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ObesityNCT00850629

Hormonal Regulation of Body Weight Maintenance

A study testing multimodal lifestyle intervention in people with Obesity and Weight Loss, run by Charite University, Berlin, Germany at 1 site in Germany.

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

The investigators here propose to perform a collaborative clinical research effort including a randomized controlled trial investigating the mechanisms of weight maintenance and their relation to a lifestyle intervention in children, adolescents and adults. Read more about this study

Who is it for?
Ages 10 to 90 yearsHealthy volunteers can take part
Conditions the study is for
Obesity, Weight Loss, Weight Gain
What is being tested?
multimodal lifestyle intervention
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
286 participants
Where
1 siteGermany
Study dates
Jan 2010to Jan 2016
Phase
Interventional
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 10 to 90 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • BMI > 27 kg/m2 (adults)

Who cannot join

  • weight loss of more than 5kg in the last 2 months
  • pregnancy, breastfeeding
  • patients with:
  • severe heart failure
  • impaired hepatic or renal function
  • anaemia
Show all 13Show fewer
  • disturbed coagulation (biopsies will not be taken in those subjects)
  • infection, malabsorption
  • severe hypertension
  • cancer within the last 5 years
  • eating disorders or any other psychiatric condition that would interact with the trial intervention
  • any other endocrine disorder
  • changes of smoking habits or diets within the last 3 months prior to study inclusion

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Charite

    Berlin, 12200

Other trials in Germany

About this study

The investigators here propose to perform a collaborative clinical research effort including a randomized controlled trial investigating the mechanisms of weight maintenance and their relation to a lifestyle intervention in children, adolescents and adults. The detailed investigation and analysis of the variability and dynamics of the endocrine circuits responding to a negative energy balance and weight loss will be accompanied and enhanced by specific clinical projects targeting peripheral and central-nervous aspects of hormonal counter-regulation after weight loss. Mechanisms of endocrine counter-regulation and potential therapeutic approaches will be studied.

Being tested
multimodal lifestyle intervention, placebo
Keywords
weight regain, endocrine counterregulation
Medical subject headings
Obesity, Weight Loss, Weight Gain, Endocrine System Diseases, Insulin Resistance

What participants receive

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

  • multimodal lifestyle interventionBehavioural

    After an initial weight loss, the weight regain will be measured during multimodal lifestyle intervention in children, adolescents and adults

  • placeboBehavioural

    no intervention, only follow up

Study groups in NCT00850629
Study groupRoleWhat they receive
placeboPlacebo comparatorPlacebo
Receives: Behavioral: placebo
lifestyle interventionExperimentalAfter an initial weight loss, the weight regain will be measured during multimodal lifestyle intervention in children, adolescents and adults
Receives: Behavioral: multimodal lifestyle intervention

What is being measured

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

  1. BMI will be assessed during lifestyle intervention in (1) children and adolescents and (2) adults vs. placebo

    BMI (kg/m2) will be analyzed after intentional weight loss in two comparable parts of a randomized controlled trial including (1) children and adolescents and (2) adults. Therefore effects of a multimodal lifestyle intervention will be compared to placebo.

    Measured: 21 months

Secondary outcomes (33)
  1. Evaluation of leptin during lifestyle intervention

    Measurement of leptin at baseline, after 3 months of weight loss, as well as after 12 months randomized lifestyle intervention (or placebo) and after additional 6 months follow up

    Measured: month -3, month 0, month 12, month 18

  2. Evaluation of leptin during follow up

    Measurement of leptin during follow up until the 48 months

    Measured: 48 months

  3. Evaluation of catecholamines during follow up

    Measurement of catecholamines during follow up until the 48 months

    Measured: 48 months

  4. Evaluation of catecholamines during lifestyle intervention

    Measurement of catecholamines at baseline, after 3 months of weight loss, as well as after 12 months randomized lifestyle intervention (or placebo) and after additional 6 months follow up

    Measured: month -3, month 0, month 12, month 18

  5. Evaluation of cortisol during lifestyle intervention

    Measurement of cortisol at baseline, after 3 months of weight loss, as well as after 12 months randomized lifestyle intervention (or placebo) and after additional 6 months follow up

    Measured: month -3, month 0, month 12, month 18

  6. Evaluation of cortisol during follow up

    Measurement of cortisol during follow up until the 48 months

    Measured: 48 months

  7. Evaluation of glucagon-like peptide 1 (GLP1) during lifestyle intervention

    Measurement of GLP1 at baseline, after 3 months of weight loss, as well as after 12 months randomized lifestyle intervention (or placebo) and after additional 6 months follow up

    Measured: month -3, month 0, month 12, month 18

  8. Evaluation of GLP1 during follow up

    Measurement of GLP1 during follow up until the 48 months

    Measured: 48 months

  9. Evaluation of glucose-dependent insulinotropic polypeptide (GIP) during lifestyle intervention

    Measurement of GIP at baseline, after 3 months of weight loss, as well as after 12 months randomized lifestyle intervention (or placebo) and after additional 6 months follow up

    Measured: month -3, month 0, month 12, month 18

  10. Evaluation of GIP during follow up

    Measurement of GIP during follow up until the 48 months

    Measured: 48 months

  11. Evaluation of thyroid hormones during lifestyle intervention

    Measurement of thyroid hormones at baseline, after 3 months of weight loss, as well as after 12 months randomized lifestyle intervention (or placebo) and after additional 6 months follow up

    Measured: month -3, month 0, month 12, month 18

  12. Evaluation of thyroid hormones during follow up

    Measurement of thyroid hormones during follow up until the 48 months

    Measured: 48 months

  13. Evaluation of insulin during lifestyle intervention

    Measurement of insulin at baseline, after 3 months of weight loss, as well as after 12 months randomized lifestyle intervention (or placebo) and after additional 6 months follow up

    Measured: month -3, month 0, month 12, month 18

  14. Evaluation of insulin during follow up

    Measurement of insulin during follow up until the 48 months

    Measured: 48 months

  15. Evaluation of insulin-like growth factor 1 (IGF1) during lifestyle intervention

    Measurement of IGF1 at baseline, after 3 months of weight loss, as well as after 12 months randomized lifestyle intervention (or placebo) and after additional 6 months follow up

    Measured: month -3, month 0, month 12, month 18

  16. Evaluation of IGF1 during follow up

    Measurement of IGF1 during follow up until the 48 months

    Measured: 48 months

  17. Evaluation of natriuretic peptide during lifestyle intervention

    Measurement of natriuretic peptide at baseline, after 3 months of weight loss, as well as after 12 months randomized lifestyle intervention (or placebo) and after additional 6 months follow up

    Measured: month -3, month 0, month 12, month 18

  18. Evaluation of natriuretic peptide during follow up

    Measurement of natriuretic peptide during follow up until the 48 months

    Measured: 48 months

  19. Evaluation of blood pressure during lifestyle intervention

    Measurement of blood pressure at baseline, after 3 months of weight loss, as well as after 12 months randomized lifestyle intervention (or placebo) and and after additional 36 months follow up

    Measured: month -3, month 0, month 12, month 18, month 24, month 36, month 48

  20. Evaluation of free fatty acids (FFAs) during lifestyle intervention

    Measurement of FFAs at baseline, after 3 months of weight loss, as well as after 12 months randomized lifestyle intervention (or placebo) and and after additional 36 months follow up

    Measured: month -3, month 0, month 12, month 18, month 24, month 36, month 48

  21. Evaluation of respiratory coefficient during lifestyle intervention

    Measurement of respiratory coefficient at baseline, after 3 months of weight loss, as well as after 12 months randomized lifestyle intervention (or placebo) and and after additional 36 months follow up

    Measured: month -3, month 0, month 12, month 18, month 24, month 36, month 48

  22. Measurement of messenger ribonucleic acid (mRNA) changes in adipose and skeletal muscle before (T-3), after weight loss (T0) and after as well as after 12 months randomized lifestyle intervention (or placebo)

    Measurement of systemic and tissue specific changes in adipose tissue and skeletal muscle using RNA sequencing (counts)

    Measured: month -3, month 0, month 12

  23. Measurement of insulin sensitivity

    Measurement of systemic and tissue specific changes in adipose and muscle insulin sensitivity using hyperinsulinemic clamp (mg•kg-1•min-1/(mU•L-1)) before (T-3), after weight loss (T0) and after as well as after 12 months randomized lifestyle intervention (or placebo)

    Measured: month -3, month 0, month 12

  24. Prediction of body weight regain

    No additional measurement will be done. However, we will analyse the predictive impact of already measured parameters on long-term course of BMI (18 and 48 months) using mathematical models

    Measured: month 18, month 48

  25. Prediction of insulin sensitivity

    No additional measurement will be done. However, we will analyse the predictive impact of already measured parameters on insulin sensitivity (18 and 48 months) using mathematical models

    Measured: month 18, month 48

  26. Prediction of energy expenditure

    No additional measurement will be done. However, we will analyse the predictive impact of already measured parameters on energy expenditure (18 and 48 months) using mathematical models

    Measured: month 18, month 48

  27. Prediction of muscle mass

    No additional measurement will be done. However, we will analyse the predictive impact of already measured parameters on muscle mass (18 and 48 months) using mathematical models

    Measured: month 18, month 48

  28. Prediction of fat mass

    No additional measurement will be done. However, we will analyse the predictive impact of already measured parameters on fat mass (18 and 48 months) using mathematical models

    Measured: month 18, month 48

  29. BMI course after a lifestyle intervention in (1) children and adolescents and (2) adults vs. placebo

    BMI (kg/m2) after the randomized control trial (RCT) (18 months) will be analyzed up to 48 months.

    Measured: month 24, month 36, month 48

  30. changes of fatty acids during the intervention

    Analysis of fatty acids at baseline, after 3 months of weight loss, as well as after 12 months randomized lifestyle intervention (or placebo) and and after additional 36 months follow up

    Measured: month -3, month 0, month 12, month 18, month 24, month 36, month 48

  31. changes acylcarnitines

    Analysis of acylcarnitines at baseline and after 3 months of weight loss

    Measured: month -3, month 0

  32. changes acylcarnitines

    Analysis of acylcarnitines after 12 months randomized lifestyle intervention (or placebo) and and after additional 36 months follow up

    Measured: month 12, month 18, month 24, month 36, month 48

  33. body composition

    Whole body fat mass (kg, %) will be measured at baseline, after 3 months of weight loss, as well as after 12 months randomized lifestyle intervention (or placebo) and and after additional 36 months follow up

    Measured: month -3, month 0, month 12, month 18, month 24, month 36, month 48

Timeline

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

  1. First posted25 Feb 2009 (estimated)
  2. Study startJan 2010
  3. Primary completionDec 2015
  4. Study completionJan 2016

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
286 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00850629
Sponsor's protocol ID
EA2/017/09
Status last verified
Jan 2018
First submitted
17 Feb 2009
Last updated
17 Jan 2018
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Haberbosch L, Kierszniowska S, Willmitzer L, Mai K, Spranger J, Maurer L. 5-Aminovaleric acid betaine predicts impaired glucose metabolism and diabetes. Nutr Diabetes. 2023 Sep 20;13(1):17. doi: 10.1038/s41387-023-00245-3.

    PubMed 37730732
  • Li L, Soll D, Leupelt V, Spranger J, Mai K. Weight loss-induced improvement of body weight and insulin sensitivity is not amplified by a subsequent 12-month weight maintenance intervention but is predicted by adaption of adipose atrial natriuretic peptide system: 48-month results of a randomized controlled trial. BMC Med. 2022 Jul 28;20(1):238. doi: 10.1186/s12916-022-02435-9.

    PubMed 35897098
  • Soll D, Gawron J, Pletsch-Borba L, Spranger J, Mai K. Long-term impact of the metabolic status on weight loss-induced health benefits. Nutr Metab (Lond). 2022 Mar 28;19(1):25. doi: 10.1186/s12986-022-00660-w.

    PubMed 35346256
  • Li L, Spranger L, Stobaus N, Beer F, Decker AM, Wernicke C, Brachs S, Brachs M, Spranger J, Mai K. Fetuin-B, a potential link of liver-adipose tissue cross talk during diet-induced weight loss-weight maintenance. Nutr Diabetes. 2021 Oct 5;11(1):31. doi: 10.1038/s41387-021-00174-z.

    PubMed 34611132
  • Li L, Spranger L, Soll D, Beer F, Brachs M, Spranger J, Mai K. Metabolic impact of weight loss induced reduction of adipose ACE-2 - Potential implication in COVID-19 infections? Metabolism. 2020 Dec;113:154401. doi: 10.1016/j.metabol.2020.154401. Epub 2020 Oct 13.

    PubMed 33065163
  • Brachs S, Polack J, Brachs M, Jahn-Hofmann K, Elvert R, Pfenninger A, Barenz F, Margerie D, Mai K, Spranger J, Kannt A. Genetic Nicotinamide N-Methyltransferase (Nnmt) Deficiency in Male Mice Improves Insulin Sensitivity in Diet-Induced Obesity but Does Not Affect Glucose Tolerance. Diabetes. 2019 Mar;68(3):527-542. doi: 10.2337/db18-0780. Epub 2018 Dec 14.

    PubMed 30552109
  • Mai K, Li L, Wiegand S, Brachs M, Leupelt V, Ernert A, Kuhnen P, Hubner N, Robinson P, Chen W, Krude H, Spranger J. An Integrated Understanding of the Molecular Mechanisms of How Adipose Tissue Metabolism Affects Long-term Body Weight Maintenance. Diabetes. 2019 Jan;68(1):57-65. doi: 10.2337/db18-0440. Epub 2018 Nov 2.

    PubMed 30389745
  • Bau AM, Ernert A, Krude H, Wiegand S. Hormonal regulatory mechanisms in obese children and adolescents after previous weight reduction with a lifestyle intervention: maintain - paediatric part - a RCT from 2009-15. BMC Obes. 2016 Jun 10;3:29. doi: 10.1186/s40608-016-0110-8. eCollection 2016.

    PubMed 27298729
  • Brachs M, Wiegand S, Leupelt V, Ernert A, Kintscher U, Jumpertz von Schwarzenberg R, Decker AM, Bobbert T, Hubner N, Chen W, Krude H, Spranger J, Mai K. ANP system activity predicts variability of fat mass reduction and insulin sensitivity during weight loss. Metabolism. 2016 Jun;65(6):935-43. doi: 10.1016/j.metabol.2016.03.013. Epub 2016 Apr 7.

    PubMed 27173472
  • Weygandt M, Mai K, Dommes E, Ritter K, Leupelt V, Spranger J, Haynes JD. Impulse control in the dorsolateral prefrontal cortex counteracts post-diet weight regain in obesity. Neuroimage. 2015 Apr 1;109:318-27. doi: 10.1016/j.neuroimage.2014.12.073. Epub 2015 Jan 7.

    PubMed 25576647

Questions about this trial

What is this clinical trial studying?

A study testing multimodal lifestyle intervention in people with Obesity and Weight Loss, run by Charite University, Berlin, Germany at 1 site in Germany.

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 13 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 17 Jan 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 Germany. 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. Some participants in this study may receive a placebo. 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?

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?

BMI will be assessed during lifestyle intervention in (1) children and adolescents and (2) adults vs. placebo (time frame: 21 months). 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 NCT00850629, which also lists 10 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 17 Jan 2018.

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