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Overweight and ObesityTOOLBARNCT04941651

Efficacy of Telenutrition for the Treatment of Overweight Patients With Obesity and/or High Cardiometabolic Risk

A study testing OBE-COACH program, Connected devices and Connected Activity Tracer in people with Overweight and Obesity, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

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 OBE-COACH program is an automated online nutritional coaching service that was evaluated in its first version (MXS-CARE program) in a clinical trial coordinated by our team, in type 2 diabetic patients with abdominal obesity. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Overweight and Obesity
What is being tested?
OBE-COACH program, Connected devices and Connected Activity Tracer
Could I receive a placebo?
No, everyone receives an active treatment
How many people
346 participants
Where
1 siteFrance
Study dates
2 Jan 2024to 22 Jun 2025
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men or women 18 to 75 years
  • Obesity defined by a body mass index > 30 kg / m2 or a BMI> 25 kg / m2 with the presence of at least one major cardiometabolic risk factors among the followings: dyslipidemia, hypertension, diabetes, prediabetes
  • Stable weight in the last six months (weight variation < 4 kg peak-to-peak)
  • Access and current use of internet, possession of an email address and a smartphone.
  • Understanding and reading French
  • Patient not currently following a nutritional monitoring and not having planned to be engaged in a nutritional monitoring during the coming year

Who cannot join

  • Excessive alcohol consumption > 30 g / day -Pregnant or breastfeeding woman
  • symptomatic cardiovascular disease : angina, lower extremity arterial occlusive disease, stroke or myocardial infarction dating of less than 6 months.
  • Uncontrolled psychiatric illness
  • Patients receiving or about to receive during the study period a systemic or local treatment susceptible to interfere with the evaluation of the primary criteria (corticosteroids, antipsychotics, tricyclic antidepressants) except if these treatments have been stable for at least 6 months without a plan to modify the dose during the 12 months of the study
  • Adhering to a prescribed diet for weight loss, in the past 3 months
  • Person with a severe eating disorder: bulimia, binge eating disorder according to DSM-V criteria - Presence of celiac disease, Crohn's disease or other metabolic disorder or condition affecting nutritional needs such as allergies or food intolerances (except partial lactose intolerance)
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  • Anticipated difficulties in following the patient
  • Lack of social coverage in France
  • Lack of written or electronic informed consent

Trial locations and contacts

1 site in 1 country.

France1 site
  • Hôpital La Pitié Salpêtrière

    Paris, 75013

Other trials in France

About this study

Official title: Efficacy of Telenutrition (OBE-COACH) for the Treatment of Overweight Patients With Obesity and/or High Cardiometabolic Risk

The OBE-COACH program is an automated online nutritional coaching service that was evaluated in its first version (MXS-CARE program) in a clinical trial coordinated by our team, in type 2 diabetic patients with abdominal obesity. Results have confirmed the efficiency of the program to improve lifestyle habits, including the 4-month diet, and to reduce weight and HbA1c levels.

Based on our experience and the scientific literature, the investigators assume that adherence to the program may diminish in the long term to the point of calling into question its efficiency. So IRIADE compagny developed an enhanced program called OBE-COACH. The OBE-COACH program has been specifically designed to facilitate long-term user adherence. The OBE-COACH program, integrates a bidirectional interactive link between the patient and an automated support system (IRIADE-MED system) associated with an inexpensive remote human support.

Read more

In the TOOLBAR study, the investigators will evaluate the efficiency of the OBE-COACH solution in a population of obese patients or overweight persons with at least one cardiometabolic risk factor.

A group of patients will have access to the OBE-COACH program. It will be compared to a control group which will receive an e-learning program with free access to advice sheets via the web, to a menu generator, videos and a catalog of physical activity, (resources made available by the web site www.mangerbouger.fr (public health France, ministry in charge of health) . Indeed, the investigators judged that the loss of patients during follow-up would be greater if e-learning was not offered in the control group.

Read the detailed description

The management of patients in the TOOLBAR study will be in accordance with French recommendations: a patient who is overweight should benefit from a dietary, physical activity, psychological assistance and medical monitoring advices which can be provided by a general practitioner. In the control group, subjects have access to an e-learning program, including free access via the web to a nutritional information portal and to automated tools providing information and advice for adopting a balanced, low-carb diet and to practice physical activity in line with the guidelines of the national health nutrition plan (PNNS). However, this group will not have access to the OBE-COACH program. The usual follow-up with the attending doctor will be continued.

Patients will be assessed at baseline, 6 months and 12 months. In an ancillary study they could be also assessed at 24 months.

Being tested
OBE-COACH program, Connected devices, Connected Activity Tracer, e-learning program
Keywords
Overweight patients, Obesity, Cardiometabolic risk, telenutrition, online nutritional coaching service
Medical subject headings
Overweight, Obesity

What participants receive

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

  • OBE-COACH programBehavioural

    OBE-COACH works through private exchanges between the user and an automatic generator of recommendations, advice and messages of encouragement. Web focus groups are propoposed by specialist to respond to the questions of the participants and a tele-interview at 6 months with a dietetician to encourage and assist the patient to make the best use of the program.

    The program is divided into missions to perform. These missions are grouped into 10 families. The completion of each mission and the correct answers to the quiz offer points and bonuses.

    To promote better adherence to the program, missions are not repetitive. They are proposed to surprise the user and constantly renew his desire to connect to the program and achieve goals.

    The intensity level of the program is selected by the user at any time.

  • Connected devicesDevice

    Connected devices provide to patient are auto-tensiometer and balance. These devices will not be connected to the OBE-COACH program.

    The auto-tensiometer (Tensio-screen, Terraillon) is a connected tensiometer allowing the patient to measure by himself with an armband his systolic and diastolic blood pressure and his heart rate.

    The balance (Web coach premium, Terraillon) is a connected scale to collect body weight.

  • Connected Activity TracerDevice

    The Activity Tracer (activi-T band, Terraillon) is a a wristband connected activity tracer worn on the wrist that tracks the patient's physical activity and calculates the number of steps, distance traveled and calories burned. The Activity Tracer will not be connected to the OBE-COACH program.

  • e-learning programBehavioural

    e-learning program with free access via the web to advice sheets, a menu generator and a catalog of physical activity (resources made available by the site www.mangerbouger.fr ; Public Health France, Ministry of Health)

Study groups in NCT04941651
Study groupRoleWhat they receive
OBE-COACH programExperimentalThe OBE-COACH experimental group: access to the complete OBE-COACH program
Receives: Behavioral: OBE-COACH program; Device: Connected devices; Device: Connected Activity Tracer
e-learning programActive comparatorThe control group: access to an e-learning program with free access via the web to advice sheets, a menu generator and a catalog of physical activity (resources made available by the site www.mangerbouger.fr ; Public Health France, Ministry of Health) and provision of connected devices (auto-tensiometer and balance).
Receives: Device: Connected devices; Device: Connected Activity Tracer; Behavioral: e-learning program

What is being measured

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

  1. Weight reduction of at least 5% between 0 and 12 months.

    Weight reduction of at least 5% between 0 and 12 months. The weight, in Kg, will be measured in a state of fastness ≥ 8h, in participants wearing light clothing without shoes on the same scales calibrated at inclusion and 12 months of follow-up.

    Measured: 12 months

Secondary outcomes (46)
  1. Weight reduction of at least 5% between 0 and 6 months.

    Weight, in Kg, measured in the same conditon at baseline and 6 months.

    Measured: 6 months

  2. Weight change between 0 and 6 months

    Weight, in Kg, measured in the same conditon at baseline and 6 months.

    Measured: 6 months

  3. Weight change between 0 and 12 months

    Weight, in Kg, measured in the same conditon at baseline and 12 months.

    Measured: 12 months

  4. Waist change between 0 and 6 months

    Waist, in cm, measured midway between the last ribs and the anterior superior iliac crest

    Measured: 6 months

  5. Waist change between 0 and 12 months

    Waist, in cm, measured midway between the last ribs and the anterior superior iliac crest

    Measured: 12 months

  6. Triglycerids change between 0 and 12 months

    Plasma fasting levels of triglycerides in g/L

    Measured: 12 months

  7. HDL cholesterol change between 0 and 12 months

    Plasma fasting levels of HDL cholesterol in g/L

    Measured: 12 months

  8. LDL cholesterol change between 0 and 12 months

    Plasma fasting levels of LDL cholesterol in g/L

    Measured: 12 months

  9. non-HDL cholesterol change between 0 and 12 months

    Plasma fasting levels of non-HDL cholesterol in g/L (total cholesterol less HDL-C)

    Measured: 12 months

  10. Blood glucose change between 0 and 12 months

    Plasma fasting levels of glucose in g/L

    Measured: 12 months

  11. HbA1c change between 0 and 12 months

    Plasma fasting levels of HbA1c in percentage

    Measured: 12 months

  12. Systolic blood pressure change between 0 and 12 months

    Systolic blood pressure in mmHg as the average of the last 2 automatic measurements out of 3 taken at the level of one arm and spaced about 2 min in the cabinet or by the patient with the auto-tensiometer

    Measured: 12 months

  13. Diastolic blood pressure change between 0 and 12 months

    Diastolic blood pressure in mmHg as the average of the last 2 automatic measurements out of 3 taken at the level of one arm and spaced about 2 min in the cabinet or by the patient with the auto-tensiometer

    Measured: 12 months

  14. Triglycerids change between 0 and 6 months

    Plasma fasting levels of triglycerides in g/L

    Measured: 6 months

  15. HDL cholesterol change between 0 and 6 months

    Plasma fasting levels of HDL cholesterol in g/L

    Measured: 6 months

  16. LDL cholesterol change between 0 and 6 months

    Plasma fasting levels of LDL cholesterol in g/L

    Measured: 6 months

  17. non-HDL cholesterol change between 0 and 6 months

    Plasma fasting levels of non-HDL cholesterol in g/L (total cholesterol less HDL-C)

    Measured: 6 months

  18. Blood glucose change between 0 and 6 months

    Plasma fasting levels of glucose in g/L

    Measured: 6 months

  19. HbA1c change between 0 and 6 months

    Plasma fasting levels of HbA1c in percentage

    Measured: 6 months

  20. Systolic blood pressure change between 0 and 6 months

    Systolic blood pressure in mmHg as the average of the last 2 automatic measurements out of 3 taken at the level of one arm and spaced about 2 min in the cabinet or by the patient with the auto-tensiometer

    Measured: 6 months

  21. Diastolic blood pressure change between 0 and 6 months

    Diastolic blood pressure in mmHg as the average of the last 2 automatic measurements out of 3 taken at the level of one arm and spaced about 2 min in the cabinet or by the patient with the auto-tensiometer

    Measured: 6 months

  22. Change in adherence to the Mediterranean diet : Score PREDIMED

    Change between 0 and 12 months of adherence to mediterranean diet,evaluated by the dietetic score PREDIMED (validated checklist of 14 items). Higher scores indicate greater adherence to the diet assigned

    Measured: 12 months

  23. Change in adherence to the Mediterranean diet : fruits and vegetables consumption

    Change between 0 and 12 months in terms of perrcentage of consumption of fruits and vegetables on the recommended 400 g/day

    Measured: 12 months

  24. Change in adherence to the Mediterranean diet : Score PREDIMED

    Change between 0 and 6 months of adherence to mediterranean diet,evaluated by the dietetic score PREDIMED (validated checklist of 14 items). Higher scores indicate greater adherence to the diet assigned

    Measured: 6 months

  25. Change in adherence to the Mediterranean diet : fruits and vegetables consumption

    Change between 0 and 6 months in terms of percentage of consumption of fruits and vegetables on the recommended 400 g/day

    Measured: 6 months

  26. Change between 0 and 12 months of Energy intake

    Energy intake, in Kcal/day, evaluated with the validated NAQA questionnaire

    Measured: 12 months

  27. Change between 0 and 12 months of proteins intake, in g/day, evaluated with the validated NAQA questionnaire

    Measured: 12 months

  28. Change between 0 and 12 months of sucrose intake in g/day, evaluated with the validated NAQA questionnaire

    Measured: 12 months

  29. Change between 0 and 12 months of lipids intake in g/day, evaluated with the validated NAQA questionnaire

    Measured: 12 months

  30. Change between 0 and 12 months of cholesterol intake

    Cholesterol intake, in mg/day, evaluated with the validated NAQA questionnaire

    Measured: 12 months

  31. Change between 0 and 12 months of calcium intake in mg/day, evaluated with the validated NAQA questionnaire

    Measured: 12 months

  32. Change between 0 and 12 months of sugary drinks consumption in number of glasses/day

    Measured: 12 months

  33. Change between 0 and 12 months of alcohol drinks consumption in number of glasses/day

    Measured: 12 months

  34. Change between 0 and 6 months of sugary drinks consumption in number of glasses/day

    Measured: 6 months

  35. Change between 0 and 6 months of alcohol drinks consumption in number of glasses/day

    Measured: 6 months

  36. Change between 0 and 12 months of tobacco consumption in number of cigarettes/day

    Measured: 12 months

  37. Change between 0 and 6 months of tobacco consumption in number of cigarettes/day

    Measured: 6 months

  38. Change between 0 and 12 months of Adherence to the WHO recommendations for physical activity, measured in Metabolic Equivalent of Task, MET, evaluated with the GPAQ questionnaire.

    Measured: 12 months

  39. Change between 0 and 6 months of Adherence to the WHO recommendations for physical activity, measured in Metabolic Equivalent of Task, MET, evaluated with the GPAQ questionnaire.

    Measured: 6 months

  40. Adherence to OBE-COACH program at 12 months, evaluated by the average percentage of questions (sent by IRIADE) with replies from the subject per week during the previous month.

    Measured: 12 months

  41. Adherence to OBE-COACH program at 12 months, evaluated by the number of participation in web focus groups over the last 6 months.

    Measured: 12 months

  42. Adherence to OBE-COACH program at 6 months, evaluated by the average percentage of questions (sent by IRIADE) with replies from the subject per week during the previous month.

    Measured: 6 months

  43. Adherence to OBE-COACH program at 6 months, evaluated by the number of participation in web focus groups over the last 6 months.

    Measured: 6 months

  44. Change between 0 and 12 months of Food impulsivity evaluated by the TFEQ21 questionnaire

    Measured: 12 months

  45. Change between 0 and 6 months of Food impulsivity evaluated by the TFEQ21 questionnaire

    Measured: 6 months

  46. Evolution between 0 and 12 months of Symptoms of anxiety, measured with the HAD questionnaire (score 0 to 21)

    Measured: 12 months

Timeline

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

  1. First posted28 Jun 2021
  2. Study start2 Jan 2024
  3. Primary completion22 Jun 2025
  4. Study completion22 Jun 2025

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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
346 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04941651
Sponsor's protocol ID
K160908J
Acronym
TOOLBAR
Status last verified
May 2024
First submitted
18 Jun 2021
Last updated
30 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Data are available upon reasonable request. The procedures carried out with the French data privacy authority (CNIL, Commission nationale de l'informatique et des libertés) do not provide for the transmission of the database, nor do the information and consent documents signed by the patients. Consultation by the editorial board or interested researchers of individual participant data that underlie the results reported in the article after deidentification may nevertheless be considered, subject to prior determination of the terms and conditions of such consultation and in respect for compliance with the applicable regulations.

Questions about this trial

What is this clinical trial studying?

A study testing OBE-COACH program, Connected devices and Connected Activity Tracer in people with Overweight and Obesity, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

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 6 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 30 Sep 2026. 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 France. 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?

Weight reduction of at least 5% between 0 and 12 months. (time frame: 12 months). 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 30 Sep 2026.

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