Mechanisms Defending Fat Mass in Humans After Lipectomy

NCT ID: NCT00993213

Last Updated: 2016-12-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-04-30

Study Completion Date

2008-11-30

Brief Summary

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Liposuction surgery is common, yet animal and limited human data suggest that fat returns when removed. This study was designed as a 1-year randomized-controlled trial of suction lipectomy versus no intervention to determine if adipose tissue is defended, and if so to determine the anatomic pattern of redistribution.

Detailed Description

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Specific Aims:

1. To determine if suction lipectomy fails to modify regional and/or total body fat over three years.
2. To determine if the expression of candidate genes predicts and/or relates to subcutaneous adipose tissue growth or depletion in subcutaneous adipose tissue after suction lipectomy.
3. To examine adipose tissue before and after suction lipectomy to uncover novel genes where expression predicts and/or relates to subcutaneous adipose tissue growth or depletion after subcutaneous suction lipectomy.

Conditions

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Disproportionate Shape Expanded Fat Pads

Keywords

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fat mass body composition

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Liposuction

Standard of Care with Liposuction

Group Type ACTIVE_COMPARATOR

Standard of Care with Liposuction

Intervention Type PROCEDURE

Standard of Care encompasses body composition measurements, a euglycemic clamp and fat biopsies, followed by Liposuction surgery.

No Liposuction

Standard of Care without Liposuction'

Group Type SHAM_COMPARATOR

Standard of Care without Liposuction

Intervention Type OTHER

Standard of Care encompasses body composition measurements, a euglycemic clamp and fat biopsies. Liposuction surgery will not be performed.

Interventions

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Standard of Care with Liposuction

Standard of Care encompasses body composition measurements, a euglycemic clamp and fat biopsies, followed by Liposuction surgery.

Intervention Type PROCEDURE

Standard of Care without Liposuction

Standard of Care encompasses body composition measurements, a euglycemic clamp and fat biopsies. Liposuction surgery will not be performed.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Eligible premenopausal women between the ages of 18-50 years;
* BMI of 22-27 kg/m2 at the subjects maximum body weight;
* Weight stable for at least 3 months (defined as a \<5-7% change from the maximum weight over 3-6 months);
* Non-smokers.

Exclusion Criteria

* Any history of glucose intolerance, dyslipidemia, liver, kidney and cardiac disease, hypertension, cancer or any other chronic debilitating disorder that might have interfered with a 'normal' lifestyle, e.g. nutrition, physical activity;
* Thyroid hormone replacement with abnormal thyroid stimulating hormone (TSH) results;
* Use of oral contraceptives if the subject did/could not remain on therapy throughout study participation.
* Reduced-obese, defined as a history of:

1. obesity and weight loss \>10% of maximum body weight, or
2. liposuction or gastric bypass surgery;
* Evidence of body dysmorphic disorder;
* Taking sex steroids, glucocorticoids, or medications affecting carbohydrate and lipid metabolism;
* Hematocrit, hemoglobin, white blood cell count (WBC), platelet count, liver or renal function tests out of the normal range;
* Fasting plasma glucose \>110 mg/dL;
* Triglycerides \>200 mg/dL;
* High density lipoprotein (HDL) cholesterol \<35 mg/dL;
* Low density lipoprotein (LDL) cholesterol \>160 mg/dL;
* Proteinuria;
* Blood pressure \>140/90 mm/Hg;
* Electrocardiogram abnormalities;
* History of claustrophobia;
* Placement of metal implants\*
* History of internal metal fragments\*

\*Were evaluated by the radiologist prior to study determination\*
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Colorado Clinical Nutrition Research Unit-Metabolic and Energy Balance Laboratories

UNKNOWN

Sponsor Role collaborator

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH

Sponsor Role collaborator

University of Colorado, Denver

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Robert H Eckel, MD

Role: PRINCIPAL_INVESTIGATOR

University of Colorado, Denver

Locations

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University of Colorado Denver

Aurora, Colorado, United States

Site Status

Countries

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United States

References

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Wu X, Zvonic S, Floyd ZE, Kilroy G, Goh BC, Hernandez TL, Eckel RH, Mynatt RL, Gimble JM. Induction of circadian gene expression in human subcutaneous adipose-derived stem cells. Obesity (Silver Spring). 2007 Nov;15(11):2560-70. doi: 10.1038/oby.2007.308.

Reference Type BACKGROUND
PMID: 18070747 (View on PubMed)

Hernandez TL, Kittelson JM, Law CK, Ketch LL, Stob NR, Lindstrom RC, Scherzinger A, Stamm ER, Eckel RH. Fat redistribution following suction lipectomy: defense of body fat and patterns of restoration. Obesity (Silver Spring). 2011 Jul;19(7):1388-95. doi: 10.1038/oby.2011.64. Epub 2011 Apr 7.

Reference Type RESULT
PMID: 21475140 (View on PubMed)

Other Identifiers

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R01DK061668

Identifier Type: NIH

Identifier Source: secondary_id

View Link

01-499

Identifier Type: -

Identifier Source: org_study_id