Reducing Metabolic Dysregulation in Dyads
REMEDY
A Transdisciplinary Approach to Investigating Metabolic and Risk of Early-Onset Colorectal Cancer: A Randomized Intervention Trial in Human Dyads and Mechanistic Study in Animals
1 other identifier
interventional
180
1 country
1
Brief Summary
This study is a 6-month randomized controlled trail of diet modification designed to reduce chronic inflammation and reverse metabolic dysfunction among obese individuals with one or more polyps found at a colonoscopy screening. We also will recruit an at least overweight partner, who lives in the same household. To be eligible, participants will be apparently disease-free, obese AAs or EAs who have self-identified a partner who is at least 9 years, with whom they live and who also is at least overweight. Each index participant will: 1) Be AA or EA by self-report; 2) Be ≤55 years old; 3) Have undergone a colonoscopy screening and found to have ≥1 polyp(s); 4) Be free of co-morbid conditions or other factors that would limit participation in this trial; 5) Have a BMI ≥30kg/m2; 6) Be willing to commit to investing the time and effort required to participate in this trial (i.e., willing to complete all assessments and provide biological samples as specified in the consent); and 7) Have no recent antibiotic use. Their partner needs to: 1) Be at least 9 years old; 2) Live in the same household and consumes meals together; 3) Be at least overweight; 4) Agree to all study procedures, including provision of biological samples, body measurements, and self-reported dietary and other assessments; and 5) Have no recent antibiotic use.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable colorectal-cancer
Started Oct 2023
Longer than P75 for not_applicable colorectal-cancer
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 17, 2023
CompletedFirst Submitted
Initial submission to the registry
October 30, 2023
CompletedFirst Posted
Study publicly available on registry
November 3, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
March 31, 2028
January 29, 2026
January 1, 2026
3.1 years
October 30, 2023
January 27, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Blood
Tumor Necrosis Factor alpha (TNFα), Interleukin 6 (IL-6), and C-Reactive Protein (CRP)
Baseline, 3-month, 6-month
Stool
Determine race-specific microbiome signatures associated with anti-inflammatory dietary input and reversal of metabolic dysfunction
Baseline, 3-month, 6-month
Study Arms (2)
Comparison
NO INTERVENTIONParticipation will be for six months. Participants will meet staff at three timepoints (baseline, 3 months, 6 months) to complete questionnaires, online dietary assessment, body measures, have blood pressure measured, provide blood and stool samples, and wear an activity monitor for a week at each time point.
Intervention
EXPERIMENTALParticipation will be for six months. Participants will meet staff at three timepoints (baseline, 3 months, 6 months) to complete questionnaires, online dietary assessment, body measures, have blood pressure measured, provide blood and stool samples, and wear an activity monitor for a week at each time point. In addition, participants will attend weekly classes for 12 weeks and one class per month for three months. These classes will include cooking, movement, and stress reduction.
Interventions
An anti-inflammatory nutrition program including cooking classes, physical activity, and stress reduction.
Eligibility Criteria
Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.
Sponsors & Collaborators
Study Sites (1)
University of South Carolina
Columbia, South Carolina, 29208, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Health Sciences Distinguished Professor; Director, Cancer Prevention and Control Program
Study Record Dates
First Submitted
October 30, 2023
First Posted
November 3, 2023
Study Start
October 17, 2023
Primary Completion (Estimated)
November 30, 2026
Study Completion (Estimated)
March 31, 2028
Last Updated
January 29, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP
The information collected for this study will also be transferred into a secure, electronic database at the Biostatistics Center of George Washington University. The database will have information from all the participants as well as from other related studies. Information will not include directly identifying information such as name, address, social security number, or medical record number. The study will use a unique code for each person consisting of a set of letters and numbers. The key to the code linking the data to the participant will be kept at USC in a secure manner. Information in the database will only be used for statistical analyses. At the conclusion of the study, some biological samples as well as data from USC may be shared with biospecimen and data repositories supported by the NIH, which funded this study. Data and biological samples sent to these repositories will be identified only by a code number and cannot be linked to a participant.