- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03650309
Deep Brain Stimulation for Morbid Obesity
May 16, 2022 updated by: Andres M. Lozano, University Health Network, Toronto
Deep Brain Stimulation for the Treatment of Refractory Morbid Obesity
This is an open-label, phase I pilot trial designed to evaluate the safety and feasibility of deep brain stimulation (DBS) for the treatment of refractory morbid obesity.
Patients with diagnoses of morbid obesity will be recruited and enrolled.
All patients will receive DBS targeting two brains areas involved in the pathophysiology of obesity and will be followed post-operatively for 12 months.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
This study will establish 1)the safety of deep brain stimulation (DBS) in a patient population with treatment refractory morbid obesity.
DBS has been used safely and effectively in thousands of patients for numerous disorders.
Recent evidence (outlined above) has shown that DBS can also be used to manage refractory psychiatric conditions, such as depression and obsessive-compulsive disorder, as well as in eating disorders such as anorexia nervosa.
Such studies indicate that a targeted therapy informed by the neuroanatomic and circuitry literature can be effective in altering pathological mood and behaviour.
2) evaluate the effectiveness of the procedure, which will be evaluated by the actual weight loss and resolution of the core symptoms of morbid obesity, including BMI, as well of, depression, self-esteem, and binge eating scores surrounding with loss or weight gain.
Study Type
Interventional
Enrollment (Anticipated)
6
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Gavin Elias
- Phone Number: 6200 4166035800
- Email: gavin.elias@uhnresearch.ca
Study Contact Backup
- Name: Martha Lenis, BHA
- Phone Number: 2797 416 603 5800
- Email: martha.lenis@uhnresearch.ca
Study Locations
-
-
Ontario
-
Toronto, Ontario, Canada, M5T 2S8
- Recruiting
- Toronto Western Hospital, University Health Network
-
Contact:
- Gavin Elias
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
20 years to 70 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Female or Male patients between age 20-60
- Diagnosis of Morbid Obesity (defined as a BMI>40kg/m2 or BMI>35 with 1 obesity related comorbidity) OR a diagnosis of Binge Eating Disorder not responsive to recommended treatments (as defined by the DSM-5)
- Failure or non eligibility of bariatric surgery with <50% of excess weight loss, with or without BMI>35 kg/m2, at 18 months or more after the operation; OR diagnosis of binge eating disorder for over 18 months
- Diagnosis of food dependence via Yale Food Addiction Scale (YFAS) criteria
- Normal neurological exam
- Normal head CT scan and cerebral MRI
- Patient informed and able to give written consent
- Able to comply with all testing, follow-ups and study appointments and protocols
Exclusion Criteria:
- Active neurologic disease such as epilepsy
- Alcohol or substance dependence or abuse in the last 6 months, excluding caffeine and nicotine
- Any contraindication to magnetic resonance imaging (MRI) or positron emission tomography (PET) scanning
- Likely to relocate or move during the study's one year duration
- Presence of cardiac arrhythmias, or other cardiac, respiratory, renal or endocrine conditions as a result of morbid obesity, that will result in significant risk from a surgical procedure.
- Presence of epilepsy, stroke or degenerative disorder of the nervous system
- Pregnancy
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Deep Brain Stimulation
All patients will receive deep brain stimulation (DBS) targeting two brain areas involved in the pathophysiology of obesity.
No other changes to pre-existing treatment will be made.
This is the only arm in this experiment.
|
All patients will undergo surgical implantation of a deep brain stimulation (DBS) system, which involves placement of stimulating electrodes in the brain.
These electrodes will be used to deliver electrical current to target two brain structures involved in the pathophysiology of obesity.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of Treatment-Emergent Adverse Events
Time Frame: 12 months
|
Patients will be closely monitored for adverse events following DBS surgery with regular check-ups.
|
12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Weight
Time Frame: 12 months
|
Weight (in kilograms) will be frequently assessed prior to and following DBS surgery.
|
12 months
|
'Quality of Life Scale' Questionnaire
Time Frame: 12 months
|
Patients will regularly complete the 16-item Quality of Life Scale questionnaire (worst score = 16, best score = 112) to assess psychosocial function.
|
12 months
|
'Behavioral Inhibition System/Behavioral Activation System Scales (BIS/BAS Scales)' Questionnaire
Time Frame: 12 months
|
Patients will regularly complete the 24-item BIS/BAS Scales questionnaire to assess psychosocial behaviour.
This questionnaire has 3 sub-scales: 'BAS drive' (highest score = 16, lowest score = 4), 'BAS fun seeking' (highest score = 20, lowest score = 5), 'BAS reward responsiveness' (highest score = 20, lowest score = 5), and 'BIS' (highest score = 28, lowest score = 7).
|
12 months
|
'Patient Health Questionnaire (PHQ-9)' Questionnaire
Time Frame: 12 months
|
Patients will regularly complete the 9-item PHQ-9 questionnaire (worst score = 27, best score = 0) to assess mood and depression symptoms.
|
12 months
|
'Generalized Anxiety Disorder 7-item (GAD-7)' Questionnaire
Time Frame: 12 months
|
Patients will regularly complete the 7-item GAD-7 questionnaire (worst score = 21, best score = 0) to assess anxiety symptoms.
|
12 months
|
'Difficulties in Emotion Regulation Scale (DERS)' Questionnaire
Time Frame: 12 months
|
Patients will regularly complete the 36-item DERS questionnaire (worst score = 180, best score = 36) to assess emotional dysregulation.
|
12 months
|
'Yale-Brown Obsessive Compulsive Scale (Y-BOCS)' Questionnaire
Time Frame: 12 months
|
Patients will regularly complete the 10-item Y-BOCS questionnaire (worst score = 40, best score = 0) to assess severity of obsessive and compulsive symptoms
|
12 months
|
'Binge Eating Scale (BES)' Questionnaire
Time Frame: 12 months
|
Patients will regularly complete the 16-item BES questionnaire (worst score = 43, best score = 0) to assess binge eating symptoms
|
12 months
|
'Yale-Brown-Cornell Eating Disorder Scale (YBC-EDS)' Questionnaire
Time Frame: 12 months
|
Patients will regularly complete the 19-item YBC-EDS questionnaire (worst score = 32, best score = 0) to assess eating-related preoccupations and rituals
|
12 months
|
'Emotional Eating Scale (EES)' Questionnaire
Time Frame: 12 months
|
Patients will regularly complete the 25-item EES questionnaire (worst score = 100, best score = 0) to assess their emotional relationship with food.
|
12 months
|
'Power of Food (POF)' Questionnaire
Time Frame: 12 months
|
Patients will regularly complete the 15-item POF questionnaire (worst score = 75, best score = 15) to assess the degree of influence food exerts on their day-to-day life.
|
12 months
|
'Eating Disorder Examination Questionnaire (EDE-Q)'
Time Frame: 12 months
|
Patients will regularly complete the 28-item EDE-Q (worst score = 6, best score = 0) to assess aspects of eating behaviour including restraint, eating concern, shape concern, and weight concern.
|
12 months
|
'Yale Food Addiction Scale (YFAS)' Questionnaire
Time Frame: 12 months
|
Patients will regularly complete the 25-item YFAS (higher numbers = more severe symptoms) to assess the severity of food addiction.
|
12 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
September 1, 2018
Primary Completion (Anticipated)
January 23, 2023
Study Completion (Anticipated)
July 23, 2023
Study Registration Dates
First Submitted
August 10, 2018
First Submitted That Met QC Criteria
August 25, 2018
First Posted (Actual)
August 28, 2018
Study Record Updates
Last Update Posted (Actual)
May 17, 2022
Last Update Submitted That Met QC Criteria
May 16, 2022
Last Verified
May 1, 2022
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 17-5899
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
Yes
product manufactured in and exported from the U.S.
Yes
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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