Trial Outcomes & Findings for Fish Oils and Adipose Inflammation Reduction (NCT NCT02010359)

NCT ID: NCT02010359

Last Updated: 2019-02-12

Results Overview

Quantification of fractalkine levels in plasma at baseline and after 8 weeks of Lovaza or placebo will be compared.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

29 participants

Primary outcome timeframe

Baseline and 8 weeks

Results posted on

2019-02-12

Participant Flow

Participant milestones

Participant milestones
Measure
Lovaza
Lovaza 4 grams daily (2 1-gram capsules twice daily) will be given for 8 weeks Lovaza
Placebo
An inactive Placebo (2 pills twice daily) will be given for 8 weeks Placebo
Overall Study
STARTED
15
14
Overall Study
COMPLETED
13
12
Overall Study
NOT COMPLETED
2
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Fish Oils and Adipose Inflammation Reduction

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lovaza
n=13 Participants
Lovaza 4 grams daily (2 1-gram capsules twice daily) will be given for 8 weeks Lovaza
Placebo
n=12 Participants
An inactive Placebo (2 pills twice daily) will be given for 8 weeks Placebo
Total
n=25 Participants
Total of all reporting groups
Age, Continuous
35.9 years
STANDARD_DEVIATION 9.4 • n=5 Participants
37.4 years
STANDARD_DEVIATION 8.4 • n=7 Participants
36.6 years
STANDARD_DEVIATION 8.8 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
8 Participants
n=7 Participants
17 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
n=5 Participants
12 Participants
n=7 Participants
25 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
5 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
White
9 Participants
n=5 Participants
6 Participants
n=7 Participants
15 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
13 participants
n=5 Participants
12 participants
n=7 Participants
25 participants
n=5 Participants
BMI
36.1 kg/m^2
STANDARD_DEVIATION 5.5 • n=5 Participants
35.9 kg/m^2
STANDARD_DEVIATION 6.1 • n=7 Participants
36 kg/m^2
STANDARD_DEVIATION 5.7 • n=5 Participants
fasting glucose
86.4 mg/dl
STANDARD_DEVIATION 11.6 • n=5 Participants
87.8 mg/dl
STANDARD_DEVIATION 10.2 • n=7 Participants
87.1 mg/dl
STANDARD_DEVIATION 10.4 • n=5 Participants
fasting triglyceride
138.8 mg/dl
STANDARD_DEVIATION 107.6 • n=5 Participants
92.9 mg/dl
STANDARD_DEVIATION 35.1 • n=7 Participants
116.8 mg/dl
STANDARD_DEVIATION 83.1 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline and 8 weeks

Quantification of fractalkine levels in plasma at baseline and after 8 weeks of Lovaza or placebo will be compared.

Outcome measures

Outcome measures
Measure
Lovaza
n=13 Participants
Lovaza 4 grams daily (2 1-gram capsules twice daily) will be given for 8 weeks Lovaza
Placebo
n=12 Participants
An inactive Placebo (2 pills twice daily) will be given for 8 weeks Placebo
Change in Plasma Fractalkine Levels
baseline
0.42 ng/ml
Standard Deviation 0.1
0.46 ng/ml
Standard Deviation 0.1
Change in Plasma Fractalkine Levels
8 weeks
0.48 ng/ml
Standard Deviation 0.1
0.45 ng/ml
Standard Deviation 0.1

SECONDARY outcome

Timeframe: Baseline and 8 weeks

Quantification of plasma IL-6 at baseline and after 8 weeks of Lovaza/placebo will be compared.

Outcome measures

Outcome measures
Measure
Lovaza
n=13 Participants
Lovaza 4 grams daily (2 1-gram capsules twice daily) will be given for 8 weeks Lovaza
Placebo
n=12 Participants
An inactive Placebo (2 pills twice daily) will be given for 8 weeks Placebo
Change in Plasma Interleukin 6 (IL-6)
baseline
2.1 pg/ml
Standard Deviation 1.6
1.8 pg/ml
Standard Deviation 2.0
Change in Plasma Interleukin 6 (IL-6)
8 weeks
2.0 pg/ml
Standard Deviation 1.5
2.0 pg/ml
Standard Deviation 1.9

SECONDARY outcome

Timeframe: Baseline and 8 weeks

Quantification of plasma MCP-1 at baseline and after 8 weeks of Lovaza/placebo will be compared

Outcome measures

Outcome measures
Measure
Lovaza
n=13 Participants
Lovaza 4 grams daily (2 1-gram capsules twice daily) will be given for 8 weeks Lovaza
Placebo
n=12 Participants
An inactive Placebo (2 pills twice daily) will be given for 8 weeks Placebo
Change in Plasma Monocyte Chemotactic Protein-1 (MCP-1)
baseline
135 pg/ml
Standard Deviation 15.8
139 pg/ml
Standard Deviation 30.8
Change in Plasma Monocyte Chemotactic Protein-1 (MCP-1)
8 weeks
133 pg/ml
Standard Deviation 29.1
123 pg/ml
Standard Deviation 54.1

SECONDARY outcome

Timeframe: Baseline and 8 weeks

Quantification of plasma TNFalpha at baseline and after 8 weeks of Lovaza/placebo will be compared

Outcome measures

Outcome measures
Measure
Lovaza
n=13 Participants
Lovaza 4 grams daily (2 1-gram capsules twice daily) will be given for 8 weeks Lovaza
Placebo
n=12 Participants
An inactive Placebo (2 pills twice daily) will be given for 8 weeks Placebo
Change in Plasma Tumor Necrosis Factor Alpha (TNFalpha)
baseline
0.72 pg/ml
Standard Deviation 0.51
0.74 pg/ml
Standard Deviation 0.23
Change in Plasma Tumor Necrosis Factor Alpha (TNFalpha)
8 weeks
0.76 pg/ml
Standard Deviation 0.21
0.74 pg/ml
Standard Deviation 0.13

SECONDARY outcome

Timeframe: baseline and 8 weeks

Ratio of inflammatory CX3CR1lowCCR2+ to less inflammatory CX3CR1hiCCR2- monocytes by flow cytometry at baseline and after 8 weeks of Lovaza/placebo will be compared

Outcome measures

Outcome measures
Measure
Lovaza
n=13 Participants
Lovaza 4 grams daily (2 1-gram capsules twice daily) will be given for 8 weeks Lovaza
Placebo
n=12 Participants
An inactive Placebo (2 pills twice daily) will be given for 8 weeks Placebo
Change in the Ratio of Circulating Monocyte Subpopulations
baseline
0.31 ratio
Standard Deviation 0.11
0.35 ratio
Standard Deviation 0.15
Change in the Ratio of Circulating Monocyte Subpopulations
8 weeks
0.25 ratio
Standard Deviation 0.1
0.31 ratio
Standard Deviation 0.05

SECONDARY outcome

Timeframe: Baseline and 8 weeks

Population: There were 4 participants that did not have sufficient adipose tissue in the biopsy for RT-PCR

relative mRNA quantification (fold change) from baseline to 8 weeks of Lovaza/placebo will be compared in each subject

Outcome measures

Outcome measures
Measure
Lovaza
n=10 Participants
Lovaza 4 grams daily (2 1-gram capsules twice daily) will be given for 8 weeks Lovaza
Placebo
n=11 Participants
An inactive Placebo (2 pills twice daily) will be given for 8 weeks Placebo
Change in mRNA Expression of Fractalkine in Adipose
1.67 fold change
Standard Deviation 1.1
1.06 fold change
Standard Deviation 0.6

SECONDARY outcome

Timeframe: Baseline and 8 weeks

Population: 4 participants did not have sufficient adipose tissue in biopsy for RT-PCR

relative mRNA quantification (fold change) from baseline to 8 weeks of treatment in Lovaza vs. placebo groups, as measured by RT-PCR

Outcome measures

Outcome measures
Measure
Lovaza
n=10 Participants
Lovaza 4 grams daily (2 1-gram capsules twice daily) will be given for 8 weeks Lovaza
Placebo
n=11 Participants
An inactive Placebo (2 pills twice daily) will be given for 8 weeks Placebo
Change in mRNA Levels of MCP-1 in Adipose
1.2 fold change
Standard Deviation 0.7
1.05 fold change
Standard Deviation 0.6

SECONDARY outcome

Timeframe: Baseline and 8 weeks

Population: 4 participants did not have sufficient adipose tissue from biopsy for RT PCR

relative mRNA quantification (fold change) from baseline to 8 weeks of treatment in Lovaza vs. placebo groups, as measured by RT-PCR

Outcome measures

Outcome measures
Measure
Lovaza
n=10 Participants
Lovaza 4 grams daily (2 1-gram capsules twice daily) will be given for 8 weeks Lovaza
Placebo
n=11 Participants
An inactive Placebo (2 pills twice daily) will be given for 8 weeks Placebo
Change in mRNA Levels of IL6 in Adipose
0.91 fold change
Standard Deviation 1.1
1.08 fold change
Standard Deviation 2.3

SECONDARY outcome

Timeframe: Baseline and 8 weeks

Population: 4 subjects did not have sufficient adipose tissue from biopsy for RT-PCR

relative mRNA quantification (fold change) from baseline to 8 weeks of treatment in Lovaza vs. placebo groups, as measured by RT-PCR

Outcome measures

Outcome measures
Measure
Lovaza
n=10 Participants
Lovaza 4 grams daily (2 1-gram capsules twice daily) will be given for 8 weeks Lovaza
Placebo
n=11 Participants
An inactive Placebo (2 pills twice daily) will be given for 8 weeks Placebo
Change in mRNA Levels of TNFalpha in Adipose
1.2 fold change
Standard Deviation 3.8
2.5 fold change
Standard Deviation 5.8

SECONDARY outcome

Timeframe: Baseline and 8 weeks

Population: 4 participants did not sufficient adipose tissue from biopsy for flow cytometry analysis

Ratio of M1 to M2 macrophages in adipose by flow cytometry at baseline and after 8 weeks Lovaza/placebo will be compared

Outcome measures

Outcome measures
Measure
Lovaza
n=10 Participants
Lovaza 4 grams daily (2 1-gram capsules twice daily) will be given for 8 weeks Lovaza
Placebo
n=11 Participants
An inactive Placebo (2 pills twice daily) will be given for 8 weeks Placebo
Change in Ratio of Adipose Tissue Macrophage Subpopulation
baseline
0.52 ratio
Standard Deviation 0.3
0.64 ratio
Standard Deviation 0.42
Change in Ratio of Adipose Tissue Macrophage Subpopulation
8 weeks
0.36 ratio
Standard Deviation 0.52
0.42 ratio
Standard Deviation 0.38

Adverse Events

Lovaza

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Lovaza
n=13 participants at risk
Lovaza 4 grams daily (2 1-gram capsules twice daily) will be given for 8 weeks Lovaza
Placebo
n=12 participants at risk
An inactive Placebo (2 pills twice daily) will be given for 8 weeks Placebo
Injury, poisoning and procedural complications
Skiing accident
0.00%
0/13 • 2 months
8.3%
1/12 • Number of events 1 • 2 months
Nervous system disorders
Headache
7.7%
1/13 • Number of events 2 • 2 months
8.3%
1/12 • Number of events 3 • 2 months
Skin and subcutaneous tissue disorders
Rash
0.00%
0/13 • 2 months
8.3%
1/12 • Number of events 1 • 2 months
Gastrointestinal disorders
Stomach pain
0.00%
0/13 • 2 months
8.3%
1/12 • Number of events 1 • 2 months
Pregnancy, puerperium and perinatal conditions
Pregnancy
7.7%
1/13 • Number of events 1 • 2 months
0.00%
0/12 • 2 months

Additional Information

Dr. Rachana Shah

Children's Hospital of Philadelphia

Phone: 215-590-3390

Results disclosure agreements

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