NCT02235038

Brief Summary

This study will evaluate a potential physiologic mechanism underlying the effects of dietary composition on control of body weight

Trial Health

87
On Track

Trial Health Score

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

Enrollment
30

participants targeted

Target at below P25 for not_applicable obesity

Timeline
Completed

Started Oct 2014

Typical duration for not_applicable obesity

Geographic Reach
1 country

4 active sites

Status
completed

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

September 5, 2014

Completed
4 days until next milestone

First Posted

Study publicly available on registry

September 9, 2014

Completed
22 days until next milestone

Study Start

First participant enrolled

October 1, 2014

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2016

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2017

Completed
Last Updated

July 21, 2017

Status Verified

July 1, 2017

Enrollment Period

1.6 years

First QC Date

September 5, 2014

Last Update Submit

July 19, 2017

Conditions

Outcome Measures

Primary Outcomes (1)

  • Late postprandial energy availability

    Post-prandial energy availability calculated as the sum, in kcal/L, of energy from circulating metabolic fuels (glucose, non-esterified fatty acids, lactate and ketoacids), as measured during a 24 hr inpatient admission. Time of interest includes 2.5 - 5 hr in the postprandial period after breakfast, lunch and dinner.

    10 - 15 weeks after initiation of test diets

Secondary Outcomes (10)

  • Late postprandial energy availability, with lactate excluded

    10 - 15 weeks after initiation of test diets

  • Fasting energy availability

    10 - 15 weeks after initiation of test diet

  • Total energy availability

    10 - 15 weeks after initiation of test diets

  • Hunger

    10 - 15 weeks after initiation of test diets

  • Satiety

    10 - 15 weeks after initiation of test diets

  • +5 more secondary outcomes

Other Outcomes (3)

  • Effect modification by insulin secretion

    10 - 15 weeks after initiation of test diets

  • Adipocyte studies of anabolic status

    10 - 15 weeks after initiation of test diets

  • Adipose tissue histology

    10 - 15 weeks after initiation of test diets

Study Arms (3)

Low carbohydrate diet

ACTIVE COMPARATOR
Behavioral: Low carbohydrate diet

Moderate carbohydrate diet

ACTIVE COMPARATOR
Behavioral: Moderate carbohydrate diet

High carbohydrate diet

ACTIVE COMPARATOR
Behavioral: High carbohydrate diet

Interventions

Composition (by proportion of calories) : 15% carbohydrate, 65% fat, 20% protein

Also known as: Composition : 15% carbohydrate, 65% fat, 20% protein
Low carbohydrate diet

Feeding study. Composition (by proportion of calories): 40% carbohydrate, 40% fat, 20% protein

Moderate carbohydrate diet

Feeding study. Composition (by proportion of calories): 60% carbohydrate, 20% fat, 20% protein

High carbohydrate diet

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Aged 18 to 65 years
  • BMI ≥ 25 kg/m2
  • BMI \< 40 kg/m2 and weight ≤ 300 lbs (136 kg)
  • Medical clearance from a primary care provider
  • Student or employee at Framingham State University throughout enrollment in the study
  • Willing and able to eat and drink only the foods and beverages on the study menus
  • Willing to eat in the dining hall
  • Willing to abstain from consuming alcohol during participation
  • Willing to undergo additional procedures in this ancillary study

You may not qualify if:

  • Change in body weight exceeding ±10% during prior year
  • Recent adherence to a special diet
  • Recent adherence to a vigorous physical activity regimen (e.g., participation in a varsity sport)
  • Chronic use of any medication or dietary supplement that could affect study outcomes
  • Current smoking (1 cigarette in the last week)
  • Heavy baseline alcohol consumption or history of binge drinking
  • Physician diagnosis of a major medical/psychiatric illness or eating disorder
  • Abnormal blood glucose, TSH, CBC, BUN, Creatinine
  • ALT greater than 150% of the normal upper limit
  • Plans for a vacation during the study that would preclude adherence to prescribed diet
  • Allergy or prior reaction to Lidocaine
  • Medical condition or medication that would increase risk of bleeding, infection or skin reactions

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

Boston Children's Hospital

Boston, Massachusetts, 02115, United States

Location

Brigham & Women's Hospital

Boston, Massachusetts, 02115, United States

Location

Boston Medical Center

Boston, Massachusetts, 02118, United States

Location

Framingham State University

Framingham, Massachusetts, 01702, United States

Location

Related Publications (2)

  • Walsh CO, Ebbeling CB, Swain JF, Markowitz RL, Feldman HA, Ludwig DS. Effects of diet composition on postprandial energy availability during weight loss maintenance. PLoS One. 2013;8(3):e58172. doi: 10.1371/journal.pone.0058172. Epub 2013 Mar 6.

    PMID: 23483989BACKGROUND
  • Ebbeling CB, Swain JF, Feldman HA, Wong WW, Hachey DL, Garcia-Lago E, Ludwig DS. Effects of dietary composition on energy expenditure during weight-loss maintenance. JAMA. 2012 Jun 27;307(24):2627-34. doi: 10.1001/jama.2012.6607.

    PMID: 22735432BACKGROUND

MeSH Terms

Conditions

Obesity

Interventions

Diet, Carbohydrate-RestrictedCarbohydratesCD36 AntigensProteinsDiet, High-Protein Low-Carbohydrate

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Diet TherapyNutrition TherapyTherapeuticsDietNutritional Physiological PhenomenaDiet, Food, and NutritionPhysiological PhenomenaPlatelet Membrane GlycoproteinsMembrane GlycoproteinsGlycoproteinsGlycoconjugatesFatty Acid Transport ProteinsMembrane Transport ProteinsCarrier ProteinsAmino Acids, Peptides, and ProteinsMembrane ProteinsReceptors, Cell SurfaceReceptors, ImmunologicScavenger Receptors, Class BReceptors, ScavengerReceptors, LDLReceptors, LipoproteinDiet, High-Protein

Study Officials

  • Kim Shams, MD

    Boston Children's Hospital

    STUDY DIRECTOR
  • David s Ludwig, MD, PhD

    Boston Children's Hospital

    PRINCIPAL INVESTIGATOR
  • Cara B Ebbeling, PhD

    Boston Children's Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director, Obesity Prevention Center

Study Record Dates

First Submitted

September 5, 2014

First Posted

September 9, 2014

Study Start

October 1, 2014

Primary Completion

May 1, 2016

Study Completion

May 1, 2017

Last Updated

July 21, 2017

Record last verified: 2017-07

Locations