Harnessing Macrophage Lysosomal Lipid Metabolism in Obesity

NCT ID: NCT06335771

Last Updated: 2025-07-18

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-01

Study Completion Date

2028-03-31

Brief Summary

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The goal of this study is to evaluate the role of transcription factor EB (TFEB) in adipose (fat) tissue macrophages (ATM) in regulating adipose tissue and systemic metabolic function in obesity. The investigators will assess the differences in ATM lipid metabolism in people with metabolically abnormal obesity and lean individuals.

Both groups will have:

* screening visit
* imaging (body composition testing - dual-energy x-ray absorptiometry (DEXA) scans, magnetic resonance imaging \[MRI\] and magnetic resonance spectroscopy \[MRS\] scans)
* Overnight visit with intravenous infusion (IV), muscle, and fat tissue biopsies Participants with obesity will complete meetings with study team members for a weight loss intervention to achieve a 10% body weight loss.

Detailed Description

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Conditions

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Obesity Nonalcoholic Fatty Liver Diabetes Type 2 Healthy

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Lean Individuals

No intervention will be administered.

Group Type NO_INTERVENTION

No interventions assigned to this group

Metabolically abnormal obese Individuals (obesity with normoglycemia and abnormal liver fat content)

Participants will undergo a dietary weight loss intervention to achieve 10% weight loss over about 6 months.

Group Type EXPERIMENTAL

Dietary consultation weight loss intervention

Intervention Type OTHER

Participants will meet with a member of the study team biweekly for about 6 months.

Metabolically normal obese Individuals (obesity with normoglycemia and normal liver fat content)

Participants will undergo a dietary weight loss intervention to achieve 10% weight loss over about 6 months.

Group Type EXPERIMENTAL

Dietary consultation weight loss intervention

Intervention Type OTHER

Participants will meet with a member of the study team biweekly for about 6 months.

Individuals with Type 2 Diabetes Mellitus

Participants will undergo a dietary weight loss intervention to achieve 10% weight loss over about 6 months.

Group Type EXPERIMENTAL

Dietary consultation weight loss intervention

Intervention Type OTHER

Participants will meet with a member of the study team biweekly for about 6 months.

Interventions

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Dietary consultation weight loss intervention

Participants will meet with a member of the study team biweekly for about 6 months.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* age: ≥18 but ≤70 years
* not pregnant or breastfeeding
* weight stable and sedentary before enrollment
* no use tobacco products, excessive amounts of alcohol, or dietary supplements, or medications known to or suspected to affect glucose and lipid metabolism (aside from certain medications used to treat diabetes in the metabolically abnormal obesity \[MAO\]-Type 2 Diabetes group)
* no evidence of significant organ system dysfunction or disease (e.g. chronic severe kidney disease, cancer)

Lean group:

* Body mass index (BMI) ≥18.5 but \<25.0 kg/m2
* Intrahepatic triglyceride (IHTG) content \<5%
* fasting blood glucose concentration: \<100 mg/dl
* blood glucose concentration 2 h after a 75 g oral glucose challenge: \<140 mg/dl
* Hemoglobin A1C (HbA1c) \<5.7 %

Metabolically normal obesity (MNO) group:

* BMI ≥30.0 but \<45.0 kg/m2
* IHTG content \<5%
* fasting blood glucose concentration: \<100 mg/dl
* blood glucose concentration 2 h after a 75 g oral glucose challenge: \<140 mg/dl
* HbA1c \<5.7 %

Metabolically abnormal obesity (MAO)-insulin resistance and non-alcoholic fatty liver disease (NAFLD) group:

* BMI ≥30.0 but \<45.0 kg/m2
* IHTG content \>7.5%
* fasting blood glucose concentration: ≥100 but \<126 mg/dl
* blood glucose concentration 2 h after a 75 g oral glucose challenge: ≥140 but \<200 mg/dl
* HbA1c: ≥5.7 but \<6.4 %

MAO-type 2 diabetes group:

* BMI ≥30.0 but \<45.0 kg/m2
* clinical diagnosis of type 2 diabetes or fasting blood glucose concentration \>126 mg/dl or blood glucose concentration 2 h after a 75 g oral glucose challenge\>200 mg/dl or HbA1c \>6.4 % without medication if not diagnosed and medically treated for diabetes

Exclusion Criteria

\- Individuals that do not meet all inclusion Criterion
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH

Sponsor Role collaborator

Washington University School of Medicine

OTHER

Sponsor Role collaborator

Bettina Mittendorfer

OTHER

Sponsor Role lead

Responsible Party

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Bettina Mittendorfer

Senior Associate Dean for Research; Professor, Medicine & Nutrition; NextGen Director of Clinical and Translational Sciences Unit

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Bettina Mittendorfer

Role: PRINCIPAL_INVESTIGATOR

University of Missouri-Columbia

Locations

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University of Missouri School of Medicine

Columbia, Missouri, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Heather McHatton

Role: CONTACT

(573) 882-7619

Aman Pritish Aher

Role: CONTACT

Facility Contacts

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Bettina Mittendorfer

Role: primary

573-882-9377

Other Identifiers

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R01DK131188

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2098077

Identifier Type: -

Identifier Source: org_study_id

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