Status:

COMPLETED

Take Off Pounds After Stroke Trial (TOPS)

Lead Sponsor:

Beth Israel Deaconess Medical Center

Collaborating Sponsors:

Yale University

Conditions:

Stroke

Obesity

Eligibility:

All Genders

18-99 years

Phase:

PHASE2

Brief Summary

The Take Off Pounds after Stroke (TOPS) trial is a Prospective Randomized Open-Label Blinded Endpoint (PROBE) study that will test a 12-week high protein, calorie restricted, partial meal replacement ...

Detailed Description

The TOPS trial is designed as a PROBE study to test the feasibility, safety, and efficacy of a 12-week high protein, calorie restricted, partial meal replacement program, compared to enhanced standard...

Eligibility Criteria

Inclusion

  • Acute ischemic stroke within 90 days of randomization
  • Age \>=18
  • BMI 27-49.9 mg/kg2
  • Able to meet all nutritional and fluid needs by oral intake.
  • Ready to undergo behavioral change
  • Able and willing to provide written informed consent
  • Maximum weight \<=350 lbs

Exclusion

  • Medical contraindication to weight loss or diet, including the following: renal disease requiring dialysis, taking lithium, or end stage liver or renal disease considered incompatible with diet intervention by patient's personal healthcare provider or the study PI
  • Enrollment in a conflicting clinical trial (defined as a trial with an intervention known to affect weight or with an exclusion for participation in another trial)
  • Pregnancy or desire to become pregnant, or currently breastfeeding
  • High-risk of malnutrition using a standard screen
  • Trajectory of recent weight loss (i.e., loss of at least 12 lbs in the 3 months preceding screening)
  • Allergy to soy based food products
  • Require thickening of liquids due to dysphagia
  • Inability to communicate with study team
  • Inability to speak English
  • Irreversible medical conditions likely to affect short-term survival (predicted survival of less than one year)

Key Trial Info

Start Date :

December 1 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 30 2021

Estimated Enrollment :

38 Patients enrolled

Trial Details

Trial ID

NCT03815214

Start Date

December 1 2019

End Date

May 30 2021

Last Update

August 23 2023

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Yale New Haven Hospital

New Haven, Connecticut, United States, 06510

2

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States, 02115