Obesity
Conditions
Keywords
Adolescent, Injections, intraperitoneal, Endoscopy, Botulinum Toxins, Type A, OnabotulinumtoxinA
Brief summary
This is a pilot testing the feasibility of the 'REpurposing BOtulinum Toxin in Treatment of Obesity in Adolescents' trial (ReBOO-trial). The full-scale ReBOO will further investigate safety and efficacy of intragastric injections of botulinum toxin A into the antrum area of the stomach. These injections will be repeated every six months. The study sample will be adolescents with obesity who have not responded to standard conservative treatment.
Interventions
200 units Botulinum toxin A (Allergan) injected intragastrically in the antrum every six months
Sponsors
Study design
Eligibility
Inclusion criteria
1. Written (signed) informed consent 2. Age and gender adjusted body mass index (ISO-BMI) ≥ 35 or ISO-BMI \> 30 with comorbidities including hypertension, non-alcoholic fatty liver disease, hyperlipidemia or impaired glucose tolerance 3. Having partaken in a comprehensive multi-disciplinary lifestyle treatment for obesity of duration 12 months or more, without achieving a clinically significant weight loss (non-responder)
Exclusion criteria
1. Known hypersensitivity to excipients in the investigational medicine product (IMP) 2. Neuromuscular disorders 3. History of dysphagia 4. History of aspiration tendency or aspiration pneumonia 5. Known lung disease under continuous treatment 6. Congenital or acquired heart disease 7. Previous experience of side effects to Botulinum toxin type A 8. Present gastric diseases or dysfunction 9. Previous bariatric surgery 10. History of cancer 11. Serious binge eating disorder 12. Untreated hypothyroidism 13. Use of aminoglycoside antibiotics or spectinomycin in the week prior to injection, or any other medicinal product that interfere with neuromuscular transmission (neuromuscular blocking agents) 14. Medication known to affect appetite 15. Syndromic obesity 16. Mentally immature to a degree that there is doubt about the subject's ability to assent 17. Issues relating to language or culture that may complicate trial participation 18. Pregnancy or breastfeeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| BMI | 12 months | Proportion of participants reaching a reduction in BMI z-score equal to or more than 1 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Injection interval | 12 months | Patient reports will indicate the appropriate re-injection interval |
| Patient adherence to treatment | 12 months | Qualitative data based on interviews with patients and next of kin. |
| Incidence of treatment-emergent adverse events | 2 years | All adverse events (AE), serious adverse events (SAE) and suspected unexpected serious adverse reactions (SUSAR) will be evaluated |
Countries
Norway