Effects of Obex in Overweight and Obese Patients
Effects and Safety of Obex in Overweight and Obese Subjects With or Without Impaired Fasting Glucose
- Obesity is an important and growing public health worldwide
- Obesity is highly related to the development of metabolic syndrome, diabetes, cardiovascular diseases and cancer
- An extensive body of evidence from efficacy trials has shown that weight loss is achievable, however, a modest weight loss is achieved in a small proportion of patients
- Important adverse events have been reported with the use of antiobesity drugs.
- The use of natural products with potential effects inducing weight loss is an alternative strategy for treating patients with overweight and obesity. However, efficacy and safety should be evaluated in RCT.
- Obex combines different molecules with potential effects inducing weight loss and control on metabolic parameters such as fasting glucose, cholesterol and triglycerides.
- Therefore, the administration of Obex in overweight and obese patients with impaired fasting glucose could be an excellent strategy to induce weight loss and ameliorate the metabolic disturbances related to obesity and overweight.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Locations
-
-
Havana
-
Plaza de la Revolución, Havana, Cuba, 10400
- National Institute of Endocrinology
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Overweight and Obese subjects with and without IFG
- Ability to provide informed consent
Exclusion Criteria:
- Presence of diabetes mellitus, hepatic, renal or cardiovascular disease
- Other diseases associated with insulin resistance (eg. Acromegalia, endogenous hypercortisolism, etc)
- Sepsis or any other condition that could potentially interfere with treatment
- History of bariatric surgery
- Pregnancy or lactation
- Concomitant disease with reduced life expectancy
- Severe psychiatric conditions
- Anyone with chronic medical conditions requiring regular intake of any prescription medications.
- Used drugs for weight loss (e.g., Xenical [orlistat], Meridia [sibutramine], Acutrim [phenylpropanolamine], Accomplia [rimonabant], Alli [low-dose orlistat], or other similar over-the-counter weight loss remedies or medications) within 3 months of screening
- Are actively participating in, or have participated in a formal weight loss program within the last 3 months
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Obex
Obex®, two oral sachets daily during three months.
|
Obex® will be administered two sachets daily dissolved in a glass of water, 30 minutes before lunch and dinner during three months.
Participants will be not trained about changes of lifestyle on their diets, or physical activity.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
To evaluate the effect of Obex® on fasting glucose levels
Time Frame: Three months of treatment
|
The primary outcome is to evaluate the effect of the treatment with Obex® on fasting glucose levels
|
Three months of treatment
|
|
To determine the safety of serious supplement-related adverse events
Time Frame: Three months of treatment
|
Adverse events will be evaluated during the three months of treatment
|
Three months of treatment
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
To evaluate the effect of Obex® on fasting insulin levels
Time Frame: Three months of treatment
|
The insulin levels will be evaluated at baseline and at the end of treatment.
|
Three months of treatment
|
|
• To evaluate the effect of Obex® on insulin sensitivity by homeostasis model assessment-estimated insulin resistance (HOMA-IR), calculated from individual serum measures (fasting insulin x fasting glucose/22.5)
Time Frame: Three months of treatment
|
The HOMA-IR will be evaluated at baseline and at the end of treatment.
|
Three months of treatment
|
|
To evaluate the effect of Obex® on insulin sensitivity by quantitative insulin sensitivity check index, Bennett and Raynaud insulin sensitivity indexes
Time Frame: Three months of treatment
|
The Quicki, Bennett and Raynaud insulin sensitivity indexes will be evaluated at baseline and at the end of treatment. QUICKI = [1/[log I0 + log G0], Bennett index (BEN) = 1/(log I0 x log G0), Raynaud index (RAY) = [40/I0]) |
Three months of treatment
|
|
• To evaluate the effect of Obex® on β-cell function by homeostatic model assessment-beta cell (HOMA-β), calculated from individual serum measures (20 x fasting insulin (µU/mL)/fasting glucose (mmol/L)-3.5)
Time Frame: Three months of treatment
|
The HOMA-B will be evaluated at baseline and at the end of treatment
|
Three months of treatment
|
|
• To evaluate the effect of Obex® on cholesterol, triglyceride and high density lipoprotein cholesterol levels (HDL-c)
Time Frame: Three months of treatment
|
The cholesterol, triglyceride and HDL-c levels will be evaluated at baseline and at the end of treatment.
|
Three months of treatment
|
|
To evaluate the effect of Obex® on Glycosylated Hemoglobin (HbA1c)
Time Frame: Three months of treatment
|
The HbA1c will be evaluated at baseline and at the end of treatment.
|
Three months of treatment
|
|
To evaluate the effect of Obex® on the body weight.
Time Frame: Three months of treatment
|
The body weight will be measured at baseline and at the end of treatment.
|
Three months of treatment
|
|
• To evaluate the effect of Obex® on Body Mass Index (BMI) and Conicity Index (CI)
Time Frame: Three months of treatment
|
The BMI and CI will be measured at baseline and at the end of treatment.
|
Three months of treatment
|
|
To evaluate the effect of Obex® on the waist and hip circumferences
Time Frame: Three months of treatment
|
Waist and Hip circumferences will be measured at baseline and at the end of treatment.
|
Three months of treatment
|
|
To evaluate the effect of Obex® on arterial blood pressures (BP)
Time Frame: Three months of treatment
|
The arterial BP will be evaluated at baseline and at the end of treatment.
|
Three months of treatment
|
|
• To evaluate the effect of Obex® on hepatic enzymes (Alanine aminotransferase, Aspartate aminotransferase, gamma-glutamyltransferase, Alkaline Phosphatase)
Time Frame: Three months of treatment
|
The hepatic enzymes will be evaluated at baseline and at the end of treatment.
|
Three months of treatment
|
|
To evaluate the effect of Obex® on creatinine and uric acid concentrations
Time Frame: Three months of treatment
|
The creatinine and uric acid levels will be evaluated at baseline and at the end of treatment.
|
Three months of treatment
|
|
To evaluate the effect of Obex® on haemoglobin and serum iron levels
Time Frame: Three months of treatment
|
The haemoglobin and iron levels will be evaluated at baseline and at the end of treatment.
|
Three months of treatment
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Eduardo Cabrera, M.D., Ph.D., National Institute of Endocrinology, Havana, Cuba
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 (Actual)
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
- OBEX-IFG-2014
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