Obesity, Weight Loss
Conditions
Brief summary
This is a randomized controlled trial to compare intra-gastric injection of Botulinum Toxin A (Botox; Allergan Inc. Irvine, Ca, USA) against non-surgical management for obesity (i.e. exercise/diet). Our hypothesis is that intra-gastric injection of Botox into the fundus and body of the stomach will result in greater weight loss than just exercise and diet alone.
Interventions
Intragastric injection of Botulinum toxin type A
12 week weight management program
Sponsors
Study design
Intervention model description
Randomized Controlled Trial
Eligibility
Inclusion criteria
1. Age 21 to 65yrs old 2. BMI \>32.5 (Class II obesity)
Exclusion criteria
1. Pregnancy or lactation 2. Known pre-existing neuromuscular disorders or peripheral motor neuropathic disease (e.g. amyotrophic lateral sclerosis, motor neuropathy) 3. Patients with known liver cirrhosis or known esophageal/gastric varices 4. Known eating disorders 5. Known major cardiovascular or pulmonary conditions 6. Previous gastric/bariatric surgery 7. Pathologic changes of the esophagus/stomach/duodenum demonstrated on endoscopy (esophagitis, peptic ulcers, cancer) 8. Known alcohol or drug abuse 9. Known allergy to any ingredients in Botox or allergic reaction to any other botulinum toxin product
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Weight loss | 1 year | Examine the average weight loss |
| Time to weight regain following a single injection of intra-gastric Botox | 1 year | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Gut hormone level | 1 year | Ghrelin |
| Gut hormone level ( Leptin) | 1 year | Leptin |
| Satiety index | 1 year | — |
| Co-morbidities | 1 year | Diabetes, hypertension, hyperlipidemia |
Countries
Singapore