NCT01970566

Brief Summary

Obesity is a prevalent disorder and linked with inflammation, insulin resistance, dyslipidemia, obstructive sleep apnea, atherosclerosis, and associated with significant morbidity and mortality. This randomized clinical trial will compare the effectiveness of Intense Exercise/Moderate Calorie Restriction (IE-MCR), Topiramate-Phentermine (TP) and cognitive behavioral therapy (CBT) on obesity and atherosclerosis in individuals with morbidly obesity. This randomized clinical trial will compare: 1) the change in fat mass and atherosclerosis, 2) the change in psychological and quality-of-life as well as economic burden in response to IE-MCR, TP and CBT, and 3) conduct exploratory mechanistic biomolecular, genetic and therapeutic analyses to develop intervention-specific individualized intervention models to improve management of morbidly obese individuals.

Trial Health

30
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Timeline
Completed

Started Nov 2013

Longer than P75 for not_applicable obesity

Geographic Reach
1 country

1 active site

Status
withdrawn

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 28, 2013

Completed
2 months until next milestone

First Posted

Study publicly available on registry

October 28, 2013

Completed
4 days until next milestone

Study Start

First participant enrolled

November 1, 2013

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2015

Completed
2.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2017

Completed
Last Updated

January 15, 2014

Status Verified

January 1, 2014

Enrollment Period

1.7 years

First QC Date

August 28, 2013

Last Update Submit

January 14, 2014

Conditions

Keywords

Intense Exercise/Moderate Calorie RestrictionTopiramate-Phentermine

Outcome Measures

Primary Outcomes (1)

  • Compare the rate of change in fat mass in intense exercise/moderate diet restriction, topiramate-phentermine and cognitive behavior therapy

    compare the change in extracellular/total body water, body fat/lean mass and metabolically active adipose tissue in response to IE-MCR vs. TP-CBT.

    12 month and 24 month Follow Ups

Secondary Outcomes (4)

  • Compare the rate of atherosclerotic burden in intense exercise/moderate diet restriction, topiramate-phentermine and cognitive behavior therapy

    12 month and 24 month Follow Ups

  • Compare the change in neuropsychiatric status in response to intense exercise/moderate diet restriction, topiramate-phentermine and cognitive behavioral therapy

    12 month and 24 month Follow Ups

  • Comparison the rate of and atherosclerotic burden in intense exercise/moderate diet restriction, topiramate-phentermine and cognitive behavior therapy

    12 month and 24 month Follow Ups

  • Compare the change in quality-of-life in response to intense exercise/moderate diet restriction, topiramate-phentermine and cognitive behavioral therapy

    12 month and 24 month Follow Ups

Study Arms (3)

IE-MCR

EXPERIMENTAL

Intense Exercise/Moderate Calorie Restriction

Other: Behavioral

TP-CBT

ACTIVE COMPARATOR

Topiramate-Phentermine plus cognitive behavioral therapy

Other: Behavioral and Drug

CBT

ACTIVE COMPARATOR

cognitive behavioral therapy

Other: Behavioral and DrugOther: Behavioral

Interventions

Topiramate-Phentermine plus cognitive behavioral therapy

Also known as: TP-CBT
TP-CBT

Intense Exercise/Moderate Calorie Restriction

Also known as: IE-MCR
IE-MCR

Eligibility Criteria

Age20 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 20-70 years
  • Competent to give informed consent
  • Obesity (BMI\>40) or BMI\>35 kg/m2 with associated co-morbidities
  • Diabetes Mellitus Type II

You may not qualify if:

  • History of coronary artery disease, myocardial infarction, coronary angioplasty or bypass surgery
  • Prior non-cardiac illness with an estimated life expectancy \<4 years
  • Unable to give informed consent
  • Women who are pregnant or lactating
  • Prior bariatric surgery or receiving anti-obesity drugs

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Captain James A. Lovell Federal Health Care Center, North Chicago, IL

North Chicago, Illinois, 60064, United States

Location

Related Publications (2)

  • Ahmadi N, Tsimikas S, Hajsadeghi F, Saeed A, Nabavi V, Bevinal MA, Kadakia J, Flores F, Ebrahimi R, Budoff MJ. Relation of oxidative biomarkers, vascular dysfunction, and progression of coronary artery calcium. Am J Cardiol. 2010 Feb 15;105(4):459-66. doi: 10.1016/j.amjcard.2009.09.052.

    PMID: 20152239BACKGROUND
  • Ahmadi N, Eshaghian S, Huizenga R, Sosnin K, Ebrahimi R, Siegel R. Effects of intense exercise and moderate caloric restriction on cardiovascular risk factors and inflammation. Am J Med. 2011 Oct;124(10):978-82. doi: 10.1016/j.amjmed.2011.02.032. Epub 2011 Jul 27.

MeSH Terms

Conditions

ObesityDiabetes Mellitus

Interventions

Pharmaceutical Preparations

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsGlucose Metabolism DisordersMetabolic DiseasesEndocrine System Diseases

Study Officials

  • Naser Ahmadi, MD MS PhD

    Captain James A. Lovell Federal Health Care Center, North Chicago, IL

    PRINCIPAL INVESTIGATOR
0

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
FED
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 28, 2013

First Posted

October 28, 2013

Study Start

November 1, 2013

Primary Completion

August 1, 2015

Study Completion

November 1, 2017

Last Updated

January 15, 2014

Record last verified: 2014-01

Locations