Trial Outcomes & Findings for Intervention to Promote Weight Loss in Latinas At-risk for Diabetes (NCT NCT02088034)

NCT ID: NCT02088034

Last Updated: 2020-12-22

Results Overview

Study tests difference in body weight (Weight in kg) between treatment conditions and usual care at 12 months.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

92 participants

Primary outcome timeframe

1 year

Results posted on

2020-12-22

Participant Flow

Participant milestones

Participant milestones
Measure
Promotora-led Intervention
The PLI consists of a core curriculum or 12 group sessions of 90 minute duration over a 12-week period and will be followed by a maintenance phase of 10 biweekly and then monthly 90-minute sessions during months 4 through 12. One promotora will lead each session in Spanish, exploring such topics as being active, low-fat diets, portion control, self monitoring, problem solving and life-style changes. Prometra led intervention: Behavioral life-style program lead by a team of trained community health workers (called promotoras) with 2 principal goals - encouraging participants to lose 7% of their total weight and complete 150 minutes of moderate physical activity per week.
Usual Care
One physician visit at Puentes de Salud or Congreso Health Center to discuss healthy lifestyle behaviors that promote weight loss and diabetes prevention. During that visit, UC participants will also receive standard educational materials in Spanish from the NIDDK Weight-control Information Network covering the same topics. UC participants will receive another physician visit upon completion of 1-year follow-up to review laboratory assessments. Usual Care: Participants in this arm will attend one physician visit to discuss healthy lifestyle behaviors and will receive standard educational materials.
Metformin Therapy
Participants randomized to the metformin arm of the study will receive this medication from months 1 through 12 after randomization. Subjects will receive 850 mg daily for 1 month and increase to 850 mg twice daily thereafter if no side effects are experienced. Metformin Therapy: Participants in this group will receive metformin 850 mg bid for one year.
Overall Study
STARTED
33
30
29
Overall Study
COMPLETED
30
28
27
Overall Study
NOT COMPLETED
3
2
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Promotora-led Intervention
The PLI consists of a core curriculum or 12 group sessions of 90 minute duration over a 12-week period and will be followed by a maintenance phase of 10 biweekly and then monthly 90-minute sessions during months 4 through 12. One promotora will lead each session in Spanish, exploring such topics as being active, low-fat diets, portion control, self monitoring, problem solving and life-style changes. Prometra led intervention: Behavioral life-style program lead by a team of trained community health workers (called promotoras) with 2 principal goals - encouraging participants to lose 7% of their total weight and complete 150 minutes of moderate physical activity per week.
Usual Care
One physician visit at Puentes de Salud or Congreso Health Center to discuss healthy lifestyle behaviors that promote weight loss and diabetes prevention. During that visit, UC participants will also receive standard educational materials in Spanish from the NIDDK Weight-control Information Network covering the same topics. UC participants will receive another physician visit upon completion of 1-year follow-up to review laboratory assessments. Usual Care: Participants in this arm will attend one physician visit to discuss healthy lifestyle behaviors and will receive standard educational materials.
Metformin Therapy
Participants randomized to the metformin arm of the study will receive this medication from months 1 through 12 after randomization. Subjects will receive 850 mg daily for 1 month and increase to 850 mg twice daily thereafter if no side effects are experienced. Metformin Therapy: Participants in this group will receive metformin 850 mg bid for one year.
Overall Study
Lost to Follow-up
1
1
0
Overall Study
Pregnancy
2
1
2

Baseline Characteristics

Intervention to Promote Weight Loss in Latinas At-risk for Diabetes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Promotora-led Intervention
n=33 Participants
The PLI consists of a core curriculum or 12 group sessions of 90 minute duration over a 12-week period and will be followed by a maintenance phase of 10 biweekly and then monthly 90-minute sessions during months 4 through 12. One promotora will lead each session in Spanish, exploring such topics as being active, low-fat diets, portion control, self monitoring, problem solving and life-style changes. Prometra led intervention: Behavioral life-style program lead by a team of trained community health workers (called promotoras) with 2 principal goals - encouraging participants to lose 7% of their total weight and complete 150 minutes of moderate physical activity per week.
Usual Care
n=30 Participants
One physician visit at Puentes de Salud or Congreso Health Center to discuss healthy lifestyle behaviors that promote weight loss and diabetes prevention. During that visit, UC participants will also receive standard educational materials in Spanish from the NIDDK Weight-control Information Network covering the same topics. UC participants will receive another physician visit upon completion of 1-year follow-up to review laboratory assessments. Usual Care: Participants in this arm will attend one physician visit to discuss healthy lifestyle behaviors and will receive standard educational materials.
Metformin Therapy
n=29 Participants
Participants randomized to the metformin arm of the study will receive this medication from months 1 through 12 after randomization. Subjects will receive 850 mg daily for 1 month and increase to 850 mg twice daily thereafter if no side effects are experienced. Metformin Therapy: Participants in this group will receive metformin 850 mg bid for one year.
Total
n=92 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Age, Categorical
Between 18 and 65 years
33 Participants
n=93 Participants
30 Participants
n=4 Participants
29 Participants
n=27 Participants
92 Participants
n=483 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Age, Continuous
45.5 years
STANDARD_DEVIATION 12.3 • n=93 Participants
44 years
STANDARD_DEVIATION 13.6 • n=4 Participants
45.8 years
STANDARD_DEVIATION 11.7 • n=27 Participants
45.1 years
STANDARD_DEVIATION 12.5 • n=483 Participants
Sex: Female, Male
Female
33 Participants
n=93 Participants
30 Participants
n=4 Participants
29 Participants
n=27 Participants
92 Participants
n=483 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Region of Enrollment
United States
33 participants
n=93 Participants
30 participants
n=4 Participants
29 participants
n=27 Participants
92 participants
n=483 Participants

PRIMARY outcome

Timeframe: 1 year

Study tests difference in body weight (Weight in kg) between treatment conditions and usual care at 12 months.

Outcome measures

Outcome measures
Measure
Promotora-led Intervention
n=30 Participants
The PLI consists of a core curriculum or 12 group sessions of 90 minute duration over a 12-week period and will be followed by a maintenance phase of 10 biweekly and then monthly 90-minute sessions during months 4 through 12. One promotora will lead each session in Spanish, exploring such topics as being active, low-fat diets, portion control, self monitoring, problem solving and life-style changes. Prometra led intervention: Behavioral life-style program lead by a team of trained community health workers (called promotoras) with 2 principal goals - encouraging participants to lose 7% of their total weight and complete 150 minutes of moderate physical activity per week.
Usual Care
n=28 Participants
One physician visit at Puentes de Salud or Congreso Health Center to discuss healthy lifestyle behaviors that promote weight loss and diabetes prevention. During that visit, UC participants will also receive standard educational materials in Spanish from the NIDDK Weight-control Information Network covering the same topics. UC participants will receive another physician visit upon completion of 1-year follow-up to review laboratory assessments. Usual Care: Participants in this arm will attend one physician visit to discuss healthy lifestyle behaviors and will receive standard educational materials.
Metformin Therapy
n=27 Participants
Participants randomized to the metformin arm of the study will receive this medication from months 1 through 12 after randomization. Subjects will receive 850 mg daily for 1 month and increase to 850 mg twice daily thereafter if no side effects are experienced. Metformin Therapy: Participants in this group will receive metformin 850 mg bid for one year.
Body Weight
-4.0 kg
Interval -5.5 to -2.6
.8 kg
Interval -0.8 to 2.3
-.9 kg
Interval -2.4 to 0.6

Adverse Events

Promotora-led Intervention

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

Usual Care

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

Metformin Therapy

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

Matthew J. O'Brien, MD

Northwestern University

Phone: 312-503-5046

Results disclosure agreements

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