Low Energy Diet and Familial Partial Lipodystrophy

NCT ID: NCT03900286

Last Updated: 2024-12-05

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

RECRUITING

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-16

Study Completion Date

2025-05-31

Brief Summary

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To evaluate the therapeutic efficacy and metabolic impact of a low energy diet (LED) in people with familial partial lipodystrophy and diabetes. Participants will be provided with a LED (total diet replacement) for 12 weeks, before the introduction of a stepped food transition. Metabolic effects will continue to be assessed for 1 year. In order to better understand why this intervention changes insulin sensitivity, we will also collect adipose and muscle tissue samples at baseline and 12 weeks into the intervention in participants willing to have these procedures performed. These samples will be used for histological, metabolite, gene expression and protein expression analyses.

Detailed Description

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Conditions

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Lipodystrophy Diabetes Diet Modification

Keywords

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Familial Partial Lipodystrophy FPLD Diet Total Diet Replacement Diabetes

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Single Arm Study

Total Diet Replacement for 12 weeks, food reintroduction 6 weeks

Group Type EXPERIMENTAL

Total Dietary Replacement

Intervention Type DIETARY_SUPPLEMENT

Total Dietary Replacement

Interventions

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Total Dietary Replacement

Total Dietary Replacement

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Familial Partial Lipodystrophy
* Age \>= 18 yrs
* T2DM
* Willingness to check daily blood sugars
* HbA1c between 53mmol(7%)- 108 mmol(12%)
* Weight stable for 3 months
* Capacity to consent

Exclusion Criteria

* Pregnancy
* Untreated thyroid dysfunction (patients who have been euthyroid on medication for at least 3 months can be included)
* Use of medication adversely that affects diabetes control (e.g. steroids/ immunosuppressants/ certain antipsychotics)
* Incapacity to give informed consent
* History of an eating disorder/ purging behaviour
* Previous gastric bypass/ banding
* Use of Leptin Therapy
* Untreated retinopathy
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cambridge University Hospitals NHS Foundation Trust

OTHER

Sponsor Role lead

Responsible Party

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Mandour Omer Mandour

Wellcome Trust Senior Clinical Fellow

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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David Savage

Role: PRINCIPAL_INVESTIGATOR

Wellcome Trust-MRC Institute of Metabolic Science, University of Cambridge

Locations

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Cambridge University Hospital NHS Foundation Trust

Cambridge, , United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Mandour O Mandour

Role: CONTACT

Phone: 01223768625

Email: [email protected]

Facility Contacts

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Mandour O Mandour, MBBS, MRCP

Role: primary

References

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Lim EL, Hollingsworth KG, Aribisala BS, Chen MJ, Mathers JC, Taylor R. Reversal of type 2 diabetes: normalisation of beta cell function in association with decreased pancreas and liver triacylglycerol. Diabetologia. 2011 Oct;54(10):2506-14. doi: 10.1007/s00125-011-2204-7. Epub 2011 Jun 9.

Reference Type BACKGROUND
PMID: 21656330 (View on PubMed)

Lean ME, Leslie WS, Barnes AC, Brosnahan N, Thom G, McCombie L, Peters C, Zhyzhneuskaya S, Al-Mrabeh A, Hollingsworth KG, Rodrigues AM, Rehackova L, Adamson AJ, Sniehotta FF, Mathers JC, Ross HM, McIlvenna Y, Stefanetti R, Trenell M, Welsh P, Kean S, Ford I, McConnachie A, Sattar N, Taylor R. Primary care-led weight management for remission of type 2 diabetes (DiRECT): an open-label, cluster-randomised trial. Lancet. 2018 Feb 10;391(10120):541-551. doi: 10.1016/S0140-6736(17)33102-1. Epub 2017 Dec 5.

Reference Type BACKGROUND
PMID: 29221645 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Other Identifiers

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A095183

Identifier Type: -

Identifier Source: org_study_id