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Trial registered on ANZCTR
Registration number
ACTRN12605000107628
Ethics application status
Approved
Date submitted
4/08/2005
Date registered
9/08/2005
Date last updated
12/04/2019
Date data sharing statement initially provided
12/04/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Fatty acid metabolism and heart disease
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Scientific title
A randomised trial to evaluate the effects of weight loss in the treatment of the metabolic syndrome on Cytochrome P-450 metabolites of Arachidonic acid
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Metabolic syndrome
191
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Condition category
Condition code
Metabolic and Endocrine
214
214
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0
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Normal metabolism and endocrine development and function
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention group will receive dietary counselling to reduce their energy intake by 2000-6500 kJ /day aiming to achieve a 5-8kg wight loss during the first 12 weeks. This will be followed by 12 weeks of stabilisation.
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Intervention code [1]
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Lifestyle
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Comparator / control treatment
The control group will maintain their usual energy intake over the 16 week period.
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
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Changes cytochrome P450 metabolites of arachidonic acid in urine, plasma lipoproteins, and platelet membranes after intervention
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Assessment method [1]
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Timepoint [1]
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16 weeks
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Primary outcome [2]
255
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CYP-450 omega hydroxylase activity after intervention
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Assessment method [2]
255
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Timepoint [2]
255
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16 weeks
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Primary outcome [3]
256
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Weight after intervention
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Assessment method [3]
256
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Timepoint [3]
256
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16 weeks
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Primary outcome [4]
257
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Ambulatory BP and endothelial function after intervention
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Assessment method [4]
257
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Timepoint [4]
257
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16weeks
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Primary outcome [5]
258
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Glucose after intervention
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Assessment method [5]
258
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Timepoint [5]
258
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16 weeks
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Primary outcome [6]
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Lipids after intervention
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Assessment method [6]
259
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Timepoint [6]
259
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16 weeks
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Secondary outcome [1]
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Changes in serum insulin.
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Assessment method [1]
581
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Timepoint [1]
581
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16 weeks
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Secondary outcome [2]
582
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Changes in testosterone.
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Assessment method [2]
582
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Timepoint [2]
582
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16 weeks
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Secondary outcome [3]
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Changes in sex hormone binding globulin.
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Assessment method [3]
583
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Timepoint [3]
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16 weeks
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Secondary outcome [4]
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Plasma Resolvins
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Assessment method [4]
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Timepoint [4]
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Baseline and 16 weeks
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Eligibility
Key inclusion criteria
Men aged 20-70 years and women (post-menopausal not taking hormone replacement therapy) who are non-smokers and not taking medication will be recruited if they have a waist circumference > 102cm males, > 88cm females and blood pressure >120/85 mmHg In addition they may also have the following National Cholesterol Education Program (NECP) criteria :- triglycerides > 1.7 mol/l; HDL-C <1.04 males, <1.3 females; fasting glucose > 6.1.
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Minimum age
20
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
No exclusion criteria
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
central allocation by a statistician not involved in the trial
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
block randomisation using computer generated random numbers by Excel
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
This study does not use weight loss as a specific treament. Weight loss is the intervention used to alter our main outcome measures.
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
4/01/2005
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Actual
20/02/2005
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Date of last participant enrolment
Anticipated
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Actual
6/06/2006
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Date of last data collection
Anticipated
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Actual
12/12/2006
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Sample size
Target
40
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Accrual to date
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Final
40
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Recruitment in Australia
Recruitment state(s)
WA
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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National Heart foundation
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Address [1]
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411 King Street, Melbourne Victoria 3003
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Professor Ian Puddey
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Address
Faculty of Medicine and Dentistry University of Western Australia
Stirling Highway
Nedlands WA 6009
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Assoc Prof Kevin Croft
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Address [1]
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School of Medicine and Pharmacology University of Western Australia GPO Box X2213 Perth WA 6847
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Country [1]
207
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Australia
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Secondary sponsor category [2]
208
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Individual
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Name [2]
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Dr Anne Barden
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Address [2]
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School of Medicine and Pharmacology University of Western Australia GPO Box X2213 Perth WA 6847
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Country [2]
208
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Australia
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Secondary sponsor category [3]
209
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Individual
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Name [3]
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Professor Lawrie Beilin
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Address [3]
209
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School of Medicine and Pharmacology University of Western Australia GPO Box X2213 Perth WA 6847
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Country [3]
209
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
1123
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University of Western Australia
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Ethics committee address [1]
1123
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Stirling Hwy, Nedlands 6009
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Ethics committee country [1]
1123
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Australia
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Date submitted for ethics approval [1]
1123
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Approval date [1]
1123
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13/12/2004
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Ethics approval number [1]
1123
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RA/4/1/1131
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Summary
Brief summary
Overweight people are at risk of developing heart disease due to their predisposition of also having high blood pressure, high blood fats and high blood sugar levels. This project examines the role of certain fatty acid metabolites called cytochrome P450 metabolites of arachidonic acid (CYP-450AA) in conditions associated with being overweight. These fatty acid metabolites act on blood vessels causing them to constrict or dilate. In doing this they affect blood pressure regulation. Being overweight or obese makes people vulnerable to developing diabetes and cardiovascular disease. This study will examine CYP-450AA in overweight men and women before and after weight reduction compared with overweight volunteers who maintain their weight over the same time period. This will enable us to see if the levels of fatty acid metabolites that constrict blood vessels are altered and related to a fall in blood pressure after weight reduction. This project will help scientists decide how important these metabolites are for blood pressure regulation in overweight people.
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Trial website
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Trial related presentations / publications
17. Tsai IJ, Beilin LJ Puddey IB Croft, KD Barden A. Impaired ex vivo leukotriene B-4 production characterizes the metabolic syndrome and is improved after weight reduction. J Clin Endocrinol Metab, 2007; 92 : 4747-4752. 18.
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Public notes
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Contacts
Principal investigator
Name
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Prof Ian Puddey
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Address
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Medical School, University of Western Australia
Royal Perth Hospital Unit
MRF Building
Rear of 50 Murray St,
Perth. Western. Australia 6000
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Country
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Australia
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Phone
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+61 8 9224 0245
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Professor Ian Puddey
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Address
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Faculty of Medicine and Dentistry
University of Western Australia
Stirling Highway
Nedlands WA 6009
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Country
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Australia
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Phone
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+61 8 93463876
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Fax
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+61 8 93462369
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Anne Barden
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Address
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School of Medicine and Pharmacology
University of Western Australia
GPO Box X2213
Perth WA 6847
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Country
236
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Australia
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Phone
236
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+61 8 92240272
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Fax
236
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+61 8 92240246
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Email
236
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
information was confidential
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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