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ObesityNCT03795701

To Predict Weight Loss Response to Liraglutide (Saxenda®), From fMRI-based Determination of Food Cue Reactivity

A study testing Saxenda® in people with Obesity, run by Texas Tech University at 2 sites in United States.

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 study is a single center, randomized, double blind, placebo controlled; parallel-group repeated measures design. Subjects will be randomly assigned to either Saxenda® or placebo group after baseline assessments. Read more about this study

Who is it for?
Ages 18 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Obesity
What is being tested?
Saxenda®
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
73 participants
Where
2 sitesUnited States
Study dates
8 Jan 2019to 1 May 2022
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 18 to 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Age 18-60 years
  • BMI 30-50 kg/m2

Who cannot join

  • Participants unable or unwilling to provide informed consent.
  • Participants with motor, visual or hearing impairment.
  • Females with irregular menstrual cycles (onset of menstruation greater than 1 week from expected data during the last 3 months).
  • Females who are currently breastfeeding or intend to start breastfeeding.
  • Participants with diagnosed diabetes mellitus (type 1 or type 2) or uncontrolled hypertension, history of ischemic heart disease, stroke, neurological disease.
  • Participants with current severe psychiatric illnesses (e.g. psychosis, schizophrenia, bipolar disorders, depression).
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  • Participants experiencing current suicidal ideation, and recent or past suicide attempts.
  • Participants with history of psychiatric hospitalization.
  • Participants who are currently on (or have been on within the past 4 weeks) any medication in the broader drug classes of anti-depressant, anti-epileptic, or anti-anxiety medicines will be excluded (as these affect fMRI-FCR in the brain).
  • Participants with contraindications for MRI scanning.
  • aneurism clips
  • any implanted medical devices (pacemaker, neurostimulator)
  • known pregnancy
  • shrapnel in body or any injury to eye involving metal
  • any ferrous metal in body
  • Participants with a history of diagnosed eating disorders such as bulimia nervosa, anorexia nervosa and severe binge eating disorder.
  • Participants with a history of diagnosed substance abuse or alcohol abuse.
  • Patients experiencing persistent loss of appetite, nausea or vomiting within the last 4 weeks without known cause (e.g. flu, food poisoning).
  • Participants who have been involved in a weight loss intervention program (including anti-obesity medication) within the past 3 months (and or loss >10% of body weight) or who have ever had bariatric surgery or have weight loss devices implanted.
  • Current smokers (smoked within the last 30 days).
  • The receipt of any investigational drug within (3 months) prior to this trial.
  • Previous participation in this trial (i.e. randomized).
  • Unable or unwilling to consume required study meals for any reason (e.g. dietary restrictions, allergies, or aversions to any of the food items used in the study).
  • Contraindications to study medications,
  • Subject with a personal or family history of medullary thyroid carcinoma (MTC).
  • Subject with multiple endocrine neoplasia syndrome 2 (MEN 2).
  • Allergic to Liraglutide or any of the ingredients in Saxenda® (i.e. Active ingredient: liraglutide; Inactive ingredients: disodium phosphate dehydrate, propylene glycol, phenol and water for injection)
  • Women who are pregnant, or have the intention of becoming pregnant.
  • Taking other GLP-1 receptor agonists (currently or in the past 3 months).
  • Current severe problems with stomach, such as slowed emptying of the stomach (gastroparesis) or problems with digesting food.
  • Current or past known serious chronic illness of liver, kidney and pancreas.
  • Current or recent (30 days) depression or suicidal thoughts.
  • Current fasting plasma glucose 126mg/dL or higher or HbA1c 6.5% or higher, or alanine aminotransferase (ALT), aspartate aminotransferase (AST), creatinine, blood urea nitrogen (BUN) 10% above normal range for the assay.

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Texas Tech Neuroimaging Institute

    Lubbock, Texas, 79409

  • Nutrition & Metabolic Health Initiative

    Lubbock, Texas, 79410

Other trials in United States

About this study

The study is a single center, randomized, double blind, placebo controlled; parallel-group repeated measures design. Subjects will be randomly assigned to either Saxenda® or placebo group after baseline assessments. The study will consist of a 4-week partial dose period (Liraglutide 0.6mg, 1.2mg, 1.8mg, 2.4 mg) and a 12-week full-dose (Liraglutide 3.0 mg) period. The placebo group will administer equivalent volumes of the pre-filled solutions from pen-injector at the same time, using the same method during this period. The study proposes to identify factors contributing to early weight loss response in a Saxenda® treatment program. Specifically, the proposed experiments will help determine if Saxenda® changes brain functional Magnetic Resonance Imaging Food Cue Reactivity (fMRI-FCR) and whether the magnitude of that change is associated with changes in behavioral and physiological variables (hunger, satiety, cravings and weight loss).

Conditions
Obesity
Being tested
Saxenda®, Placebo
Keywords
Neuroimaging, Hormones
Medical subject headings
Obesity

What participants receive

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

  • Saxenda®Drug

    Also called Liraglutide 3.0

    Receiving escalating dose of Saxenda® for the first 4 weeks (0.6mg, 1.2mg, 1.8mg, 2.4 mg) and receiving full-dose (3.0 mg) for 12 weeks.

  • PlaceboOther

    Receiving equivalent volumes of the pre-filled solutions from pen-injector as Liraglutide 3.0 group .

Study groups in NCT03795701
Study groupRoleWhat they receive
PlaceboPlacebo comparatorSubjects in placebo group will receive placebo plus behavioral weight loss counselling to portion control to achieve 500 kcal daily deficit based on MedGem required maintenance calories (not to be reduced below 1000 kcal per day for any subject). Subjects will also be asked to maintain physical activity.
Receives: Other: Placebo
Liraglutide 3.0ExperimentalSubjects in Liraglutide 3.0 group will receive Saxenda® plus behavioral weight loss counselling to portion control to achieve 500 kcal daily deficit based on MedGem required maintenance calories (not to be reduced below 1000 kcal per day for any subject). Subjects will be asked to maintain physical activity. The dose of Saxenda® will be increased weekly in the first 4 weeks (.6; 1.2; 1.8; 2.4 mg) and maintained on 3 mg for 12 weeks.
Receives: Drug: Saxenda®

What is being measured

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

  1. Compare the changes of pre-prandial fMRI-FCR in Liraglutide 3.0 vs. Placebo Group

    Pre-prandial fMRI-FCR will be measured via fMRI

    Measured: Baseline, Week 4, and Week 16

  2. Compare the changes of post-prandial fMRI-FCR in Liraglutide 3.0 vs. Placebo Group

    Post-prandial fMRI-FCR will be measured via fMRI

    Measured: Baseline, Week 4, and Week 16

  3. Compare the changes of energy intake in Liraglutide 3.0 vs. Placebo Group

    Energy intake will be assessed via ad libitum feeding

    Measured: Baseline, Week 4, and Week 16

  4. Compare the changes of hunger/satiety in Liraglutide 3.0 vs. Placebo Group

    Hunger/satiety will be assessed via Visual Analog Scale (VAS). Subjects will rate on the 100 mm line with a vertical line. There is no specific number on the scale. On each 100-mm line, an sensation is paired with the opposing sensation, (for example, 'not at all hungry' and 'extremely hungry' or 'Not at all satiated' and 'extremely satiated').

    Measured: Baseline, Week 4, and Week 16

  5. Compare the changes of hunger/satiety in Liraglutide 3.0 vs. Placebo Group

    Hunger/satiety will be assessed via glucagon-like peptide-1 (GLP-1)

    Measured: Baseline, Week 4, and Week 16

  6. Compare the changes of hunger/satiety in Liraglutide 3.0 vs. Placebo Group

    Hunger/satiety will be assessed via Peptide YY (PYY)

    Measured: Baseline, Week 4, and Week 16

  7. Compare the changes of hunger/satiety in Liraglutide 3.0 vs. Placebo Group

    Hunger/satiety will be assessed via ghrelin

    Measured: Baseline, Week 4, and Week 16

  8. Prediction of weight loss in Liraglutide 3.0 group by examine early change in pre-prandial fMRI-FCR

    Pre-prandial fMRI-FCR will be measured via fMRI

    Measured: Baseline, Week 4, and Week 16

  9. Prediction of weight loss in Liraglutide 3.0 group by examine early change in post-prandial fMRI-FCR

    Post-prandial fMRI-FCR will be measured via fMRI

    Measured: Baseline, Week 4, and Week 16

Secondary outcomes (15)
  1. Correlation between changes in post-prandial fMRI-FCR and changes in energy intake

    Post-prandial fMRI-FCR measured via fMRI. Energy intake will be assessed via ad libitum feeding.

    Measured: Baseline, Week 4, and Week 16

  2. Correlation between changes in post-prandial fMRI-FCR and changes in hunger/satiety

    Post-prandial fMRI-FCR measured via fMRI. Hunger/satiety will be measured via Visual Analog Scale (VAS). Subjects will rate on the 100 mm line with a vertical line. There is no specific number on the scale. On each 100-mm line, an sensation was paired with the opposing sensation, (for example, 'not at all hungry' and 'extremely hungry').

    Measured: Baseline, Week 4, and Week 16

  3. Correlation between changes in post-prandial fMRI-FCR and changes in hunger/satiety

    Post-prandial fMRI-FCR measured via fMRI. Hunger/satiety will be measured via glucagon-like peptide-1 (GLP-1).

    Measured: Baseline, Week 4, and Week 16

  4. Correlation between changes in post-prandial fMRI-FCR and changes in hunger/satiety

    Post-prandial fMRI-FCR measured via fMRI. Hunger/satiety will be measured via peptide YY (PYY).

    Measured: Baseline, Week 4, and Week 16

  5. Correlation between changes in post-prandial fMRI-FCR and changes in hunger/satiety

    Post-prandial fMRI-FCR measured via fMRI. Hunger/satiety will be measured via ghrelin.

    Measured: Baseline, Week 4, and Week 16

  6. Examine if the correlations described in outcome 10 differ in Liraglutide 3.0 vs. Placebo Group

    Energy intake will be assessed via ad libitum feeding.

    Measured: Baseline, Week 4, and Week 16

  7. Examine if the correlations described in outcome 11 differ in Liraglutide 3.0 vs. Placebo Group

    Hunger/satiety will be measured via Visual Analog Scale (VAS). Subjects will rate on the 100 mm line with a vertical line. There is no specific number on the scale. On each 100-mm line, an sensation was paired with the opposing sensation, (for example, 'not at all hungry' and 'extremely hungry').

    Measured: Baseline, Week 4, and Week 16

  8. Examine if the correlations described in outcome 12 differ in Liraglutide 3.0 vs. Placebo Group

    Hunger/satiety will be measured via glucagon-like peptide-1 (GLP-1)

    Measured: Baseline, Week 4, and Week 16

  9. Examine if the correlations described in outcome 13 differ in Liraglutide 3.0 vs. Placebo Group

    Hunger/satiety will be measured via peptide YY (PYY)

    Measured: Baseline, Week 4, and Week 16

  10. Examine if the correlations described in outcome 14 differ in Liraglutide 3.0 vs. Placebo Group

    Hunger/satiety will be measured via ghrelin

    Measured: Baseline, Week 4, and Week 16

  11. Prediction of weight loss after 16 weeks intervention by assessing early changes in energy intake

    Energy intake will be assessed via ad libitum feeding

    Measured: Baseline, Week 4, and Week 16

  12. Prediction of weight loss after 16 weeks intervention by assessing early changes in hunger/satiety

    Hunger/satiety will be measured via Visual Analog Scale (VAS). Subjects will rate on the 100 mm line with a vertical line. There is no specific number on the scale. On each 100-mm line, an sensation was paired with the opposing sensation, (for example, 'not at all hungry' and 'extremely hungry' or 'Not at all satiated' and 'extremely satiated').

    Measured: Baseline, Week 4, and Week 16

  13. Prediction of weight loss after 16 weeks intervention by assessing early changes in hunger/satiety

    Hunger/satiety will be measured via glucagon-like peptide-1 (GLP-1)

    Measured: Baseline, Week 4, and Week 16

  14. Prediction of weight loss after 16 weeks intervention by assessing early changes in hunger/satiety

    Hunger/satiety will be measured via peptide YY (PYY)

    Measured: Baseline, Week 4, and Week 16

  15. Prediction of weight loss after 16 weeks intervention by assessing early changes in hunger/satiety

    Hunger/satiety will be measured via ghrelin

    Measured: Baseline, Week 4, and Week 16

Timeline

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

  1. First posted8 Jan 2019
  2. Study start8 Jan 2019
  3. Primary completion1 May 2022
  4. Study completion1 May 2022

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
73 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03795701
Sponsor's protocol ID
TTUIRB2018-824
Status last verified
Nov 2023
First submitted
17 Dec 2018
Last updated
4 Dec 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Saxenda® in people with Obesity, run by Texas Tech University at 2 sites in United States.

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 2 inclusion and 33 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 4 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. 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?

Compare the changes of pre-prandial fMRI-FCR in Liraglutide 3.0 vs. Placebo Group (time frame: Baseline, Week 4, and Week 16). The study lists 9 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 4 Dec 2023.

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