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Completed

NCT Number: NCT06665893

Local Proof of Concept of Evira in Abu Dhabi Study

Evira is a digital treatment tool developed for treatment of childhood obesity. Through daily weighings at home using a special scale together with a message function in the Evira application, parents and the clinicians can easily follow the child's weight development. The primary aim of this study is to evaluate its efficacy for childhood obesity treatment in Abu Dhabi, with a secondary objective to establish non-inferiority compared to outcomes in a cohort in Stockholm, Sweden.

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Key information

Age range

6 year–16 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Sheikh Shakhbout Medical City

Abu Dhabi, United Arab Emirates

About this study

Obesity remains a critical global health concern. Traditional treatment often yields limited results, necessitating innovative solutions.

In this study, participants aged 6-15.9 years with obesity at the Sheikh Shakabout Medical City in Abu Dhabi, will be asked for participation. If agreed to participate, they will use a digital treatment tool as a complement to behavioral treatment.The treatment is based on outcome goals set by the treatment staff together with the family. Briefly, the families follow the child's weight outcome via daily weight measurements and the outcome is shown graphically in the mobile application as BMI SDS with the BMI SDS weight goals as background. The staff will provide support to the families via the app. The staff is encouraged to react and contact the families if the weight goals are not reached or if they fail to perform the daily weighings. Regular physical visits at baseline, 3 months, and 6 months, alongside questionnaire assessments, will facilitate data collection via electronic case report forms.

The purpose of this study is to evaluate the treatment tools efficacy for childhood obesity treatment in Abu Dhabi. Furthermore, the study aims to establish non-inferiority compared to outcomes in Stockholm, Sweden (referred to as the "Stockholm cohort"), on 107 children and adolescents who were treated with the same treatment method between October 2018 and August 2019 (Clinicaltrials.gov ID: NCT04323215).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age >6.0 and <16.0 years of age at inclusion
  • Obesity according to International Obesity Task Force (IOTF)
  • Willingness to participate in an obesity treatment proof of concept trial
  • Family ability to communicate e.g. write and read messages in the mobile application
  • Parents having a smart phone and an email address

Exclusion criteria

  • Morbid obesity defined as iso-BMI>40 kg/m2 independently of age
  • Endocrine disorders other than well controlled hypothyroidism
  • Metabolic disorders of importance for weight control
  • Treatment for depression and other psychiatric disorders during the last 6 months before inclusion
  • Pharmacological treatment of importance for weight control
  • Hypothalamic or monogenic obesity, e.g. syndromes and Mb Down
  • Severe neuropsychiatric disorders that could affect study compliance
  • Eating disorders requiring therapy during the last six months before inclusion or observed at the inclusion screening.

Treatment and study plan

Digi-physical treatment tool

Device

A support tool named Evira will be used to provide behavioral treatment. Through daily weightings at home using a special designed scale, which sends data directly to an application on the parents phone and to a clinic homepage, the child's weight development can be easily monitored.

Primary outcomes

  1. Change in degree of obesity

    Time frame: From start of treatment to six months follow-up

    Measured by BMI standard deviation score.

Secondary outcomes

  1. Proportion of individuals reaching a clinically significant change in relative weight

    Time frame: From start of treatment to six months follow-up

    Proportion of individuals reaching a clinically significant change in relative weight defined as a decrease of -0.20 BMI SDS units. Abu Dhabi cohort vs. Stockholm cohort

  2. Proportion of individuals in obesity remission

    Time frame: From start of treatment to six months follow-up

    Obesity remission defined as no longer having obesity class 1. Abu Dhabi cohort vs. Stockholm cohort

  3. The use of the support tool - weighings

    Time frame: From start of treatment to six months follow-up

    Number of weighings/week. Abu Dhabi cohort vs. Stockholm cohort

  4. The use of the support tool - text messages

    Time frame: From start of treatment to six months follow-up

    Number of weighings/week. Abu Dhabi cohort vs. Stockholm cohort

  5. Number of physical visits

    Time frame: From start of treatment to six months follow-up

    Visits to the clinic. Abu Dhabi cohort vs. Stockholm cohort

  6. Number of cancelation of physical visits

    Time frame: From start of treatment to six months follow-up

    Visits to the clinic. Abu Dhabi cohort vs. Stockholm cohort

  7. Number of patients not showing up to physical visits

    Time frame: From start of treatment to six months follow-up

    Visits to the clinic. Abu Dhabi cohort vs. Stockholm cohort

  8. Psycho-social health measures

    Time frame: From start of treatment to six months follow-up

    Psycho-social health assessed by Patient-Reported Outcomes Measurement Information System (PROMIS) questionnaire. The PROMIS questionnaire is a set of person-centered measures that evaluates and monitors physical, mental, and social health in adults and children. The output from a PROMIS score is represented as a T score. Higher scores indicate more of the domain being measured (e.g., more fatigue, more pain).

  9. Drop-out rate

    Time frame: From start of treatment to six months follow-up

    Number of drop-outs. Abu Dhabi cohort vs. Stockholm cohort

  10. Change in degree of obesity. Abu Dhabi cohort vs. Stockholm cohort

    Time frame: From start of treatment to six months follow-up

    Measured by BMI standard deviation score

Sponsors and collaborators

Lead sponsor

Sheikh Shakhbout Medical City

Other

Collaborators

  • Evira AB
  • Karolinska Institutet

Registry information

Official study title

Evaluating the Efficacy of the Evira Treatment Tool for Childhood Obesity Treatment - a 26- Week Single Arm Interventional Study in Abu Dhabi, United Arab Emirates

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Oct 30, 2024
Registry last updated
Oct 30, 2024

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.

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