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CompletedNCT01105143Updated Dec 20, 2017

Effects of Negative Energy Balance on Muscle Mass Regulation

An interventional study of multimodal lifestyle intervention and placebo in Weight Loss, Obesity and Skeletal Muscle, sponsored by Charite University, Berlin, Germany. Completed at 1 site in Germany. Open to female participants aged 40 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-12-20.

Sponsored by Charite University, Berlin, Germany · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
81
Allocation
Randomized
Ages
40 Years to 80 Years
Sex
Female
01

Study summary

The investigators here propose to perform a prospective randomized intervention trial in post-menopausal women to investigate the endocrine network, which contributes to the changes in skeletal muscle mass during weight loss.

02

Conditions studied

  • Weight Loss
  • Obesity
  • Skeletal Muscle
  • Insulin Sensitivity/Resistance

Keywords

  • weight loss
  • muscle mass
03

In context

Insulin Resistance

1,960 studies on the registry are indexed under Insulin Resistance; 306 are open to participants now.

This study's enrollment of 81 is above the median of 40 across 1,536 interventional studies indexed under Insulin Resistance.

Browse Insulin Resistance studies →

Lead sponsor

Charite University, Berlin, Germany is the lead sponsor of 836 studies on the registry; 129 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 80 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • BMI > 27 kg/m2 (adults)
  • postmenopausal state

Exclusion criteria

Exclusion criteria:

  • weight loss of more than 5kg in the last 2 months x
  • unhealthy patients with: severe chronic diseases including cancer within the last 5 years, severe heart disease, severe impairment of hepatic or renal function, severe anaemia or disturbed coagulation
  • eating disorders or any other psychiatric condition that would interact with the trial intervention
  • malabsorption
  • acute or chronic infections
  • severe hypertension
  • myopathy
  • food allergies
  • any other uncontrolled endocrine disorder
  • changes of smoking habits, diets or medication that strongly affects energy homeostasis within the last 3 months prior to study inclusion
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
81 participants (actual)

Study arms

  • Active comparator
    lifestyle intervention

    Multimodal lifestyle intervention to reduce body weight

    Behavioral: multimodal lifestyle intervention

  • Placebo comparator
    placebo

    placebo

    Behavioral: placebo

Interventions

  • Behavioralmultimodal lifestyle intervention

    multimodal lifestyle intervention will be performed to reduce body weight

  • Behavioralplacebo

    no intervention, only follow up

06

What researchers measure

Primary outcomes

  1. Changes of myocellular insulin sensitivity (hyperinsulinemic clamp) during negative energy balance and during stabilized modification of body composition after weight loss.

    Analysis of myocellular insulin sensitivity by hyperinsulinemic clamp in mg•kg-1•min-1/(mU•L-1)

    Time frame: 4 months

  2. Changes of skeletal muscle mass (air displacement plethysmography) during negative energy balance and during stabilized modification of body composition after weight loss.

    Analysis of muscle mass (in % of body weight)

    Time frame: 4 months

Secondary outcomes

  1. Effects on energy expenditure

    Measurement of energy expenditure (kcal/d), postprandial thermogenesis (%) and respiratory coefficient

    Time frame: 4 months

  2. Effects on myocellular and adipose tissue metabolism and substrate utilization

    Measurement of myocellular and adipose metabolism using microdialysis (glycerol (µmol/l), lactate (mmol/l), pyruvate (µmol/l), glucose (mmol/l)) during oral glucose load (180 minutes)

    Time frame: 4 months

  3. Effects on myocellular and adipose tissue mRNA expression

    Analysis of myocellular and adipose mRNA expression (RNA sequencing) in counts

    Time frame: 4 months

  4. Weight regain

    Analysis of body weight regain (BMI; kg/m2) during follow up

    Time frame: 24 months

  5. Fat mass

    Analysis of body fat (kg and %)

    Time frame: 24 months

  6. Measurement of human gut microbiome at baseline, during weight loos, after weight loss (negative energy balance) and during stabilized modification of body composition 4 weeks after weight loss

    16S rRNA sequencing and/or shotgun metagenomic pyrosequencing of the gut microbiota for assessment of microbiota composition and gene abundances.

    Time frame: 4 months

Other outcomes

  1. FFA during negative energy balance and during stabilized modification of body composition after weight loss.

    Measurement of fatty acids at baseline, during negative energy balance, during stabilized modification of body composition after weight loss and during follow up.

    Time frame: 12 months

  2. Metanephrines during negative energy balance and during stabilized modification of body composition after weight loss.

    Measurement of metanephrines at baseline, during negative energy balance, during stabilized modification of body composition after weight loss and during follow up.

    Time frame: 12 months

  3. Leptin during negative energy balance and during stabilized modification of body composition after weight loss.

    Measurement of leptin at baseline, during negative energy balance, during stabilized modification of body composition after weight loss and during follow up.

    Time frame: 12 months

  4. Cortisol during negative energy balance and during stabilized modification of body composition after weight loss.

    Measurement of cortisol at baseline, during negative energy balance, during stabilized modification of body composition after weight loss and during follow up.

    Time frame: 12 months

  5. Follistatin during negative energy balance and during stabilized modification of body composition after weight loss.

    Measurement of follistatin at baseline, during negative energy balance, during stabilized modification of body composition after weight loss and during follow up.

    Time frame: 12 months

  6. Adiponectin during negative energy balance and during stabilized modification of body composition after weight loss.

    Measurement adiponectin at baseline, during negative energy balance, during stabilized modification of body composition after weight loss and during follow up.

    Time frame: 12 months

  7. Natriuretic peptide during negative energy balance and during stabilized modification of body composition after weight loss.

    Measurement of natriuretic peptide at baseline, during negative energy balance, during stabilized modification of body composition after weight loss and during follow up.

    Time frame: 12 months

  8. IGF-1 during negative energy balance and during stabilized modification of body composition after weight loss.

    Measurement of IGF-1 at baseline, during negative energy balance, during stabilized modification of body composition after weight loss and during follow up.

    Time frame: 12 months

  9. Analysis of predictive impact of several hormonal and metabolic parameters on body weight regain, course of insulin sensitivity and metabolism

    The effect of measured parameters (see other endpoints) on long-term course of BMI, muscle mass, insulin sensitivity and energy expenditure will be analyzed using mathematical models

    Time frame: 24 months

07

Study locations

1 site
  • Charite
    Berlin, 10117, Germany
08

References and documents

Publications

  • Sbierski-Kind J, Grenkowitz S, Schlickeiser S, Sandforth A, Friedrich M, Kunkel D, Glauben R, Brachs S, Mai K, Thurmer A, Radonic A, Drechsel O, Turnbaugh PJ, Bisanz JE, Volk HD, Spranger J, von Schwartzenberg RJ. Effects of caloric restriction on the gut microbiome are linked with immune senescence. Microbiome. 2022 Apr 4;10(1):57. doi: 10.1186/s40168-022-01249-4. PubMed 35379337 ↗
  • Koppel N, Bisanz JE, Pandelia ME, Turnbaugh PJ, Balskus EP. Discovery and characterization of a prevalent human gut bacterial enzyme sufficient for the inactivation of a family of plant toxins. Elife. 2018 May 15;7:e33953. doi: 10.7554/eLife.33953. PubMed 29761785 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 20, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01105143
Lead sponsor
Charite University, Berlin, Germany
Collaborators
German Research Foundation
Responsible party
Professor Joachim Spranger (Professor, Charite University, Berlin, Germany) — Principal investigator
First posted
Apr 16, 2010
Start date
Mar 2012
Primary completion
May 2015
Completion
May 2017
Last update
Dec 20, 2017

Study contacts

Knut Mai, Prof
principal investigator · Charite

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2017. You cannot join it, but the record below documents what was studied.

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