NCT05225337

Brief Summary

Innovative lifestyle strategies to treat type 2 diabetes (T2DM) are critically needed. At present, daily calorie restriction (CR) is the main diet prescribed to patients with T2DM for weight loss. However, many patients find it difficult to adhere to CR because calorie intake must be vigilantly monitored every day. In light of these problems with CR, another approach that limits timing of food intake, instead of number of calories consumed, has been developed. This diet is called "time restricted eating" (TRE) and involves confining the period of food intake to 6-8 h per day. TRE allows individuals to self-select foods and eat ad libitum during a large part of the day, which greatly increases compliance to these protocols. Recent findings show that TRE is effective for weight loss and improved glycemic control in patients with obesity and prediabetes. However no long-term randomized controlled trial has examined whether TRE is safe and effective for patients with obesity and T2DM. This study is a 6-month randomized, controlled trial that aims to compare the effects of TRE (eating all food between 12:00 pm to 8:00 pm, without calorie counting), versus CR (25% energy restriction daily), and a control group eating over a period of 10 or more hours per day, on change in body weight (%), glycemic control, and cardiometabolic risk factors, in adults with obesity and T2DM.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
75

participants targeted

Target at P25-P50 for not_applicable diabetes-mellitus-type-2

Timeline
Completed

Started Feb 2022

Typical duration for not_applicable diabetes-mellitus-type-2

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

First Submitted

Initial submission to the registry

January 25, 2022

Completed
10 days until next milestone

First Posted

Study publicly available on registry

February 4, 2022

Completed
6 days until next milestone

Study Start

First participant enrolled

February 10, 2022

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2023

Completed
1.7 years until next milestone

Study Completion

Last participant's last visit for all outcomes

November 25, 2024

Completed
Last Updated

November 27, 2024

Status Verified

November 1, 2024

Enrollment Period

1.1 years

First QC Date

January 25, 2022

Last Update Submit

November 25, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in percent body weight

    Measured by an electronic scale

    Measured at baseline and month 6

Secondary Outcomes (23)

  • Change in HbA1c

    Measured at baseline and month 6

  • Change in total time in euglycemic range

    Measured at baseline and month 6

  • Change in mean glucose level

    Measured at baseline and month 6

  • Change in standard deviation of glucose level

    Measured at baseline and month 6

  • Change fasting glucose

    Measured at baseline and month 6

  • +18 more secondary outcomes

Study Arms (3)

Time restricted feeding (TRF)

EXPERIMENTAL

8-h eating window Ad libitum food intake from 12-8 pm every day Fasting from 8-12 pm every day (16-h fast)

Other: Time restricted feeding (TRF)

Daily calorie restriction (CR)

EXPERIMENTAL

25% energy restriction every day Diet counseling provided

Other: Daily calorie restriction

Control

NO INTERVENTION

Ad libitum food intake, eating over more than 10 hours per day

Interventions

8-h eating window Ad libitum food intake from 12-8 pm every day Fasting from 8-12 pm every day (16-h fast)

Time restricted feeding (TRF)

25% energy restriction every day Diet counseling provided

Daily calorie restriction (CR)

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18-80 years
  • BMI between 30 and 50 kg/m2
  • Previously diagnosed with type 2 diabetes
  • HbA1c between 6.5 and 11%
  • Sedentary or lightly active

You may not qualify if:

  • HbA1c below 6.5 or greater than 11%
  • Have a history of cardiovascular disease
  • History of eating disorders (anorexia, bulimia, or binge eating disorder)
  • Not weight stable for 3 months prior to the beginning of study (weight gain or loss \> 4%)
  • Eating within less than a 10 hour window at baseline
  • Perimenopausal (menses does not appear every 27-32d)
  • Pregnant, or trying to become pregnant
  • Night shift workers
  • Smokers

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Illinois Chicago

Chicago, Illinois, 60612, United States

Location

Related Publications (1)

  • Pavlou V, Cienfuegos S, Lin S, Ezpeleta M, Ready K, Corapi S, Wu J, Lopez J, Gabel K, Tussing-Humphreys L, Oddo VM, Alexandria SJ, Sanchez J, Unterman T, Chow LS, Vidmar AP, Varady KA. Effect of Time-Restricted Eating on Weight Loss in Adults With Type 2 Diabetes: A Randomized Clinical Trial. JAMA Netw Open. 2023 Oct 2;6(10):e2339337. doi: 10.1001/jamanetworkopen.2023.39337.

MeSH Terms

Conditions

Diabetes Mellitus, Type 2Obesity

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesOverweightOvernutritionNutrition DisordersBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Krista Varady

    University of Illinois Chicago

    PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

First Submitted

January 25, 2022

First Posted

February 4, 2022

Study Start

February 10, 2022

Primary Completion

April 1, 2023

Study Completion

November 25, 2024

Last Updated

November 27, 2024

Record last verified: 2024-11

Data Sharing

IPD Sharing
Will not share

Locations