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Overweight and ObesityGluco-FoodNCT04482738

Study of the Effects of Overfeeding on Glucocorticoids in Lean and Obese Subjects

An observational study of Overweight and Obesity, run by Eleonora Seelig at 1 site in Switzerland.

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

Investigators suggest that in lean subjects cortisol increases in response to overfeeding and that this increase is blunted in obese subjects. A group of 18 male healthy lean subjects and another group of 18 male healthy obese subjects will undergo a high-calorie meal test. Read more about this study

Who is it for?
Ages 18 to 40 years, men onlyHealthy volunteers can take part
Conditions the study is for
Overweight and Obesity
What is being tested?
High-calorie meal
How many people
36 participants
Where
1 siteSwitzerland
Study dates
14 May 2020to 20 Feb 2021
Phase
Observational
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 40 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Study population: Community sample. The obese group will be both a community and a clinical sample.

Who may be able to join

  • Body mass index (BMI) >18,5 and <25 kg/m2
  • BMI >30 kg/m2

Who cannot join

  • Any clinically significant concomitant diseases in lean subjects
  • Any clinically significant concomitant diseases in obese subjects apart from features of the metabolic syndrome (dyslipidemia, arterial hypertension and insulin resistance)
  • Lactose intolerance
  • Severe food allergy
  • Regular alcohol consumption (>30 g/d)
  • Regular fitness training (>4 hours/week)
Show all 9Show fewer
  • Previous enrolment in a clinical trial within the last 3 months
  • Inability or contradictions to undergo the investigated intervention
  • Inability to follow the procedures of the study

Trial locations and contacts

1 site in 1 country.

Switzerland1 site
  • University Hospital Basel

    Basel, Canton of Basel-City, 4031

Other trials in Switzerland

About this study

Official title: The Acute Response of Glucocorticoids Upon Food Intake

Investigators suggest that in lean subjects cortisol increases in response to overfeeding and that this increase is blunted in obese subjects. A group of 18 male healthy lean subjects and another group of 18 male healthy obese subjects will undergo a high-calorie meal test. Prior to the meal intake, an indirect calorimetry, bioelectrical impedance, heart rate variability, a fasting blood sample and a perceived stress questionnaire will be assessed. After intake of the study meal, blood tests will be performed in order to measure the secretion of cortisol, glucose and lipid metabolism and inflammatory markers. Indirect calorimetry will be assessed again 60 and 180 minutes after the meal intake.

Read the detailed description

Obesity is one of the most serious health problems in the 21st century. High energy food and a sedentary lifestyle are driving the current obesity pandemic. These factors activate the hypothalamic-pituitary-adrenal (HPA) axis, the key regulatory pathway of energy homeostasis. Activation of the HPA-axis leads to secretion of glucocorticoids from the adrenal glands, which control energy homeostasis by mobilizing and redistributing energy substrates.

Animal models of obesity have shown that glucocorticoids play a key role in the development of the metabolic syndrome. However, studies in humans yielded conflicting results. These studies have a major limitation in common. They do not consider glucocorticoid rhythmicity but rather investigate a snapshot of glucocorticoid secretion. Rhythmicity, however, is crucial because already minor glucocorticoid phase disturbances cause disease and could contribute to obesity.

Interestingly, excessive food intake may increase cortisol levels in healthy subjects . The consequence of this food-induced cortisol peak is not understood, but it may be key to restoring energy homeostasis after a meal. Whether the food-induced cortisol peak in obese subjects is disturbed is not known

With this study, investigators aim to better understand the role played by glucocorticoids in the origin of overweight and obesity. Researchers will investigate, in lean and obese subjects, whether the pulsatile release of cortisol increases after intake of a high-calorie meal. 36 subjects will take part in the study: a group of 18 male lean subjects and a second group of 18 male obese patients.

Being tested
High-calorie meal
Keywords
obesity, overweight, cortisol, overfeeding, glucocorticoids
Medical subject headings
Overweight, Obesity

What participants receive

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

  • High-calorie mealOther

    Intake of a high-calorie meal (2500-3000 calories) within 15 minutes.

Study groups in NCT04482738
Study groupRoleWhat they receive
Lean subjects24 hours before the study visit, participants will be asked to refrain from alcohol and strenuous exercise. Patients will be asked to remain fasted 10 hours before the study visit takes place. On the day of the study visit, patients will be admitted to the hospital and, after intake of the study meal, blood samples will be taken.
Receives: Other: High-calorie meal
Obese subjects24 hours before the study visit, participants will be asked to refrain from alcohol and strenuous exercise. Patients will be asked to remain fasted 10 hours before the study visit takes place. On the day of the study visit, patients will be admitted to the hospital and, after intake of the study meal, blood samples will be taken.
Receives: Other: High-calorie meal

What is being measured

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

  1. Change in pulsatile secretion of cortisol in response to a high-calorie meal (nmol/l)

    Blood test

    Measured: 195 minutes

Secondary outcomes (28)
  1. Thyroid hormones (nmol/l)

    Blood test

    Measured: 195 minutes

  2. Growth Hormone (mIU/l)

    Blood test

    Measured: 195 minutes

  3. Catecholamines (pg/ml)

    Blood test

    Measured: 195 minutes

  4. Adrenocorticotropic Hormone (ACTH) (pg/ml)

    Blood test

    Measured: 195 minutes

  5. Glucagon-like-peptide-1 (GLP-1) (pg/ml)

    Blood test

    Measured: 195 minutes

  6. Gastric inhibitory polypeptide (GIP) (pg/ml)

    Blood test

    Measured: 195 minutes

  7. Peptide YY (PYY) (pg/ml)

    Blood test

    Measured: 195 minutes

  8. Glucose (mmol/l)

    Blood test

    Measured: 195 minutes

  9. Insulin (mIU/l)

    Blood test

    Measured: 195 minutes

  10. C-Peptide (pmol/l)

    Blood test

    Measured: 195 minutes

  11. Total cholesterol (mmol/l)

    Blood test

    Measured: 195 minutes

  12. Low density lipoprotein (LDL)-cholesterol (mmol/l)

    Blood test

    Measured: 195 minutes

  13. High density lipoprotein (HDL)-cholesterol (mmol/l)

    Blood test

    Measured: 195 minutes

  14. Triglycerides (mmol/l)

    Blood test

    Measured: 195 minutes

  15. Growth differentiation factor 15 (GDF15) (ng/l)

    Blood test

    Measured: 195 minutes

  16. High-sensitive c-reactive Protein (hsCRP) (mg/l)

    Blood test

    Measured: 195 minutes

  17. Interleukin-6 (IL-6) (pg/ml)

    Blood test

    Measured: 195 minutes

  18. Interleukin-8 (IL-8) (pg/ml)

    Blood test

    Measured: 195 minutes

  19. Interleukin-1 receptor Antagonist (IL-1Ra) (pg/ml)

    Blood test

    Measured: 195 minutes

  20. Heart rate (bpm)

    Heart rate variability analysis

    Measured: 5 minutes

  21. Blood pressure: diastolic and systolic blood pressure (mmHg)

    Standard blood pressure monitor

    Measured: 1 minute

  22. Weight: kilogram body weight (kg)

    Standard scale

    Measured: 1 minute

  23. Energy expenditure: basal metabolic rate

    Indirect calorimetry

    Measured: 200 minutes

  24. Substrate utilisation: respiratory quotient

    Indirect calorimetry

    Measured: 200 minutes

  25. Fat and lean mass (kg)

    Body impedance analysis

    Measured: 20 minutes

  26. Total body water (l)

    Body impedance analysis

    Measured: 20 minutes

  27. Appetite: visual analogue scale rating

    Visual analogue scale

    Measured: 3 hours

  28. Stress: perceived stress Levels (0-56)

    Perceived stress questionnaire

    Measured: 5 minutes

Timeline

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

  1. First posted22 Jul 2020
  2. Study start14 May 2020
  3. Primary completion20 Feb 2021
  4. Study completion20 Feb 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Cross-sectional
Enrolment
36 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04482738
Sponsor's protocol ID
202000384
Acronym
Gluco-Food
Status last verified
Mar 2022
First submitted
30 Mar 2020
Last updated
23 Mar 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Prospective Studies Collaboration; Whitlock G, Lewington S, Sherliker P, Clarke R, Emberson J, Halsey J, Qizilbash N, Collins R, Peto R. Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies. Lancet. 2009 Mar 28;373(9669):1083-96. doi: 10.1016/S0140-6736(09)60318-4. Epub 2009 Mar 18.

    PubMed 19299006
  • van der Klaauw AA, Farooqi IS. The hunger genes: pathways to obesity. Cell. 2015 Mar 26;161(1):119-132. doi: 10.1016/j.cell.2015.03.008.

    PubMed 25815990
  • Vgontzas AN, Lin HM, Papaliaga M, Calhoun S, Vela-Bueno A, Chrousos GP, Bixler EO. Short sleep duration and obesity: the role of emotional stress and sleep disturbances. Int J Obes (Lond). 2008 May;32(5):801-9. doi: 10.1038/ijo.2008.4. Epub 2008 Feb 5.

    PubMed 18253159
  • de Guia RM, Rose AJ, Herzig S. Glucocorticoid hormones and energy homeostasis. Horm Mol Biol Clin Investig. 2014 Aug;19(2):117-28. doi: 10.1515/hmbci-2014-0021.

    PubMed 25390020
  • Russell G, Lightman S. The human stress response. Nat Rev Endocrinol. 2019 Sep;15(9):525-534. doi: 10.1038/s41574-019-0228-0. Epub 2019 Jun 27.

    PubMed 31249398
  • Ferrau F, Korbonits M. Metabolic Syndrome in Cushing's Syndrome Patients. Front Horm Res. 2018;49:85-103. doi: 10.1159/000486002. Epub 2018 Apr 5.

    PubMed 29894989
  • Livingstone DE, Grassick SL, Currie GL, Walker BR, Andrew R. Dysregulation of glucocorticoid metabolism in murine obesity: comparable effects of leptin resistance and deficiency. J Endocrinol. 2009 May;201(2):211-8. doi: 10.1677/JOE-09-0003. Epub 2009 Feb 17.

    PubMed 19223399
  • Livingstone DE, Jones GC, Smith K, Jamieson PM, Andrew R, Kenyon CJ, Walker BR. Understanding the role of glucocorticoids in obesity: tissue-specific alterations of corticosterone metabolism in obese Zucker rats. Endocrinology. 2000 Feb;141(2):560-3. doi: 10.1210/endo.141.2.7297.

    PubMed 10650936
  • Liu Y, Nakagawa Y, Wang Y, Li R, Li X, Ohzeki T, Friedman TC. Leptin activation of corticosterone production in hepatocytes may contribute to the reversal of obesity and hyperglycemia in leptin-deficient ob/ob mice. Diabetes. 2003 Jun;52(6):1409-16. doi: 10.2337/diabetes.52.6.1409.

    PubMed 12765951
  • Chalew S, Nagel H, Shore S. The hypothalamic-pituitary-adrenal axis in obesity. Obes Res. 1995 Jul;3(4):371-82. doi: 10.1002/j.1550-8528.1995.tb00163.x.

    PubMed 8521154
  • Marin P, Darin N, Amemiya T, Andersson B, Jern S, Bjorntorp P. Cortisol secretion in relation to body fat distribution in obese premenopausal women. Metabolism. 1992 Aug;41(8):882-6. doi: 10.1016/0026-0495(92)90171-6.

    PubMed 1640867
  • Duclos M, Corcuff JB, Etcheverry N, Rashedi M, Tabarin A, Roger P. Abdominal obesity increases overnight cortisol excretion. J Endocrinol Invest. 1999 Jun;22(6):465-71. doi: 10.1007/BF03343591.

    PubMed 10435857
  • Pasquali R, Cantobelli S, Casimirri F, Capelli M, Bortoluzzi L, Flamia R, Labate AM, Barbara L. The hypothalamic-pituitary-adrenal axis in obese women with different patterns of body fat distribution. J Clin Endocrinol Metab. 1993 Aug;77(2):341-6. doi: 10.1210/jcem.77.2.8393881.

    PubMed 8393881
  • Chalew SA, Lozano RA, Armour KM, Zadik Z, Kowarski AA. Reduction of plasma cortisol levels in childhood obesity. J Pediatr. 1991 Nov;119(5):778-80. doi: 10.1016/s0022-3476(05)80302-6. No abstract available.

    PubMed 1941386
  • Chalew SA, Nagel H, Burt D, Edwards CR. The integrated concentration of cortisone is reduced in obese children. J Pediatr Endocrinol Metab. 1997 May-Jun;10(3):287-90. doi: 10.1515/JPEM.1997.10.3.287.

    PubMed 9388820

Questions about this trial

What is this clinical trial studying?

An observational study of Overweight and Obesity, run by Eleonora Seelig at 1 site in Switzerland.

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 9 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 23 Mar 2022. 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 Switzerland. 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.

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?

Change in pulsatile secretion of cortisol in response to a high-calorie meal (nmol/l) (time frame: 195 minutes). 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 NCT04482738, which also lists 28 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 23 Mar 2022.

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