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Neuromodulation for Hypothalamic Obesity

University of British Columbia logo

University of British Columbia

Status

Withdrawn

Conditions

Hypothalamic Obesity
Craniopharyngioma
Metabolic Syndrome

Treatments

Device: Hypothalamic Deep Brain Stimulation

Study type

Interventional

Funder types

Other

Identifiers

NCT03708913
H16-01595

Details and patient eligibility

About

The balance between hunger and satiety is imperative for an individual's survival and overall health.). Without this balance, individuals can become morbidly obese or lack adequate nutrition for survival. Craniopharyngioma (CP) is a benign tumour that occurs at the base of the brain in children. Unfortunately, pediatric neurosurgeons sometimes inadvertently destroy a child's satiety centre during CP tumour removal surgery. This leaves the child with a post-operative complication: an insatiable appetite. This form of obesity is called "hypothalamic obesity". This study is designed to investigate Deep Brain Stimulation for hypothalamic obesity in n=6 young adults who have stabilized tumours.

Full description

For young adults with destroyed satiety centres due to childhood CP surgery, we believe directly re-balancing the brain's control of hunger and satiety is necessary for sustained and long-term therapy. n=6 patients will be recruited in this Phase 1 DBS trial. The proposed research will hope to improve personal health among the young adults involved in this study by improving quality of life and avoiding long-term cardiovascular morbidities. Furthermore, this study will elucidate what brain regions drive excessive hunger and develop a treatment that attempts to reverse these abnormalities.

Sex

All

Ages

18 to 30 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Diagnosed with hypothalamic obesity following craniopharyngioma tumour removal
  • Treatment refractory to pharmacological interventions such as growth hormone therapy and anti-obesity medications

Exclusion criteria

  • Unable to give consent or unmanaged psychiatric condition

Trial design

Primary purpose

Treatment

Allocation

N/A

Interventional model

Single Group Assignment

Masking

None (Open label)

0 participants in 1 patient group

Open-Label Lateral Hypothalamic DBS Stimulation
Experimental group
Description:
Open-label lateral hypothalamic DBS stimulation for 1 year.
Treatment:
Device: Hypothalamic Deep Brain Stimulation

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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