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Trial registered on ANZCTR
Registration number
ACTRN12609000239268
Ethics application status
Approved
Date submitted
30/04/2009
Date registered
11/05/2009
Date last updated
9/12/2010
Type of registration
Prospectively registered
Titles & IDs
Public title
Observational study of an oral volume restriction device for slowing eating and achieving weight loss in overweight and obese individuals
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Scientific title
Observational study of an oral volume restriction device for slowing eating and achieving weight loss in overweight and obese individuals
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Secondary ID [1]
253266
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Weight loss with an oral device
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Overweight and obesity
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Condition category
Condition code
Diet and Nutrition
5012
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0
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Obesity
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Longitudinal observational study of 20 subjects with Body Mass Index (BMI) range 27-29.9 kg/m2 with some level of comorbidity or BMI range 30-32.9 with or without comorbidity, to evaluate the efficacy, acceptability and compliance of using a novel oral volume restrictive device (the Sensor Monitored Alimentary Restriction Therapy (SMART) device manufactured by Scientific Intake, Atlanta GA, USA) to achieve weight loss. The device is inserted into the oral cavity immediately prior to ingestion of food or calorie-containing drinks, and is removed, cleansed and stored until reinsertion, ideally during the next meal or snack. The overall duration of the study is 4 months with an option of follow-up visits at 9- and 12-months.
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Intervention code [1]
4459
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Treatment: Devices
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Comparator / control treatment
Nil
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Weight loss greater than 5% body weight by weighing participants on scales
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Assessment method [1]
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Timepoint [1]
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4 months after intervention commencement
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Secondary outcome [1]
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Compliance: subjects who use the device 5 or more days a week and for at least 30% of all meals and snacks. This outcome is assessed by self report
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Assessment method [1]
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Timepoint [1]
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4 months after intervention commencement
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Secondary outcome [2]
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Acceptability: the number of subjects that can place the device and tolerate the use of the device during a small meal. Outcome will be assessed by self report
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Assessment method [2]
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Timepoint [2]
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4 months after intervention commencement
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Eligibility
Key inclusion criteria
BMI range 27-29.9 kg/m2 with some level of comorbidity or BMI range 30-32.9 with or without comorbidity; weight stable +/- 5% over the preceding 6 months; have had a weight problem of at least 2 years; have made substantial attempts to lose weight in the past which has resulted in weight loss but was followed by eventual weight regain; must be from the Melbourne area and have no problem making a strong commitment to frequent and regular follow-up for at least 6 months after receiving the device; participants must have had a dental examination within the preceding 12 months and have healthy teeth and oral cavity, and provide the name and accurate contact information for their dentist; patients must have normal functioning of the mouth and no swallowing abnormality; patient agrees that the device remains the property of the research team unless it is agreed that the participant has completed 80% of the follow up requirements of the study which must include the third visit and the 4-month follow up visit; all participants must have attended the initial consultation and completed satisfactorily all laboratory tests and questionnaires before the second visit.
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Minimum age
18
Years
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Maximum age
50
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients who are unable to complete all the questionnaires and tests in English; patients participating or intending to participate in another weight loss program during the next year; patients with any significant cardiac, pulmonary, hepatic, renal or untreated endocrine condition. (Those with treated type-2 diabetes – up to 6 subjects - or thyroid disease would be acceptable); any cancer or internal malignancy; alcoholism or drug abuse; patients on medications known to stimulate appetite and lead to weight gain; major psychiatric or neurological illness, any neurological condition that may affect oral functioning or swallowing; known allergy to oral appliances, or to the impression material (vinyl polysiloxane) or the materials (acrylics and stainless steel, with a small microchip totally surrounded by the acrylic material) used to make the SMART device; a dermatological condition that may involve the lips or any part of the oral cavity; a history of oral or dental disease that may interfere with the safe use of the device; patients using dentures or any partial denture or removable oral device; patients missing three or more upper teeth; any condition that in the view of the assessing physician may interfere with the effectiveness or safety of the SMART device; failure to complete all lab test and questionnaires before the second visit; patients who are self-described slow eaters or whose eating evaluation indicates they are slow eaters or patients who consume a majority of their calories in snacks rather than at mealtimes; significant weight loss or gain between the first visit and the placement of the SMART device (5% of body weight).
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Random sample
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/06/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Scientific Intake
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Address [1]
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3575 Piedmont Road NE
Building 15, Suite 1050
Atlanta, GA 30305
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Country [1]
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United States of America
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Primary sponsor type
University
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Name
Monash University
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Address
Department of General Practice
Building 1, 270 Ferntree Gully Road
Notting Hill VIC 3168
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Other collaborator category [1]
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Other Collaborative groups
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Name [1]
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Baker IDI Heart and Diabetes Institute
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Address [1]
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75 Commercial Road,
Melbourne VIC 3004
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Country [1]
656
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Alfred Hospital Hunan Research Ethics Committee (HREC)
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Ethics committee address [1]
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Commercial Road, Melbourne VIC 3004
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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12/01/2009
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Approval date [1]
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Ethics approval number [1]
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7/09
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Summary
Brief summary
The purpose of this study is to explore the efficacy, acceptability and compliance associated with using the SMART device for weight loss in overweight and obese adults, and to gain experience with this device in Australia. Hypothesis: The use of the device will reduce oral food intake and lead to a substantial weight loss when combined with dietary advice and a physical activity program
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Associate Professor John Dixon
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Address
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Monash University,
Department of General Practice
Building 1, 270 Ferntree Gully Road,
Notting Hill VIC 3168
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Country
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Australia
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Phone
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+61 3 9902 4511
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Fax
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+61 3 8575 2233
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Email
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[email protected]
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Contact person for scientific queries
Name
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Associate Professor John Dixon
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Address
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Monash University,
Department of General Practice
Building 1, 270 Ferntree Gully Road,
Notting Hill VIC 3168
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Country
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Australia
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Phone
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+61 3 9902 4511
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Fax
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+61 3 8575 2233
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Email
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john.dixon@ med.monash.edu.au
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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