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.
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
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.
- Conditions
- Obesity, Obesity & Overweight
- 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 group | Role | What they receive |
|---|---|---|
| Group A Intervention | Active comparator | Study participants who receive 12 months of digital weight management services delivered through a smartphone app. Receives: Other: Digital Weight Management Programme |
| Group B Intervention | Active comparator | Study participants who receive 12 months of digital weight management services delivered through a smartphone app Receives: Other: Digital Weight Management Programme |
| Group A Controls | No intervention | Patients who receive standard of care weight management services |
| Group B Controls | No intervention | Patients 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.
Percentage of weight change at 12 months
Measured: Baseline and 12 months
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)
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
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
Uptake of the intervention
Measured: 12 months
Retention in the intervention programme
Measured: From enrolment until the end of the intervention at 12 months /withdrawal/dropout
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
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
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
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
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
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
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
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
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
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
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
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
Sub-group analyses - Comorbidities
Obesity-related medical comorbidities will be assessed
Measured: From enrolment until end of intervention at 12 months
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
Clinical measures - height
Height in metres will be assessed as part of the clinical measures analysis
Measured: Baseline
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
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
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.
- First posted16 Dec 2025
- Study start16 Dec 2025
- Primary completionNov 2027 (estimated)
- Study completionNov 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for ObesityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Guy's and St Thomas' NHS Foundation Trust
- Sponsor type
- University, hospital or other
- Collaborators
- King's College London
- Responsible party
- Sponsor
- Investigators
- Andrew Walker, PhD, Study chair, Guy's and St Thomas' NHS Foundation TrustEmma Duncan, MD, PhD, Study director, King's College London
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.