NCT02300857

Brief Summary

This study will evaluate the effect of macronutrient diets on brain activity in homeostatic and mesolimbic reward regions.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
72

participants targeted

Target at P50-P75 for not_applicable obesity

Timeline
Completed

Started Nov 2014

Typical duration for not_applicable obesity

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 1, 2014

Completed
19 days until next milestone

First Submitted

Initial submission to the registry

November 20, 2014

Completed
5 days until next milestone

First Posted

Study publicly available on registry

November 25, 2014

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2017

Completed
Last Updated

June 6, 2019

Status Verified

June 1, 2019

Enrollment Period

2.5 years

First QC Date

November 20, 2014

Last Update Submit

June 5, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • Blood flow to the nucleus accumbens and connected striatal regions

    Regional cerebral blood flow (rCBF) measured using arterial spin labeling (ASL) at rest, in neuroanatomically-defined a priori regions (nucleus accumbens, caudate, putamen).

    14-20 weeks after initiation of test diet

Secondary Outcomes (2)

  • Blood flow to the hypothalamus

    14-20 weeks after initiation of test diet

  • Functional connectivity between the hypothalamus and nucleus accumbens

    14-20 weeks after initiation of test diet

Study Arms (3)

Low carbohydrate diet

ACTIVE COMPARATOR
Behavioral: Low carbohydrate diet

Moderate carbohydrate diet

ACTIVE COMPARATOR
Behavioral: Moderate carbohydrate diet

High carbohydrate diet

ACTIVE COMPARATOR
Behavioral: High carbohydrate diet

Interventions

Feeding study. Composition (by proportion of calories): 20% carbohydrate, 60% fat, 20% protein

Low carbohydrate diet

Feeding study. Composition (by proportion of calories): 40% carbohydrate, 40% fat, 20% protein

Moderate carbohydrate diet

Feeding study. Composition (by proportion of calories): 60% carbohydrate, 20% fat, 20% protein

High carbohydrate diet

Eligibility Criteria

Age18 Years - 55 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Aged 18 to 55 years
  • BMI ≥ 23 kg/m2
  • BMI \< 45 kg/m2 and weight ≤ 300 lbs (136 kg)
  • Medical clearance from a primary care provider
  • Student or employee at Framingham State University throughout enrollment in the study
  • Community-based participants from the greater Framingham and Assabet Valley communities
  • Willing and able to eat and drink only the foods and beverages on the study menus
  • Willing to eat in the dining hall
  • Willing to abstain from consuming alcohol during participation
  • Body circumference of \<64 in
  • Willingness to undergo 2, 30-minute MRI scans

You may not qualify if:

  • Change in body weight exceeding ±10% during prior year
  • Recent adherence to a special diet
  • Recent adherence to a vigorous physical activity regimen (e.g., participation in a varsity sport)
  • Chronic use of any medication or dietary supplement that could affect study outcomes
  • Current smoking (1 cigarette in the last week)
  • Heavy baseline alcohol consumption or history of binge drinking
  • Physician diagnosis of a major medical/psychiatric illness or eating disorder
  • Abnormal blood glucose, TSH, CBC, BUN, Creatinine
  • ALT greater than 150% of the normal upper limit
  • Plans for a vacation during the study that would preclude adherence to prescribed diet
  • Previous bariatric surgery
  • Other contraindications to MRI scanning (severe claustrophobia/extensive orthopedic hardware/pacemaker, cerebral aneurysm clip)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (2)

  • Lennerz BS, Alsop DC, Holsen LM, Stern E, Rojas R, Ebbeling CB, Goldstein JM, Ludwig DS. Effects of dietary glycemic index on brain regions related to reward and craving in men. Am J Clin Nutr. 2013 Sep;98(3):641-7. doi: 10.3945/ajcn.113.064113. Epub 2013 Jun 26.

    PMID: 23803881BACKGROUND
  • Holsen LM, Hoge WS, Lennerz BS, Cerit H, Hye T, Moondra P, Goldstein JM, Ebbeling CB, Ludwig DS. Diets Varying in Carbohydrate Content Differentially Alter Brain Activity in Homeostatic and Reward Regions in Adults. J Nutr. 2021 Aug 7;151(8):2465-2476. doi: 10.1093/jn/nxab090.

Related Links

MeSH Terms

Conditions

Obesity

Interventions

Diet, Carbohydrate-RestrictedDiet, High-Protein Low-Carbohydrate

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Diet TherapyNutrition TherapyTherapeuticsDietNutritional Physiological PhenomenaDiet, Food, and NutritionPhysiological PhenomenaDiet, High-Protein

Study Officials

  • Laura M. Holsen, Ph.D.

    Brigham and Women's Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor of Psychiatry

Study Record Dates

First Submitted

November 20, 2014

First Posted

November 25, 2014

Study Start

November 1, 2014

Primary Completion

April 30, 2017

Study Completion

April 30, 2017

Last Updated

June 6, 2019

Record last verified: 2019-06

Data Sharing

IPD Sharing
Will not share