A phase II, randomized, double-blind, placebo-controlled, in parallel groups clinical trial to assess the safety and efficacy of dietary supplementation with tryptophan to achieve weight loss, and its neuropsychological effects in adolescents with obesity.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
44
at the dose of 3,5 m/kg/ day divided in two capsules
at the dose of 3,5 m/kg/ day divided in two capsules
Change in weight by comparing the two groups
to achieve weight loss using Linear Models for Multivariate Outcomes considering as a variables the number of visits, the gender and the group of each patient
Time frame: From baseline up to 6 months
Change in systolic and diastolic blood pressure
to achieve improvement of clinical parameters after 6 months of dietary supplementation with tryptophan and determine the difference between the two groups
Time frame: From baseline up to 6 months
Change in Body mass index (BMI) defined as wt/ht2 by comparing the two groups
to achieve weight loss using Linear Models for Multivariate Outcomes considering as a variables the number of visits, the gender and the group of each patient
Time frame: From baseline up to 6 months
Change in waist/hip ratio by comparing the two groups
to achieve weight loss using Linear Models for Multivariate Outcomes considering as a variables the number of visits, the gender and the group of each patient
Time frame: From baseline up to 6 months
Change in Body Mass Index Z score (zBMI) by comparing the two groups
to achieve weight loss using Linear Models for Multivariate Outcomes considering as a variables the number of visits, the gender and the group of each patient
Time frame: From baseline up to 6 months
change in total caloric (Kcal) consumption
to achieve improvement of metabolic parameters, patient calories intake were measured during visit 1 and visit 7 and then calories levels were compared with the control group.
Time frame: From baseline up to 6 months
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Change in calorie consumption measuring weight loss (kcal/Kg/days)
to achieve improvement of metabolic parameters, patient calories intake were measured during visit 1 and visit 7 and then calories levels were compared with the control group.
Time frame: From baseline up to 6 months
Change in protein consumption
to achieve improvement of metabolic parameters, patient protein intake were measured during visit 1 and visit 7 and then proteins levels were compared with the control group.
Time frame: From baseline up to 6 months
Total Percent of Calories From Protein
to achieve improvement of metabolic parameters, patient protein intake were measured during visit 1 and visit 7 and then proteins levels were compared with the control group.
Time frame: From baseline up to 6 months
Total fat consumption
to achieve improvement of metabolic parameters, patient fat intake were measured (grams) during visit 1 and visit 7 and then fat levels were compared with the control group.
Time frame: From baseline up to 6 months
Total Percent of Calories From Fat
to achieve improvement of metabolic parameters, patient calories intake were measured during visit 1 and visit 7 and then calories levels were compared with the control group.
Time frame: From baseline up to 6 months
Total carbohydrates consumption
to achieve improvement of metabolic parameters, patient carbohydrates intake were measured (grams of carbohydrates) during visit 1 and visit 7 and then carbohydrates levels were compared with the control group.
Time frame: From baseline up to 6 months
the mean of lipids concentration (mg/dl)
to achieve improvement of metabolic parameters, the average amount of TSH were measured during visit 1 and visit 7 and then fat levels were compared with the control group. to achieve improvement of metabolic parameters, the average amount of lipids were measured during visit 1 and visit 7 and then fat levels were compared with the control group. The mean of cholesterol both LDL and HDL were considerate for the evaluation.
Time frame: From baseline up to 6 months
the amount of Thyroid-stimulating hormone (TSH) concentration (mU/L)
to evaluate the thyroid profile, the average amount of lipids were measured during visit 1 and visit 7 and then TSH levels were compared with the control group.
Time frame: From baseline up to 6 months
the amount of thyroxine T4L concentration (pmol/L)
to evaluate the thyroid profile, the average amount of T4L were measured during visit 1 and visit 7 and then T4L levels were compared with the control group.
Time frame: From baseline up to 6 months
the amount of creatinine levels (mg/dl)
to evaluate the hepatic profile, the average amount of creatinine were measured during visit 1 and visit 7 and then creatinine levels were compared with the control group.
Time frame: From baseline up to 6 months
the amount of Alanine Aminotransferase (ALT) levels (mg/dl)
to assess the hepatic functionality, the average amount of ALT were measured during visit 1 and visit 7 and then ALT mean levels were compared with the control group.
Time frame: From baseline up to 6 months
the amount of hemoglobin (g/dl) levels
to assess the renal functionality, the average amount of hemoglobin were measured during visit 1 and visit 7 and then hemoglobin mean levels were compared with the control group.
Time frame: From baseline up to 6 months
Change in EuroQoL-5 score over 6 months supplement with tryptophan
to achieve improvement in depression and anxiety after tryptophan administration. Evaluation have been made during Visit 1 and vist 7
Time frame: From baseline up to 6 months
Change in the Clinical Global Impressions (CGI) Scale score over 6 months supplement with tryptophan
to achieve improvement in depression and anxiety by comparing the tryptophan group with the placebo group
Time frame: From baseline up to 6 months
Change in Children's Manifest Anxiety scale (CMAS) score over 6 months supplement with tryptophan
to achieve improvement in depression and anxiety by comparing the tryptophan group with the placebo group
Time frame: From baseline up to 6 months
Change in the Eating Attitudes Test (EAT-40) score
the EAT-40 test is a widely used self-report questionnaire 40-item standardized self-report measure for the assessment of symptoms and concerns characteristic of eating disorders
Time frame: From baseline up to 6 months
Change in State-Trait Depression Scales score
The State-Trait Personality Inventory (STPI) is a self-administered questionnaire, consists of eight 10-item subscales: state and trait anxiety, state and trait anger, state and trait curiosity, and state and trait depression. Results from the tryptophan group were compared with the placebo group
Time frame: From baseline up to 6 months
Change in Tryptophan plasma level in obese adolescent after 6 months tryptophan administration
For the safety and tolerance assessment of tryptophan supplementation in obese adolescents
Time frame: From baseline up to 6 months
Change in Tryptophan/Large neutral aminoacid (LNNA) ratio in obese adolescent plasma after 6 months of tryptophan administration
For the safety and tolerance assessment of tryptophan supplementation in obese adolescents
Time frame: From baseline up to 6 months