NCT04484987

Brief Summary

Time-restricted eating (TRE) is a dietary manipulation that involves restricting food intake to 6-12 h/day with no energy intake the rest of the day. In rodents, TRE improves metabolic function without caloric restriction, potentially by activating nutrient sensing mechanisms and effects on circadian oscillations. However, an understanding of the effect of TRE on cardiometabolic health in people is not clear and few studies have evaluated this issue. Accordingly, the investigators propose to conduct a randomized controlled trial in people with obesity and prediabetes to determine the effect of 9 h TRE for 12 weeks, without a change in body weight, on key metabolic outcomes that are risk factors for cardiovascular disease (CVD): 1) multi-organ insulin sensitivity; 2) 24 h metabolic homeostasis and diurnal rhythm; and 3) adipose tissue and skeletal muscle biology. The proposed studies will elucidate the cardiometabolic implications of TRE in people with obesity and prediabetes.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
55

participants targeted

Target at P25-P50 for not_applicable obesity

Timeline
Completed

Started Nov 2020

Typical duration for not_applicable obesity

Geographic Reach
1 country

1 active site

Status
terminated

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

First Submitted

Initial submission to the registry

July 17, 2020

Completed
7 days until next milestone

First Posted

Study publicly available on registry

July 24, 2020

Completed
4 months until next milestone

Study Start

First participant enrolled

November 20, 2020

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 30, 2022

Completed
1.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

May 20, 2024

Completed
Last Updated

August 22, 2024

Status Verified

November 1, 2023

Enrollment Period

2.1 years

First QC Date

July 17, 2020

Last Update Submit

August 20, 2024

Conditions

Keywords

Chrono-nutritionAdipose tissueSkeletal muscleInsulin sensitivityDiurnal rhythm

Outcome Measures

Primary Outcomes (3)

  • Insulin sensitivity

    Insulin sensitivity will be assessed by using a hyperinsulinemic euglycemic clamp procedure in conjunction with infusion of stable isotope tracers.

    3 months (pre-post intervention)

  • 24 h glycemic control

    Changes in plasma glucose concentration will be assessed during a 24 h feeding study.

    3 months (pre-post intervention)

  • Adipose tissue gene expression

    Changes in the expression of genes involved in energy metabolism will be assessed by using qPCR.

    3 months (pre-post intervention)

Secondary Outcomes (1)

  • Peripheral diurnal rhythmicity in in peripheral mononuclear blood cells

    3 months (pre-post intervention)

Study Arms (2)

TRE group

OTHER

Time-restricted eating group

Other: 9 hours daily eating window

Control group

OTHER

Time-unrestricted eating group

Other: 15 hours daily eating window

Interventions

Participants assigned to the TRE group will have to consume all their daily meals and snacks during a 9-hour window for 12 weeks.

TRE group

Participants assigned to the control group will have to consume all their daily meals and snacks during a 15-hour window for 12 weeks.

Control group

Eligibility Criteria

Age21 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • body mass index 30-39.9 kg/m2
  • fasting plasma glucose 100-125 mg/dl, or 2h OGTT plasma glucose 140-199 mg/dl or hemoglobin A1C 5.7-6.4%
  • self-reported habitual eating period \> 15 h per day

You may not qualify if:

  • shift worker, recent or expected travel crossing time zones
  • fasting \>12 h/day more than once a week or vegan
  • shift worker, recent or expected travel crossing time zones
  • fasting \>12 h/day more than once a week or vegan
  • \> once a week no food intake after 1800 h
  • habitually waking up before 0400 h and sleeping before 2230 h
  • ≥ 150 min per week of structured exercise
  • unstable weight (\>5% change the last 2 months)
  • type 2 diabetes or other major chronic disease
  • sleep disorder
  • cancer in last 5 years
  • conditions that render subject unable to complete all testing procedures
  • use of medications that affect the study outcome measures or increase the risk of study procedures and that cannot be temporarily discontinued (e.g., steroids, alpha or beta adrenergic blockers or agonists, etc.)
  • smoking and illegal drug use
  • pregnant or lactating
  • +6 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of California, Davis

Davis, California, 95616-5398, United States

Location

Related Links

MeSH Terms

Conditions

ObesityGlucose IntoleranceInsulin Resistance

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsHyperglycemiaGlucose Metabolism DisordersMetabolic DiseasesHyperinsulinism

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: Participants will be randomly assigned to one of two diet interventions: TRE group (eating all their food for the day in 9 hours) or the control group (eating all their food for the day in 15 hours) for 12 weeks. Tests to asses changes in metabolism will be performed before and after the intervention.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 17, 2020

First Posted

July 24, 2020

Study Start

November 20, 2020

Primary Completion

December 30, 2022

Study Completion

May 20, 2024

Last Updated

August 22, 2024

Record last verified: 2023-11

Data Sharing

IPD Sharing
Will share

The final dataset will primarily include data collected specifically for the study, but it will also contain some demographic information and historical data regarding family history of diabetes, obesity, and cardiovascular disease. Upon publication of the primary manuscript, we will consider requests to make the study-related data and relevant demographic information (such as ethnicity) available to other investigators. The final dataset, which will not include subject names, will be further stripped of any other unique identifiers and prepared in accordance with all HIPAA regulations prior to release for sharing. No unique subject characteristics will be included in any reports generated by use of the data.

Shared Documents
STUDY PROTOCOL
Time Frame
Upon publication of the study data.

Locations