Weight Loss and Blood Vessel Health Study
This study is looking at how weight loss, achieved through a 12-week special diet, affects certain tiny particles in your blood called adipocyte-derived extracellular vesicles (Ad-EVs) and the health of your blood vessels. Researchers believe that high levels of Ad-EVs in people with obesity might be linked to less healthy blood vessels. They also think that losing weight could lower these Ad-EVs and improve blood vessel health. The study aims to enroll 84 adults, aged 40 and older, who have obesity (BMI over 25 kg/m2). You cannot join if you smoke or have certain chronic health conditions like heart disease or diabetes. The study will measure Ad-EVs and blood vessel function at different times over about 17 weeks.
- Study design
- This is an interventional study planning to enroll 84 participants. It is not specified if it is randomized or blinded.
- What's involved
- Participants will follow a 12-week hypocaloric diet with counseling. Measurements of Ad-EVs and forearm blood flow will be taken at approximately 2 weeks and 17 weeks from the start date.
- Compensation
- Not stated in the trial record.
- Follow-up
- Participants will be followed for approximately 17 weeks from their start date.
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Adipocyte-Derived Extracellular Vesicles, Weight Loss, and Endothelial Function
At a glance
Conditions
Where it's being run
1 sites across 1 statesStudy leadership
- Christopher DeSouza, PhD · PRINCIPAL_INVESTIGATOR · University of Colorado, Boulder
Who to contact
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Do you actually qualify for this trial?
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Inclusion
Exclusion
What this trial measures
- Phase 1: Circulating adipocyte-derived extracellular vesicles (Ad-EVs)Circulating Ad-EVs will measured during Phase 1 visit 2 which is ~2 weeks from their respective start date.
Circulating Ad-EVs will be determined from a peripheral blood sample in normal weight and obese adults. Ad-EVs will be determined using flow cytometry. The samples will be incubated with perilipin A. Ad-EVs will be defined as perilipin A positive cells ranging in size 0.2-0.8 um.
- Phase 2: Circulating adipocyte-derived extracellular vesicles (Ad-EVs)Circulating Ad-EVs will be measured during Phase 2 visit 15 which is ~17 weeks from their respective start date.
Circulating Ad-EVs will be determined from a peripheral blood sample following the obese participants 12-week weight loss intervention.
- Phase 1: Forearm Blood Flow (FBF) Response to Acetylcholine (ACh)FBF response to ACh will be measured during Phase 1 and the participant's visit 2 which is ~ 2 weeks from their respective start date.
FBF is measured via strain-gauge venous occlusion plethysmography in response to saline for 5 minutes and then to ACh (4.0, 8.0 and 16.0 ug/100 mL tissue/min; the doses of ACh infused into the brachial artery) for 5 minutes at each dose. Flows during the last minute of saline and each drug dose are measured and the mean value reported.
- Phase 2: Forearm Blood Flow (FBF) Response to Acetylcholine (ACh)FBF response to ACh will be measured during Phase 2 and the participant's visit 15 which is ~17 weeks from their respective start date.
FBF is measured via strain-gauge venous occlusion plethysmography in response to saline for 5 minutes and then to ACh (4.0, 8.0 and 16.0 ug/100 mL tissue/min; the doses of ACh infused into the brachial artery) for 5 minutes at each dose. Flows during the last minute of saline and each drug dose are measured and the mean value reported.
- Phase 1: Forearm Blood Flow (FBF) Response to Sodium Nitroprusside (NTP)FBF response to NTP will be measured during Phase 1 and the participant's visit 2 which is ~ 2 weeks from their respective start date.
FBF is measured via strain-gauge venous occlusion plethysmography in response to saline for 5 minutes and then to NTP (1.0, 2.0 and 4.0 ug/100 mL tissue/min; the doses of NTP infused into the brachial artery) for 5 minutes at each dose. Flows during the last minute of saline and each drug dose are measured and the mean value reported.
- Phase 2: Forearm Blood Flow (FBF) Response to Sodium Nitroprusside (NTP)FBF response to NTP will be measured during Phase 2 and the participant's visit 15 which is ~17 weeks from their respective start date.
FBF is measured via strain-gauge venous occlusion plethysmography in response to saline for 5 minutes and then to NTP (1.0, 2.0 and 4.0 ug/100 mL tissue/min; the doses of NTP infused into the brachial artery) for 5 minutes at each dose. Flows during the last minute of saline and each drug dose are measured and the mean value reported.