Trial Outcomes & Findings for Erythrocyte and Adipocyte G6PD Activity Levels in Obesity (NCT NCT01322035)

NCT ID: NCT01322035

Last Updated: 2024-05-16

Results Overview

G6PD levels will be measured various time intervals. G6PD is the rate limiting enzyme of the pentose phosphate pathway that provides NADPH required for lipid synthesis. G6PD overexpression is implicated in insulin resistance, hyperlipidemia and increases in oxidative stress.

Recruitment status

COMPLETED

Target enrollment

27 participants

Primary outcome timeframe

G6PD levels will be measured at the following time intervals: Baseline(prior to gastric bypass surgery), 1 week, 6 weeks, and 12 weeks post surgery.

Results posted on

2024-05-16

Participant Flow

Participant milestones

Participant milestones
Measure
Type 2 Diabetic
morbidly obese type 2 diabetic patients
Nondiabetic
morbidly obese nondiabetic patients
Overall Study
STARTED
16
11
Overall Study
COMPLETED
8
8
Overall Study
NOT COMPLETED
8
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Type 2 Diabetic
morbidly obese type 2 diabetic patients
Nondiabetic
morbidly obese nondiabetic patients
Overall Study
Lost to Follow-up
8
3

Baseline Characteristics

Erythrocyte and Adipocyte G6PD Activity Levels in Obesity

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Type 2 Diabetic
n=16 Participants
morbidly obese type 2 diabetic patients
Nondiabetic
n=11 Participants
morbidly obese nondiabetic patients
Total
n=27 Participants
Total of all reporting groups
Age, Continuous
47.20 years
STANDARD_DEVIATION 2.52 • n=5 Participants
44 years
STANDARD_DEVIATION 3.40 • n=7 Participants
45.6 years
STANDARD_DEVIATION 2.96 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
6 Participants
n=7 Participants
15 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
5 Participants
n=7 Participants
12 Participants
n=5 Participants
body mass index
45.61 kilograms per meter squared
STANDARD_DEVIATION 2.61 • n=5 Participants
47.72 kilograms per meter squared
STANDARD_DEVIATION 2.92 • n=7 Participants
46.67 kilograms per meter squared
STANDARD_DEVIATION 2.77 • n=5 Participants
cholesterol
199.10 mg/dL
STANDARD_DEVIATION 12.23 • n=5 Participants
208.70 mg/dL
STANDARD_DEVIATION 11.90 • n=7 Participants
203.9 mg/dL
STANDARD_DEVIATION 12.07 • n=5 Participants
triglycerides
283.1 mg/dL
STANDARD_DEVIATION 56.25 • n=5 Participants
202.40 mg/dL
STANDARD_DEVIATION 43.61 • n=7 Participants
242.75 mg/dL
STANDARD_DEVIATION 49.93 • n=5 Participants
fasting insulin
54.89 mIU/L
STANDARD_DEVIATION 19.55 • n=5 Participants
36.49 mIU/L
STANDARD_DEVIATION 12.75 • n=7 Participants
45.69 mIU/L
STANDARD_DEVIATION 16.15 • n=5 Participants
homeostatic model assessment insulin resistent
30.51 HOMA-IR score
STANDARD_DEVIATION 11.98 • n=5 Participants
8.50 HOMA-IR score
STANDARD_DEVIATION 3.10 • n=7 Participants
19.51 HOMA-IR score
STANDARD_DEVIATION 7.54 • n=5 Participants
hemoglobin A 1 c
9.38 percent of HbA1c
STANDARD_DEVIATION 0.62 • n=5 Participants
5.52 percent of HbA1c
STANDARD_DEVIATION 0.06 • n=7 Participants
7.45 percent of HbA1c
STANDARD_DEVIATION 0.34 • n=5 Participants
fasting glucose
207 mg/dL
STANDARD_DEVIATION 17.69 • n=5 Participants
93.08 mg/dL
STANDARD_DEVIATION 2.50 • n=7 Participants
150.04 mg/dL
STANDARD_DEVIATION 10.10 • n=5 Participants

PRIMARY outcome

Timeframe: G6PD levels will be measured at the following time intervals: Baseline(prior to gastric bypass surgery), 1 week, 6 weeks, and 12 weeks post surgery.

G6PD levels will be measured various time intervals. G6PD is the rate limiting enzyme of the pentose phosphate pathway that provides NADPH required for lipid synthesis. G6PD overexpression is implicated in insulin resistance, hyperlipidemia and increases in oxidative stress.

Outcome measures

Outcome measures
Measure
Diabetic
n=8 Participants
morbidly obese patients
Nondiabetic
n=8 Participants
nondiabetic morbidly obese
Measure Erythrocyte G6PD Levels in Diabetic vs. Non-diabetic Morbidly Obese Patients Undergoing Laparoscopic Gastric Bypass.
Baseline
3.12 nM/min/mg
Standard Deviation 5.22
0.67 nM/min/mg
Standard Deviation 0.46
Measure Erythrocyte G6PD Levels in Diabetic vs. Non-diabetic Morbidly Obese Patients Undergoing Laparoscopic Gastric Bypass.
1 week post surgery
22 nM/min/mg
Standard Deviation 1.39
13 nM/min/mg
Standard Deviation 0.14
Measure Erythrocyte G6PD Levels in Diabetic vs. Non-diabetic Morbidly Obese Patients Undergoing Laparoscopic Gastric Bypass.
6 week post surgery
20 nM/min/mg
Standard Deviation 1.39
12 nM/min/mg
Standard Deviation 0.14
Measure Erythrocyte G6PD Levels in Diabetic vs. Non-diabetic Morbidly Obese Patients Undergoing Laparoscopic Gastric Bypass.
12 week post surgery
7.58 nM/min/mg
Standard Deviation 9.81
11.72 nM/min/mg
Standard Deviation 14.38

SECONDARY outcome

Timeframe: G6PD levels will be measured at the following time intervals: Baseline(prior to gastric bypass surgery), 1 week, 6 weeks, and 12 weeks post surgery.

G6PD levels will be measured various time intervals. G6PD is the rate limiting enzyme of the pentose phosphate pathway that provides NADPH required for lipid synthesis. G6PD overexpression is implicated in insulin resistance, hyperlipidemia and increases in oxidative stress.

Outcome measures

Outcome measures
Measure
Diabetic
n=16 Participants
morbidly obese patients
Nondiabetic
n=11 Participants
nondiabetic morbidly obese
Measure Adipocyte G6PD Levels in Diabetic vs. Non-diabetic Morbidly Obese Patients Undergoing Laparoscopic Gastric Bypass.
Baseline
3.12 nM/min/mg
Standard Error 1.39
0.67 nM/min/mg
Standard Error 0.14
Measure Adipocyte G6PD Levels in Diabetic vs. Non-diabetic Morbidly Obese Patients Undergoing Laparoscopic Gastric Bypass.
1 week postop
22.1 nM/min/mg
Standard Error 3.5
13 nM/min/mg
Standard Error 2.8
Measure Adipocyte G6PD Levels in Diabetic vs. Non-diabetic Morbidly Obese Patients Undergoing Laparoscopic Gastric Bypass.
6 weeks
21.9 nM/min/mg
Standard Error 3.2
12.5 nM/min/mg
Standard Error 2.7
Measure Adipocyte G6PD Levels in Diabetic vs. Non-diabetic Morbidly Obese Patients Undergoing Laparoscopic Gastric Bypass.
12 weeks post surgery
8 nM/min/mg
Standard Error 2
4.9 nM/min/mg
Standard Error 1.5

SECONDARY outcome

Timeframe: time of gastric bypass

Outcome measures

Outcome measures
Measure
Diabetic
n=8 Participants
morbidly obese patients
Nondiabetic
n=8 Participants
nondiabetic morbidly obese
Measure Omentum G6PD Levels in Diabetic vs. Non-diabetic Morbidly Obese Patients Undergoing Laparoscopic Gastric Bypass.
13 nM/min/mg
Standard Error 3
12 nM/min/mg
Standard Error 2

SECONDARY outcome

Timeframe: time of gastric bypass

Outcome measures

Outcome measures
Measure
Diabetic
n=8 Participants
morbidly obese patients
Nondiabetic
n=8 Participants
nondiabetic morbidly obese
Measure Hepatocyte G6PD Levels in Diabetic vs. Non-diabetic Morbidly Obese Patients Undergoing Laparoscopic Gastric Bypass.
17 nM/min/mg
Standard Error 2
11.9 nM/min/mg
Standard Error 2.1

Adverse Events

Type 2 Diabetic

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Nondiabetic

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. William O. Richards

University of South Alabama, Department of Surgery

Phone: 251-471-7993

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place