Clinical trial NCT01570829: Clinical Trial of Safety and Efficacy of New Dosage Schedule for Dietressa Drug in Treatment of Obese Patients
Official title: Multicentric Double-blind Placebo-controlled Randomized Parallel-group Clinical Trial of Safety and Efficacy of New Dosage Schedule for Dietressa Drug in Treatment of Obese Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE3
Conditions: Obesity
Lead sponsor: Materia Medica Holding
Sponsor class: INDUSTRY
First posted: 2012-04-04
Enrollment: 331
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: * To assess safety of Dietressa in the dose of 6 tablets daily within 24 weeks in treatment of obese patients (BMI 35,0-39,9 kg/m2).
* To assess clinical efficacy of Dietressa in the dose of 6 tablets daily after 24 weeks of therapy in reducing body weight in obese patients (BMI 35,0-39,9 kg/m2).

Detailed description: In general, patients will be observed during 24 weeks of trial.

Eligibility criteria: Inclusion Criteria:

1. Outpatient subjects with BMI 35,0-39,9 kg/m2.
2. Males or females aged from 18 to 65 years.
3. Use of and compliance with contraception methods by patients of reproductive age, of both sexes.
4. Presence of the patient's information sheet (informed consent form) for participation in the clinical trial.

Exclusion Criteria:

1. Symptomatic (secondary) obesity:

   * with established genetic defect (including as a part of known genetic syndromes affecting multiple organs): Prader-Willi syndrome, Alstrom's syndrome, Laurence-Moon-Biedl syndrome, Dercum's syndrome etc.
   * cerebral (adiposogenital dystrophy, Babinski-Frohlich syndrome): brain tumors; dissemination of systemic lesions, infectious diseases; against mental diseases.
   * endocrine: hypothyroid; hypoovarial; pituitary-hypothalamic disorders; adrenopathy.
   * iatrogenic (caused by drug administration, for example, insulin, glucocorticosteroids, neuroleptics etc.).
2. Compliance with a diet prescribed and monitored by the doctor to reduce body weight within 6 months before enrollment.
3. Participation in the lifestyle modification program within 6 months before enrollment.
4. Patients who quit smoking within 6 months before enrollment, or intending to quit smoking during the period of participation in the trial, as well as intending to begin smoking during the trial.
5. Uncontrolled arterial hypertension (patients with 1-3 degree AH, receiving no adequate antihypertensive therapy).
6. Type 1 and 2 diabetes mellitus.
7. Edema syndrome with various etiology (chronic cardiac failure, nephrotic syndrome, hepatic cirrhosis).
8. Circulatory failure, IIА degree and above.
9. Decompensated cardiovascular disease, liver, kidney or gastrointestinal tract disease, metabolic, respiratory, endocrine, hematologic disease, peripheral vessel disease or another medical state. Oncological disease.
10. Diseases and states, which, in the investigator's opinion, may prevent the patient from participating in the trial.
11. Past history of bulimia / non-drug anorexia.
12. Past history of any bariatric surgeries.
13. Lipoplasty underwent less then 1 year prior to screening visit, or cavitary surgery less then 6 months prior to screening visit.
14. Surgeries scheduled within 6 months.
15. Allergy to/intolerance of any of the drug components used during treatment.
16. Malabsorption syndrome, including congenial or acquired lactase or another disaccharidase insufficiency.
17. Administration of drugs specified as "Prohibited concomitant therapy", within 6 months before enrollment.
18. Pregnancy, breast-feeding, unwillingness to comply with contraception methods during the trial and within 30 days after completion of participation in the trial.
19. Drug and alcohol consumption (over 2 alc. units daily), mental diseases.
20. Legal incapacity or limited legal capacity.
21. Patients, who, in the investigator's opinion, will fail to observe the requirements during the trial or adhere to the studied drug administration procedure.
22. Participation in other clinical trials within 3 months before enrolment in this trial.
23. Presence of other factors, complicating the patient's participation in the trial (e.g., planned lengthy business and other trips).
24. A patient is a part of the center's research staff, taking a direct part in the trial, or an immediate family member of the investigator. Immediate family members are defined as spouses, parents, children or siblings, regardless of whether full blood or adopted.
25. The patient is employed with Scientific Production Firm Materia Medica Holding LLC, i.e. is the company's employee, part-time employee under contract, or appointed official in charge of the trial, or their immediate family.

Primary outcomes:
measure: Percentage of Patients With at Least 5% Weight Loss.
timeFrame: 24 weeks
measure: Average Absolute Weight Change
timeFrame: On baseline and after 24 weeks
measure: Average Relative Weight Change
timeFrame: On baseline and after 24 weeks
Secondary outcomes:
measure: Percentage of Patients With at Least 5% Weight Loss.
timeFrame: On baseline and after 4, 8, 12, 16, 20, 24 weeks of treatment
measure: Average Absolute Weight Change
timeFrame: After 4, 8, 12, 16 and 20 weeks of treatment
measure: Average Relative Weight Change
timeFrame: After 4, 8, 12, 16 and 20 weeks of treatment
measure: Change in Waist Circumference, Waist Circumference/Hip Circumference.
timeFrame: After 4, 12 and 24 weeks of treatment
measure: Dynamics of the Quality of Life According to the SF-36 Questionnaire.
timeFrame: On baseline and after 4, 12, 24 weeks of treatment
Other outcomes:
Locations:
city: Krasnodar
country: Russian Federation
facility: The State Educational institution of High Professional Training Kuban State Medical University of Ministry of Health Care and Social Development of the Russian Federation, Department of Clinical Pharmacology
city: Moscow
country: Russian Federation
facility: First Moscow State Medical University named after I.M. Sechenov/Endocrinology Faculty
city: Moscow
country: Russian Federation
facility: The State Budget Health Care institution of Moscow the City Clinical Hospital No. 11 of the Administration of Health Care of Moscow City
city: Nizhny Novgorod
country: Russian Federation
facility: Municipal Medical and Preventive institution "City Clinical Hospital No.10"
city: Nizhny Novgorod
country: Russian Federation
facility: The State Budget Health Care institution of Nizhegorodskyi Region "Nizhegorodskaya Regional Clinical Hospital n.a. N.A.Semashko"
city: Rostov na Donu
country: Russian Federation
facility: The State Educational institution of High Professional Training "Rostov State Medical University" of Ministry of Health Care and Social Development of the Russian Federation, Department of Endocrinology
city: St. Petersburg
country: Russian Federation
facility: St. Petersburg State Health Care institution "Municipal Hospital No.6"
city: St. Petersburg
country: Russian Federation
facility: St. Petersburg State Health Care institution "Municipal Hospital No.77 of Nevsky District", The City Diabetes Center
city: St. Petersburg
country: Russian Federation
facility: The Federal State Health Care institution L.G. Sokolov Memorial Hospital No. 122 of the FMBA (Federal Medical and Biological Agency).
city: St. Petersburg
country: Russian Federation
facility: The State Educational institution of High Professional Training "St. Petersburg State Medical University n.a. I.P. Pavlov of the Federal Agency for Health Care and Social Development", Therapy Faculty Board
city: St. Petersburg
country: Russian Federation
facility: St. Petersburg state Health Care institution "Saint Venerable Martyr Elizaveta Municipal Hospital"
city: St. Petersburg
country: Russian Federation
facility: St. Petersburg State Health Care institution "Consultative and Diagnostic Center No. 85", Diabetes Center
city: St.Petersburg
country: Russian Federation
facility: The State Educational institution of High Professional Training "St. Petersburg State Medical University n.a. I.P. Pavlov of the Federal Agency for Health Care and Social Development", Faculty Surgery Board
city: Ufa
country: Russian Federation
facility: The State Educational institution of High Professional Training "Bashkirsky State Medical University" of the Federal Agency for Health Care and Social Development, Department of Endocrinology
city: Volgograd
country: Russian Federation
facility: The State Educational institution of High Professional Training "Volgograd State Medical University" of Ministry of Health Care and Social Development of the Russian Federation
city: Voronezh
country: Russian Federation
facility: The State Health Care institution "Voronezh Regional Clinical Consultative & Diagnostic Center"
city: Yaroslavl
country: Russian Federation
facility: The State Health Care institution of Yaroslavl Region the Clinical Hospital
Study officials:
References: