Adipocyte-Derived Extracellular Vesicles, Weight Loss, and Endothelial Function

NCT ID: NCT06776081

Last Updated: 2025-01-15

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

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-07-01

Study Completion Date

2027-06-30

Brief Summary

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Changes in adipose tissue biology are now recognized as a key factor underlying the increased risk of metabolic and cardiovascular disease with obesity. Clinical interest in adipocyte-derived extracellular vesicles (Ad-EVs) has intensified due to their potential as circulating biomarkers of adipose tissue health and systemic messengers, regulators and mediators of cardiometabolic health and disease with obesity.

The investigators hypothesize that elevated Ad-EVs in adults with obesity will be negatively associated with endothelium-dependent vasodilation. Furthermore, the investigators hypothesize that in adults with obesity, intentional weight loss-induced reduction in circulating Ad-EVs is associated with greater endothelium-dependent vasodilation.

Detailed Description

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Conditions

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Obesity Weight Loss

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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No Intervention: Phase 1

Phase 1 is a cross-sectional study to compare whether circulating Ad-EVs are associated with obesity-related endothelial dysfunction in normal weight adults and adults with obesity.

Group Type NO_INTERVENTION

No interventions assigned to this group

Experimental: Phase 2

Phase 2 employs an intervention study design, to determine in adults with obesity, the effects of intentional weight loss (12-weeks) on circulating Ad-EVs and their effect on endothelium-dependent vasodilation.

Group Type EXPERIMENTAL

Weight loss without pharmacotherapy

Intervention Type OTHER

Adults with obesity participating in the 12-week hypocaloric diet-induced weight loss intervention will be individually counseled by the Clinical and Translational Research Center (CTRC) bionutritionist to consume a hypocaloric diet consistent with current dietary recommendations for weight loss until a 6-10% weight loss is achieved.

Interventions

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Weight loss without pharmacotherapy

Adults with obesity participating in the 12-week hypocaloric diet-induced weight loss intervention will be individually counseled by the Clinical and Translational Research Center (CTRC) bionutritionist to consume a hypocaloric diet consistent with current dietary recommendations for weight loss until a 6-10% weight loss is achieved.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age ≥40 years
* BMI \<25 kg/m2 and BMI \>25 kg/m2 for Phase 1 and BMI \>25 kg/m2 for Phase 2. Rationale for defining obesity as BMI \>25 kg/m2

Exclusion Criteria

* Current smoker
* Chronic overt medical condition (e.g., evidence of coronary artery disease on resting ECG, any history of myocardial infarction or stroke, or cancer, diabetes based on fasting blood glucose concentration)
* Alcohol abuse or dependence defined as more than 14 standard drinks/week and no more than 4 standard drinks/day for men and 7 standard drinks/week and 3 standard drinks/day for women (a standard drink is defined as 12 ounces of beer, 5 ounces of wines, 1 ½ ounces of 80-proof distilled spirits) reported during the medical history/physical exam
* Stage III hypertension (systolic blood pressure \>160 mmHg and/or diastolic blood pressure \>100 mmHg)
* Regular vigorous aerobic/endurance exercise (\>3 bouts/week, \>30 minutes/bout at a workload \>6 METS)
* Women who are pregnant or breastfeeding
* History of anaphylaxis to betadine, lidocaine, iodine
* Raynaud's disease
* History of clotting disorders
* Anyone taking blood thinners and clotting medications
* Anyone taking statin medication
* Planned pregnancy in coming 4-6 months
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Colorado, Boulder

OTHER

Sponsor Role lead

Responsible Party

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Christopher DeSouza

Professor of Distinction

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Christopher DeSouza, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Colorado, Boulder

Locations

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University of Colorado Boulder Clinical and Translational Research Center (CTRC)

Boulder, Colorado, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Jared Greiner, MS

Role: CONTACT

303-735-3605

Facility Contacts

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Jared Greiner, MS

Role: primary

303-735-3056

Other Identifiers

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24TPA1301309

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

24-0523

Identifier Type: -

Identifier Source: org_study_id

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