CClinicalTrials.gg
CompletedNCT06426017Updated Oct 3, 2024

Impact of FTO Gene Variation on Body Composition, Lipid Profile, Insulin Resistance, Advanced Glycation End-Products and Ghrelin Levels in Response to Hypocaloric, Protein Rich-Diet

An interventional study of High Protein Low Calorie Dietary Intervention in Obesity, Insulin Resistance and Dyslipidemias, sponsored by Khyber Medical University Peshawar. Completed at 2 sites in Pakistan. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-10-03.

Sponsored by Khyber Medical University Peshawar · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
110
Allocation
Not applicable
Ages
18 Years to 50 Years
Sex
All
01

Study summary

Obesity is a widespread disease that basically develops from unhealthy lifestyle and genetics. The Fat-mass and obesity associated (FTO) gene affects appetite and energy intake of the body, thus elevating fat mass and body weight. The single nucleotide polymorphism (SNP) rs9939609 of the FTO gene is a common variant in different ethnic groups, and its A allele is associated with increased body mass and waist circumference. Hence, the carriers of rs9939609 SNP are prone to weight gain if a healthy diet and lifestyle are not maintained. Similarly, high levels of serum cholesterol and triglycerides, while low levels of high-density lipoproteins are observed in carriers of rs9939609 AA genotype. For individuals having FTO rs9939609 A allele, consumption of hypocaloric diets (1500 kcal/day) consisting of high protein foods up to 25-30% of total daily energy intake might help reduce body weight. However, weight loss tends to vary in individuals after consuming the same diet under similar environmental conditions, so it is important to know the effect of different genotypes that might cause this variation. The study aimed to genotype overweight and obese adults for FTO rs9939609 polymorphism and to determine the effect of this polymorphism on body weight, BMI, waist and hip circumferences, lipid profile, insulin sensitivity, ghrelin levels, inflammatory markers and advanced glycation end-products in these individuals after consumption of a hypocaloric, high-protein diet for 4 weeks.

02

Conditions studied

  • Obesity
  • Insulin Resistance
  • Dyslipidemias
  • Advance Glycation
  • Inflammation

Keywords

  • Satiety
  • Food Intake
  • High protein diet
  • Obesity
  • FTO rs9939609
  • Ghrelin
  • Carboxymethyl lysine
  • Interleukin-6
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 110 is above the median of 40 across 1,536 interventional studies indexed under Insulin Resistance.

Browse Insulin Resistance studies →

Lead sponsor

Khyber Medical University Peshawar is the lead sponsor of 53 studies on the registry; 12 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • 1Overweight (BMI ≥ 25kg/m2) and obese (BMI ≥ 30kg/m2) individuals.
  • Both genders.
  • Age 18-50 years.

Exclusion criteria

Exclusion Criteria:

  • Children, pregnant and lactating women
  • Individuals taking medication for weight loss or undergoing any other weight loss dietary intervention.
  • Individuals having lost more than 5 pounds in the past three-month period.
  • Patients with any psychiatric disorders, heart, liver, kidney disease, diabetes or abnormal thyroid function.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
110 participants (actual)

Study arms

  • Experimental
    High Protein Low Calorie Diet

    3 meals/day consumed by the participants with daily caloric intake of 800 kcal. 40-60% of the total calories added from both animal and plant proteins. 30% of the total calories added from fats. 20% of the total calories added from carbohydrates.

    Other: High Protein Low Calorie Dietary Intervention

Interventions

  • OtherHigh Protein Low Calorie Dietary Intervention

    High Protein Diet: Diet consisting of 40-60% total energy from proteins, \<20% total energy from carbohydrates and \<30% total energy from fats.

06

What researchers measure

Primary outcomes

  1. Body Composition

    Body composition will be measured using Bioimpedance scale which will include percent body fatness, muscle mass, total body water, bone mass and body protein status.

    Time frame: Day 0 and day 29

  2. Lipid Profile

    Lipid profile will include concentration of total cholesterol, HDL cholesterol, LDL cholesterol and triglycerides in blood and measured in mg/dl.

    Time frame: Day 0 and day 29

  3. Waist Circumference

    Waist circumference will measured in cm using a non-stretchable tape.

    Time frame: Day 0 and day 29

  4. Hip Circumference

    Hip circumference will measured in cm using a non-stretchable tape.

    Time frame: Day 0 and day 29

  5. HOMA-IR

    HOMA-IR (Homeostatic Model Assessment for Insulin Resistance) will be reported in pmol/L.

    Time frame: Day 0 and day 29

  6. Serum Carboxymethyl lysine levels (CML)

    Sreum concentration of Carboxymethyl lysine (CML) will be used an advanced glycation endproduct (AGE) marker and expressed in ng/mL.

    Time frame: Day 0 and day 29

  7. Serum Interleukinin-6 (IL-6)

    Serum Interleukinin-6 (IL-6) will be used as marker of inflammation pg/mL.

    Time frame: Day 0 and day 29

  8. Serum Hunger Hormone- Ghrelin

    Serum Hunger Hormone- Ghrelin will be used to asses satiety related sensation and expressed as pmol/l.

    Time frame: Day 1(Fasting and postprandial), Day 7(Fasting and postprandial) and Day 28(Fasting and postprandial).

  9. Body Mass Index (BMI)

    Body weight will be measured in Kg. Height will be measure in cm. Weight and height will be used to calculate body mass index (BMI) to report in Kg/m\^2

    Time frame: Day 0 and day 29

  10. Waist-to-Hip Ratio (WHR)

    Waist and Hip Circumference will be measured in cm. These two measures will be used to calculate waist-to-hip ratio (WHR) as waist measurement divided by hip measurement (W⁄H).

    Time frame: Day 0 and Day 29

07

Study locations

2 sites
  • Khyber Medical University
    Peshawar, KPK 25100, Pakistan
  • Trial Room Institute of Basic Medical Sciences
    Peshawar, KPK 25100, Pakistan
08

References and documents

Publications

  • Rexrode KM, Carey VJ, Hennekens CH, Walters EE, Colditz GA, Stampfer MJ, Willett WC, Manson JE. Abdominal adiposity and coronary heart disease in women. JAMA. 1998 Dec 2;280(21):1843-8. doi: 10.1001/jama.280.21.1843. PubMed 9846779 ↗
  • McMillan DC, Sattar N, McArdle CS. ABC of obesity. Obesity and cancer. BMJ. 2006 Nov 25;333(7578):1109-11. doi: 10.1136/bmj.39042.565035.BE1. No abstract available. PubMed 17124223 ↗
  • Karra E, O'Daly OG, Choudhury AI, Yousseif A, Millership S, Neary MT, Scott WR, Chandarana K, Manning S, Hess ME, Iwakura H, Akamizu T, Millet Q, Gelegen C, Drew ME, Rahman S, Emmanuel JJ, Williams SC, Ruther UU, Bruning JC, Withers DJ, Zelaya FO, Batterham RL. A link between FTO, ghrelin, and impaired brain food-cue responsivity. J Clin Invest. 2013 Aug;123(8):3539-51. doi: 10.1172/JCI44403. Epub 2013 Jul 15. PubMed 23867619 ↗
  • Zou ZC, -J Mao L, Shi YY, Chen JH, Wang LS, Cai W. Effect of exercise combined with dietary intervention on obese children and adolescents associated with the FTO rs9939609 polymorphism. Eur Rev Med Pharmacol Sci. 2015 Dec;19(23):4569-75. PubMed 26698254 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 3, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06426017
Lead sponsor
Khyber Medical University Peshawar
Responsible party
Bibi Hajira (Assistant Professor, Khyber Medical University Peshawar) — Principal investigator
First posted
May 23, 2024
Start date
May 1, 2024
Primary completion
Aug 25, 2024
Completion
Aug 25, 2024
Last update
Oct 3, 2024

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 completed, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion