NCT04005456

Brief Summary

The LIFE-HOUSE research project is designed to evaluate the impact of a personalized lifestyle intervention program on functional capacity as an approach to quantitating health, and its relationship to well understood disease risk determinants. LIFE-HOUSE will utilize an innovative Tent-Umbrella-Bucket design. Participants will gather under the Tent of an all-inclusive 'N of 1' Case Series providing a shelter of Functional Medicine interventions against the storm of chronic disease. Under this Tent are a collection of Umbrellas where participants with similar clinical challenges are evaluated as clinically defined groups with loose guidelines for the planned interventions. Finally, participants standing under these Umbrellas may step into specific Buckets that gather individuals with nearly identical clinical presentations into more formally described prescriptive randomized arms for intervention. Individuals will be offered the opportunity to participate in all Umbrellas and Buckets for which they qualify. They may accept or reject participation in any Umbrella or Bucket and yet remain eligible for participation in the overall Tent.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
400

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Sep 2018

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

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

Study Start

First participant enrolled

September 1, 2018

Completed
10 months until next milestone

First Submitted

Initial submission to the registry

June 15, 2019

Completed
17 days until next milestone

First Posted

Study publicly available on registry

July 2, 2019

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2019

Completed
3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2022

Completed
Last Updated

October 30, 2023

Status Verified

April 1, 2022

Enrollment Period

1.3 years

First QC Date

June 15, 2019

Last Update Submit

October 26, 2023

Conditions

Keywords

wellnessn-of-1 trialdetoxificationpersonalized medicinefunctional medicine4P medicinelifestyle medicinehomocysteinedietary supplementmedical foodbehavioral changelifestyle modificationemployee wellness programfunctional capacityfood plan

Outcome Measures

Primary Outcomes (3)

  • Medical Outcomes Study Short Form 36 (MOS SF-36) questionnaire

    The MOS SF-36 is an indicator of overall health status. It has an eight scaled scores; the scores are weighted sums of the questions in each section. Scores range from 0 - 100 Lower scores = more disability, higher scores = less disability.

    Change from baseline at 12 months

  • University of Rhode Island Change Assessment (URICA) questionnaire

    URICA questionnaire is a 32 item self-report measure that includes 4 subscales measuring the stages of change: Precontemplation, Contemplation, Action, and Maintenance (there is also a 24 item version). Responses are given on a 5 point Likert scale ranging from (1=strong disagreement to 5=strong agreement),

    Change from baseline at 12 months

  • Depression Anxiety, Stress Scale (DASS) questionnaire

    The Depression, Anxiety and Stress Scale is a 21 items questionnaire that includes a set of three self-report scales designed to measure the emotional states of depression, anxiety and stress. Outcome is divided into normal, mild, moderate, severe, and very severe for each of the 3 categories: Depression, Anxiety, and Stress. A low score represents the normal and the higher the score the more severe the outcome.

    Change from baseline at 12 months

Secondary Outcomes (18)

  • Body Mass Index (BMI)

    Change from baseline at 12 months

  • Waist Circumference (WC)

    Change from baseline at 12 months

  • Hip Circumference (HC)

    Change from baseline at12 months

  • Waist to Hip Ratio (WHR)

    Change from baseline at 12 months

  • Height

    Change from baseline at 12 months

  • +13 more secondary outcomes

Study Arms (21)

N of 1 Tent

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for a broad group (both an employee population and those recruited from practitioner practices) inclusive of all study Participants and specifically generally healthy individuals, those with established disease/conditions requiring a personalized approach, those with diseases/conditions currently with low prevalence in our study population and those women currently pregnant or breastfeeding.

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Wellness Umbrella

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for a broad group of individuals characterized by minimal physical complaints and laboratory biomarkers of modest clinical significance.

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Elevated Homocysteine Bucket

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for individuals from the Wellness Umbrella with elevated homocysteine level ≥ 10.4 µmol/L.

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Dental Health Umbrella

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for a broad group of individuals with established dental disease.

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Immune Health Umbrella

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for a broad group of individuals with autoimmune/inflammatory conditions (excluding metabolic disorders/atherosclerosis)

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Elevated Anti-Nuclear Antibodies (ANA) Bucket

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for a group of individuals with elevated levels of antinuclear antibodies (preclinical symptomatology only).

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Autoimmune Conditions Bucket

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for a group of individuals with an established diagnosis of an autoimmune conditions (Systemic Lupus Erythematosus, Rheumatoid Arthritis, Inflammatory Bowel Disease and Hashimoto's Thyroiditis) with ANA level \>1:80 titer, rheumatoid factor (RF) ≥ 14 IU/ml, fecal calprotectin ≥ 50 mcg/g and thyroid autoantibody levels specifically thyroglobulin antibodies ≥ 115 IU/ml and/or thyroid peroxidase antibodies ≥ 35 IU/ml.

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Symptomatic Fatigue/Myalgias Bucket

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for a broad employee health group with symptoms of persistent fatigue and myalgias.

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Gastrointestinal Health Umbrella

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for a group of individuals with conditions associated with issues of gastrointestinal health and of environmental toxicity or dysfunction related to detoxification of external toxins and internal metabolites.

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Irritable Bowel Syndrome (IBS) Bucket

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for a group of individuals with conditions associated with issues of gastrointestinal health.

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Detoxification Bucket

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for a group of individuals with conditions associated with issues of environmental toxicity or dysfunction related to detoxification of external toxins and internal metabolites.

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Wellness Detoxification Bucket

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for a group of individuals characterized by minimal physical complaints and normal biomarkers.

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Metabolic Health Umbrella

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for a broad group of participants classified as desirable weight with and without markers of dysglycemia/dyslipidemia or overweight/obese with and without markers of dysglycemia/dyslipidemia).

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Consequences of Metabolic (Dys)function Bucket C/S Design

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for a broad group of participants classified as desirable weight with and without markers of dysglycemia/dyslipidemia or overweight/obese with and without markers of dysglycemia/dyslipidemia). C/S = crossover

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Consequences of Metabolic (Dys)function Bucket R/I Design

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for a broad group of participants classified as desirable weight with markers of dysglycemia/dyslipidemia or overweight/obese with and without markers of dysglycemia/dyslipidemia). R/I = randomization/inclusion

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Ketogenic Product Development Exploratory Group

OTHER

Subgroup investigation in participants (classified as desirable weight with and without markers of dysglycemia/dyslipidemia or overweight/obese with and without markers of dysglycemia/dyslipidemia) during their 8- or 12-week ketogenic program intervention phase

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Reproductive Health Umbrella

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for a group of participants with conditions associated with reproductive and hormonal health (including polycystic ovary syndrome, premenstrual syndrome, endometriosis, peri-menopause and menopausal conditions, women currently pregnant or breastfeeding, testosterone deficiency and andropause/late onset hypogonadism, and prostate health).

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Perimenopausal and Menopausal Transitions Bucket

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for a group of women with conditions associated with reproductive and hormonal health specifically peri-menopause and menopausal conditions.

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Premenstrual Syndrome Bucket

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for a group of women with conditions associated with reproductive and hormonal health specifically premenstrual syndrome.

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Polycystic Ovary Syndrome (PCOS) Bucket

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for a group of women with PCOS with signs/symptoms/biomarkers of both metabolic dysfunction and hormonal derangements.

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Andropause/Late Onset Hypogonadism Bucket

OTHER

Personalized dietary supplements, food plans, and behavioral change support program for a group of men with conditions associated with reproductive and hormonal health specifically testosterone deficiency and andropause/late onset hypogonadism.

Dietary Supplement: Supplements and/or medical foodsBehavioral: Behavioral change support programOther: Food plan

Interventions

Personalized dietary supplementation (e.g., multivitamins/minerals, probiotics, specialized pro-resolving mediators, marine oil, vitamin D, hormone support, methylation support, protein drink, phytochemicals, neurocognitive support, targeted ingredients)

Andropause/Late Onset Hypogonadism BucketAutoimmune Conditions BucketConsequences of Metabolic (Dys)function Bucket C/S DesignConsequences of Metabolic (Dys)function Bucket R/I DesignDental Health UmbrellaDetoxification BucketElevated Anti-Nuclear Antibodies (ANA) BucketElevated Homocysteine BucketGastrointestinal Health UmbrellaImmune Health UmbrellaIrritable Bowel Syndrome (IBS) BucketKetogenic Product Development Exploratory GroupMetabolic Health UmbrellaN of 1 TentPerimenopausal and Menopausal Transitions BucketPolycystic Ovary Syndrome (PCOS) BucketPremenstrual Syndrome BucketReproductive Health UmbrellaSymptomatic Fatigue/Myalgias BucketWellness Detoxification BucketWellness Umbrella

Program to implement lifestyle and behavioral change according to individuals' need.

Andropause/Late Onset Hypogonadism BucketAutoimmune Conditions BucketConsequences of Metabolic (Dys)function Bucket C/S DesignConsequences of Metabolic (Dys)function Bucket R/I DesignDental Health UmbrellaDetoxification BucketElevated Anti-Nuclear Antibodies (ANA) BucketElevated Homocysteine BucketGastrointestinal Health UmbrellaImmune Health UmbrellaIrritable Bowel Syndrome (IBS) BucketKetogenic Product Development Exploratory GroupMetabolic Health UmbrellaN of 1 TentPerimenopausal and Menopausal Transitions BucketPolycystic Ovary Syndrome (PCOS) BucketPremenstrual Syndrome BucketReproductive Health UmbrellaSymptomatic Fatigue/Myalgias BucketWellness Detoxification BucketWellness Umbrella

Personalized food plan (e.g., basic wellness food plan, cardiometabolic food plan, high protein high phytonutrient food plan, ketogenic food plan, detoxification food plan, anti-inflammatory food plan, neuro food plan)

Andropause/Late Onset Hypogonadism BucketAutoimmune Conditions BucketConsequences of Metabolic (Dys)function Bucket C/S DesignConsequences of Metabolic (Dys)function Bucket R/I DesignDental Health UmbrellaDetoxification BucketElevated Anti-Nuclear Antibodies (ANA) BucketElevated Homocysteine BucketGastrointestinal Health UmbrellaImmune Health UmbrellaIrritable Bowel Syndrome (IBS) BucketKetogenic Product Development Exploratory GroupMetabolic Health UmbrellaN of 1 TentPerimenopausal and Menopausal Transitions BucketPolycystic Ovary Syndrome (PCOS) BucketPremenstrual Syndrome BucketReproductive Health UmbrellaSymptomatic Fatigue/Myalgias BucketWellness Detoxification BucketWellness Umbrella

Eligibility Criteria

Age18 Years - 80 Years
Sexall(Gender-based eligibility)
Gender Eligibility DetailsEmployee health program inclusive of all gender and non-binary descriptions.
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • male or female
  • ages 18-80, inclusive
  • willing to give written informed consent to participate in the study

You may not qualify if:

  • Medical History and Concurrent Diseases:
  • A serious, unstable illness including cardiac, hepatic, renal, gastrointestinal, respiratory, endocrinologic, neurologic, immunologic/rheumatological, or hematologic disease.
  • Known infection with HIV, TB or Hepatitis B or C.
  • Inability to comply with study and/or follow-up visits.
  • Any concurrent condition (including clinically significant abnormalities in medical history, physical examination or laboratory evaluations) which, in the opinion of the PI, would preclude safe participation in this study or interfere with compliance.
  • Any sound medical, psychiatric and/or social reason which, in the opinion of the PI, would preclude safe participation in this study or interfere with compliance.
  • \----------------------------------------------------------
  • Wellness Umbrella:
  • MOS SF-36 QN general score \< 60
  • Elevated Homocysteine Bucket:
  • Elevated Homocysteine Level ≥ 10.4 µmol/L
  • MOS SF-36 QN general score \< 60
  • Dental Health Umbrella:
  • Participants with extensive gingivitis/periodontitis/Caries/Painful teeth/Fractured Teeth. Identification of any of the following on physical exam: gingivitis, receding gumlines, periodontitis, fractured teeth, multiple unrestored caries. Identification on history of bleeding gums, bleeding while flossing, bleeding when brushing, chronic sores in the mouth, painful teeth, pain when biting on aluminum foil.
  • Neurological Health Umbrella:
  • +43 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Personalized Lifestyle Medicine Center

Gig Harbor, Washington, 98332, United States

Location

MeSH Terms

Conditions

Autoimmune DiseasesStomatognathic DiseasesEndocrine System DiseasesCognition Disorders

Condition Hierarchy (Ancestors)

Immune System DiseasesNeurocognitive DisordersMental Disorders

Study Officials

  • Joseph Lamb, MD

    Personalized Lifestyle Medicine Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
CROSSOVER
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 15, 2019

First Posted

July 2, 2019

Study Start

September 1, 2018

Primary Completion

December 31, 2019

Study Completion

December 31, 2022

Last Updated

October 30, 2023

Record last verified: 2022-04

Data Sharing

IPD Sharing
Will not share

Locations