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NCT05833217NARecruitingAccepts Healthy Volunteers

Obesity, Insulin Resistance, and PASC: Persistent SARS-CoV-2

Stanford University

Start Date

6/6/2023

Completion Date

12/31/2025

Summary

The investigators are studying the pathophysiologic links between obesity, insulin resistance (IR), adipose tissue infection, and post-acute sequelae of COVID-19 (PASC). This study looks at whether adipose (fat) tissue contributes to PASC by driving chronic inflammation or by serving as a reservoir for SARS-CoV-2 persistence. The results will not only determine whether obesity and IR are risk factors for PASC, but will also define fundamental biology that sets the stage for the investigation of novel or existing therapies that target the causal pathways identified.

Eligibility Criteria

Age Range: 18 years to 80 years

Inclusion Criteria: * Ages 18 to 80 * BMI ≥ 25 kg/m2 * not currently pregnant Exclusion Criteria: Arm 2 (Adipose Tissue Biopsy) exclusions include * pregnancy * prior liposuction * recent change in weight (\> 2 kg in one month) * bleeding disorders * anticoagulant use Arm 3 (healthy controls only) exclusions include patients with * major organ disease * diabetes * history of liposuction * bariatric surgery * eating disorders * psychiatric disorders * pregnancy or lactation * recent change in weight (over the past 12 weeks), * use of weight loss medication or oral steroids * hematocrit \< 33% * fasting glucose \>= 126 mg/dL * blood pressure \>160/100 mmHg

Interventions

PROCEDURE

Adipose Tissue Biopsy

DIAGNOSTIC_TEST

Steady State Plasma Glucose (SSPG) Test

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Conditions

Long COVIDInsulin ResistanceInsulin Sensitivity

Locations

Clinical and Translational Research Unit

Palo Alto, California 94304

United States

Stanford Health

Palo Alto, California 94305

United States