Status:

COMPLETED

Effect of Increased Free Fatty Acids on Leptin Function

Lead Sponsor:

Beth Israel Deaconess Medical Center

Conditions:

Obesity

Leptin Resistance

Eligibility:

All Genders

18-65 years

Phase:

NA

Brief Summary

Obese people have elevated levels of the hormone leptin. Despite this, they seem to be resistant to the effects of this hormone, which usually regulates appetite and energy expenditure. This is simila...

Detailed Description

We propose to test our hypotheses by conducting a non-blinded, interventional study evaluating the effects of acute leptin administration on intracellular leptin signaling pathways after a 6 hour infu...

Eligibility Criteria

Inclusion

  • Age 18-65

Exclusion

  • Subjects with a history of any illness, other than obesity, that may affect insulin sensitivity (anemia, infectious diseases, renal or hepatic failure, uncontrolled hypertension, cancer, lymphoma, chronic inflammatory conditions such as inflammatory bowel disease and rheumatoid arthritis, states of cortisol or growth hormone excess, alcoholism or drug abuse, and eating disorders).
  • History of diabetes mellitus.
  • Subjects taking any medications that are known to influence glucose metabolism such as glucocorticoids will also be excluded. We will screen for these conditions by means of a detailed history and review of systems and physical examination (see below).
  • Subjects taking any medications known to affect lipids such as statins will also be excluded. We will screen for these similar to above.
  • Cholesterol greater or equal to 250 mg/dL and/or triglyceride levels greater than 500 mg/dL at the time of screening, as determined by laboratory testing.
  • Subjects who have a known history of anaphylaxis or anaphylactoid-like reactions or who have a known hypersensitivity to anesthetic agents such as Lidocaine or Marcaine will be excluded from the study.
  • Hypersensitivity to fat emulsion or any component of the formulation; severe egg or legume (soybean) allergies; pathologic hyperlipidemia, lipoid nephrosis, acute pancreatitis associated with hyperlipemia.
  • Hypersensitivity to heparin or any component of the formulation
  • Severe thrombocytopenia, uncontrolled active bleeding, disseminated intravascular coagulation (DIC); suspected intracranial hemorrhage.
  • Subjects with a history of bleeding dyscrasia, poor wound healing or any medical condition precluding supine position will be excluded from the study.
  • Unable to follow study protocol or any condition that in the opinion of the investigator makes the subject unsuitable for the study.
  • Pregnancy
  • Prior history of gastrectomy, gastric bypass surgery, or other weight loss surgery.

Key Trial Info

Start Date :

November 1 2011

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2016

Estimated Enrollment :

26 Patients enrolled

Trial Details

Trial ID

NCT01520454

Start Date

November 1 2011

End Date

December 1 2016

Last Update

May 11 2018

Active Locations (1)

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Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States, 02215