Circadian Intervention to Improve Cardiometabolic Health
TOCS
Timing of Circadian Synchronizers: the TOCS Study
1 other identifier
interventional
20
1 country
1
Brief Summary
The overall goal is to examine the efficacy of a circadian intervention in people with overweight and obesity and habitual short sleep duration (HSSD). Participants will undergo a randomized controlled trial, with circadian intervention and control (healthy lifestyle) groups. The circadian intervention is designed to reduce nighttime light exposure and after-dinner snack food intake. Alternatively, the control group will receive basic health information (e.g., physical activity, goal setting, and nutrition when eating out).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jun 2023
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 12, 2023
CompletedStudy Start
First participant enrolled
June 13, 2023
CompletedFirst Posted
Study publicly available on registry
July 13, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2026
CompletedDecember 20, 2024
December 1, 2024
2.7 years
June 12, 2023
December 18, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Insulin sensitivity change from baseline
Oral Glucose Tolerance Test (OGTT), Matsuda Index
Change from baseline to end of the ~8 week experimental segment
Secondary Outcomes (7)
Timing of central circadian clock change from baseline
Change from baseline to end of the ~8 week experimental segment
Plasma ceramides change from baseline
Change from baseline to end of the ~8 week experimental segment
Average (per week) nightly total sleep time change from baseline
Analyzed as change from baseline for each week of the ~8 week experimental segment
Average (per week) sleep satisfaction change from baseline
Analyzed as change from baseline for each week of the ~8 week experimental segment
Average (per week) self-reported sleep duration change from baseline
Analyzed as change from baseline for each week of the ~8 week experimental segment
- +2 more secondary outcomes
Study Arms (2)
Control Group
NO INTERVENTIONProvided with general health information on diet and physical activity.
Intervention Group
EXPERIMENTALCircadian-based intervention focused on timing of light exposure and food intake.
Interventions
The circadian intervention group will receive counseling and instruction to reduce evening and nighttime light exposure, increase morning room light and sunlight exposure, and to finish all food consumption at least 4 hours before bedtime.
Eligibility Criteria
You may qualify if:
- Age: 18-45 years old; equal numbers of men and women
- Body mass index (BMI): 25.0-34.9 kg/m2,
- Sleep Habits: habitual self-reported average total sleep time (TST) \<6.5 hours per night for prior 6 months
You may not qualify if:
- Clinically diagnosed sleep disorder or major psychiatric illness
- Evidence of significant organ dysfunction or disease (e.g., diagnosed diabetes, cardiovascular disease, or kidney disease)
- Use of prescription drugs or substances known to influence sleep or glucose metabolism
- Shift-work: current or history of within last year
- Weight change: \>10% of body weight over prior six months
- Experiencing menopause or post-menopausal
- Current enrollment in weight loss or physical activity program like the Diabetes Prevention Program
- Currently pregnant or planning to become pregnant, or currently lactating.
- Currently smoking
- Alcohol intake \>3 drinks per day or \>14 drinks per week
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
College of Health Research Complex--University of Utah
Salt Lake City, Utah, 84112, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- Group allocation will be blinded to research staff and participants until the conclusion of the baseline segment.
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
June 12, 2023
First Posted
July 13, 2023
Study Start
June 13, 2023
Primary Completion
March 1, 2026
Study Completion
March 1, 2026
Last Updated
December 20, 2024
Record last verified: 2024-12
Data Sharing
- IPD Sharing
- Will not share