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Trial registered on ANZCTR
Registration number
ACTRN12615000688583
Ethics application status
Approved
Date submitted
22/09/2014
Date registered
2/07/2015
Date last updated
2/07/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
A study on energy-burning effect of brown fat in humans
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Scientific title
Brown Adipose Tissue Thermogenesis in Healthy Humans
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Secondary ID [1]
285380
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
BATTMAN
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Obesity
293113
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Diabetes
293114
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Condition category
Condition code
Metabolic and Endocrine
293384
293384
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0
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Metabolic disorders
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Diet and Nutrition
293385
293385
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0
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Obesity
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Metabolic and Endocrine
293613
293613
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This is an interventional study examining the relation between brown fat activity and glucose/energy homeostasis.
It involves two half-day studies (4 hours), 1 week apart, measuring brown fat quantity, energy burning rate and hormone levels. Volunteers will be exposed to i) mild cold (between 12 to 19 degree celcius - a personalised temperature in which volunteers feel cool but are no shivering) and also ii) be given 75 g of glucose as a drink to examine effect of cold and glucose on brown fat activity.
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Intervention code [1]
290293
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Other interventions
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Comparator / control treatment
Glucose/energy metabolism is compared between individuals with different brown fat quantity and activity. No comparison will be made between different temperatures or before/after food.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Glucose tolerance by standard oral glucose tolerance test.
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Assessment method [1]
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Timepoint [1]
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Conducted at time 0, 60 and 120 minutes at each visit
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Secondary outcome [1]
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Adipokine profile by serum assay
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Assessment method [1]
310606
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Timepoint [1]
310606
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At time 0, 60 and 120 minutes at each visit
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Secondary outcome [2]
314840
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Brown fat quantity assessed by PET scanning
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Assessment method [2]
314840
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Timepoint [2]
314840
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At time 120 minutes of each visit
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Secondary outcome [3]
314841
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Energy burning rate by indirect calorimetry
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Assessment method [3]
314841
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Timepoint [3]
314841
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At time 0, 60 and 120 minutes of each visit
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Eligibility
Key inclusion criteria
Healthy volunteers
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Minimum age
18
Years
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Maximum age
40
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Body mass index > 30 kg/m2.
Significant cardiac, respiratory, thyroid, renal and/or hepatic dysfunction
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
i) Exposure to mild cold temperature during PET/CT scanning
ii) oral glucose drink (75g glucose)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
All volunteers are exposed to same mild cold and glucose drink.
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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
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Unpaired t-tests and ANOVA between variables.
Our pilot data revealed an increase in BAT activity by 9+/-6% (mean +/- standard deviation) following exposure to mild cold condition. Using a two-tailed paired t-test, with a=0.05, and 1-beta =0.8 (power), calculated sample size is N=10. However we are comparing the difference in energy metabolism between brown fat positive and negative individuals. We thus refine sample size calculation based on the more conservative difference in energy expenditure. A total of 14 volunteers will be required to detect a decrease in ~7+/-6% of BAT-related metabolic activity at a two-sided 0.05 significance level with a probability of 80%. Given potential differences between men and women, and to ensure attainment of a final sample size of 14, we have increased the accrual ceiling and will recruit a total of 30 subjects (50% men). This decision takes into consideration potential screening failure.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/04/2014
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Actual
28/05/2014
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Date of last participant enrolment
Anticipated
31/07/2015
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
3008
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St Vincent's Hospital (Darlinghurst) - Darlinghurst
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Funding & Sponsors
Funding source category [1]
289990
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Charities/Societies/Foundations
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Name [1]
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Diabetes Australia Research Trust (DART) grant
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Address [1]
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Level 1, 101 Northbourne Avenue TURNER ACT 2612
GPO Box 3156 CANBERRA ACT 2601
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Country [1]
289990
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Garvan Institute of Medical Research
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Address
384 Victoria Street
Darlinghurst
Sydney, NSW 2010
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Country
Australia
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Secondary sponsor category [1]
288675
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Hospital
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Name [1]
288675
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St Vincent's Hospital, Sydney
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Address [1]
288675
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380 Victoria Street
Darlinghurst
NSW 2010
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Country [1]
288675
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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St Vincent's Hospital HREC
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Ethics committee address [1]
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Level 6 deLacy Building St Vincent's Research Office St Vincent's Hospital 380 Victoria Street Darlinghurst NSW 2010
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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27/01/2014
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Approval date [1]
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11/02/2014
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Ethics approval number [1]
291698
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HREC/13/SVH/377
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Summary
Brief summary
Obesity is a major health issue worldwide. Despite global research efforts, effective treatments for obesity are limited. There are two kinds of fat in the body: white fat and brown fat. White fat functions mainly as an energy-storing organ and in excess results in obesity and complications such as diabetes and high blood pressure. Brown fat on the other hand releases the energy stored in fat as heat. It protects small animals and newborn human infants from cold temperatures. New imaging techniques have revealed brown fat to be present in significant amount in adult humans. Using special metabolic imaging, called PET scanning, brown fat is shown to be more abundant in lean individuals with lower blood glucose levels, suggesting that brown fat may regulate energy balance and metabolism. In animals, cold temperature and food both stimulate brown fat, resulting in release of energy. This is called adaptive thermogenesis, and it represents a considerable portion of total daily energy expenditure. Whether brown fat controls adaptive thermogenesis in humans is unclear. This is clinically relevant because if brown fat regulates adaptive thermogenesis in humans, strategies can be developed to stimulate brown fat to increase energy expenditure, which may be a new method to help attain weight control and develop treatment of obesity-related disorders. In order to determine the physiologic significance of brown fat activation, we designed a study investigating the effects of cold exposure and food on brown fat in humans. We hypothesize that adaptive thermogenesis in adult humans can be activated by cold or food, and the extent depends on individual brown fat abundance. Brown fat activity can be increased by cold stimulation, which could result in beneficial metabolic changes in the body. The aims of the current project are to: 1) determine relationship between brown fat and adaptive thermogenesis 2) investigate the underlying hormonal mechanisms and significance of brown fat activation Brown fat abundance will first be measured by PET scanning during mild cold condition. Volunteers then undergo metabolic and hormonal testing at standard ambient temperature (24 degrees). A parallel study will examine brown fat biopsies obtained during elective neck surgery to investigate mechanisms underlying brown fat activation. Significance: Based on its role in energy homeostasis and protection against obesity in animals, brown fat is likely to have a similar role in adult humans. Determining the contribution of brown fat to energy metabolism may lead to novel treatment strategies of obesity.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Paul Lee
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Address
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Garvan Institute of Medical Research
384 Victoria Street
Darlinghurst
NSW 2010
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Country
51606
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Australia
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Phone
51606
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+61 2 9295 8416
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Fax
51606
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+61 2 9295 8481
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Email
51606
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[email protected]
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Contact person for public queries
Name
51607
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Paul Lee
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Address
51607
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Garvan Institute of Medical Research
384 Victoria Street
Darlinghurst
NSW 2010
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Country
51607
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Australia
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Phone
51607
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+61 2 9295 8416
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Fax
51607
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+61 2 9295 8481
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Email
51607
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[email protected]
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Contact person for scientific queries
Name
51608
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Paul Lee
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Address
51608
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Garvan Institute of Medical Research
384 Victoria Street
Darlinghurst
NSW 2010
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Country
51608
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Australia
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Phone
51608
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+61 2 9295 8416
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Fax
51608
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+61 2 9295 8481
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Email
51608
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[email protected]
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No information has been provided regarding IPD availability
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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