Viewing Study NCT04708535



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Last Modification Date: 2024-10-26 @ 1:54 PM
Study NCT ID: NCT04708535
Status: ENROLLING_BY_INVITATION
Last Update Posted: 2023-08-14
First Post: 2018-07-03

Brief Title: Adaptive Immune Response in Visceral and Subcutaneous Fat Role in Human Insulin Resistance
Sponsor: Stanford University
Organization: Stanford University

Study Overview

Official Title: Adaptive Immune Response in Visceral and Subcutaneous Fat Role in Human Insulin Resistance
Status: ENROLLING_BY_INVITATION
Status Verified Date: 2023-08
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: The proposed study is designed to test the hypothesis that in human obesity the balance of pro- and anti-inflammatory T cells in fat tissue is in fact related to macrophage phenotype and insulin resistance and how it is related

This study is needed to confirm whether conclusions based on studies of visceral adipose tissue in mice are indeed applicable to humans

We also want to determine the relationship between insulin resistancehyperinsulinemia and ability to lose weight in obese individuals
Detailed Description: Previous studies have found convincing evidence of the relationship between insulin resistance T cell profiles macrophage profiles and inflammation of the fat cells This study will add human subjects to that body of evidence

Overview Aim 1 Test the hypothesis that the balance of anti- inflammatory vs proinflammatory T cells is protective for systemic insulin resistance T cell profiles in subcutaneous and visceral tissue and blood will be compared in IR vs IS obese humans at baseline and potentially after 12 months following weight loss Tcell profile will be evaluated for relationships with IR and inflammation with adjustment for total body fat Secondarily they will be evaluated for relationship to adipose cell size

Overview Aim 2 Test the hypothesis that macrophage phenotype in adipose tissue is associated with T cell profile and IR Frequency of macrophage phenotypes M1 vs M2 will be analyzed in IR vs IS obese humans at baseline and potentially after 12 months following weight loss

Overview Aim 3 Testing the hypothesis insulin resistance is associated with T cell receptor phenotypes in subcutaneous and visceral tissue IR and IS subjects will be evaluated at baseline by sequencing of expressed TCRs in paired SAT VAT and blood We will determine whether TCR phenotypes are shared between different IR individuals

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: False
Is a FDA Regulated Device?: False
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None
Secondary IDs
Secondary ID Type Domain Link
1-19-ICTS-073 OTHER_GRANT American Diabetes Association None