ClinicalTrials.gg
Status unknownNCT02838277INSIGHTUpdated Sep 15, 2017

Insight Into Subcutaneous Adipose Tissue Disorders

An observational study in Lipedema, Dercum's Disease and Familial Multiple Lipomatosis, sponsored by University of Arizona. Status unknown at 1 site in United States. Open to participants aged 19 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-09-15.

Sponsored by University of Arizona · Observational

The sponsor has not verified this record recently (last verified Sep 2017), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
500
Ages
19 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 16 studies in Lipedema with a site in United States — 2 open to participants now, 3 under way, none of them phase 3. Lipedema · United States.

Started
2016
with 1 other
Observational
7 of 16
2 open now
Registered
2nd of 16
by date
Lead sponsor
2 of 16
University of Arizona

Among the 16 studies in Lipedema with a site in United States, this one is one of 2 that started in 2016, is one of 7 observational ones, and was the 2nd registered.

Lipedema

85 studies on the registry are indexed under Lipedema; 32 are open to participants now.

This study's planned enrollment of 500 is above the median of 90 across 42 observational studies indexed under Lipedema.

Browse Lipedema studies →

Open to participants now

2 of the 16 studies in Lipedema with a site in United States are open now, in 1 country. Each count lists the studies.

All 2 open studies →

Where they have run

Who these studies take

Of the 19 Lipedema studies recruiting now, 3 (16%) set no upper age limit and 16 (84%) stop at 75 or younger; 0 take children under 18; 4 take healthy volunteers.

This study: 19 Years to 70 Years · all sexes · healthy volunteers too.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 16 studies in Lipedema with a site in United States, or all of them as a file.
02

Study summary

The INSIGHT study aims to phenotype individuals with subcutaneous adipose tissue (SAT) disorders specifically lipedema and Dercum's disease with an aim to find a cure for the SAT in these disorders that is resistant to diet and exercise.

Read the detailed description

Lipedema is a syndrome of painful fatty enlargement of the buttocks, hips and thighs primarily in women which cannot be lost by diet, exercise or bariatric surgery. Arms are affected in 80% of women with lipedema to varying degrees. The etiology of lipedema is not known and there are no evidence-based treatments that work for a majority of individuals except for excision of the subcutaneous adipose tissue (SAT) by liposuction which has risks. Millions of women are affected with lipedema yet they are grossly under-diagnosed, have mobility issues and can develop lymphedema. The goal of this project is to better understand the etiology of lipedema SAT, find out how it is different from non-lipedema SAT, to improve our ability to identify the abnormal SAT and determine the response of the tissue to therapeutics by imaging and biomarkers. People with diffuse Dercum's disease (DD) appear to have lipedema plus a tissue inflammation that causes illness and pain. People with SAT disorders that have similarities to lipedema will also be included in this protocol. More research is needed to determine how these fatty disorders are similar and different from each other and from obesity so they can be distinguished clinically and by laboratory testing and imaging. Since these painful fatty disorders are associated with SAT growth, research focused on these disorders may provide unique insight into mechanisms of obesity.

03

Conditions studied

  • Lipedema
  • Dercum's Disease
  • Familial Multiple Lipomatosis
  • Madelung's Disease

Browse trials for

Keywords

  • lymphatic vessels
  • leaky vessels
  • hypertrophic adipocyte
04

Who can participate

Ages eligible
19 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Men and women with lipedema and Dercum's disease and controls.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Ambulatory males and/or females of any race able to understand the consent process.
  2. 19-70 years of age.
  3. Diagnosis of lipedema, Dercum's disease or familial multiple lipomatosis or other similar fat disorder.
  4. Individuals without a fat disorder (will be matched by age, sex, race and to individuals in "2").
  5. Weight stable for past three months within a 10 pound range per personal report of the subject.
  6. Overweight or obese (BMI > 26 kg/m2) in order to be able to get enough SAT for the .
  7. Individuals with BMI \< 26 kg/m2 may participate in all aspects of the study protocol except the SAT biopsy.
  8. Thyroid levels in the normal range as confirmed by a TSH level. May have treated hypothyroidism that is stable over 6 months.

Exclusion criteria

Exclusion Criteria:

  1. infection (because of the associated lipodystrophy and fatty growths [lipomas]).
  2. Subjects will be excluded from having a SAT with any history of scleroderma, keloid formation or other skin condition that would result in substantial scarring after biopsy, a history of recurrent cellulitis, any history of bleeding diathesis that would place the subject at great risk for persistent bleeding after a biopsy/liposuction, any history of major complication after a previous biopsy including requirement of a blood transfusion, hospitalization, failure to heal, or major infection, requiring intravenous antibiotics, or anyone whose skin and tissue would put them at risk for an infection after the biopsy per the assessment of study staff and the principal investigator. These individuals may participate in the remainder of the protocol, just not the SAT biopsy.
  3. Use of any or medication.
  4. Use of any anti-inflammatory medication such as NSAIDs, aspirin, histamine (H) 1 blocker, H2 blocker, tetracycline or corticosteroids within five days of the study procedure visit.
  5. Use of medications that might cause weight gain (e.g., second generation anti-psychotics).
  6. Blood donation less than 56 days prior to screening visit.
  7. Tobacco or marijuana use which may alter inflammation in the body.
  8. Any antibiotics within the last month.
  9. Barium enema in the last week which would affect gut bacteria and the MRI.
  10. Pregnancy due to the risks associated with the fat biopsy in the area of the fetus and because pregnancy will alter hormone levels.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
500 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Lipedema

    Women with all stages of lipedema

  • Dercum's disease

    Men and women with nodular, mixed and diffuse Dercum's disease

  • Control

    Sex, age and BMI matched controls.

  • Familial Multiple Lipomatosis

    Women and men with multiple lipomas and/or angiolipomas

  • Madelung's disease

    Men and women with different types of Madelung's disease.

06

What researchers measure

Primary outcomes

  1. Transcriptomics of all enrolled subjects from a single timepoint to assess for changes in gene expression in lipedema tissue compared to controls

    This is a phenotyping study that collects data as a single time point though studies may occur on different days.

    Time frame: Single time point study with imaging, blood draw, exam and biopsies over multiple days for a total of approximately 8 hours time.

  2. Metabolomics of all enrolled subjects from a single timepoint to assess for changes in metabolites in lipedema tissue compared to controls

    This is a phenotyping study that collects data as a single time point though studies may occur on different days.

    Time frame: Single time point study with imaging, blood draw, exam and biopsies over multiple days for a total of approximately 8 hours time.

  3. Lipidomics of all enrolled subjects from a single timepoint to assess for changes in lipid particles in lipedema tissue and blood compared to controls

    This is a phenotyping study that collects data as a single time point though studies may occur on different days.

    Time frame: Single time point study with imaging, blood draw, exam and biopsies over multiple days for a total of approximately 8 hours time.

  4. Cytokines of all enrolled subjects from a single timepoint to assess for changes in cytokine arrays in lipedema tissue and blood compared to controls

    This is a phenotyping study that collects data as a single time point though studies may occur on different days.

    Time frame: Single time point study with imaging, blood draw, exam and biopsies over multiple days for a total of approximately 8 hours time.

  5. Myostatin of all enrolled subjects from a single timepoint to assess for levels of myostatin in lipedema tissue and blood compared to controls

    This is a phenotyping study that collects data as a single time point though studies may occur on different days.

    Time frame: Single time point study with imaging, blood draw, exam and biopsies over multiple days for a total of approximately 8 hours time.

07

Study locations

1 of 1 sites recruiting
  • University of Arizona College of Medicine (South Campus)
    Tucson, Arizona 85714, United States
    Recruiting
    • Christopher L Ussery, MS · Contacttreatprogram@deptofmed.arizona.edu · 520-626-7689
    • Karen L Herbst, MD, PhD · Principal investigator
    • Sara Al-Ghadban, PhD · Sub investigator
08

References and documents

Publications

  • Allen M, Schwartz M, Herbst KL. Interstitial Fluid in Lipedema and Control Skin. Womens Health Rep (New Rochelle). 2020 Oct 14;1(1):480-487. doi: 10.1089/whr.2020.0086. eCollection 2020. PubMed 33786515 ↗

Individual participant data

Plan to share: Yes — The data will be shared with investigators who submit a request.

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jun 2016, a primary completion of Jun 2018 and a completion of Dec 2018. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 28, 2016
First posted
Jul 20, 2016
Start
Jun 2016
Primary completionEst.
Jun 2018
CompletionEst.
Dec 2018
Last update
Sep 15, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 15, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02838277
Collaborators
Lipedema Foundation
Responsible party
KHerbst (Associate Professor, University of Arizona) — Principal investigator
First posted
Jul 20, 2016
Start date
Jun 2016
Primary completion
Jun 2018 (estimated)
Completion
Dec 2018 (estimated)
Last update
Sep 15, 2017

Study contacts

Karen L Herbst, PhD, MD
Contact
karenherbst@deptofmed.arizona.edu
5206267689
Christopher Ussery, MS
Contact
cussery@email.arizona.edu
5206267689
Karen L Herbst, PhD, MD
principal investigator · University of Arizona

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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