NCT03906409

Brief Summary

Recent work has established biological rhythms in human skeletal muscle. It remains unknown how the timing and pattern of meals influences these rhythms. Therefore, this study sets out to establish how frequent (CONSTANT) vs infrequent (BOLUS) feeding patterns influence established biological rhythms in skeletal muscle.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
18

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Feb 2019

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

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

February 28, 2019

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

April 4, 2019

Completed
4 days until next milestone

First Posted

Study publicly available on registry

April 8, 2019

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 28, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2022

Completed
Last Updated

April 14, 2023

Status Verified

April 1, 2023

Enrollment Period

3 years

First QC Date

April 4, 2019

Last Update Submit

April 13, 2023

Conditions

Keywords

Feeding PatternsSkeletal MuscleMetabolismCircadian RhythmsDiurnal Rhythms

Outcome Measures

Primary Outcomes (2)

  • Autophagy

    Rhythms in autophagy with different feeding patterns

    4 hours

  • Transcriptomic, rhythms in human skeletal muscle

    Assessing rhythms in core-clock genes within the muscle samples

    Over a 24-hour period at a 4 hour resolution

Secondary Outcomes (2)

  • Endocrine responses of systemic blood plasma over 24-hours

    24-hours

  • Continuously monitored subcutaneous interstitial glucose concentrations

    48-hours

Study Arms (2)

Constant

ACTIVE COMPARATOR

Participants will be provided with their daily energy requirements in a continuous drip across the day (1 ml/minute).

Other: Constant

Bolus

EXPERIMENTAL

Participants will be provided with their daily energy requirements in two bolus feeds. One at 08:00-08:15 and one at 20:00-20:15

Other: Bolus

Interventions

Participants will be provided with their daily energy requirements in a continuous drip across the day (1 ml/minute).

Constant
BolusOTHER

Participants will be provided with their daily energy requirements in two bolus feeds. One at 08:00-08:15 and one at 20:00-20:15

Bolus

Eligibility Criteria

Age18 Years - 45 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Body mass index \>19 but \<30 kg/m2
  • Be able and willing to give informed oral and written consent, complete and meet the defined criteria of pre-study questionnaires and screens,
  • Have a regular sleep cycle with a sleep duration between 6 and 8 hours, do not exhibit extreme morning or evening preference (Horne and Ostberg, 1976)
  • Agree to keep a constant sleep/wake cycle with a self-selected 8 hour sleep duration (from which it cannot be deviated by more than 30 minutes) for one week prior to the lab study,
  • Obtain 15 minutes of sunlight within 1.5 hours of waking up and agree to nap only within a 4 h designated nap window for one week prior to the lab study,
  • Allow confirmation of compliance to these instructions by wearing ActiHeart monitors continuously and complete daily sleep and event diaries for one week before the study session,
  • Agree to refrain from alcohol, caffeine, heavy exercise and certain food components TWO days before the study session,
  • Agree to weigh and record daily meals (based on individual energy requirements) for TWO days prior to the study,
  • Agree to refrain from prescribed and 'over the counter' medication and food/vitamin supplements for a wash-out period three weeks before and during the study.

You may not qualify if:

  • Are taking regular medication (also non-prescribed) or food supplements (e.g vitamins, minerals, fish oil, antioxidant tablets) from which it is not possible to refrain, known to influence: Sleep/alertness/the circadian timing system (e.g beta-blockers, barbituates, antidepressants, benzodiazepines, melatonin, ritalin, modafinil, soporifics, St John's Wort), any of the metabolic functions (e.g. affecting thyroid, kidney, liver or gastrointestinal function)
  • Any of the inflammatory markers (e.g. aspirin, ibuprofen, antiobiotics, hay fever medication, medication for sore throats and colds)
  • And/or any of the endothelial markers (e.g. ACE inhibitors and angiotensin (receptor) blockers, diuretics, Beta-blockers, anti-thrombosis medication),
  • Have a history of psychiatric or neurological disease or drug and alcohol abuse,
  • Have donated over 400 ml of blood in the three months preceding the study,
  • Have participated in shift work or have travelled across more than two time zones within three weeks of the study,
  • Do not keep a regular sleep-wake cycle,
  • Do not refrain from alcohol, caffeine containing drinks (e.g. coffee, coke, tea, redbull), heavy exercise and certain foods (e.g. those high in fat and green vegetables) TWO days before and during the laboratory session,
  • Normally consume more than 4 cups of caffeinated beverages (e.g. tea, coffee, cola) daily
  • Smokers

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Bath

Bath, Somerset, BA2 7AY, United Kingdom

Location

Related Publications (2)

  • Christou S, Wehrens SMT, Isherwood C, Moller-Levet CS, Wu H, Revell VL, Bucca G, Skene DJ, Laing EE, Archer SN, Johnston JD. Circadian regulation in human white adipose tissue revealed by transcriptome and metabolic network analysis. Sci Rep. 2019 Feb 25;9(1):2641. doi: 10.1038/s41598-019-39668-3.

    PMID: 30804433BACKGROUND
  • Perrin L, Loizides-Mangold U, Chanon S, Gobet C, Hulo N, Isenegger L, Weger BD, Migliavacca E, Charpagne A, Betts JA, Walhin JP, Templeman I, Stokes K, Thompson D, Tsintzas K, Robert M, Howald C, Riezman H, Feige JN, Karagounis LG, Johnston JD, Dermitzakis ET, Gachon F, Lefai E, Dibner C. Transcriptomic analyses reveal rhythmic and CLOCK-driven pathways in human skeletal muscle. Elife. 2018 Apr 16;7:e34114. doi: 10.7554/eLife.34114.

    PMID: 29658882BACKGROUND

MeSH Terms

Conditions

Feeding Behavior

Interventions

NOP-bolus regimen

Condition Hierarchy (Ancestors)

Behavior, AnimalBehavior

Study Officials

  • Harry A Smith, MSci

    University of Bath

    PRINCIPAL INVESTIGATOR
  • James A Betts, PhD

    University of Bath

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Model Details: Participants will be randomised to one of two parallel trial arms: constant feed or bolus feed
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor James Betts

Study Record Dates

First Submitted

April 4, 2019

First Posted

April 8, 2019

Study Start

February 28, 2019

Primary Completion

February 28, 2022

Study Completion

February 28, 2022

Last Updated

April 14, 2023

Record last verified: 2023-04

Locations