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Trial Title: Anti-obesity Pharmacotherapy and Inflammation

NCT ID: NCT05756764

Condition: Obesity

Conditions: Official terms:
Obesity
Semaglutide
Liraglutide
Topiramate
Phentermine
Diethylpropion
Naltrexone
Bupropion
Glucagon
Glucagon-Like Peptide 1
Tirzepatide

Conditions: Keywords:
Inflammation
Dyslipidemia
Metabolic syndrome

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Drug
Intervention name: Semaglutide
Description: Medication for weight loss
Arm group label: Patients with obesity on pharmacotherapy

Other name: Glucagon-like peptide-1 receptor (GLP1-R) agonist

Other name: Wegovy

Intervention type: Drug
Intervention name: Phentermine-Topiramate combination
Description: Medication for weight loss
Arm group label: Patients with obesity on pharmacotherapy

Other name: Qsymia

Intervention type: Drug
Intervention name: Phentermine
Description: Medication for weight loss
Arm group label: Patients with obesity on pharmacotherapy

Other name: Lomaira

Other name: Adipex-P

Intervention type: Drug
Intervention name: Tirzepatide
Description: Medication for weight loss
Arm group label: Patients with obesity on pharmacotherapy

Other name: Mounjaro

Other name: Zepbound

Other name: GIP/GLP-1 RA

Intervention type: Drug
Intervention name: Topiramate
Description: Medication for weight loss
Arm group label: Patients with obesity on pharmacotherapy

Other name: Topamax

Other name: Trokendi XR

Other name: Qudexy XR

Intervention type: Drug
Intervention name: Diethylpropion
Description: Medication for weight loss
Arm group label: Patients with obesity on pharmacotherapy

Other name: Tenuate

Other name: Diethylcathinone

Intervention type: Drug
Intervention name: Naltrexone/Bupropion
Description: Medication for weight loss
Arm group label: Patients with obesity on pharmacotherapy

Other name: Contrave

Intervention type: Drug
Intervention name: Liraglutide
Description: Medication for weight loss
Arm group label: Patients with obesity on pharmacotherapy

Other name: Saxenda

Other name: Victoza

Other name: Glucagon-like peptide-1 receptor (GLP1-R) agonist

Summary: This study evaluates the relationship between weight loss, circulating inflammatory markers and lipids from 24 patients before and after 6 months of pharmacotherapy as a standard of care for anti-obesity treatment

Detailed description: This study aims to determine if weight loss by pharmacotherapy with liraglutide, semaglutide, or phentermine-topiramate promotes the reduction of pro-tumoral inflammatory cells Myeloid-derived suppressor cells (MDSC), simultaneously to the improvement of lipid profile (LDL-Cholesterol, HDL-Cholesterol, triglycerides, and free fatty acids) and concentration in the blood. Liraglutide, semaglutide, and phentermine-topiramate are FDA-approved medications to treat obesity and obesity-associated comorbidities. Twenty-four patients undergoing standard of care for anti-obesity treatment at VA Medical Center, and Tulane Center for Clinical Research (TCCR) will be recruited before initiation of pharmacotherapy as part of their standard of care and followed up to 6 months to compare the primary study variables.

Criteria for eligibility:

Study pop:
Patients with obesity, defined as having a body mass index (BMI) > 30, from New Orleans and its surroundings, scheduled for initiating the anti-obesity treatment with drugs for weight loss as part of their standard-of-care for anti-obesity treatment at Clinics from New Orleans and its surroundings; therefore, the research trial team will not provide the medications. Expect to recruit 50% African American (6 women, 6 men), and 50% White American (6 women, 6 men), as a representative majority of the New Orleans population.

Sampling method: Probability Sample
Criteria:
Inclusion Criteria: - Body mass index (BMI): over 30 kg/m2 - Age: 35 to 60 years old Exclusion Criteria: - Taking medications with anti-inflammatory properties like glucocorticoids, prednisone, or non-steroidal anti-inflammatory medications, such as aspirin or Motrin Subjects on medications for long-term weight management such as phentermine-topiramate (Qsymia), orlistat (Xenical), naltrexone-bupropion (Contrave), and the glucagon-like peptide-1 receptor agonists such as liraglutide (Saxenda), and semaglutide (Wegovy). - Prior history of cancer - Having any clinical symptoms of systemic inflammation, acute infections such as Coronavirus disease 2019, or chronic diseases such as cancer, tuberculosis, autoimmune disease, and AIDS - An adult unable to consent - Prisoner - Pregnancy or breastfeeding women

Gender: All

Minimum age: 35 Years

Maximum age: 60 Years

Locations:

Facility:
Name: LSU Clinical & Translational Research Center (CTRC - - LSUHSC-NO

Address:
City: New Orleans
Zip: 70112
Country: United States

Status: Recruiting

Contact:
Last name: Maria D Sanchez-Pino, Ph.D.

Phone: 504-210-2831
Email: msanc2@lsuhsc.edu

Investigator:
Last name: Vivian Fonseca, MD
Email: Sub-Investigator

Investigator:
Last name: Justin Brown, Ph.D.
Email: Sub-Investigator

Investigator:
Last name: Mary Meyaski-Schluter, Nurse
Email: Sub-Investigator

Investigator:
Last name: Maria D Sanchez-Pino, Ph.D.
Email: Principal Investigator

Investigator:
Last name: Virginia Garrison, Nurse
Email: Sub-Investigator

Facility:
Name: Ochsner Health System - Biospecimen

Address:
City: New Orleans
Zip: 70121
Country: United States

Status: Recruiting

Contact:
Last name: Melyssa Bratton, Ph.D.

Start date: June 1, 2023

Completion date: March 20, 2025

Lead sponsor:
Agency: Louisiana State University Health Sciences Center in New Orleans
Agency class: Other

Collaborator:
Agency: Tulane University
Agency class: Other

Collaborator:
Agency: Pennington Biomedical Research Center
Agency class: Other

Collaborator:
Agency: Ochsner Health System
Agency class: Other

Source: Louisiana State University Health Sciences Center in New Orleans

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05756764

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