University of Liverpool
Liverpool, Merseyside, L69 7ZA, United Kingdom
NCT Number: NCT02485743
This multi-centre, randomised controlled trial will be conducted over 12-weeks to evaluate whether lower appetite is associated with weight loss maintenance success. The effect of a healthy diet supplemented with products that could enhance feelings of satiety and reduce food intake after an initial weight loss period to assess weight maintenance. Participants will either receive the active SATIN product or a matched control product. The products contain ingredients which have been shown to positively affect satiety, satiation and/or body weight and are all accepted food ingredients approved for human consumption in Europe. They will be incorporated into different food matrices, e.g. drinks, shakes and cheeses. Corresponding control products without the active ingredients will be provided to participants allocated to the control group. The participants will be instructed in detail on how and when to consume the test products. Participants will be 300 adults (BMI >27kg/m2; Age>18years) who will be tested at three research sites (University of Liverpool, United Kingdom; University of Copenhagen, Denmark and University Rovira I Virgili, Spain). Recruitment will be divided between sites. Participants will attend assessments at one of the three research sites continually throughout the study period. The primary outcome is to assess potential associations between changes in appetite (ad libitum energy intake, acute as well as sustained) and change in body weight during the 12-week follow-up period. Secondary outcomes include assessing waist circumference, body composition (DXA), subjective appetite, biomarkers of health outcomes (blood and urine indices), changes in physical activity as well as consumer benefits of the trial (assessed in a range of questionnaires) to determine diet efficacy.
Looking for future studies?
Notify Me18 year–65 year
All sexes
Interventional
Not applicable
Liverpool, Merseyside, L69 7ZA, United Kingdom
The study is a double blinded parallel randomized multicentre study, with six arms. The study will be conducted simultaneously in Denmark, Spain and United Kingdom, at the study sites specified on page 3. A total of 300 participants with an initial BMI of 27 to 35 kg/m2 and a fat mass of no less than 23% will be enrolled in the study. An initial weight loss of a minimum of 8 % will be needed for inclusion in the randomized part of the study. The weight loss will be achieved by administration of a low calorie diet (LCD) for 8 weeks managed by dietician supervised group sessions. Failure to reach at least 8% weight reduction during the LCD will result in exclusion from the intervention.
Participants reaching the pre-defined weight loss of no less than 8% will enter a 7-10 days run-in period for diet stabilization before entering the 12-week randomized part of the study. In the randomized part of the study all participants will be advised to follow a general healthy weight loss maintenance diet in accordance with national dietary guidelines. In addition, participants will be randomly allocated in a 1:1 ratio to one of the following intervention groups; 1) including an active satiety enhancing product (active intervention group) or 2) including a similar control product without satiety enhancing properties (control group).
For both groups, the participants will be instructed to consume the intervention products daily. Primary study visits for the assessment of body weight, waist circumference, hip circumference, sagittal diameter and blood pressure will be performed at the beginning, and at the end of the intervention period. At least every four weeks during the intervention, the participants will be requested to pick up the study products, and during these visits bodyweight and waist and hip circumference will be recorded. The participants will furthermore meet individually with a dietician three times during the 12 weeks intervention period to enhance compliance with the weight loss maintenance diet and to ensure incorporation of the study specific products into their diet as instructed. Adverse events and concomitant medicine will be registered continuously throughout the study. For each participant, the total study duration is 24 weeks, and includes 17 visits at the study site in total (14+3 appetite probe days)
Healthy volunteers accepted: Yes
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
A range of Active Diet Products that will be provided as part of a weight maintenance diet which contain active ingredients aimed at increasing satiety (such as inulin, β-glucan, protein, and mycoprotein). All ingredients are accepted food ingredients approved for human consumption in Europe.
A range of Placebo Diet Products matching those provided in the Active Diet which will be provided as part of a weight maintenance diet but do not contain additional ingredients aimed at improving satiety (food matrices will be the same - e.g. shakes, cheeses etc but without active ingredients).
Time frame: First measured after the 8-week Low Calorie Diet period then over the 12-week intervention period
Time frame: : First measured after the 8-week Low Calorie Diet period then after the 12-week intervention period
Time frame: First measured after the 8-week Low Calorie Diet period then after the 12-week intervention period
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
Body composition will be assessed through dual X-ray absorptiometry (DEXA) scans at 3 points throughout the trial to assess changes in body composition as a consequence of the low calorie diet and the intervention diet
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
Willing participants will provide fasting blood samples and urine samples to allow for assessment of biomarkers of appetite and satiety which will be conducted.
Method: Nuclear magnetic resonance (NMR); Unit: mM; Variables: Free_Cholesterol, Esterified_Cholesterol, Total_Cholesterol, Triglycerides, Phosphatidylcholine, Lysophosphatidylcholine, Sphingomyelin
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
Willing participants will provide fasting blood samples and urine samples to allow for assessment of biomarkers of appetite and satiety which will be conducted.
Method = Nuclear Magnetic resonance (NMR); Units = % of FA chains; variables = fatty acyl chains, Omega 3 fatty acid, Arachidonic-eicosapentaenoic acid, docosahexaenoic acid, linoleic acid, polyunsaturated fatty acids, monounsaturdated fatty acids.
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
Willing participants will provide fasting blood samples and urine samples to allow for assessment of biomarkers of appetite and satiety which will be conducted.
Method = Liquid Chromatography (LC); Units = mM; variables = C14.0 LPC (lysophosphatidylcholine), C15.0 LPC, C16.0 LPC, C16.0e LPC, C16.1 LPC, C16.1e LPC, C17.0 LPC, C18.0 LPC, C18.0e LPC, C18.1 LPC, C18.2 LPC, C20.0 LPC, C20.1 LPC, C20.3 LPC, C20.4 LPC, C22.6 LPC, C30.0 phosphatidylcholine (PC), C32.0 PC, C32.1 PC, C32.2 PC, C33.1 PC, C34.0 PC, C34.1 PC, C34.1e PC, C34.2 PC, C34.2e PC, C34.3e PC, C34.4PC, C35.1 PC, C35.2 PC, C36.1 PC, C36.2 PC, C36.2e PC, C36.3 PC, C36.4 PC, C36.4e PC, C36.5 PC, C36.5e PC, C37.4 PC, C38.3 PC, C38.4 PC, C38.4e PC, C38.5 PC, C38.6 PC, C40.4 PC, C40.4e PC, C40.5e PC, C40-.6 PC, C42.5e PC
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
Willing participants will provide fasting blood samples and urine samples to allow for assessment of biomarkers of appetite and satiety which will be conducted.
Method = Liquid Chromatography (LC); Units = mM; variables = C36.5 e Phosphatidyletjanolamine (PE), C38.5e PE, C38.6e PE, C32.1 Sphigomyelin (SM), C32.2 SM, C33.1 SM, C34.1 SM, C34.2 SM, C35.1 SM, C36.0 SM, C36.1 SM, C36.2 SM, C38.1 SM, C38.2 SM, C40.1 SM, C40.2 SM, C41.1 SM, C41.2 SM, C42.1 SM, C42.2 SM, C42.3 SM, C48.1 Triglyceride (TG), C48.2 TG, C50.1 TG, C50.2 TG, C50.3 TG, C50.4 TG, C51.2 TG, C52.1 TG, C52.2 TG, C52.3 TG, C52.4 TG, C52.5 TG, C54.2 TG, C54.3 TG, C54.4 TG, C54.5 TG
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
Willing participants will provide fasting blood samples and urine samples to allow for assessment of biomarkers of appetite and satiety which will be conducted.
Method = Liquid Chromatography (LC); Units = ng/mL; variables = 5-hydroxytryptamine, 5-hydroxyindoleacetic acid, Trimethylamine-N-oxide
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
Willing participants will provide fasting blood samples and urine samples to allow for assessment of biomarkers of appetite and satiety which will be conducted.
Method = Liquid Chromatography (LC); Units = uM; variables = free carnitine, acetyl-carnitine, propionyl-carnitine, crotonyl-carnitine/methacrylyl-carnitine. isobutyryl-carnitine, butyryl-carnitink, hydroxybutyryl-carnitine a and b/3-hydroxyisobutyryl-carnitine, hydroxyvaleryl-carnitine, tiglyl-carnitine/3-methylcrotonyl-carnitine, 2-methyl-butyryl-carnitine, isovaleryl-carnitine/valeryl-carnitine, hexanoyl-carnitine, succinyl-carnitine, malonyl-carnitine
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
Willing participants will provide fasting blood samples and urine samples to allow for assessment of biomarkers of appetite and satiety which will be conducted.
Method = Liquid Chromatography (LC); Units = uM; variables = methyl-malonyl-carnitine, glutaryl-carnitine, adipyl-carnitine, octenoyl-carnitine, methylglutaryl-carnitine, octanoyl-carnitine, nonanoyl-carnitine, decadienoyl-carnitine, decenoyl-carnitine, decanoyl-carnitine/Fumaryl-carnitine, undecanoyl-carnitine, Glutaconyl-carnitine/iso-undecanoyl-carnitine, dodecenoyl-carnitine, dodecanoyl-carnitine, pimply-carnitine, tatradecadienyl-carnitine, tridecenoyl-carnitine, tatradecenoyl-carnitine, tatradecanoyl-carnitine, pentadecanoyl-carnitine/isopentadecanoyl-carnitine, hydroxyhexadecanoyl-carnitine a and b, hexadecadienyl-carnitine, octadecadienyl-carnitine, hexadecanoyl-carnitine, octadecenyl-carnitine, octadecanoyl-carnitine
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
Willing participants will provide fasting blood samples and urine samples to allow for assessment of biomarkers of appetite and satiety which will be conducted.
Method = Gas Chromatography (GC); Units = mM; variables = lactic acid, Glycolic acid, Alanine, Glycine, X2 Hydroxybutanoic acid, X3 Hydroxybutanoic acid, Valine, Leucine, Glycerol, Isoleucine, Proline, Gliceric acid, Serine, Threonine, Methionine, Ornithine, Glutamic acid, Phenylalanine, Lysine, Citric acid, Fructose, Glucose, Tyrosine, Palmatic acid, Linoleic acid, Oleic acid, Stearic acid, tryptophan, Sucrose, alpha-Tocopherol, Cholesterol
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
Willing participants will provide fasting blood samples and urine samples to allow for assessment of biomarkers of appetite and satiety which will be conducted.
Method = Standard enzymatic methods; Units = mg/dL; variables = v2 Glucose, v2 Cholesterol, v2 HDL cholesterol, v2 LDL cholesterol, v2 VLDL cholesterol, v2 triglyceride
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
Willing participants will provide fasting blood samples and urine samples to allow for assessment of biomarkers of appetite and satiety which will be conducted.
Method = Standard enzymatic methods; Units = U/L; variables = v2 Aspartate transaminase, v2 Alanine Transaminase, v2 Gamma glutamyl transferase,
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
Willing participants will provide fasting blood samples and urine samples to allow for assessment of biomarkers of appetite and satiety which will be conducted.
Method = Standard enzymatic methods; Units = mU/mL; variables = v2 insulin
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
Willing participants will provide fasting blood samples and urine samples to allow for assessment of biomarkers of appetite and satiety which will be conducted.
Method = MAGPIX; Units = ug/mL; variables = v2 C-reactive protein, v2 Adiponectin
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
Willing participants will provide fasting blood samples and urine samples to allow for assessment of biomarkers of appetite and satiety which will be conducted.
Method = MAGPIX; Units = ng/mL; variables = v2 Leptin
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
Willing participants will provide fasting blood samples and urine samples to allow for assessment of biomarkers of appetite and satiety which will be conducted.
Method = MAGPIX; Units = pg/mL; variables = v2 Interleukin 6
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
The CoEQ comprises 21-items that are designed to assess the severity and type of food cravings an individual experiences over the previous 24hrs or 7 days. Scores are presented using 100-mm visual analogue scales (VAS)
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
The TFEQ comprises 51-items that are designed to assess three aspects of eating behaviour (restraint, 21 items; disinhibition, 16 items and hunger, 14 items). Each item scores 0 or 1 point. Individual subscale and total summed score will be analysed
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
Comprises two 10 item mood scales, one that measures positive affect and the other which measures negative affect. Participants respond using 5-point scale that ranges from very slightly or not at all (1) to extremely (5).
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
Comprises 14 items designed to measure levels of anxiety (7 items) and depression (7 items). Each item on the questionnaire is scored from 0-3.
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
Comprises 33 items designed to measure three aspectings of eating behaviour (emotional eating, 13 items; external eating, 10 items and restrained eating, 10 items). Participants respond using 5-point scale that ranges from never (1) to very often (5). Higher scores indicate greater endorsement of that behaviour.
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
The PFS comprises 15 items designed to assess the psychological impact of living in food-abundant environments. It measures appetite for, rather than consumption of, palatable foods, at three levels of food proximity (food available, food present, and food tasted). Participants respond using 5-point scale that ranges from Don't agree at all (1) to strongly agree (5).
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
The 29 item scale assesses the construct of mindul eating (a non-judgmental awareness of physical and emotional sensations associated with eating). Participants respond on a 4 point Likert scale (never, rarely, sometimes, usually)
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
The 25 item scale assesses eating when experiencing negative effect (15 items) and during socially accepted circumstances (10 items). Participants respond on a 7 point likert scale: no difficulty controlling eating (1) to most difficulty controlling eating (7).
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
The 20 item scale assesses confidence in managing eating (and subsequently keeping weight under control) in different situations. Responses are provided on a 9 point scale ranging from 0 = Not at all confident that you can resist the desire to eat to 9 = Very confident that you can resist the desire to eat.
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
This is a measure of health-related quality of life. It consists of a descriptive system and the EQ VAS. The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. The EQ VAS records the patient's self-rated health on a vertical visual analogue scale. The scores on these five dimensions are converted to a single summary index number (utility).
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
This is a 31-item, self-report, obesity-specific measure of health-related quality of life that consists of a total score and scores on each of five scales--physical function, self-esteem, sexual life, public distress, and work. Participants respond on a 5 point likert scale from never true (1) to always true (5)
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
WEMWBS is a 14 item scale with 5 response categories, summed to provide a single score ranging from 14-70. The items are all worded positively and cover both feeling and functioning aspects of mental wellbeing.
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
The ESWLS is a 50-item self-report scale with responses rated on a seven point likert scale ranging from strongly agree to strongly disagree. Higher scores represent greater satisfaction. It measures satisfaction with life in nine domains (general life, social life, sexual life, relationships, self, physical appearance, family life, school life and job life). Scores for each subscale are calculated as the sum of the ratings for each of the items comprising the subscale.
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
This is a 22 item scale with responses on a 4 point likert scale from 0 = "not like me at all" to 3 = "a lot like me". It comprises three dimensions: private self-consciousness, public self-consciousness and self anxiety. Scores for the subscales are calculated as the sum of the ratings for each of the items comprising the sub scale. The private self-consciousnes and social-anxiety sub scales contain items that are reverse coded.
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
This is a 6 item sub-scale of the Health and Taste Attitudes Questionnaire. Responses are provided on a 7 point likert scale from 1 = "strongly disagree" to 7 = "strongly agree". Responses predict well respondents self-reported consumption.
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
This 10 item scale assesses an individual's feelings and thoughts over the last month. Items are designed to tap how unpredictable, uncontrollable, and overloaded respondents find their lives. The scale also includes a number of direct queries about current levels of experienced stress. Responders select from 5 response options (0 = never; 4 = very often). Individual scores on the PSS can range from 0 to 40 with higher scores indicating higher perceived stress.
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
The Pittsburgh Sleep Quality Index (PSQI) is a self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval. Nineteen individual items generate seven "component" scores: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction. Each item is weighted on a 0-3 interval scale. The global PSQI score is then calculated by totaling the seven component scores, providing an overall score ranging from 0 to 21, where lower scores denote a healthier sleep quality. It contains both positively and negatively phrased items, with positively phrased items being reverse scored
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
The International Physical Activity Questionnaires (IPAQ) assesses activity in 5 domains (job-related, transportation physical activity, at home, sport and leisure and time spent sitting) over the last seven days. It is self administered and provides a common instrument to obtain internationally comparable data on health-related physical activity.
Time frame: Measured before the 8-week Low Calorie Diet period then after the 8-week Low Calorie Diet period and then after the 12-week intervention period
Food Thought Suppression Inventory (FTSI) is a self-report measure. It contains 15- and 14-items, for women and men (regardless of BMI), respectively. Responses are provided on a 5 point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). Scores can range from 15 to 75 with higher scores reflecting higher levels of food thought suppression.
Professor Jason Halford
Other
A Randomized, Double-blind Multi-centre Trial Comparing a Diet Including Satiating Products Compared to Control Products - SATIN Satiety Diet - Proof of Concept
Acronym: SATIN
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
Published trials that share one or more normalized conditions with this study.
NCT02591134
Body Weight, Body Weight Changes
Liverpool, United Kingdom
View Trial DetailsNCT07713394
Behavior, Body Weight
Erzurum, Turkey, Turkey (Türkiye)
View Trial DetailsNCT06389656
Behavior, Body Weight
Providence, Rhode Island, United States
View Trial DetailsNCT04655547
Activities of Daily Living, Body Weight
Hammel, Central Jutland, Denmark
View Trial Details