UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000060054
Receipt number R000068676
Scientific Title A prospective cohort study evaluating the impact of lifestyle intervention induced initial weight change on visceral fat area and body composition after initiation of anti obesity pharmacotherapy
Date of disclosure of the study information 2025/12/11
Last modified on 2025/12/11 15:04:02

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Basic information

Public title

Impact of lifestyle intervention on visceral fat area after initiation of anti-obesity pharmacotherapy in patients with obesity

Acronym

LIVA Study

Scientific Title

A prospective cohort study evaluating the impact of lifestyle intervention induced initial weight change on visceral fat area and body composition after initiation of anti obesity pharmacotherapy

Scientific Title:Acronym

LIVA PRO Study

Region

Japan


Condition

Condition

Obesity disease

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to prospectively evaluate how initial weight changes induced by lifestyle intervention (dietary and exercise counseling) influence subsequent changes in body weight, visceral fat area, and body composition after initiation of anti-obesity pharmacotherapy (semaglutide or tirzepatide) in patients with obesity disease.
In addition, this study aims to identify factors associated with weight change using multivariate analyses.

Basic objectives2

Others

Basic objectives -Others

To explore the associations between initial weight changes induced by lifestyle intervention and subsequent changes in body weight, visceral fat area, and body composition after initiation of anti-obesity pharmacotherapy. In addition, this study aims to identify factors influencing these changes using multivariate analyses.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change in visceral fat area, measured by abdominal CT, from the start of lifestyle intervention (baseline) to 6 months after initiation of anti-obesity pharmacotherapy.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients receiving care at the Asahi Life Foundation Institute of Adult Diseases who meet the following conditions and provide written informed consent to participate in the study

1 Patients with hypertension, dyslipidemia, or impaired glucose tolerance, and who meet one of the following BMI criteria
 - BMI >= 35 kg/m^2, or
 - BMI >= 27 kg/m^2 with at least two obesity related comorbidities.

2 Patients who initiate lifestyle intervention (dietary and exercise counseling) for the purpose of receiving anti obesity pharmacotherapy (semaglutide or tirzepatide).

Key exclusion criteria

1 Patients who are pregnant, or those with severe hepatic or renal dysfunction, or malignant disease.

2 Patients who are using anti-obesity medications other than semaglutide or tirzepatide.

3 Patients whose weight may be affected by recent adjustments in medications such as antidiabetic agents, steroids, antidepressants, or antipsychotic drugs.

4 Patients deemed unsuitable for study participation by the attending physician.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Ryusuke
Middle name
Last name Nakada

Organization

Asahi Life Foundation Institute of Adult Diseases Hospital

Division name

Department of Diabetes and Metabolism

Zip code

103-0002

Address

2-2-6 Nihonbashi-Bakurocho, Chuo-ku, Tokyo 103-0002, Japan

TEL

03-3639-5501

Email

ryu25160178@gmail.com


Public contact

Name of contact person

1st name Shigehisa
Middle name
Last name Nakayama

Organization

Asahi Life Foundation Institute of Adult Diseases Hospital

Division name

General Affairs Section

Zip code

130-0022

Address

2-2-6 Nihonbashi-Bakurocho, Chuo-ku, Tokyo 103-0002, Japan

TEL

03-3639-5501

Homepage URL


Email

ryuryunakada@yahoo.co.jp


Sponsor or person

Institute

Asahi Life Foundation Institute of Adult Diseases Hospital

Institute

Department

Personal name



Funding Source

Organization

Asahi Life Foundation Institute of Adult Diseases Hospital

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee, Institute of Medical Science, Asahi Life Foundation

Address

2-2-6 Nihonbashi-Bakurocho, Chuo-ku, Tokyo 103-0002, Japan

Tel

03-3639-5501

Email

S-nakayama@asahi-life.or.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 12 Month 11 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2025 Year 12 Month 08 Day

Date of IRB

2025 Year 12 Month 08 Day

Anticipated trial start date

2025 Year 12 Month 09 Day

Last follow-up date

2030 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is a prospective observational study conducted at the Institute of Medical Science, Asahi Life Foundation. The study enrolls patients with obesity who initiate lifestyle intervention as part of routine clinical care, followed by anti-obesity pharmacotherapy (semaglutide or tirzepatide). Data are obtained from medical records, and no additional procedures or allocation are performed beyond standard practice. The primary outcome is the change in visceral fat area six months after the initiation of lifestyle intervention. Participation in the study does not alter clinical management, and the study is conducted with careful consideration to ensure that no disadvantage or burden is imposed on participants.


Management information

Registered date

2025 Year 12 Month 11 Day

Last modified on

2025 Year 12 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068676