Weight Loss Study for People With Type 2 Diabetes (T2D)
Effects on Glycemic Control and Weight of a Modified Commercial Weight Control Program for People With Type 2 Diabetes
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Alabama
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Birmingham, Alabama, United States, 35294
- Diabetes Research and Training Center, University of Alabama at Birmingham
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California
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La Jolla, California, United States, 92037
- Scripps Clinical Research
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Georgia
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Augusta, Georgia, United States, 30909-6599
- CSRA Partners in Health
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Illinois
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Chicago, Illinois, United States, 60611
- Northwestern University Feinberg School
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New York
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New York, New York, United States, 10065
- Weill Medical College of Cornell University
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New York, New York, United States, 10025
- Obesity Research Center St. Luke's Roosevelt Hospital Center
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North Carolina
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Charlotte, North Carolina, United States, 28277
- Center for Nutrition and Preventive Medicine
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Durham, North Carolina, United States, 27710
- Obesity Clinical Trials Program Duke University Medical Center
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Ohio
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Mentor, Ohio, United States, 44060
- Your Diabetes Endocrine Nutrition Group Inc.
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Oregon
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Portland, Oregon, United States, 97210
- Oregon Weight Loss Surgery, LLC
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19104
- The University of Pennsylvania Center for Weight and Eating Disorders
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South Carolina
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Charleston, South Carolina, United States, 29425
- Medical University of South Carolina
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Texas
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Dallas, Texas, United States, 75246-1906
- Baylor Endocrine Center
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San Antonio, Texas, United States, 78218
- Oakwell Clinical Research
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Virginia
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Arlington, Virginia, United States, 22201
- Washington Center for Weight Management & Research, Inc The Navy League Building
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Participant reported diagnosis of Type II diabetes
- HbA1c between 7%-11% (inclusive)
- Fasting blood glucose < 240. If a potential participant has a FBG above the inclusion criteria it is acceptable to re-test this potential participant within one week of the original test.
- BMI 27-50 kg/m2 (inclusive)
- Age range - 18 - 70 (inclusive)
- Clearance on medical exam by study physician including EKG
- No weight loss over the previous 3 months (5kg loss is acceptable with physician discretion)
- On stable regimen of all medications (including diabetes) for at least 3 months (brief regimens of medications such as antibiotics, steroids, etc. are permitted)
- All diabetes medications are permitted including insulin.
- Willing and able to commit to regular physical activity (e.g. walking) five days per week
- Willingness and ability to make all scheduled appointments required by study protocol
- Willingness to attend weekly Weight Watchers meetings in the community and to participate in Weight Watchers online program, if so randomized
- Willing to follow requirements of study protocol
- Willing and able to provide a valid email address for use in the study
- Must be able to communicate (oral and written) in English
- Under the care of a physician for diabetes and willing to give release to contact the MD and request MD's agreement for participant to participate -
Exclusion Criteria:
- Type 1 Diabetes
- Cardiovascular/Coronary Heart Disease [e.g., MI or CVA within last 6 months, TIA, clinically significant arrhythmias, uncontrolled hypertension (defined as blood pressure over 160/110); physician's discretion may be more conservative]
- Current severe depression or history of severe depression within the previous year, based on DSM-IV-TR criteria for Major Depressive Episode
- Taking prescription or OTC weight loss medications within last 4 weeks
- Currently taking other medications that affect weight (e.g., paroxetine, tricyclics, anti-psychotics)
- Within the last 4 weeks, use of chromium supplements or any nutrition supplements or herbal products claimed to have a weight loss effect. Participants using other non-excluded nutrition supplements or herbal products must agree to continue at their current level of use throughout the study.
- Participation in a weight control program within the past 3 months
- QTc interval >450 msec for males and QTc interval >470 msec for females
- PHQ-9 total score > 15
- Thyroid disease for which the participant is untreated or has had treatment changed within the last 6 months. History of thyroid disease or current thyroid disease treated with a stable medication regimen for at least 6 months is acceptable
- History of a surgical procedure for weight loss at any time (e.g. gastroplasty, gastric by-pass, gastrectomy or partial gastrectomy, adjustable banding, gastric sleeve)
- History of major surgery within three months of enrollment
- Presence of implanted cardiac defibrillator
- Orthopedic limitations that would interfere with ability to engage in regular physical activity
- Gastrointestinal disorders including chronic malabsorptive conditions, peptic ulcer disease, Crohn's disease, chronic diarrhea or active gallbladder disease
- Current cancer or cancer treatment, or a history of cancer or cancer treatment within the last 3 years. Persons with successfully resected basal cell carcinoma of the skin may be enrolled if treatment was completed more than 6 months prior to enrollment.
- History, within the past five years, of clinically diagnosed eating disorders Confidential March 30, 2012 9 including anorexia nervosa or bulimia nervosa.
- Women who are pregnant, lactating , trying to become pregnant or unwilling to use an effective means of birth control
- Participation in another clinical trial within 30 days prior to enrollment.
- Currently consuming >14 alcoholic drinks (1 drink = 12 fl oz beer, 4 fl oz wine or 1.5 fl oz liquor) per week and unwilling to limit intake to less than 3 drinks per drinking day during study participation
- Current or past drug abuse
- Participation in trial by another member of household
Hypoglycemic Events:
a. Evidence of more than 1 severe hypoglycemic event in the past 12 months, unless the participant's treating physician provides written clearance for participation.
- Any other condition or factor which in the opinion of the study physician or investigator makes it inadvisable for the candidate to participate in the trial -
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: Modified Weight Watchers program
|
Weight Watchers: For people with Type 2 diabetes including (1) weekly standard in-person Weight Watchers meetings, (2) use of the standard Weight Watchers online program and tools, and (3) two scheduled telephone consultations with a Certified Diabetes Educator (CDE) who will assist the participant in tailoring the standard Weight Watchers program to accommodate the participant's diabetes-related status, with additional unlimited phone and email access to CDEs at the participant's request
|
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ACTIVE_COMPARATOR: Standard Diabetes Counseling group
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One session of in-person diabetic nutritional counseling with a registered dietitian, with follow-up written educational materials.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change in HbA1c
Time Frame: Baseline and 12 months
|
Baseline and 12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Secondary Endpoints
Time Frame: Baseline and 12 months
|
Change in weight
|
Baseline and 12 months
|
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Secondary Endpoints
Time Frame: Baseline and 12 months
|
Change in BMI
|
Baseline and 12 months
|
|
Secondary Endpoints
Time Frame: Baseline and 12 months
|
Change in waist circumference
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Baseline and 12 months
|
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Secondary Endpoints
Time Frame: Baseline and 12 months
|
Change in fasting blood glucose
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Baseline and 12 months
|
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Secondary Endpoints
Time Frame: Baseline and 12 months
|
Change in HOMA
|
Baseline and 12 months
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Secondary Endpoints
Time Frame: Baseline and 12 months
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Change in cardiovascular risk markers (lipid measures, blood pressure, C-Reactive Protein)
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Baseline and 12 months
|
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Secondary Endpoints
Time Frame: Baseline and 12 months
|
Change in diabetes medications.
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Baseline and 12 months
|
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Secondary Endpoints
Time Frame: Baseline and 12 months
|
Change in various mental health assessments
|
Baseline and 12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Patrick M. O'Neil, PhD, Medical University of South Carolina
Publications and helpful links
Helpful Links
- The University of Pennsylvania Center for Weight and Eating Disorders
- Your Diabetes Endocrine Nutrition Group, Inc
- Medical University of South Carolina
- Obesity Clinical Trials Program Duke University Medical Center
- Oregon Weight Loss Surgery, LLC
- Scripps Nutrition and Metabolic & Research
- University of Alabama at Birmingham Department of Nutrition
- The Washington Center for Weight Management & Research
- Baylor Research
- Oakwell Clinical Research
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- WW-MUSC-1201
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