Study to Evaluate Effects of a Weight Loss Program in Different Formats on Healthy Adults
Effects of a Commercially-Available Structured Weight Loss Program Provided in Three Different Formats on Anthropometric Measures in Healthy Overweight and Obese Adults
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subject is male or female, 18-70 years of age, inclusive.
- Subject has a body mass index (BMI) of 25.00 to 44.99 kg/m2, inclusive, at visits 1 and 2 (weeks -1 and 0).
- Subject has no plans to change smoking habits during the study period.
- Subject is willing to follow study program instructions, including avoidance of all non-study-related food and beverages.
- Subject is willing and able to comply with the visit schedule [i.e., no visit window will be allowed between visits 2 and 3 (week 0 and 1) and visits 3 and 4 (weeks 1 and 2)].
- Subject agrees to follow the physical activity recommendations as outlined in each plan.
- If a premenopausal female, subject has a history of regular menstrual cycles that range in length from 21 to 35 d, where applicable.
- Judged to be in good health on the basis of medical history and screening laboratory assessments.
- Subject understands the study procedures and signs forms providing informed consent to participate in the study and authorization for release of relevant protected health information to the study Investigators.
Exclusion Criteria:
- Subject has an abnormal laboratory test result of clinical significance at visit 1 (week -1), at the discretion of the Investigator. One re-test will be allowed on a separate day prior to visit 2 (week 0) for subjects with abnormal laboratory test results.
- Subject has had a weight loss or gain ≥10 lb (4.5 kg) in the 6 months prior to visit 1 (week -1).
- Subject has used weight loss medications within 6 months of visit 1 (week -1) or weight loss supplements or programs, other than those provided, intended to alter body weight within 4 weeks of visit 1 (week -1) or during the course of the study (Appendix 1).
- Subject has extreme dietary habits (e.g., Atkins diet, very high protein, vegetarian), in the opinion of the Investigator.
- Subject has a known allergy, sensitivity, or intolerance to the study foods or any ingredients of the study menu provided.
- Subject has diagnosed diabetes mellitus (type 1 or type 2) or fasting glucose ≥126 mg/dL at the screening visit (visit 1, week -1).
- Subject has used thyroid hormones, except stable-dose replacement therapy for ≥2 months prior to visit 1 (week -1; Appendix 1).
- Subject has used dietary supplements that, in the judgment of the Investigator, are likely to markedly affect appetite. The washout period will be 2 weeks prior to visit 1 (week -1; Appendix 1).
- Subject has used medications or supplements that may influence carbohydrate metabolism, including but not limited to hypoglycemic medications and systemic (intravenous, intramuscular, or oral) or ≥1500 µg/d topical (inhaled, intranasal, or dermal) corticosteroids within 4 weeks of visit 1 (week -1) and throughout the study (Appendix 1).
- Subject has a history or presence of clinically important cardiac, renal, hepatic, endocrine, pulmonary, biliary, pancreatic, or neurologic disorders.
- Subject has an active gastrointestinal disorder such as peptic ulcer disease or malabsorption syndrome (mild lactose intolerance or gastroesophageal reflux diseases are acceptable).
- Subject has an active infection or signs/symptoms of an infection. The baseline visit (visit 2, week 0) will be re-scheduled to allow subject to be symptom-free of any type of systemic infection for at least 5 days.
- Subject has a history of gastrointestinal surgery for weight reducing purposes.
- Subject has uncontrolled hypertension (systolic blood pressure ≥160 mm Hg or diastolic blood pressure ≥100 mm Hg as defined by the blood pressure measured at visit 1 (week -1). One re-test will be allowed on a separate day prior to visit 2 (week 0) for subjects whose blood pressure exceeds either of these cut points at visit 1.
- Subject has a history or presence of cancer in the prior 2 years, except for non-melanoma skin cancer.
- Subject is a female who is pregnant, planning to be pregnant during the study period, lactating, or is of childbearing potential and is unwilling to commit to the use of a medically approved form of contraception throughout the study period. The method of contraception must be recorded in the source document.
- Subject is a premenopausal female using a form of hormonal contraception that does not result in a normal menstrual cycle, including a regular menses period.
- Subject has a recent history of (within 12 months of visit 1, week -1) or strong potential for alcohol or substance abuse. Alcohol abuse defined as >14 drinks per week (1 drink = 12 oz beer, 5 oz wine, or 1½ oz distilled spirits).
- Exposure to any non-registered drug product within 30 d prior to the screening visit (visit 1).
- Individual has a condition the Investigator believes would interfere with his or her ability to provide informed consent, comply with the study protocol, or which might confound the interpretation of the study results or put the person at undue risk.
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: Nutrisystem My Way
All subjects received Nutrisystem pre-packaged, portion-controlled foods and followed the Nutrisystem My Way plan.
|
The Nutrisystem My Way plan provided 7 breakfasts, 6 lunches, 6 dinners, and 7 (women) or 14 (men) snacks/desserts as pre-packaged portion controlled foods every week.
Subjects were instructed to prepare one lunch and one dinner on their own each week.
General guidelines and recommendations were provided by Nutrisystem in order to allow subjects to self-select appropriate foods for these eating occasions that fit within the My Way plan guidelines (~50% kcal from carbohydrate, ~25% from protein, ~25% from fat).
Women were assigned to 1200 calories per day and men were assigned to 1500 calories per day.
Nutrisystem packaged foods accounted for approximately 60% of daily calorie target; recommended grocery food additions (which subjects purchased on their own) accounted for the balance.
|
|
EXPERIMENTAL: Nutrisystem Turbo 10
All subjects received Nutrisystem pre-packaged, portion-controlled foods and followed the Nutrisystem Turbo 10 plan.
|
Turbo10 plan provided approx.
1000 kcal/d for all subjects and included portion controlled foods/shakes for the first week (week 0).
All food, except non-starchy vegetables and no-calorie beverages, was provided for the first week (week 0).
Starting week 1, subjects followed the My Way plan intervention through week 16.
|
|
EXPERIMENTAL: Nutrisystem DASH
All subjects received Nutrisystem pre-packaged, portion-controlled foods and followed the Nutrisystem DASH plan.
|
The Nutrisystem DASH plan was a modification of the My Way plan designed to meet the nutrition profile of the DASH Diet, as described in NIH materials.
Key nutritional targets included < 30% fat (< 7% saturated fat), < 150 mg/d of cholesterol, and < 2300 mg/d of sodium.
Key dietary targets were consumption of 7-10 servings of fruit/vegetables/day, 2-3 servings of low-fat dairy/day, and 3 servings nuts/seeds/week.
The Nutrisystem DASH plan included a subset of the Nutrisystem menu [7 breakfasts, 6 lunches, 6 dinners, plus snacks as portion-controlled foods every week], as well as modified guidelines for grocery additions, to achieve the nutrition targets of the DASH diet.
Women consumed 1200 kcal/day and men consumed 1500 kcal/day.
|
|
ACTIVE_COMPARATOR: Dieting on Your Own (DIY) - DASH
All subjects provided publically available information on the DASH diet and instructed to follow a reduced calorie DASH diet meal plan on their own.
|
The self-directed diet included publicly available information consistent with the Dietary Approaches to Stop Hypertension (DASH) diet instructing individuals to consume a reduced calorie diet to support self-directed weight loss efforts.
Women were assigned to a 1200 calorie diet and men were assigned to a 1500 calorie diet.
Information on the self-directed diet was provided at the beginning of the intervention (visit 2, week 0).
Subjects randomized to this group did not receive additional dietary counseling throughout the study period.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Body Weight
Time Frame: Up to 16 weeks
|
Change in body weight from baseline (week 0) to each post-randomization visit (week 1, 2, 3, 4, 8, 12, and 16).
|
Up to 16 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Waist Circumference
Time Frame: Up to 16 weeks
|
Change in waist circumference from baseline (week 0) to each post-randomization visit (week 1, 2, 3, 4, 8, 12, and 16).
|
Up to 16 weeks
|
|
Hip Circumference
Time Frame: Up to 16 weeks
|
Change in hip circumference from baseline (week 0) to each post-randomization visit (week 1, 2, 3, 4, 8, 12, and 16).
|
Up to 16 weeks
|
|
Chest circumference
Time Frame: Up to 16 weeks
|
Change in hip circumference from baseline (week 0) to each post-randomization visit (week 1, 2, 3, 4, 8, 12, and 16).
|
Up to 16 weeks
|
|
Upper arm circumference
Time Frame: Up to 16 weeks
|
Change in upper arm circumference from baseline (week 0) to each post-randomization visit (week 1, 2, 3, 4, 8, 12, and 16).
|
Up to 16 weeks
|
|
Thigh circumference
Time Frame: Up to 16 weeks
|
Change in thigh circumference from baseline (week 0) to each post-randomization visit (week 1, 2, 3, 4, 8, 12, and 16).
|
Up to 16 weeks
|
|
Body Weight (>=5%)
Time Frame: Up to 16 weeks
|
percentage of subjects achieving at least a 5% loss of initial body weight from baseline (week 0) to each post-randomization visit (week 1,2,3,4,8,12, and 16)
|
Up to 16 weeks
|
|
Blood Pressure
Time Frame: Up to 16 weeks
|
Change in systolic and diastolic blood pressure from baseline (week 0) to each post-randomization visit (week 1,2,3,4,8,12,16)
|
Up to 16 weeks
|
|
Quality of Life
Time Frame: Up to 16 weeks
|
Change in IWQOL-Lite questionnaire subscale scores and total scores from baseline (week 0) to post-randomization visits 6,7, and 9 (week 4, 8, and 16).
|
Up to 16 weeks
|
|
Health Quality of Life
Time Frame: Up to 16 weeks
|
Change in SF-36 questionnaire domain scores and composite score from baseline (week 0) to post-randomization visits 6,7, and 9 (week 4, 8, and 16).
|
Up to 16 weeks
|
|
Sleep Quality (questionnaire score)
Time Frame: Up to 16 weeks
|
Change in sleep quality questionnaire score from baseline (week 0) to post-randomization visits 6,7, and 9 (week 4, 8, and 16).
|
Up to 16 weeks
|
|
Body Composition (Change in total fat mass)
Time Frame: Up to 16 weeks
|
Change in total fat mass from baseline (week 0) to post-randomization visits 6,7, and 9 (week 4, 8, and 16).
|
Up to 16 weeks
|
|
Body Composition (Change in total fat free mass)
Time Frame: Up to 16 weeks
|
Change in total fat free mass from baseline (week 0) to post-randomization visits 6,7, and 9 (week 4, 8, and 16).
|
Up to 16 weeks
|
|
Body Composition (Change in Android total fat mass)
Time Frame: Up to 16 weeks
|
Change in Android total fat mass from baseline (week 0) to post-randomization visits 6,7, and 9 (week 4, 8, and 16).
|
Up to 16 weeks
|
|
Body Composition (Change in Gynoid total fat mass)
Time Frame: Up to 16 weeks
|
Change in Gynoid total fat mass from baseline (week 0) to post-randomization visits 6,7, and 9 (week 4, 8, and 16).
|
Up to 16 weeks
|
|
Body Composition (Change in Abdominal Visceral total body fat)
Time Frame: Up to 16 weeks
|
Change in Abdominal Visceral total body fat from baseline (week 0) to post-randomization visits 6,7, and 9 (week 4, 8, and 16).
|
Up to 16 weeks
|
|
Body Composition (Change in regional (trunk, non-trunk, arms and legs) total fat mass)
Time Frame: Up to 16 weeks
|
Change in regional (trunk, non-trunk, arms and legs) total fat mass from baseline (week 0) to post-randomization visits 6,7, and 9 (week 4, 8, and 16).
|
Up to 16 weeks
|
|
Body Composition (Change in regional (trunk, non-trunk, arms and legs) total fat free mass)
Time Frame: Up to 16 weeks
|
Change in regional (trunk, non-trunk, arms and legs) total fat free mass from baseline (week 0) to post-randomization visits 6,7, and 9 (week 4, 8, and 16).
|
Up to 16 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Kathleen M Kelley, MD, Biofortis Innovation Services
- Study Director: Chad M Cook, PhD, Biofortis Innovation Services
Publications and helpful links
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
- BIO-1507
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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