. J Clin Endocrinol Metab. 2026 Mar 17;111(4):1031-1039. doi: 10.1210/clinem/dgaf562.

    PubMed 41068881
  • Frances L, Croyal M, Ruidavets JB, Maraninchi M, Combes G, Raffin J, de Souto Barreto P, Ferrieres J, Blaak EE, Perret B, Moro C, Valero R, Martinez LO, Viguerie N. Identification of circulating apolipoprotein M as a new determinant of insulin sensitivity and relationship with adiponectin. Int J Obes (Lond). 2024 Jul;48(7):973-980. doi: 10.1038/s41366-024-01510-w. Epub 2024 Mar 15.

    PubMed 38491190
  • Vidal-Ostos F, Ramos-Lopez O, Jebb SA, Papadaki A, Pfeiffer AFH, Handjieva-Darlenska T, Kunesova M, Blaak EE, Astrup A, Martinez JA; Diet, Obesity, and Genes (Diogenes) Project. Dietary protein and the glycemic index handle insulin resistance within a nutritional program for avoiding weight regain after energy-restricted induced weight loss. Nutr Metab (Lond). 2022 Oct 19;19(1):71. doi: 10.1186/s12986-022-00707-y.

    PubMed 36261843
  • Imbert A, Vialaneix N, Marquis J, Vion J, Charpagne A, Metairon S, Laurens C, Moro C, Boulet N, Walter O, Lefebvre G, Hager J, Langin D, Saris WHM, Astrup A, Viguerie N, Valsesia A. Network Analyses Reveal Negative Link Between Changes in Adipose Tissue GDF15 and BMI During Dietary-induced Weight Loss. J Clin Endocrinol Metab. 2022 Jan 1;107(1):e130-e142. doi: 10.1210/clinem/dgab621.

    PubMed 34415992
  • van der Kolk BW, Muniandy M, Kaminska D, Alvarez M, Ko A, Miao Z, Valsesia A, Langin D, Vaittinen M, Paakkonen M, Jokinen R, Kaye S, Heinonen S, Virtanen KA, Andersson DP, Mannisto V, Saris WH, Astrup A, Ryden M, Blaak EE, Pajukanta P, Pihlajamaki J, Pietilainen KH. Differential Mitochondrial Gene Expression in Adipose Tissue Following Weight Loss Induced by Diet or Bariatric Surgery. J Clin Endocrinol Metab. 2021 Apr 23;106(5):1312-1324. doi: 10.1210/clinem/dgab072.

    PubMed 33560372
  • Ruffieux H, Carayol J, Popescu R, Harper ME, Dent R, Saris WHM, Astrup A, Hager J, Davison AC, Valsesia A. A fully joint Bayesian quantitative trait locus mapping of human protein abundance in plasma. PLoS Comput Biol. 2020 Jun 3;16(6):e1007882. doi: 10.1371/journal.pcbi.1007882. eCollection 2020 Jun.

    PubMed 32492067
  • Turicchi J, O'Driscoll R, Finlayson G, Duarte C, Hopkins M, Martins N, Michalowska J, Larsen TM, van Baak MA, Astrup A, Stubbs RJ. Associations between the proportion of fat-free mass loss during weight loss, changes in appetite, and subsequent weight change: results from a randomized 2-stage dietary intervention trial. Am J Clin Nutr. 2020 Mar 1;111(3):536-544. doi: 10.1093/ajcn/nqz331.

    PubMed 31950141
  • van der Kolk BW, Kalafati M, Adriaens M, van Greevenbroek MMJ, Vogelzangs N, Saris WHM, Astrup A, Valsesia A, Langin D, van der Kallen CJH, Eussen SJPM, Schalkwijk CG, Stehouwer CDA, Goossens GH, Arts ICW, Jocken JWE, Evelo CT, Blaak EE. Subcutaneous Adipose Tissue and Systemic Inflammation Are Associated With Peripheral but Not Hepatic Insulin Resistance in Humans. Diabetes. 2019 Dec;68(12):2247-2258. doi: 10.2337/db19-0560. Epub 2019 Sep 6.

    PubMed 31492661
  • Valsesia A, Kulkarni SS, Marquis J, Leone P, Mironova P, Walter O, Hjorth MF, Descombes P, Hager J, Saris WH, Astrup A, Darimont C, O'Callaghan NJ. Salivary alpha-amylase copy number is not associated with weight trajectories and glycemic improvements following clinical weight loss: results from a 2-phase dietary intervention study. Am J Clin Nutr. 2019 Apr 1;109(4):1029-1037. doi: 10.1093/ajcn/nqy363.

    PubMed 30982860
  • Svendstrup M, Allin KH, Angquist L, Schnohr P, Jensen GB, Linneberg A, Thuesen B, Astrup A, Saris WHM, Vestergaard H, Sorensen TIA. Is abdominal obesity at baseline influencing weight changes in observational studies and during weight loss interventions? Am J Clin Nutr. 2018 Nov 1;108(5):913-921. doi: 10.1093/ajcn/nqy187.

    PubMed 30475965
  • Meyer A, Montastier E, Hager J, Saris WHM, Astrup A, Viguerie N, Valsesia A. Plasma metabolites and lipids predict insulin sensitivity improvement in obese, nondiabetic individuals after a 2-phase dietary intervention. Am J Clin Nutr. 2018 Jul 1;108(1):13-23. doi: 10.1093/ajcn/nqy087.

    PubMed 29878058
  • Armenise C, Lefebvre G, Carayol J, Bonnel S, Bolton J, Di Cara A, Gheldof N, Descombes P, Langin D, Saris WH, Astrup A, Hager J, Viguerie N, Valsesia A. Transcriptome profiling from adipose tissue during a low-calorie diet reveals predictors of weight and glycemic outcomes in obese, nondiabetic subjects. Am J Clin Nutr. 2017 Sep;106(3):736-746. doi: 10.3945/ajcn.117.156216. Epub 2017 Aug 9.

    PubMed 28793995
  • Hjorth MF, Ritz C, Blaak EE, Saris WH, Langin D, Poulsen SK, Larsen TM, Sorensen TI, Zohar Y, Astrup A. Pretreatment fasting plasma glucose and insulin modify dietary weight loss success: results from 3 randomized clinical trials. Am J Clin Nutr. 2017 Aug;106(2):499-505. doi: 10.3945/ajcn.117.155200. Epub 2017 Jul 5.

    PubMed 28679551

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing High or low Glycemic Index and high or low Protein Diet in people with Obesity and Metabolic Syndrome, run by University of Copenhagen at 1 site in Denmark.

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 1 inclusion and 1 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: finished, as of the sponsor's last update on 25 Oct 2018. 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 Denmark. 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.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

For adults: body weight loss maintenance (time frame: 6 Month). 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 NCT00390637, which also lists 32 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 25 Oct 2018.

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