Fasting test may unlock personalized obesity treatment
NCT ID NCT06874270
First seen Jul 07, 2026 · Last updated Jul 08, 2026 · Updated 1 time
Summary
This study explores whether a 24-hour fast can identify two metabolic types in people with severe obesity: 'thrifty' (whose metabolism slows significantly) and 'spendthrift' (whose metabolism stays steady). Researchers will track weight loss during a 12-week very-low-calorie diet and a 12-week maintenance phase to see if the thrifty type loses less weight. The goal is to develop a simple test that personalizes obesity therapy based on an individual's unique metabolism.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could lead to a simple test that helps doctors choose the most effective weight loss plan for each person with severe obesity.
- What could go wrong
- This is a small, early-stage study with only 35 participants. The metabolic types identified may not reliably predict weight loss success in larger, more diverse groups.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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35 people
The number who actually took part.
- Started
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Sep 2023
- Finished
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Mar 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study population consists of adult men and women (ages 18 to 70) with a body mass index (BMI) above 40 kg/m² who are receiving care at the Department of Internal Medicine I at the University Hospital Schleswig-Holstein (UKSH), Campus Kiel. All participants are enrolled in a multimodal obesity therapy program that includes nutritional counseling, behavioral interventions, and exercise components. Eligible individuals must meet the specified inclusion criteria and have no conditions that could confound study results or compromise patient safety.
- Ages
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18 to 70 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Morbid obesity (BMI \> 40 kg/m²) * Currently undergoing a multimodal obesity therapy program at the Department of Internal Medicine I at the University Hospital Schleswig-Holstein (UKSH), Campus Kiel Exclusion Criteria: * Type 1 or Type 2 diabetes mellitus, or fasting blood glucose \>125 mg/dL, or HbA1c \>6.5% * Conditions affecting appetite or energy expenditure (e.g., Cushing's syndrome, uncontrolled hyper-/hypothyroidism, diabetes mellitus) * Gastrointestinal diseases that may impair nutrient absorption (e.g., inflammatory bowel disease, malabsorption syndromes, peptic ulcers) * Psychiatric disorders that influence eating behavior (e.g., active depression, anorexia nervosa, bulimia nervosa, borderline personality disorder) * Acute, unstable cardiovascular disease requiring hospitalization within the last 6 months (e.g., stent implantation) * Cancer requiring treatment within the past 5 years * Chronic kidney disease at Stage IV or worse according to NKF criteria * Active infectious disease (e.g., HIV, hepatitis) * Active nicotine use * Drug use (e.g., amphetamines, cocaine, heroin, marijuana) * Regular intense physical activity (≥1 hour of sport per day) * Non-MRI-compatible metallic implants (e.g., joint replacements, metal plates) * Pregnancy or breastfeeding * Use of weight-loss medications * Clinically relevant claustrophobia * Any other condition not specified above that, in the judgment of the investigator, could interfere with study participation or compromise patient safety
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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University Hospital Schleswig-Holstein
Kiel, Schleswig-Holstein, 24105, Germany
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