Weight Loss Study for People With Type 2 Diabetes

NCT ID: NCT01601574

Last Updated: 2014-10-15

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

PHASE3

Total Enrollment

563 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-05-31

Study Completion Date

2014-09-30

Brief Summary

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The purpose of this study is to determine whether the Weight Watchers program modified for use by people with Type 2 diabetes results in more improvements in blood glucose control relative to a control group receiving standard diabetes counseling.

Detailed Description

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Conditions

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Type 2 Diabetes Overweight Obesity

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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Modified Weight Watchers program

Group Type EXPERIMENTAL

Weight Watchers modified program

Intervention Type BEHAVIORAL

Weight Watchers: For people with Type 2 diabetes including (1) weekly standard in-person Weight Watchers meetings, (2) use of the standard Weight Watchers online program and tools, and (3) two scheduled telephone consultations with a Certified Diabetes Educator (CDE) who will assist the participant in tailoring the standard Weight Watchers program to accommodate the participant's diabetes-related status, with additional unlimited phone and email access to CDEs at the participant's request

Standard Diabetes Counseling group

Group Type ACTIVE_COMPARATOR

Standard Care group

Intervention Type OTHER

One session of in-person diabetic nutritional counseling with a registered dietitian, with follow-up written educational materials.

Interventions

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Weight Watchers modified program

Weight Watchers: For people with Type 2 diabetes including (1) weekly standard in-person Weight Watchers meetings, (2) use of the standard Weight Watchers online program and tools, and (3) two scheduled telephone consultations with a Certified Diabetes Educator (CDE) who will assist the participant in tailoring the standard Weight Watchers program to accommodate the participant's diabetes-related status, with additional unlimited phone and email access to CDEs at the participant's request

Intervention Type BEHAVIORAL

Standard Care group

One session of in-person diabetic nutritional counseling with a registered dietitian, with follow-up written educational materials.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Participant reported diagnosis of Type II diabetes
2. HbA1c between 7%-11% (inclusive)
4. BMI 27-50 kg/m2 (inclusive)
5. Age range - 18 - 70 (inclusive)
6. Clearance on medical exam by study physician including EKG
7. No weight loss over the previous 3 months (5kg loss is acceptable with physician discretion)
8. On stable regimen of all medications (including diabetes) for at least 3 months (brief regimens of medications such as antibiotics, steroids, etc. are permitted)
9. All diabetes medications are permitted including insulin.
10. Willing and able to commit to regular physical activity (e.g. walking) five days per week
11. Willingness and ability to make all scheduled appointments required by study protocol
12. Willingness to attend weekly Weight Watchers meetings in the community and to participate in Weight Watchers online program, if so randomized
13. Willing to follow requirements of study protocol
14. Willing and able to provide a valid email address for use in the study
15. Must be able to communicate (oral and written) in English
16. Under the care of a physician for diabetes and willing to give release to contact the MD and request MD's agreement for participant to participate -

Exclusion Criteria

1. Type 1 Diabetes
2. Cardiovascular/Coronary Heart Disease \[e.g., MI or CVA within last 6 months, TIA, clinically significant arrhythmias, uncontrolled hypertension (defined as blood pressure over 160/110); physician's discretion may be more conservative\]
3. Current severe depression or history of severe depression within the previous year, based on DSM-IV-TR criteria for Major Depressive Episode
4. Taking prescription or OTC weight loss medications within last 4 weeks
5. Currently taking other medications that affect weight (e.g., paroxetine, tricyclics, anti-psychotics)
6. Within the last 4 weeks, use of chromium supplements or any nutrition supplements or herbal products claimed to have a weight loss effect. Participants using other non-excluded nutrition supplements or herbal products must agree to continue at their current level of use throughout the study.
7. Participation in a weight control program within the past 3 months
8. QTc interval \>450 msec for males and QTc interval \>470 msec for females
9. PHQ-9 total score \> 15
10. Thyroid disease for which the participant is untreated or has had treatment changed within the last 6 months. History of thyroid disease or current thyroid disease treated with a stable medication regimen for at least 6 months is acceptable
11. History of a surgical procedure for weight loss at any time (e.g. gastroplasty, gastric by-pass, gastrectomy or partial gastrectomy, adjustable banding, gastric sleeve)
12. History of major surgery within three months of enrollment
13. Presence of implanted cardiac defibrillator
14. Orthopedic limitations that would interfere with ability to engage in regular physical activity
15. Gastrointestinal disorders including chronic malabsorptive conditions, peptic ulcer disease, Crohn's disease, chronic diarrhea or active gallbladder disease
16. Current cancer or cancer treatment, or a history of cancer or cancer treatment within the last 3 years. Persons with successfully resected basal cell carcinoma of the skin may be enrolled if treatment was completed more than 6 months prior to enrollment.
17. History, within the past five years, of clinically diagnosed eating disorders Confidential March 30, 2012 9 including anorexia nervosa or bulimia nervosa.
18. Women who are pregnant, lactating , trying to become pregnant or unwilling to use an effective means of birth control
19. Participation in another clinical trial within 30 days prior to enrollment.
20. Currently consuming \>14 alcoholic drinks (1 drink = 12 fl oz beer, 4 fl oz wine or 1.5 fl oz liquor) per week and unwilling to limit intake to less than 3 drinks per drinking day during study participation
21. Current or past drug abuse
22. Participation in trial by another member of household
23. Hypoglycemic Events:

a. Evidence of more than 1 severe hypoglycemic event in the past 12 months, unless the participant's treating physician provides written clearance for participation.
24. Any other condition or factor which in the opinion of the study physician or investigator makes it inadvisable for the candidate to participate in the trial -
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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WW International Inc

INDUSTRY

Sponsor Role collaborator

Medical University of South Carolina

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Patrick M. O'Neil, PhD

Role: STUDY_DIRECTOR

Medical University of South Carolina

Locations

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Diabetes Research and Training Center, University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Scripps Clinical Research

La Jolla, California, United States

Site Status

CSRA Partners in Health

Augusta, Georgia, United States

Site Status

Northwestern University Feinberg School

Chicago, Illinois, United States

Site Status

Obesity Research Center St. Luke's Roosevelt Hospital Center

New York, New York, United States

Site Status

Weill Medical College of Cornell University

New York, New York, United States

Site Status

Center for Nutrition and Preventive Medicine

Charlotte, North Carolina, United States

Site Status

Obesity Clinical Trials Program Duke University Medical Center

Durham, North Carolina, United States

Site Status

Your Diabetes Endocrine Nutrition Group Inc.

Mentor, Ohio, United States

Site Status

Oregon Weight Loss Surgery, LLC

Portland, Oregon, United States

Site Status

The University of Pennsylvania Center for Weight and Eating Disorders

Philadelphia, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Baylor Endocrine Center

Dallas, Texas, United States

Site Status

Oakwell Clinical Research

San Antonio, Texas, United States

Site Status

Washington Center for Weight Management & Research, Inc The Navy League Building

Arlington, Virginia, United States

Site Status

Countries

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United States

References

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O'Neil PM, Miller-Kovach K, Tuerk PW, Becker LE, Wadden TA, Fujioka K, Hollander PL, Kushner RF, Timothy Garvey W, Rubino DM, Malcolm RJ, Weiss D, Raum WJ, Salyer JL, Hermayer KL, Rost SL, Veliko JL, Sora ND. Randomized controlled trial of a nationally available weight control program tailored for adults with type 2 diabetes. Obesity (Silver Spring). 2016 Nov;24(11):2269-2277. doi: 10.1002/oby.21616.

Reference Type DERIVED
PMID: 27804264 (View on PubMed)

Related Links

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http://www.med.upenn.edu/weight

The University of Pennsylvania Center for Weight and Eating Disorders

http://www.yourdiabetes.net

Your Diabetes Endocrine Nutrition Group, Inc

http://MUSChealth.com/weight

Medical University of South Carolina

http://www.dukehealth.org/clinicaltrials

Obesity Clinical Trials Program Duke University Medical Center

http://www.weightresearch.net

Comprehensive Weight Control Program Weill Medical College of Cornell University

http://www.oregonweightlosssurgery.com

Oregon Weight Loss Surgery, LLC

http://www.uab.edu/nutrition/

University of Alabama at Birmingham Department of Nutrition

http://www.wtmgmt.com

The Washington Center for Weight Management \& Research

Other Identifiers

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WW-MUSC-1201

Identifier Type: -

Identifier Source: org_study_id

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