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Trial registered on ANZCTR
Registration number
ACTRN12614001112651
Ethics application status
Approved
Date submitted
7/10/2014
Date registered
20/10/2014
Date last updated
21/03/2022
Date data sharing statement initially provided
21/03/2022
Date results provided
21/03/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
Effect of spironolactone on brown fat activity in adult humans
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Scientific title
Effect of spironolactone on brown fat activity in healthy adult humans
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Secondary ID [1]
285442
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None
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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:
Obesity
293205
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Condition category
Condition code
Diet and Nutrition
293478
293478
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0
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
randomised double-blind placebo-controlled cross-over study of treatment with oral spironolactone 100mg daily for 2 weeks
and 2 weeks wash-out period.
The participants will return the drug bottles after each treatment period.
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Intervention code [1]
290375
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Treatment: Drugs
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Comparator / control treatment
Each participant will have placebo tablet once daily for 2 weeks as well as spironolactone 100mg once daily for 2 weeks in the random order
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Control group
Placebo
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Outcomes
Primary outcome [1]
293301
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Brown Fat volume changes on 18FDG-PET-CT scan
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Assessment method [1]
293301
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Timepoint [1]
293301
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after two weeks of placebo and after two weeks of spironolactone
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Primary outcome [2]
293353
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Brown fat activity changes on PET-CT
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Assessment method [2]
293353
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Timepoint [2]
293353
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after two weeks of placebo and after two weeks of spironolactone
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Secondary outcome [1]
310766
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Changes in resting energy expenditure using indirect calorimetry
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Assessment method [1]
310766
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Timepoint [1]
310766
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after two weeks of placebo and after two weeks of spironolactone
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Secondary outcome [2]
310893
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Changes in diet-induced thermogenesis using indirect calorimetry
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Assessment method [2]
310893
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Timepoint [2]
310893
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after two weeks of placebo and after two weeks of spironolactone
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Eligibility
Key inclusion criteria
healthy adults aged 18-50 years old, BMI<35
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Minimum age
18
Years
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Maximum age
50
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
Pregnancy
eGFR <60
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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)
double-blind random sequence of allocation with allocation concealment will be used, ie. Blinded investigator will randomly select a pre-packed, numbered envelope containing two bottles of study medications (one bottle containing active medication, one bottle containing placebo which are marked as bottle A or bottle B and packed by a research staff not involved in this study), and this will be allocated to the participant and recorded in study medication logs.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
block randomisation (half of the group getting placebo first, half of the group getting active medication first) was used in packing by non-investigator, followed by random allocation by a blinded investigator
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
According to a study, a sample size of 5 is required to show a significance at 0.05 with 80% power to detect change in BAT activity. 8-9 of 12 subjects is anticipated to be BAT positive, which will allow the effect of drug intervention to be examined. The sample size was further adjusted for a drop-out rate of 10% at each time point.
Paired t-test will be used to analyse the changes in study outcomes at each time point mentioned.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
15/01/2015
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Actual
1/04/2016
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Date of last participant enrolment
Anticipated
30/06/2017
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Actual
28/10/2016
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Date of last data collection
Anticipated
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Actual
30/11/2016
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Sample size
Target
12
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Accrual to date
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Final
10
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
3037
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Princess Alexandra Hospital - Woolloongabba
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Recruitment postcode(s) [1]
8802
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4102 - Woolloongabba
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Funding & Sponsors
Funding source category [1]
290059
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Charities/Societies/Foundations
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Name [1]
290059
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Princess Alexandra Hospital Research Support Scheme
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Address [1]
290059
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Ipswich Road, Woolloongabba, Qld 4102
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Country [1]
290059
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Australia
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Primary sponsor type
Individual
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Name
Professor Ken Ho
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Address
Level 7, Translational Research Institute
37 Kent Street,
Woolloongabba, Queensland 4102
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Country
Australia
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Secondary sponsor category [1]
288748
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Individual
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Name [1]
288748
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Dr Moe Thuzar
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Address [1]
288748
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Level 5, Translational Research Institute
37 Kent Street,
Woolloongabba, Qld 4102
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Country [1]
288748
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Australia
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Other collaborator category [1]
278175
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Individual
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Name [1]
278175
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A/Professor Michael Stowasser
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Address [1]
278175
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Hypertension unit,
Princess Alexandra Hospital
199 Ipswich Road,
Woolloongabba, Qld 4102
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Country [1]
278175
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Australia
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Other collaborator category [2]
278176
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Individual
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Name [2]
278176
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Dr Phillip Law
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Address [2]
278176
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Department of Radiology/Molecular Imaging
Princess Alexandra Hospital
199 Ipswich Road,
Woolloongabba, Qld 4102
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Country [2]
278176
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Australia
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Other collaborator category [3]
278177
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Individual
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Name [3]
278177
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Dr Goce Dimeski
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Address [3]
278177
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Department of Chemical Pathology
Princess Alexandra Hospital
199 Ipswich Road,
Woolloongabba, Qld 4102
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Country [3]
278177
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
291763
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Metro South Health Service District Human Research Ethics Committee
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Ethics committee address [1]
291763
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Level 7, Translational Research Institute 37 Kent Street, Woolloongabba, Qld 4102
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Ethics committee country [1]
291763
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Australia
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Date submitted for ethics approval [1]
291763
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13/10/2014
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Approval date [1]
291763
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23/01/2015
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Ethics approval number [1]
291763
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Summary
Brief summary
Brown fat, unlike ordinary 'white' fat , functions like generators, burning fat to produce heat and dissipate energy. Brown fat protects animals against cold and from developing obesity. In humans it was previously believed that brown fat disappears after infancy. However, research including our own has shown that brown fat is present in most if not all adult humans and is located mainly around the neck. Brown fat activity in humans is detected by a PET scan based on uptake of glucose that is tagged with a small amount of radioactivity. This is a widely used diagnostic method in medicine. Brown fat is more abundant in lean than in obese individuals. Stimulating its activity may be a simple way of controlling body weight in humans. Apart from the cold exposure, very little is known about what can activate brown fat in humans. Our research aims to identify agents that can activate brown fat in humans. Aldosterone is a mineralocorticoid hormone produced from the adrenal glands. In animals, it was found that aldosterone suppresses the activity of brown fat and blocking aldosterone action by a medication called spironolactone increases brown fat activity. In this study, we will study the regulation of brown fat activity by spironolactone in humans and its metabolic significance
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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
51866
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Prof Ken Ho
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Address
51866
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Level 7, Translational Research Institute
37 Kent Street
Woolloongabba, Queensland 4102
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Country
51866
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Australia
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Phone
51866
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+61 7 3443 8066
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Fax
51866
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Email
51866
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[email protected]
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Contact person for public queries
Name
51867
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Moe Thuzar
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Address
51867
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Level 5, Translational Research Institute
37 Kent Street
Woolloongabba, Queensland 4102
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Country
51867
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Australia
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Phone
51867
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+61 7 3443 7944
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Fax
51867
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Email
51867
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[email protected]
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Contact person for scientific queries
Name
51868
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Ken Ho
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Address
51868
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Level 7, Translational Research Institute
37 Kent Street
Woolloongabba, Queensland 4102
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Country
51868
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Australia
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Phone
51868
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+61 7 3443 8066
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Fax
51868
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Email
51868
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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
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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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