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Effect of Bitter in Overweight Female Volunteers (PLAQOW)

Primary Purpose

Obesity

Status
Unknown status
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Hydroxychloroquine sulphate
Placebo
Sponsored by
Universitaire Ziekenhuizen KU Leuven
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Obesity focused on measuring bitter, quinine, ghrelin, motilin, food intake

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Subject is female between 18 and 65 years of age.
  • Subject has a BMI between 25 and 30 kg/m² and has a stable body weight for at least 3 consecutive months at the start of the study and keeps a stable weight during the study visits.
  • Subject is allowed to take 2 Plaquenil capsuls for one visit with a maximal dose of 6.5 mg hydroxychloroquine sulphate per kg bodyweight.
  • Women of child-bearing potential agree to apply during the entire duration of the trial a highly effective method of birth control, which is defined as those which result in a low failure rate (i.e., less than 1% per year) when used constantly and correctly such as implants, injectables, combined oral contraceptive method, or some intrauterine devices (IUDs), sexual abstinence, or vasectomized partner. Women of non-childbearing potential may be included if surgically sterile (tubal ligation or hysterectomy) or postmenopausal with at least 2 year without spontaneous menses.
  • Subject understands the study procedures and agrees to participate in the study by giving written informed consent.

Exclusion Criteria:

  • Subject is under age of legal consent, male, pregnant or breastfeeding.
  • Subject with a BMI ≤ 25 kg/m² or BMI ≥ 30 kg/m².
  • Subject is on a diet to induce weight loss or any other treatment for obesity.
  • Subject has current symptoms or a history of gastrointestinal or other significant somatic or psychiatric diseases or drug allergies.
  • Subject has diabetes.
  • Subject has a significant heart, lung, liver or kidney disease.
  • Subject has a QT-interval > 450 ms.
  • Subject has any history of a neurological disorder.
  • Subject has a history of abdominal surgery. Those having undergone a simple appendectomy more than 1 year prior to the screening visit may participate.
  • Subject has retinopathy.
  • Subject suffers from psoriasis.
  • Subject has porphyria.
  • Subject shows abnormal eating behavior or has an eating disorder.
  • History or current use of drugs that can affect glycaemia, gastrointestinal function, motility or sensitivity or gastric acidity.
  • History or current use of centrally acting medication, including antidepressants, antipsychotics and/or benzodiazepines (in the last year before screening visit).
  • Subject consumes excessive amounts of alcohol, defined as >14 units per week.
  • Subject is currently (defined as within approximately 1 year of the screening visit) a regular or irregular user (including "recreational use") of any illicit drugs (including marijuana) or has a history of drug (including alcohol) abuse. Further, patient is unwilling to refrain from the use of drugs during this study.
  • High caffeine intake (> 500 ml coffee daily or equivalent).
  • Inability or unwillingness to perform all of the study procedures, or the subject is considered unsuitable in any way by the principal investigator.
  • Recent participation (<30 days) or simultaneous participation in another clinical study.
  • Subjects with lactose intolerance.
  • Subjects with quinine allergy.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    Hydroxychloroquine sulphate

    Placebo

    Arm Description

    Plaquenil (hydroxychloroquine sulphate) will be acutely administered per os with 240 ml of water. Two tablets of 200 mg hydroxychloroquine sulphate each will be given.

    Two placebo tablets will be acutely administered per os with 240 ml of water.

    Outcomes

    Primary Outcome Measures

    The effect of hydroxychloroquine sulphate on hedonic food intake
    Hedonic food intake will be assessed using a chocolate milkshake drinking task. Subjects are instructed to drink ad libitum from a chocolate milkshake until fully satiated. The milkshake will be weighted before and after the experiment and 1 g of chocolate milkshake = 1 kcal.

    Secondary Outcome Measures

    The effect of hydroxychloroquine sulphate on gastrointestinal hormone release
    Gastrointestinal hormone release will be measured in plasma samples collected at regular time points to assess the release of ghrelin and motilin.
    The effect of hydroxychloroquine sulphate on glucose
    Whole blood glucose levels will be measured at regular time points with a blood glucose meter.
    The effect of hydroxychloroquine sulphate on appetite-related sensations
    Hunger, prospective food consumption, satiety, fullness, bloating, belching, cramps and pain will be scored by the subjects on visual analog scales of 100 mm.

    Full Information

    First Posted
    June 11, 2019
    Last Updated
    July 1, 2019
    Sponsor
    Universitaire Ziekenhuizen KU Leuven
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04005781
    Brief Title
    Effect of Bitter in Overweight Female Volunteers
    Acronym
    PLAQOW
    Official Title
    The Effect of Hydroxychloroquine Sulphate on Hedonic Food Intake, Appetite-related Sensations and Gastrointestinal Hormone Release in Overweight Female Subjects
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2019
    Overall Recruitment Status
    Unknown status
    Study Start Date
    October 1, 2019 (Anticipated)
    Primary Completion Date
    October 1, 2020 (Anticipated)
    Study Completion Date
    October 1, 2020 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Universitaire Ziekenhuizen KU Leuven

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    We want to investigate whether an acute administration of hydroxychloroquine sulphate affects hedonic food intake, appetite related sensations and gastrointestinal hormone release in overweight female subjects.
    Detailed Description
    Intragastric administration of a quinine-solution has shown to decrease hedonic food intake in healthy female volunteers. The effect of a tablet containing hydroxychloroquine sulphate on hedonic food intake in overweight female individuals has not been studied to date. The primary outcome of the current study is to evaluate the effect of hydroxychloroquine sulphate on hedonic food intake, assessed by ad libitum food intake of a chocolate milkshake one hour after dosing. The study is a randomized, placebo-controlled, double blinded cross-over study. Forty overweight females will be recruited. An acute dose of 400 mg hydroxychloroquine sulphate will be administered. Blood samples will be collected at regular time points to measure gastrointestinal hormone release and whole blood glucose levels. Appetite-related sensations will be scored at regular time points on visual analog scales.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Obesity
    Keywords
    bitter, quinine, ghrelin, motilin, food intake

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 4
    Interventional Study Model
    Crossover Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    40 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Hydroxychloroquine sulphate
    Arm Type
    Experimental
    Arm Description
    Plaquenil (hydroxychloroquine sulphate) will be acutely administered per os with 240 ml of water. Two tablets of 200 mg hydroxychloroquine sulphate each will be given.
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Two placebo tablets will be acutely administered per os with 240 ml of water.
    Intervention Type
    Drug
    Intervention Name(s)
    Hydroxychloroquine sulphate
    Other Intervention Name(s)
    Plaquenil
    Intervention Description
    After a stabilization period of 20 min and 10 min after the first blood collection, Plaquenil (Hydroxychloroquine sulfate) will be administered per os (total dose of 400 mg) in a randomized, double-blinded fashion.
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    After a stabilization period of 20 min and 10 min after the first blood collection, Placebo will be administered per os (2 tablets) in a randomized, double-blinded fashion.
    Primary Outcome Measure Information:
    Title
    The effect of hydroxychloroquine sulphate on hedonic food intake
    Description
    Hedonic food intake will be assessed using a chocolate milkshake drinking task. Subjects are instructed to drink ad libitum from a chocolate milkshake until fully satiated. The milkshake will be weighted before and after the experiment and 1 g of chocolate milkshake = 1 kcal.
    Time Frame
    60 min after plaquenil or placebo administration
    Secondary Outcome Measure Information:
    Title
    The effect of hydroxychloroquine sulphate on gastrointestinal hormone release
    Description
    Gastrointestinal hormone release will be measured in plasma samples collected at regular time points to assess the release of ghrelin and motilin.
    Time Frame
    First sample 10 min prior to administration. Followed by collections every 10 min after administration for a period of one hour. A final blood sample will be collected 30 min after consumption of the chocolate milkshake.
    Title
    The effect of hydroxychloroquine sulphate on glucose
    Description
    Whole blood glucose levels will be measured at regular time points with a blood glucose meter.
    Time Frame
    First sample 10 min prior to administration. Followed by collections every 10 min after administration for a period of one hour. A final blood sample will be collected 30 min after consumption of the chocolate milkshake.
    Title
    The effect of hydroxychloroquine sulphate on appetite-related sensations
    Description
    Hunger, prospective food consumption, satiety, fullness, bloating, belching, cramps and pain will be scored by the subjects on visual analog scales of 100 mm.
    Time Frame
    All appetite-related sensations will be scored every 10 min for a period of 110 minutes, starting 20 min before plaquenil or placebo administration and ending 90 min after administration..

    10. Eligibility

    Sex
    Female
    Gender Based
    Yes
    Gender Eligibility Description
    Female volunteers have a higher chance to be more sensitive for bitter compounds because of their genetic background in comparison to males.
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Subject is female between 18 and 65 years of age. Subject has a BMI between 25 and 30 kg/m² and has a stable body weight for at least 3 consecutive months at the start of the study and keeps a stable weight during the study visits. Subject is allowed to take 2 Plaquenil capsuls for one visit with a maximal dose of 6.5 mg hydroxychloroquine sulphate per kg bodyweight. Women of child-bearing potential agree to apply during the entire duration of the trial a highly effective method of birth control, which is defined as those which result in a low failure rate (i.e., less than 1% per year) when used constantly and correctly such as implants, injectables, combined oral contraceptive method, or some intrauterine devices (IUDs), sexual abstinence, or vasectomized partner. Women of non-childbearing potential may be included if surgically sterile (tubal ligation or hysterectomy) or postmenopausal with at least 2 year without spontaneous menses. Subject understands the study procedures and agrees to participate in the study by giving written informed consent. Exclusion Criteria: Subject is under age of legal consent, male, pregnant or breastfeeding. Subject with a BMI ≤ 25 kg/m² or BMI ≥ 30 kg/m². Subject is on a diet to induce weight loss or any other treatment for obesity. Subject has current symptoms or a history of gastrointestinal or other significant somatic or psychiatric diseases or drug allergies. Subject has diabetes. Subject has a significant heart, lung, liver or kidney disease. Subject has a QT-interval > 450 ms. Subject has any history of a neurological disorder. Subject has a history of abdominal surgery. Those having undergone a simple appendectomy more than 1 year prior to the screening visit may participate. Subject has retinopathy. Subject suffers from psoriasis. Subject has porphyria. Subject shows abnormal eating behavior or has an eating disorder. History or current use of drugs that can affect glycaemia, gastrointestinal function, motility or sensitivity or gastric acidity. History or current use of centrally acting medication, including antidepressants, antipsychotics and/or benzodiazepines (in the last year before screening visit). Subject consumes excessive amounts of alcohol, defined as >14 units per week. Subject is currently (defined as within approximately 1 year of the screening visit) a regular or irregular user (including "recreational use") of any illicit drugs (including marijuana) or has a history of drug (including alcohol) abuse. Further, patient is unwilling to refrain from the use of drugs during this study. High caffeine intake (> 500 ml coffee daily or equivalent). Inability or unwillingness to perform all of the study procedures, or the subject is considered unsuitable in any way by the principal investigator. Recent participation (<30 days) or simultaneous participation in another clinical study. Subjects with lactose intolerance. Subjects with quinine allergy.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Wout Verbeure
    Phone
    16373765
    Ext
    +32
    Email
    wout.verbeure@kuleuven.be
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Jan Tack
    Organizational Affiliation
    UZ Leuven
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

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    Effect of Bitter in Overweight Female Volunteers

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