Trial Outcomes & Findings for Investigation of a New Diet for the Treatment of Obesity in the NHS (NCT NCT05249439)

NCT ID: NCT05249439

Last Updated: 2025-03-21

Results Overview

Change in body weight will be measured from patient group session 1 (week 0) to the end of study (week 52)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

21 participants

Primary outcome timeframe

First patient group visit (week 0) to end of study (week 52)

Results posted on

2025-03-21

Participant Flow

Three participants in the I-SatPro group were excluded for the following reasons: psychiatric (n=1), medical (n=1), literacy (n=1) Two participants dropped out. Ten participants in the I-SatPro arm completed the study. Primary outcome data were available for: n=10 Zero participants in the control arm completed the study.

Participant milestones

Participant milestones
Measure
I-SatPro
Patients in the I-SatPro group will attend I-SatPro patient group sessions and follow the I-SatPro weight loss programme
Control
Patients in the control group will attend established NHS Tier 3 patient group sessions (standard care) and follow the NHS Tier 3 weight loss programme
Overall Study
STARTED
15
6
Overall Study
COMPLETED
10
0
Overall Study
NOT COMPLETED
5
6

Reasons for withdrawal

Reasons for withdrawal
Measure
I-SatPro
Patients in the I-SatPro group will attend I-SatPro patient group sessions and follow the I-SatPro weight loss programme
Control
Patients in the control group will attend established NHS Tier 3 patient group sessions (standard care) and follow the NHS Tier 3 weight loss programme
Overall Study
Withdrawal by Subject
2
5
Overall Study
Physician Decision
3
1

Baseline Characteristics

Investigation of a New Diet for the Treatment of Obesity in the NHS

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
I-SatPro
n=15 Participants
Patients in the I-SatPro group will attend I-SatPro patient group sessions and follow the I-SatPro weight loss programme
Control
n=6 Participants
Patients in the control group will attend established NHS Tier 3 patient group sessions (standard care) and follow the NHS Tier 3 weight loss programme
Total
n=21 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
14 Participants
n=5 Participants
6 Participants
n=7 Participants
20 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Continuous
43.5 Years
STANDARD_DEVIATION 8.6 • n=5 Participants
42.8 Years
STANDARD_DEVIATION 14.4 • n=7 Participants
43.3 Years
STANDARD_DEVIATION 10.2 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
4 Participants
n=7 Participants
13 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
2 Participants
n=7 Participants
8 Participants
n=5 Participants
Race/Ethnicity, Customized
White
5 Participants
n=5 Participants
1 Participants
n=7 Participants
6 Participants
n=5 Participants
Race/Ethnicity, Customized
South Asian
5 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
Race/Ethnicity, Customized
Middle Eastern
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Black (Caribbean)
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Black (African)
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian (other)
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Mixed
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United Kingdom
15 Participants
n=5 Participants
6 Participants
n=7 Participants
21 Participants
n=5 Participants
Weight units: kg
112.8 kg
STANDARD_DEVIATION 24.0 • n=5 Participants
133.1 kg
STANDARD_DEVIATION 24.1 • n=7 Participants
118.6 kg
STANDARD_DEVIATION 25.2 • n=5 Participants
Body mass index (BMI)
41.3 kg/m2
STANDARD_DEVIATION 9.4 • n=5 Participants
45.3 kg/m2
STANDARD_DEVIATION 6.0 • n=7 Participants
42.4 kg/m2
STANDARD_DEVIATION 8.6 • n=5 Participants

PRIMARY outcome

Timeframe: First patient group visit (week 0) to end of study (week 52)

Population: Baseline pre-dietary intervention and post-dietary intervention (week 52) data were available for n=10 participants in the I-SatPro group and body weight change was analyzed in these participants. No patients were analysed for the control group: it was not possible to analyze change in body weight for the control group at the end of the study (week 52) as these data were not collected because no participants remained in this arm of the study at this timepoint.

Change in body weight will be measured from patient group session 1 (week 0) to the end of study (week 52)

Outcome measures

Outcome measures
Measure
I-SatPro
n=10 Participants
Patients in the I-SatPro group will attend I-SatPro patient group sessions and follow the I-SatPro weight loss programme
Control
Patients in the control group will attend established NHS Tier 3 patient group sessions (standard clinical care) and follow the Imperial Weight Centre Tier 3 weight loss programme
Body Weight Change
-12.99 kg
Standard Error 1.7

SECONDARY outcome

Timeframe: Pre-dietary intervention (baseline) and end of study post-dietary intervention (week 52)

Population: Resting energy expenditure corrected for body weight (kcal/kg) In analysis of this secondary outcome measure: Baseline pre-dietary intervention and post-dietary intervention (week 52) data were available for n=9 participants in the I-SatPro group. Baseline data were available for n=4 out of 6 participants in the control group. No data were collected for the week 52 time point: data were available for n=0 participants post-dietary intervention (week 52) (please see pre-assignment details).

Measurement of whether the dietary intervention changes the rate at which your body burns calories

Outcome measures

Outcome measures
Measure
I-SatPro
n=9 Participants
Patients in the I-SatPro group will attend I-SatPro patient group sessions and follow the I-SatPro weight loss programme
Control
n=4 Participants
Patients in the control group will attend established NHS Tier 3 patient group sessions (standard clinical care) and follow the Imperial Weight Centre Tier 3 weight loss programme
Energy Expenditure (How Efficiently Your Body Burns Calories)
Resting energy expenditure corrected for body weight (kcal/kg) pre-intervention (baseline)
17.8 kcal/kg
Standard Error 1.4
17.7 kcal/kg
Standard Error 0.8
Energy Expenditure (How Efficiently Your Body Burns Calories)
Resting energy expenditure corrected for body weight (kcal/kg) post-dietary intervention (week 52)
18.0 kcal/kg
Standard Error 0.6

SECONDARY outcome

Timeframe: Pre-dietary intervention (baseline) and post-dietary intervention (week 52)

Population: Participant baseline data are reported. One participant in the Control group was unable to comply with instructions for bio-impedance scale use

Percentage body fat as measured using bio-impedance weighing scales Although baseline data were recorded by the study team, inter-individual differences at the same timepoint indicated recorded measure of insufficient reliability to continue to record/report.

Outcome measures

Outcome measures
Measure
I-SatPro
n=9 Participants
Patients in the I-SatPro group will attend I-SatPro patient group sessions and follow the I-SatPro weight loss programme
Control
n=5 Participants
Patients in the control group will attend established NHS Tier 3 patient group sessions (standard clinical care) and follow the Imperial Weight Centre Tier 3 weight loss programme
Body Weight Composition - How Much of Your Weight is Body Fat?
43.8 Percentage body fat (%)
Standard Error 2.3
48.7 Percentage body fat (%)
Standard Error 2.9

SECONDARY outcome

Timeframe: Pre-dietary intervention (baseline) and end of study post-dietary intervention (week 52)

Population: Baseline pre-dietary intervention and post-dietary intervention (week 52) data were available for n= 9 participants in the I-SatPro group and change in blood pressure was analyzed in these participants. No patients were analysed for the control group: it was not possible to analyze change in blood pressure for the control group at the end of the study (week 52) as these data were not collected because no participants remained in this arm of the study at this timepoint.

Measuring patients' blood pressure to see if it changes

Outcome measures

Outcome measures
Measure
I-SatPro
n=9 Participants
Patients in the I-SatPro group will attend I-SatPro patient group sessions and follow the I-SatPro weight loss programme
Control
Patients in the control group will attend established NHS Tier 3 patient group sessions (standard clinical care) and follow the Imperial Weight Centre Tier 3 weight loss programme
Change in Blood Pressure
-6.0 mmHg
Standard Error 3.7

SECONDARY outcome

Timeframe: Pre-dietary intervention (baseline) and end of study post-dietary intervention (week 52)

Population: Baseline pre-dietary intervention and post-dietary intervention (week 52) data were available for n=9 participants in the I-SatPro group and change in HbA1c was analyzed in these participants. No patients were analysed for the control group: it was not possible to analyze change in HbA1c for the control group at the end of the study (week 52) as these data were not collected because no participants remained in this arm of the study at this timepoint.

Change in blood sugar levels measured using the blood test marker for diabetes (glycemic control) called HbA1c

Outcome measures

Outcome measures
Measure
I-SatPro
n=9 Participants
Patients in the I-SatPro group will attend I-SatPro patient group sessions and follow the I-SatPro weight loss programme
Control
Patients in the control group will attend established NHS Tier 3 patient group sessions (standard clinical care) and follow the Imperial Weight Centre Tier 3 weight loss programme
Change in Blood Sugar Levels (Changes in the Blood Test Marker for Diabetes Called HbA1c)
-1.3 mmol/mol
Standard Error 1.0

SECONDARY outcome

Timeframe: Pre-dietary intervention (baseline) and post-dietary intervention (week 52)

Population: In analysis of this secondary outcome measure: In the I-SatPro group: a set of baseline and week 52 data were available for n=7 participants No data were collected for the week 52 time point: in the control group baseline data were available for n=6 participants and post-dietary intervention (week 52) data were available for n=0 participants (please see pre-assignment details).

Three Factor Hunger Questionnaire: The TFEQ is a 51-item questionnaire completed by study participants to measure three areas (or factors) related to eating behaviour: cognitive restraint of eating (score 0 to 20), disinhibition (score 0 to 16), and hunger (score 0 to 15). The higher the score the greater the level of restrained eating, disinhibited eating and subjective feelings of/predisposition to feeling hungry.

Outcome measures

Outcome measures
Measure
I-SatPro
n=7 Participants
Patients in the I-SatPro group will attend I-SatPro patient group sessions and follow the I-SatPro weight loss programme
Control
n=6 Participants
Patients in the control group will attend established NHS Tier 3 patient group sessions (standard clinical care) and follow the Imperial Weight Centre Tier 3 weight loss programme
Measurement of Eating Patterns, Hunger Levels and Relationship With Food
Hunger score pre-dietary intervention
8.4 Score on a scale
Standard Deviation 4.6
6.8 Score on a scale
Standard Deviation 3.1
Measurement of Eating Patterns, Hunger Levels and Relationship With Food
Hunger score post-intervention
0.7 Score on a scale
Standard Deviation 0.5
Measurement of Eating Patterns, Hunger Levels and Relationship With Food
Cognitive restraint of eating pre-dietary intervention
10.0 Score on a scale
Standard Deviation 2.6
9.7 Score on a scale
Standard Deviation 4.8
Measurement of Eating Patterns, Hunger Levels and Relationship With Food
Cognitive restraint of eating post-dietary intervention
10.4 Score on a scale
Standard Deviation 4.0
Measurement of Eating Patterns, Hunger Levels and Relationship With Food
Disinhibition score pre-dietary intervention
11.1 Score on a scale
Standard Deviation 3.4
8.5 Score on a scale
Standard Deviation 4.2
Measurement of Eating Patterns, Hunger Levels and Relationship With Food
Disinhibition score post-dietary intervention
4.0 Score on a scale
Standard Deviation 2.0

SECONDARY outcome

Timeframe: Pre-dietary intervention (baseline) and post-dietary intervention (week 52)

Population: In analysis of this secondary outcome measure: In the I-SatPro group: a set of baseline and week 52 data were available for n=7 participants No data were collected for the week 52 time point: in the control group baseline data were available for n=6 participants and post-dietary intervention (week 52) data were available for n=0 participants (please see pre-assignment details).

The DEBQ questionnaire completed by study participants to assess eating behaviour across three domains: Emotional eating - eating in response to negative emotions External eating - eating in response to external cues such as the sight or smell of food Restrained eating - the conscious limiting of food intake The DEBQ consists of 33 items grouped into the three categories: emotional eating (13 items), external eating (10 items) and restrained eating (10 items) Participant responses to each item range from 1 (never) to 5 (very often) with higher scores indicating a greater endorsement of the eating behaviour described in the question. The lowest total score for the DEBQ (combined for all three categories) is 33 indicating no behaviours relating to the three domains eating and the highest score is 165 indicating very frequent behaviours relating to the three domains. A lower score indicates healthy eating behaviours, a higher score indicates more problematic eating behaviours.

Outcome measures

Outcome measures
Measure
I-SatPro
n=7 Participants
Patients in the I-SatPro group will attend I-SatPro patient group sessions and follow the I-SatPro weight loss programme
Control
n=6 Participants
Patients in the control group will attend established NHS Tier 3 patient group sessions (standard clinical care) and follow the Imperial Weight Centre Tier 3 weight loss programme
Change in Scores Across the Three Measured Domains (Emotional Eating, External Eating and Restrained Eating) on Dutch Eating Behaviours Questionnaire (DEBQ)
Total score restrained eating (baseline) Scale range: Minimum score: 10 Maximum score: 50
27.3 Score on a scale
Standard Deviation 4.2
32.8 Score on a scale
Standard Deviation 7.2
Change in Scores Across the Three Measured Domains (Emotional Eating, External Eating and Restrained Eating) on Dutch Eating Behaviours Questionnaire (DEBQ)
Total score restrained eating (week 52) Scale range: Minimum score: 10 Maximum score: 50
33.4 Score on a scale
Standard Deviation 8.8
Change in Scores Across the Three Measured Domains (Emotional Eating, External Eating and Restrained Eating) on Dutch Eating Behaviours Questionnaire (DEBQ)
Total score emotional eating (baseline) Scale range: Minimum score: 13 Maximum score: 65
53.3 Score on a scale
Standard Deviation 11.2
35.8 Score on a scale
Standard Deviation 17.6
Change in Scores Across the Three Measured Domains (Emotional Eating, External Eating and Restrained Eating) on Dutch Eating Behaviours Questionnaire (DEBQ)
Total score emotional eating (week 52) Scale range: Minimum score: 13 Maximum score: 65
28.3 Score on a scale
Standard Deviation 10.5
Change in Scores Across the Three Measured Domains (Emotional Eating, External Eating and Restrained Eating) on Dutch Eating Behaviours Questionnaire (DEBQ)
Total score external eating (baseline) Scale range: Minimum score: 10 Maximum score: 50
34.1 Score on a scale
Standard Deviation 7.0
30.5 Score on a scale
Standard Deviation 6.4
Change in Scores Across the Three Measured Domains (Emotional Eating, External Eating and Restrained Eating) on Dutch Eating Behaviours Questionnaire (DEBQ)
Total score external eating (week 52) Scale range: Minimum score: 10 Maximum score: 50
19.3 Score on a scale
Standard Deviation 5.8

SECONDARY outcome

Timeframe: Pre-dietary intervention (baseline) and post-dietary intervention (week 52)

Population: In analysis of this secondary outcome measure: In the I-SatPro group: a set of baseline and week 52 data were available for n=7 participants No data were collected for the week 52 time point: in the control group baseline data were available for n=6 participants and post-dietary intervention (week 52) data were available for n=0 participants (please see pre-assignment details).

This secondary outcome measures will be assessed using the Short Form-36 (SF-36) questionnaire. SF-36 is a participant completed questionnaire consisting of 36 questions relating to quality of life and well-being. Questions cover the following eight domains: Physical functioning Role limitation due to physical health Role limitation due to emotional problems Energy/fatigue Emotional wellbeing Social functioning Pain General Health Each of these domains is scored from 0 to 100 with a higher score indicating better quality of life and well-being.

Outcome measures

Outcome measures
Measure
I-SatPro
n=7 Participants
Patients in the I-SatPro group will attend I-SatPro patient group sessions and follow the I-SatPro weight loss programme
Control
n=6 Participants
Patients in the control group will attend established NHS Tier 3 patient group sessions (standard clinical care) and follow the Imperial Weight Centre Tier 3 weight loss programme
Measurement of Wellbeing and Quality of Life
SF-36 score pain pre-dietary intervention (baseline) out of 100
67.5 Score on a scale
Standard Deviation 29.9
44.6 Score on a scale
Standard Deviation 18.5
Measurement of Wellbeing and Quality of Life
SF-36 score physical functioning pre-dietary intervention (baseline) out of 100
70.0 Score on a scale
Standard Deviation 16.8
45 Score on a scale
Standard Deviation 30.7
Measurement of Wellbeing and Quality of Life
SF-36 score physical functioning post-dietary intervention (week 52) out of 100
98.6 Score on a scale
Standard Deviation 2.4
Measurement of Wellbeing and Quality of Life
SF-36 score role limitation due to physical health pre-dietary intervention (baseline) out of 100
53.6 Score on a scale
Standard Deviation 46.6
25.0 Score on a scale
Standard Deviation 38.7
Measurement of Wellbeing and Quality of Life
SF-36 score role limitation due to physical health post-dietary intervention (week 52) out of 100
100 Score on a scale
Standard Deviation 0
Measurement of Wellbeing and Quality of Life
SF-36 score role limitation due to emotional problems pre-dietary intervention (baseline) out of 100
76.2 Score on a scale
Standard Deviation 31.7
27.8 Score on a scale
Standard Deviation 39.0
Measurement of Wellbeing and Quality of Life
SF-36 score role limitation due to emotional problems post-dietary intervention (week 52) out of 100
95.2 Score on a scale
Standard Deviation 12.6
Measurement of Wellbeing and Quality of Life
SF-36 score energy/fatigue pre-dietary intervention (baseline) out of 100
47.1 Score on a scale
Standard Deviation 13.8
37.5 Score on a scale
Standard Deviation 16.4
Measurement of Wellbeing and Quality of Life
SF-36 score energy/fatigue post-dietary intervention (week 52) out of 100
86.4 Score on a scale
Standard Deviation 9.0
Measurement of Wellbeing and Quality of Life
SF-36 score emotional wellbeing pre-dietary intervention (baseline) out of 100
67.4 Score on a scale
Standard Deviation 15.4
56.7 Score on a scale
Standard Deviation 9.9
Measurement of Wellbeing and Quality of Life
SF-36 score emotional wellbeing post-dietary intervention (week 52) out of 100
89.7 Score on a scale
Standard Deviation 6.0
Measurement of Wellbeing and Quality of Life
SF-36 score social functioning pre-dietary intervention (baseline) out of 100
62.5 Score on a scale
Standard Deviation 26.0
58.3 Score on a scale
Standard Deviation 25.8
Measurement of Wellbeing and Quality of Life
SF-36 score social functioning post-dietary intervention (week 52) out of 100
98.2 Score on a scale
Standard Deviation 4.7
Measurement of Wellbeing and Quality of Life
SF-36 score pain post-dietary intervention (week 52) out of 100
92.5 Score on a scale
Standard Deviation 12.0
Measurement of Wellbeing and Quality of Life
SF-36 score general health pre-dietary intervention (baseline) out of 100
47.1 Score on a scale
Standard Deviation 26.1
31.7 Score on a scale
Standard Deviation 18.1
Measurement of Wellbeing and Quality of Life
SF-36 score general health post-dietary intervention (week 52) out of 100
85.0 Score on a scale
Standard Deviation 8.2

SECONDARY outcome

Timeframe: Patient drop out will be recorded from the first patient group session (week 0) to the end of the study (week 52).

Patient drop out will be recorded. Drop out will be defined as a patient expressing the wish to drop out either verbally or in writing. A patient will also be considered to have dropped out of the study if they do not attend patient group sessions or fail to attend study visits without providing the investigators with an explanation for their non-attendance. Drop-out rate will be used as a surrogate marker of the acceptability of the intervention to patients.

Outcome measures

Outcome measures
Measure
I-SatPro
n=15 Participants
Patients in the I-SatPro group will attend I-SatPro patient group sessions and follow the I-SatPro weight loss programme
Control
n=6 Participants
Patients in the control group will attend established NHS Tier 3 patient group sessions (standard clinical care) and follow the Imperial Weight Centre Tier 3 weight loss programme
Patient Drop-out Rate
2 Participants
5 Participants

Adverse Events

I-SatPro

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

Control

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

Professor Tricia Tan

Imperial College London

Phone: 44 207 594 9048

Results disclosure agreements

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