AzTrials
AzTrials

Overweight and ObesityNCT04919603

Impact of Exercise Intervention on the Phenome

A study testing Enhanced physical activity intervention and Standard education in people with Overweight and Obesity and Physical Activity, run by Shanghai Jiao Tong University School of Medicine at 2 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

It is an open-label, parallel-group, randomized controlled clinical trial, which is designed to enroll people with different glucose metabolism status who are also overweight or obese, including people with normal glucose metabolism, pre-diabetes patients and newly diagnosed type 2 diabetes patients. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Overweight and Obesity, Physical Activity
What is being tested?
Enhanced physical activity intervention and Standard education
Could I receive a placebo?
No, everyone receives an active treatment
How many people
270 participants
Where
2 sitesChina
Study dates
15 Jun 2021to 30 May 2023
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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men and women aged 18-65 years;
  • Normal glucose metabolism or pre-diabetes or newly diagnosed type 2 diabetes
  • Normal glucose metabolism:
  • FBG<5.6mmol/L and
  • 2h-PG<7.8mmol/L and
  • HbA1c<5.7%;
Show all 14Show fewer
  • Pre-diabetes:
  • 5.6mmol/L ≤ FBG ≤ 6.9mmol/L and/or
  • 7.8mmol/L ≤ 2h-PG ≤ 11.0mmol/L and/or
  • 5.7% ≤ HbA1c ≤ 6.4%;
  • Newly diagnosed diabetes:
  • o Duration of type 2 diabetes is less than 5 years;
  • No insulin treatment;
  • 23 Kg/m2 ≤ Body mass index (BMI) <40 Kg/m2;

Who cannot join

  • Eligibility Minimum Age: 18 Years Maximum Age: 65 Years Sex: All Gender Based: No Accepts Healthy Volunteers: No
  • Criteria: Inclusion Criteria:
  • Men and women aged 18-65 years;
  • Normal glucose metabolism or pre-diabetes or newly diagnosed type 2 diabetes
  • Normal glucose metabolism:
  • FBG<5.6mmol/L and
Show all 40Show fewer
  • 2h-PG<7.8mmol/L and
  • HbA1c<5.7%;
  • Pre-diabetes:
  • 5.6mmol/L ≤ FBG ≤ 6.9mmol/L and/or
  • 7.8mmol/L ≤ 2h-PG ≤ 11.0mmol/L and/or
  • 5.7% ≤ HbA1c ≤ 6.4%;
  • Newly diagnosed diabetes:
  • o Duration of type 2 diabetes is less than 5 years;
  • No insulin treatment;
  • 23 Kg/m2 ≤ Body mass index (BMI) <40 Kg/m2;
  • Severe cardiovascular disease:
  • current angina
  • myocardial infarction or stroke within last six months
  • heart failure (NYHA grading III~IV)
  • symptomatic periphery vascular disease
  • Uncontrolled hypertension: systolic blood pressure > 180 mmHg and/or diastolic blood pressure > 100 mmHg;
  • Myocardial ischemia indicated by resting ECG;
  • Cardiac dysfunction indicated by Echocardiogram;
  • Abnormal HS-TNT or NT-proBNP concentration;
  • Foot ulcers, peripheral neuropathy or skeletal disorders;
  • Taking high intensity exercise more than 75 minutes or moderate intensity exercise more than 150 minutes per week during the screening phase
  • ALT or AST levels more than three times the upper limit of the normal range or active liver diseases;
  • eGFR <60 ml/min/1.73 m2, or serum creatinine >1.5 mg/dl for men or 1.3mg/dl for women; or macro albuminuria (urine albumin/creatinine>300mg/g)
  • Malignant tumor in active-stage, or in remission stage but less than 5 years from the most recent treatment
  • Past or present confirmed psychiatric illness or drug dependence;
  • Currently taking medications known to affect weight (e.g. anti thyroid drugs, glucocorticoids);
  • Known to have weight-affecting diseases (e.g. malabsorption, functional bowel disease, uncontrolled low sodium/hyperthyroidism, eating disorders);
  • Known to have metabolism-affecting diseases;
  • Other acute diseases supported by clinical evidence which may contradict to the interventions;
  • Pregnancy, currently trying to become pregnant, or of child-bearing potential and not using birth control;
  • Currently participating in another intervention study;
  • Failure to obtain informed consent from participant;
  • Any factors judged by the clinic team to be likely to limit adherence to interventions;
  • Any other medical condition judged by the clinic team not eligible for the trial.

Trial locations and contacts

2 sites in 1 country.

Yufang Bi, MD, PhD contact

+862164370045

byf10784@rjh.com.cn

China2 sites, 2 recruiting
  • The Third People's Hospital of Datong City

    Datong, Shanxi

    Yan Liu, MS

    Recruiting
  • Shanghai Institute of Endocrine and Metabolic Diseases

    Shanghai, Shanghai Municipality, 200025

    Mian Li, MD,PhD, +862164370045, limian39@aliyun.com

    Yufang Bi, MD, PhD

    Not yet recruiting

Other trials in China

About this study

Official title: Impact of Exercise Intervention on the Phenome (Metabolism and Predictive Complications) in Well Characterised Pre-diabetes and New Onset Type 2 Diabetes Cohorts in China

It is an open-label, parallel-group, randomized controlled clinical trial, which is designed to enroll people with different glucose metabolism status who are also overweight or obese, including people with normal glucose metabolism, pre-diabetes patients and newly diagnosed type 2 diabetes patients. The patients are randomized to an enhanced physical activity intervention (high-intensity interval training exercise prescription combined with resistance training) or standard education group (diabetes health education only, including lifestyle education and guidance) for 12 weeks. This trial intends to compare the influence of enhanced physical activity treatment with that of a standard education on liver steatosis, serum glucose and lipids level, insulin sensitivity, cardiovascular metabolic parameters, metabolic molecules, and gut microbiota profile et al.

Read the detailed description

The trial will recruit 270 patients from 2 hospitals within the China Diabetes Clinical Research Network. Eligible criteria include men and women aged 18-65 years; with normal glucose metabolism or pre-diabetes or newly diagnosed type 2 diabetes; no insulin treatment; BMI ≥23 kg/m2 and <40 kg/m2. Main exclusion criteria include severe cardiovascular diseases, uncontrolled hypertension, and other serious illness. The proposed trial has 90% statistical power to detect an absolute 3.0% reduction of liver triglyceride level changes between intensive physical activity intervention and standard education groups at a 2-sided significance level of 0.05. To achieve the proposed study objectives, we plan to perform the following specific aims:

  1. Recruit 270 study participants who meet the eligibility criteria, including 90 people with normal glucose metabolism, 90 pre-diabetes patients and 90 newly diagnosed type 2 diabetes patients, and randomly assign 135 to the enhanced physical activity intervention group and 135 to the standard education group for 12 weeks;
  2. Employ a study-wide strategy to encourage standard of care for all participants for the treatment of type 2 diabetes and other metabolic disorders;
  3. Obtain clinical data on study outcomes for up to 12 months of follow-up among all trial participants;
  4. Perform strict quality control procedures for intervention and data collection;
  5. Conduct data analysis according to the intention-to-treat principle;
  6. Disseminate the study findings to influence clinical practice and clinical guidelines.

The results will be analyzed to examine the pan-omics changes after the interventions and clarify their predictive benefits on the effects of the interventions.

Being tested
Enhanced physical activity intervention, Standard education
Medical subject headings
Overweight, Obesity, Motor Activity

What participants receive

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

  • Enhanced physical activity interventionBehavioural

    the participants will take high-intensity exercise in accordance with High Intensity Interval Training (HIIT) prescriptions, with maximum heart rate and relative maximal oxygen uptake monitored. They will take both aerobic and resistance training exercise consecutively, and total training time will be expected to reach at least 150 minutes per week.

  • Standard educationBehavioural

    the participants will receive no extra intervention but diabetes health education, which will be carried out in large classrooms, in groups, and over the telephone. The education is mainly consisted of instructions on diabetes prevention according to < Guidelines for prevention and treatment of type 2 diabetes in China (2017 edition)

Study groups in NCT04919603
Study groupRoleWhat they receive
Enhanced physical activity groupExperimentalthe participants will take high-intensity exercise in accordance with High Intensity Interval Training (HIIT) prescriptions, with maximum heart rate and relative maximal oxygen uptake monitored. They will take both aerobic and resistance training exercise consecutively, and total training time will be expected to reach at least 150 minutes per week.
Receives: Behavioral: Enhanced physical activity intervention
Standard education groupExperimentalthe participants will receive no extra intervention but diabetes health education, which will be carried out in large classrooms, in groups, and over the telephone. The education is mainly consisted of instructions on diabetes prevention according to < Guidelines for prevention and treatment of type 2 diabetes in China (2017 edition)telephone. The education is mainly consisted of instructions on diabetes prevention according to < Guidelines for prevention and treatment of type 2 diabetes in China (2017 edition)>.
Receives: Behavioral: Standard education

What is being measured

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

  1. Change in liver steatosis quantified by MRI-PDFF (percentage)

    Measured: 12 weeks

Secondary outcomes (30)
  1. Change in liver steatosis quantified by MRI-PDFF (percentage)

    Measured: 1 year

  2. Change in the level of fasting blood glucose (mmol/l)

    Measured: 12 weeks and 1 year

  3. Change in the level of plasma glucose of 2 hours post glucose-load (mmol/l)

    Measured: 12 weeks and 1 year

  4. Change in the level of HbA1c (percentage)

    Measured: 12 weeks and 1 year

  5. Change in body mass index (BMI)

    Body weight (kg) and height (m) will be combined to report BMI in kg/m^2

    Measured: 12 weeks and 1 year

  6. Change in waist circumstance (cm)

    Measured: 12 weeks and 1 year

  7. Change in body fat level (%)

    Quantified by bioelectrical impedance analysis in a human body composition analyzer

    Measured: 12 weeks and 1 year

  8. Change in serum non-HDL-C level (mg/dl)

    Measured: 12 weeks and 1 year

  9. Change in serum total cholesterol level (mg/dl)

    Measured: 12 weeks and 1 year

  10. Change in serum VLDL-C level (mg/dl)

    Measured: 12 weeks and 1 year

  11. Change in serum LDL-C level (mg/dl)

    Measured: 12 weeks and 1 year

  12. Change in serum HDL-C level (mg/dl)

    Measured: 12 weeks and 1 year

  13. Change in serum ApoB level (mg/dl)

    Measured: 12 weeks and 1 year

  14. Change in basal metabolic rate (BMR) (Kcal)

    Quantified by bioelectrical impedance analysis in a human body composition analyzer

    Measured: 12 weeks and 1 year

  15. Change in blood pressure (mmHg)

    Measured: 12 weeks and 1 year

  16. Change in heart rate

    Measured: 12 weeks and 1 year

  17. Change in insulin sensitivity

    Quantify by HOMA score, which is calculated multiplying fasting plasma insulin (FPI, mIU/L) by fasting plasma glucose (FPG, mmol/L), then dividing by the constant 22.5, i.e. HOMA-IR = (FPI×FPG)/22.5.

    Measured: 12 weeks and 1 year

  18. Change in islet β-cell function

    Quantify by HOMA score, which is calculated with fasting plasma insulin (FPI, mIU/L) and fasting plasma glucose (FPG, mmol/L), i.e. HOMA-β = 20*FPI/(FPG-3.5).

    Measured: 12 weeks and 1 year

  19. Change in serum fetuin-A concentration (μg/mL)

    Measured: 12 weeks and 1 year

  20. Change in serum GREM2 concentration (pg/ml)

    Measured: 12 weeks and 1 year

  21. Change in gut hormones, monocyte subtypes and other serum biomarkers

    Measured: 12 weeks and 1 year

  22. Change in metabolic molecules concentration

    Measured: 12 weeks and 1 year

  23. Change in microRNA concentration

    Measured: 12 weeks and 1 year

  24. Change in overall gut microbiota profile

    change in gut microbiota composition and proportion of specific gut flora.

    Measured: 12 weeks and 1 year

  25. Depression

    Evaluated with PHQ-9 scores. The PHQ is 59-question instrument, referring to the level of interest in doing things, feeling down or depressed, difficulty with sleeping, energy levels, eating habits, self-perception, ability to concentrate, speed of functioning and thoughts of suicide. Responses range from "0" (Not at all) to "3" (nearly every day).The total sum of the responses suggests varying levels of depression. Scores range from 0 to 27. In general, a total of 10 or above is suggestive of the presence of depression.

    Measured: 12 weeks and 1 year

  26. Health related quality of life

    Evaluated with HQoL scales such as Short Form 12 Health Survey Questionnaire. The SF-12 is 12-question instrument, covering the eight domains of health outcomes, including physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health. Scores range from 0 to 48. A higher score indicates a better health state.

    Measured: 12 weeks and 1 year

  27. Change in diet pattern

    Evaluated with a semiquantitative food frequency questionnaire.

    Measured: 12 weeks and 1 year

  28. Change in sleeping pattern

    Evaluated with Pittsburgh Sleep Quality Index, PSQI. Scores range from 0 to 21. A higher score indicates a worse sleeping pattern.

    Measured: 12 weeks and 1 year

  29. Change in daily exercise

    Evaluated with short form International Physical Activity Questionnaire (IPAQ).

    Measured: 12 weeks and 1 year

  30. Cardiovascular risk

    Evaluated with Framingham Risk Scores. Individuals with low risk have 10% or less CHD risk at 10 years, with intermediate risk 10-20%, and with high risk 20% or more.

    Measured: 12 weeks and 1 year

Timeline

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

  1. First posted9 Jun 2021
  2. Study start15 Jun 2021 (estimated)
  3. Primary completion30 May 2022 (estimated)
  4. Study completion30 May 2023 (estimated)

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
Single blind
Who is masked
Outcomes assessor
Enrolment
270 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04919603
Sponsor's protocol ID
1.0/2020-07-29
Status last verified
Jun 2021
First submitted
22 Apr 2021
Last updated
9 Jun 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Enhanced physical activity intervention and Standard education in people with Overweight and Obesity and Physical Activity, run by Shanghai Jiao Tong University School of Medicine at 2 sites in China.

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 14 inclusion and 40 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: status not confirmed, as of the sponsor's last update on 9 Jun 2021. 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 China. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Yufang Bi, MD, PhD (+862164370045, byf10784@rjh.com.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in liver steatosis quantified by MRI-PDFF (percentage) (time frame: 12 weeks). 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 9 Jun 2021.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in