"Pecos" B-adrenergic and PPAR-G Stimulation Upregulates Lipid Metabolism in Human Subcutaneous Fat

NCT ID: NCT00377975

Last Updated: 2016-01-25

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE2
• Total Enrollment: 96 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2003-01-31
• Study Completion Date: 2004-11-30

Brief Summary

This study compares four treatments to see which one causes the most weight loss, fat loss, loss of abdominal fat and improvement in blood tests like cholesterol. The four treatments are: Placebo, Ephedrine plus caffeine, Pioglitazone, Combined pioglitazone and ephedrine plus caffeine

Detailed Description

The sympathetic nervous system, via the intracellular messenger cAMP and MAPK activation, and thiazolidinediones via PPARγ control lipid metabolism have been implicated in body weight regulation. The present study was undertaken to determine whether the simultaneous activation of these two signaling systems might synergize to exert beneficial effects on the expression of key genes involved in lipid metabolism and mitochondrial biogenesis in subcutaneous fat in healthy, non-diabetic subjects. Fifty seven non-diabetic women and men were randomized into four groups: 1) placebo/placebo (PP); 2) ephedrine plus caffeine/placebo (ECP); 3) placebo/pioglitazone (PPio); 4) ephedrine plus caffeine/pioglitazone (ECPio). Adipose tissue samples were obtained after 12 weeks of treatment to determine gene expression by real time RT-PCR.

Conditions

Obesity

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Interventions

Ephedrine

Intervention Type: DRUG

Pioglitazone

Intervention Type: DRUG

Caffeine

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

• generally healthy
• not pregnant or nursing
• using adequate contraception
• between 18 and 50 years of age
• BMI between 30 and 35 kg/m2

Exclusion Criteria

• significant renal, cardiac, liver, lung or neurological disease
• high blood pressure
• diabetes
• prior use of thiazolidinedione
• prior use of beta-blockers alcohol or drug abuse
• history of thrombophlebitis, vascular or blood clotting disorders
• unwilling or unable to abstain from caffeinated beverages and alcohol prior to adipose tissue biopsy and metabolic rates measurements
• increased liver function test at baseline
• have metal objects that would interfere with the measurement of the body composition
• use drugs known to affect lipid metabolism, energy metabolism or body weight
• use herbal supplements containing ephedrine and/or caffeine
• take chronic medication, except hormone replacement or contraception
• are a woman unwilling to use effective contraception during the trial
• have heart disease or history of stroke
• have urinary symptoms from enlarged prostate
• have gained and or lost more than 10 pounds in the last 6 month
• have use a monoamine oxidase inhibitor medication in the last month
• have high or low thyroid function that has not been controlled in the normal range for at least 2 months

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Pennington Biomedical Research Center

OTHER

Sponsor Role: lead

Responsible Party

Steven Smith

Associate Professor, Adjunct

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Steven R Smith, M.D.

Role: PRINCIPAL_INVESTIGATOR

Pennington Biomedical Research Center

Locations

Pennington Biomedical Research Center

Baton Rouge, Louisiana, United States

Countries

United States

References

Pasarica M, Xie H, Hymel D, Bray G, Greenway F, Ravussin E, Smith SR. Lower total adipocyte number but no evidence for small adipocyte depletion in patients with type 2 diabetes. Diabetes Care. 2009 May;32(5):900-2. doi: 10.2337/dc08-2240. Epub 2009 Feb 19.

Reference Type: DERIVED

PMID: 19228873 (View on PubMed)

Other Identifiers

PBRC 22021

Identifier Type: -

Identifier Source: org_study_id