About this trial
The goal of this study is to identify people at risk of weight regain after stopping an injectable weight loss drug. The main question the investigators aim to answer is: Can weight regain be predicted by measuring circulating Agouti-related peptide, a small protein coming from the brain?
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
adults 18 years or older
men and women
prescribed an incretin-mimetic for weight loss and for whom insurance coverage for this specific drug will lapse
any ethnicity
Disqualifiers
weight > or = 400 lb
type 1 or type 2 diabetes
patients taking steroid medications
anemia
Trial design
Single group
Treatments tested in this trial
discontinuation of weight loss medication
Other interventionParticipants will be studied right before their injectable weight loss medication runs out, and 3 months later
Treatment groups
Trial outcomes
Primary outcomes
weight change
weight trajectories in the 3 months after treatment discontinuation
fasting and post-prandial circulating AgRP
Circulating AgRP will be measured after an overnight fast and during a 3-hour mixed meal test, at baseline (while still on injectable weight loss drug) and 3 months later. The mixed meal will consist in a nutrtional shake consumed in 5 min.
Secondary outcomes
subjective hunger ratings
Participants will be asked to rate current hunger with a visual analogue scale in fasting conditions and hourly during a 3-hour mixed meal test. This will be done at baseline (while still on injectable weight loss drug) and 3 months after treatment discontinuation. Scores go from 0 to 100, with 0 indicating "Not hungry at all" and 100 indicating "Extremely hungry".
resting metabolic rate (RMR)
RMR will be measured in fasting conditions at baseline (while still on injectable weight loss drug) and 3 months after treatment discontinuation.
RMR adaptation
RMR adaptation will be estimated baseline (while still on injectable weight loss drug) and 3 months after treatment discontinuation. RMR adaptation will be defined as the difference between measured and predicted RMR. Predicted RMR will be computed with a linear regression equation obtained from baseline data from the whole cohort.
body composition
Body composition (fat mass, fat-free mass) will be measured at baseline and 3 months later by DXA
Locations
Sponsors and contacts
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Medical College of Wisconsin
Lead sponsor
University of Wisconsin, Milwaukee
Collaborator
This trial is not recruiting at the moment. You can still explore other options: