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Trial registered on ANZCTR
Registration number
ACTRN12615000655549
Ethics application status
Approved
Date submitted
26/05/2015
Date registered
25/06/2015
Date last updated
25/06/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
The efficacy of the Royal Melbourne Hospital Obesity Clinic in the treatment of obesity in the Victorian adult population.
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Scientific title
Adults referred to the RMH Obesity clinic with a BMI over 30kg/m2, undergoing a 12 months lifestyle intervention program with an Endocrinologist and Dietician, comparing weight and metabolic profiles at 12months to baseline and previously published data for lifestyle intervention programs.
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Secondary ID [1]
286801
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Nil known
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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
295178
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Condition category
Condition code
Diet and Nutrition
295425
295425
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0
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Obesity
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Patients with a BMI above 30kg/m2 who had attended the Royal Melbourne Hospital Obesity Clinic are observed for weight, quality of life and metabolic profile changes. Involving 1month, 3 month, 6 month and 12 month consultation with an endocrinologist and dietitian. Patients were excluded if they were referred to a different clinic at first visit or if they were determined unsuitable by wanting bariatric surgery prior to clinic attendance. Time period was January 2012 – June 2015.
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Intervention code [1]
291961
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Not applicable
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Comparator / control treatment
Compared to Baseline Characteristics
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Primary Outcome 1: Weight loss. Assessed by clinical scales and then obtained from the Royal Melbourne Hospital Obesity Databse.
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Assessment method [1]
295158
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Timepoint [1]
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Baseline is initial Clinic visit until 12 months post first visit. If patients did not reach 12 months then the closest follow up to the 12 months was considered. If patients exceeded 12 months then all attendances were used for comparison. Patients were assessed for weight loss at all clinic visits, during 12 month period patients were assessed at approximately 6weeks, 3 months, 6 months and 12 months.
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Secondary outcome [1]
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Secondary Outcome 1: Change in Lipid Profiles including Total Cholesterol, Triglycerides, LDL and HDL levels.
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Assessment method [1]
314897
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Timepoint [1]
314897
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Pathology taken within 3 months of initial consultation, again within 3 months of the 12 month follow up consultation.
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Secondary outcome [2]
315281
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Change in HbA1c reading
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Assessment method [2]
315281
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Timepoint [2]
315281
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Pathology taken within 3 months of initial consultation, again within 3 months of the 12 month follow up consultation.
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Secondary outcome [3]
315282
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Change in Liver Function Tests, including AST, ALP, GGT and ALT
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Assessment method [3]
315282
0
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Timepoint [3]
315282
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Pathology taken within 3 months of initial consultation, again within 3 months of the 12 month follow up consultation.
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Secondary outcome [4]
315283
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Change in Thyroid Stimulating Hormone
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Assessment method [4]
315283
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Timepoint [4]
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Pathology taken within 3 months of initial consultation, again within 3 months of the 12 month follow up consultation.
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Secondary outcome [5]
315284
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Change in Fasting Glucose
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Assessment method [5]
315284
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Timepoint [5]
315284
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Pathology taken within 3 months of initial consultation, again within 3 months of the 12 month follow up consultation.
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Secondary outcome [6]
315285
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Change in Serum C-Peptide levels
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Assessment method [6]
315285
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Timepoint [6]
315285
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Pathology taken within 3 months of initial consultation, again within 3 months of the 12 month follow up consultation.
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Secondary outcome [7]
315286
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Change in Serum Testosterone levels
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Assessment method [7]
315286
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Timepoint [7]
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Pathology taken within 3 months of initial consultation, again within 3 months of the 12 month follow up consultation.
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Secondary outcome [8]
315287
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Change in Serum Insulin Levels
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Assessment method [8]
315287
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Timepoint [8]
315287
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Pathology taken within 3 months of initial consultation, again within 3 months of the 12 month follow up consultation.
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Secondary outcome [9]
315288
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Change in Quality of Life Survey Scores
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Assessment method [9]
315288
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Timepoint [9]
315288
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Surveys were completed before initial consultation and again after the 12 months follow-up consultation.
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Eligibility
Key inclusion criteria
Patients with a BMI above 30kg/m2 who have attended the Royal Melbourne Hospital Obesity Clinic. Between the period of 2012 – 2015.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients were excluded if they were referred away from the clinic on their first and only visit, or if they were determined not to benefit from clinic due to desiring bariatric surgery before given an initial consultation. They were excluded if under 18 years old or under a BMI of 30kg/m2.
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Retrospective
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Statistical methods / analysis
Weight gain tertiles will be compared by non-parametric ANOVA
Baseline correlates of weight gain will be identified by multiple regression analysis. Number of participants was determined by inclusion of all eligible participants who attended the Bariatric Clinic from its commencement in 2012. No statistical analysis was used to determine whether this sample size would achieve study objectives.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
2/02/2015
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Actual
2/02/2015
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Date of last participant enrolment
Anticipated
29/05/2015
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Actual
12/06/2015
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
140
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
3833
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Royal Melbourne Hospital - City campus - Parkville
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Funding & Sponsors
Funding source category [1]
291342
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Hospital
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Name [1]
291342
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Royal Melbourne Hospital
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Address [1]
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300 Grattan Street, Parkville VIC 3050
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Country [1]
291342
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Australia
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Primary sponsor type
Hospital
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Name
Melbourne Health
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Address
300 Grattan Street, Parkville VIC 3050
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Country
Australia
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Secondary sponsor category [1]
290021
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None
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Name [1]
290021
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Address [1]
290021
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Country [1]
290021
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
292905
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Melbourne Health Office for Research
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Ethics committee address [1]
292905
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6 East, Main Building, Royal Melbourne Hospital, 300 Grattan Street Parkville VIC 3050
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Ethics committee country [1]
292905
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Australia
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Date submitted for ethics approval [1]
292905
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15/09/2014
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Approval date [1]
292905
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19/09/2014
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Ethics approval number [1]
292905
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QA2014163
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Summary
Brief summary
This project aims to determine: 1. Weight loss profiles for patients attend the Royal Melbourne Hospital Obesity clinic. 2. The impact of this weight loss of metabolic parameters such as lipid profile and liver function tests. 3. To determine the impact of this weight loss on Quality of Life Survey results 4. To find factors that predict the occurrence of weight loss in people with obesity who attended the Obesity Clinic. Hypothesis: Weight loss will be comparable to published data on lifestyle interventions at an average of 5% body weight loss. This weight loss will be variable depending on baseline characteristics such as family history, concurrent mental health issues and low starting motivation being negative predictors for weight loss. Patients who lose weight will show improvement in the metabolic profiles and Quality of Life survey results when compared to those who do not lose weight.
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Trial website
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Trial related presentations / publications
Nil
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Public notes
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Contacts
Principal investigator
Name
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Miss Lauren Cussen
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Address
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Royal Melbourne Hospital, 300 Grattan Street Parkville, VIC 3050
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Country
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Australia
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Phone
57590
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+61417246024
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Fax
57590
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Email
57590
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[email protected]
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Contact person for public queries
Name
57591
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Lauren Cussen
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Address
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Royal Melbourne Hospital, 300 Grattan Street Parkville, VIC 3050
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Country
57591
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Australia
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Phone
57591
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+61417246024
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Fax
57591
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Email
57591
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[email protected]
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Contact person for scientific queries
Name
57592
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Lauren Cussen
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Address
57592
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Royal Melbourne Hospital, 300 Grattan Street Parkville, VIC 3050
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Country
57592
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Australia
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Phone
57592
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+61417246024
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Fax
57592
0
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Email
57592
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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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