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ObesityRENEWNCT07283978

Real-world Exploration of Digital iNnovation in the Management of Excess Weight

A study testing Digital Weight Management Programme in people with Obesity and Obesity & Overweight, run by Guy's and St Thomas' NHS Foundation Trust at 1 site in United Kingdom.

Enrolling by invitation

Enrolling by invitation. The study team selects and invites participants, usually from an existing group of patients.

Sites and contacts
Official record

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Trial summary

This is a real-world study. The purpose of this research is to explore whether a new National Institute for Health and Care Excellence (NICE)-approved digital weight-management model of care can improve health service delivery and address the Quintuple Aim of Healthcare (health outcomes, cost, patient and clinician… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Obesity, Obesity & Overweight
What is being tested?
Digital Weight Management Programme
Could I receive a placebo?
No, everyone receives an active treatment
How many people
580 participants
Where
1 siteUnited Kingdom
Study dates
16 Dec 2025to Nov 2027
Phase
Interventional

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18 years of age or older
  • Referred to South east London Tier 3 weight management pathway by their GP
  • Accepted by the GSTT Tier 3 weight management service

Who cannot join

  • Participants is Group A cannot participate in Group B
  • Do not have use of a smartphone
  • Do not read, write, or speak English
  • Are unable and/or unwilling to provide informed consent
  • Have a diagnosis of an eating disorder
  • Have had bariatric surgery
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  • Currently have deranged thyroid function tests (required as part of normal referral process)
  • Have type-1 diabetes
  • Are on insulin or sulfonylureas at high risk of hypoglycaemia

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United Kingdom1 site
  • Guy' & St Thomas' NHS Foundation Trust

    London, Greater London, SE1 9RT

Other trials in United Kingdom

About this study

This is a real-world study. The purpose of this research is to explore whether a new National Institute for Health and Care Excellence (NICE)-approved digital weight-management model of care can improve health service delivery and address the Quintuple Aim of Healthcare (health outcomes, cost, patient and clinician experience, and health inequalities), for individuals living with obesity accessing National Health Service (NHS) Tier 3 weight-management services.

Being tested
Digital Weight Management Programme
Keywords
Weight Management, Digital Weight Management, Obesity
Medical subject headings
Obesity, Overweight

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Digital Weight Management ProgrammeOther

    Digital Weight Management Programme

Study groups in NCT07283978
Study groupRoleWhat they receive
Group A InterventionActive comparatorStudy participants who receive 12 months of digital weight management services delivered through a smartphone app.
Receives: Other: Digital Weight Management Programme
Group B InterventionActive comparatorStudy participants who receive 12 months of digital weight management services delivered through a smartphone app
Receives: Other: Digital Weight Management Programme
Group A ControlsNo interventionPatients who receive standard of care weight management services
Group B ControlsNo interventionPatients who receive standard of care service after discharge from standard of care weight management services

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of weight change at 12 months

    Measured: Baseline and 12 months

  2. Quality of Life as a measure to determine cost-effectiveness

    Quality of Life will be measured using the European Quality of Life 5 Dimensions 5 Level (EQ-5D-5L) questionnaire

    Measured: Baseline and 12 months

Secondary outcomes (22)
  1. Feasibility of implementing the intervention into Tier 3 weight management pathways

    This will be assessed through qualitative interviews with participants in the Sub-study.

    Measured: Once

  2. Acceptability of implementing the intervention into Tier 3 weight management pathways

    This will be assessed through qualitative interviews with participants in the Sub-study.

    Measured: Once

  3. Uptake of the intervention

    Measured: 12 months

  4. Retention in the intervention programme

    Measured: From enrolment until the end of the intervention at 12 months /withdrawal/dropout

  5. Success in the intervention programme

    This will be assessed as clinically significant percentage in weight change of greater than or equal to 5 percent.

    Measured: From enrolment until the end of the intervention at 12 months

  6. Economic measurements - Quality of Life Years

    Quality-Adjusted Life Years (QALYs) associated with weight loss, calculated from the scores on the European Quality of Life 5 Dimensions Level questionnaire (EQ-5D-5L)

    Measured: Baseline, 6 months, and 12 months

  7. Economics measurements - Resource Use

    Resource use covering primary and secondary care services within the National Health Service (NHS)

    Measured: From enrolment to the end of the intervention at 12 months

  8. Economics measurements - Unit costs

    Unit costs obtained from standard sources such as NHS reference costs and Personal Social Services Research Unit's unit costs for health and social care.

    Measured: From enrolment to end of intervention at 12 months

  9. Economics measurements - Costs between intervention group and standard care group

    Costs between intervention group and standard care group with be compared

    Measured: From enrolment to end of intervention at 12 months

  10. Patient reported outcomes - alcohol use

    This will be assessed using a self-reported questionnaire - Alcohol Use Disorders Identification Test (Audit) / scale ranges 0 - 40 / 0=low risk, 20 or more = possible alcohol dependence

    Measured: At Baseline, 6 months, and 12 months

  11. Patient reported outcomes - patient health

    This will be assessed using the self-reported Patient Health Questionnaire-4 (PH-4) / Score range 0 - 12) / Score of 3 or higher further assessment for depression \&/or anxiety recommended

    Measured: Baseline, 6 months, 12 months

  12. Patient reported outcomes - eating pattern

    This will be assessed using the self-reported Three-Factor Eating Questionnaire / Score range 1 - 4 for each question / scores are summated into scale scores for cognitive restraint, uncontrolled eating, and emotional eating.

    Measured: Baseline, 6 months, 12 months

  13. Patient reported outcomes - binge eating

    This will be assessed using the self-reported Binge Eating Scale (BES) questionnaire / Score range 0 - 46 / 17 or lower = low binge-eating, 18-26 = mild to moderate binge-eating, 27 or higher = severe binge-eating

    Measured: Baseline

  14. Patient reported outcomes - physical activity

    This will be assess using the self-reported General Practice Physical Activity Questionnaires / Scoring is: Inactive, Moderately inactive, Moderately active, or Active

    Measured: Baseline if required per clinician assessment

  15. Sub-group analyses- Use of glucagon-like peptide (GLP-1) agonists

    Participant use (never/commenced during study/used throughout) of GLP-1 agonsits will be assessed

    Measured: From enrolment until the end of intervention at 12 months

  16. Sub-group analyses - Adherence

    Participant adherence to the intervention will be assessed

    Measured: From enrolment until drop-out, withdrawal, or end of intervention at 12 months

  17. Sub-group analyses - Comorbidities

    Obesity-related medical comorbidities will be assessed

    Measured: From enrolment until end of intervention at 12 months

  18. Sub-group analyses - Social demographics

    Participant social demographics such as sex, ethnicity, age, and Index of Multiple Deprivation (IMD) will be assessed.

    Measured: At enrolment

  19. Clinical measures - height

    Height in metres will be assessed as part of the clinical measures analysis

    Measured: Baseline

  20. Clinical measures - blood pressure

    Self-reported blood pressure will be assessed as part of the clinical measures analysis

    Measured: Baseline, 6 months, and 12 months

  21. Clinical measures - Body Mass Index

    Body Mass Index (BMI) will be assessed from self-reported weight in kilograms divided by height in metres squared, as part of the clinical measures analysis.

    Measured: Baseline, 6 months, and 12 months

  22. Clinical Measures - waist circumference

    Self-reported waist circumference in centimetres will assessed as part of the clinical measures analysis

    Measured: Baseline, 6 months, 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Dec 2025
  2. Study start16 Dec 2025
  3. Primary completionNov 2027 (estimated)
  4. Study completionNov 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Non-randomised
Intervention model
Single group
Model description
All participants will receive the same intervention but at different times during their obesity treatment. Group A will receive the intervention while waiting to start standard of care weight management services and Group B will receive the intervention upon discharge from their standard of care weight management services.
Masking
None (open label)
Enrolment
580 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07283978
Sponsor's protocol ID
351778
Acronym
RENEW
Status last verified
Oct 2026
First submitted
19 Nov 2025
Last updated
23 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: IPD will be shared on reasonable request.

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