Small Extracellular Vesicles and Insulin Action

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age25-55
SponsorWashington University School of Medicine

About this trial

The goals of this research study are to: 1) understand why some people with obesity are protected from developing conditions such as type 2 diabetes and cardiovascular disease while others are more likely to develop obesity-related conditions; 2) assess the effect of small extracellular vesicles (sEVs also called exosomes), obtained from human participants, on metabolic function in cultured cells and in mice.

Eligibility criteria

Qualifiers

Metabolically healthy lean subjects must have a BMI ≥18.5 and ≤24.9 kg/m²; Subjects with obesity must have a BMI ≥30.0 and ≤50.0 kg/m²

Metabolically healthy lean and people with metabolically healthy obesity must have intrahepatic triglyceride (IHTG) content ≤5%; fasting plasma glucose concentration <100 mg/dl, 2-hr oral glucose tolerance plasma glucose concentration <140 mg/dl, hemoglobin A 1C (HbA1c) ≤5.6% and HOMA-IR <2.5.

People with metabolically unhealthy obesity must have intrahepatic triglyceride (IHTG) content ≥5.6%; HOMA-IR ≥2.5, and HbA1c 5.7%-6.4%, or fasting plasma glucose concentration ≥100 mg/dl, or 2-hr oral glucose tolerance test (OGTT) plasma glucose concentration ≥140 mg/dl.

Disqualifiers

History of diabetes, liver disease other than NAFLD or other serious diseases,

Consume excessive amounts of alcohol (>21 units/week for men and >14 units/week for women),

Take medications that could affect the study outcome measures, engage in regular exercise (>120 min/week),

Are pregnant or lactating

Trial design

Treatments tested in this trial

  • People with Metabolically Unhealthy Obesity - Low Calorie Diet

Treatment groups

72 Participants
are divided into 3 treatment groups