Differences in Extracellular Vesicles From Adipose Tissue of Individuals With Obesity.
EVO
The Adipose Tissue and Sex-specific Role of Adipose-derived Extracellular Vesicles in Obesity-related Skeletal Muscle Insulin Resistance.
1 other identifier
observational
150
1 country
1
Brief Summary
Our society is characterized by a strong increase in the prevalence of obesity, which often causes the development of cardiovascular and metabolic diseases such as type 2 diabetes. The way(s) obesity is responsible for these diseases, is still insufficiently understood. This study therefore examines the content of human fat tissue storage location- and cell type-specific extracellular vesicles (EVs) in lean and obese individuals, and the possible connection with sex, insulin sensitivity, and the blood-brain barrier.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Feb 2023
Typical duration for all trials
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
February 20, 2023
CompletedFirst Submitted
Initial submission to the registry
February 27, 2023
CompletedFirst Posted
Study publicly available on registry
June 5, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 1, 2026
September 15, 2025
September 1, 2025
3.5 years
February 27, 2023
September 8, 2025
Conditions
Outcome Measures
Primary Outcomes (2)
General characterization of adipocyte- or adipose tissue-derived extracellular vesicles
Concentration, size, surface markers, content and morphology of extracellular vesicles derived from isolated mature adipocytes, isolated adipose tissue stem cells or isolated from complete adipose tissue explants derived from both the subcutaneous as the visceral adipose tissue biopsies will be investigated.
Baseline
General characterization of adipose tissue- and blood immune cells
Immune cells isolated from adipose tissue and blood will be characterized by flow cytometry.
Baseline
Other Outcomes (2)
Correlations between possible influencing patient factors (derived by a questionnaire) and extracellular vesicle characteristics
Baseline
Correlations between possible influencing patient factors (derived by patient phenotyping) and extracellular vesicle characteristics
Baseline
Study Arms (2)
EVO participants with obesity
From each patient, two adipose tissue biopsies will be taken during bariatric surgery; one from the subcutaneous and one from the visceral adipose tissue.
EVO participants without obesity
From each lean patient, two adipose tissue biopsies will be taken during abdominal surgery; one from the subcutaneous and one from the visceral adipose tissue.
Interventions
From each patient, two biopsies will be taken during surgery; one from the subcutaneous and one from the visceral adipose tissue.
From each patient, two venous blood samples (citrate, LiHe and EDTA plasma) will be taken before surgery.
Before bariatric surgery, every patient will fill out questions about general health (physical activity, sedentary behavior, sleeping pattern, ...), physical condition before surgery (nausea, food intake, ...), etc.
Length and weight will be measured to calculate body mass index (BMI). Waist and hip circumference will be assessed, as well as blood pressure (both systolic and diastolic) and heart rate at rest. Body composition will be determined using a bioelectrical impedance analysis (BIA) in the hospital. Medication use and comorbidities (that are allowed within the in-/exclusion criteria) will also be derived from the patient's medical files with patient's permission.
Eligibility Criteria
Individuals with or without obesity presenting at the bariatric surgery or abdominal surgery department, respectively.
You may qualify if:
- Caucasian adults with obesity that have a body mass index (BMI) of at least 35 kg/m\^2 and are scheduled for their first bariatric surgery.
- Final male/female ratio of this study is 1:1
- Minimal knowledge of Dutch to read and understand the informed consent.
You may not qualify if:
- Smoking and/or drug abuse
- Cardiovascular diseases (including but not limited to implanted aids like a pacemaker or defibrillator)
- Lung and/or kidney diseases
- Brain and/or nerve diseases
- Malignant diseases (e.g. cancer)
- Caucasian adults with obesity that have a body mass index (BMI) of between 18 and 24.9 kg/m\^2 and are scheduled for abdominal surgery
- Female only
- Minimal knowledge of Dutch to read and understand the informed consent.
- Smoking and/or drug abuse
- Cardiovascular diseases (including but not limited to implanted aids like a pacemaker or defibrillator)
- Lung and/or kidney diseases
- Brain and/or nerve diseases
- Endocrine diseases like type 2 diabetes
- Malignant diseases (e.g. cancer)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Hasselt Universitylead
- Research Foundation Flanderscollaborator
- Ziekenhuis Oost-Limburgcollaborator
Study Sites (1)
Ziekenhuis Oost-Limburg
Genk, Limburg, 3600, Belgium
Biospecimen
peripheral blood + subcutaneous/visceral adipose tissue biopsies
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Prof. dr.
Study Record Dates
First Submitted
February 27, 2023
First Posted
June 5, 2024
Study Start
February 20, 2023
Primary Completion (Estimated)
September 1, 2026
Study Completion (Estimated)
September 1, 2026
Last Updated
September 15, 2025
Record last verified: 2025-09
Data Sharing
- IPD Sharing
- Will not share
Patient information will be coded based on unique identifiers. This file will only be available for the principle investigator and will be stored safely on the secured Google Enterprise drive of UHasselt. Biological samples will be processed and coded by UHasselt, after registration in the biobank of Limburg (UBILIM). Only researchers of the EVO study will have access to any of the files, patient information or biological samples.