NCT06261437

Brief Summary

The goal of this randomized clinical trial is to determine the effects of consuming the Close Combat Assault Ration (CCAR) compared to the First Strike Ration (FSR) during a 7-day strenuous military training on energy intake and energy balance in healthy, Active Duty Warfighters. The main questions it aims to answer are:

  • Will consuming the CCAR result in lower energy intake or energy balance compared to consumption of the FSR?
  • Will consuming the CCAR result in lower lower body strength or anaerobic power compared to consuming the FSR?
  • Will those consuming the CCAR report lower ration acceptability or greater gastrointestinal side effects compared to those consuming the FSR? Participants will be asked to consume either the CCAR or FSR as the sole nutrition source during a 7-day field training exercise (FTX). The vertical jump test, running-based anaerobic sprint test, and lower-body strength pull will be conducted pre and post the 7-day FTX to assess physical performance. Energy expenditure and intake will be measured by the doubly-labelled water method and dietary logs, respectively. Surveys will be completed to assess ration acceptability and gastrointestinal symptoms. Researchers will compare the CCAR and FSR groups to see if their consumption impacted energy intake, energy balance, physical performance, ration acceptance, or gastrointestinal side effects.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
60

participants targeted

Target at P50-P75 for not_applicable healthy-volunteers

Timeline
Completed

Started Feb 2024

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 29, 2024

Completed
17 days until next milestone

First Posted

Study publicly available on registry

February 15, 2024

Completed
7 days until next milestone

Study Start

First participant enrolled

February 22, 2024

Completed
11 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 4, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 4, 2024

Completed
Last Updated

March 20, 2025

Status Verified

March 1, 2025

Enrollment Period

11 days

First QC Date

January 29, 2024

Last Update Submit

March 17, 2025

Conditions

Outcome Measures

Primary Outcomes (3)

  • Energy intake

    Energy intake will be measured with daily food records and a review of food waste.

    From study day 1 through 7

  • Energy expenditure

    Energy expenditure will be measured using the doubly-labeled water method.

    From baseline to study day 7

  • Energy balance

    Energy balance will measure the difference between energy intake and expenditure.

    From baseline to study day 7.

Secondary Outcomes (7)

  • Physical performance (vertical jump)

    At baseline (PRE) and POST the 7-day FTX (i.e., study day 8)

  • Physical performance (peak power)

    At baseline (PRE) and POST the 7-day FTX (i.e., study day 8)

  • Physical performance (Anaerobic capacity)

    At baseline (PRE) and POST the 7-day FTX (i.e., study day 8)

  • Physical performance (lower-body strength)

    At baseline (PRE) and POST the 7-day FTX (i.e., study day 8)

  • Food acceptance scale

    From study day 1 through 7

  • +2 more secondary outcomes

Study Arms (2)

Close Combat Assault Ration

EXPERIMENTAL

The CCAR will be consumed as the sole nutrition source during a 7-day physically demanding military training exercise

Other: CCAR

First Strike Ration

ACTIVE COMPARATOR

The FSR will be consumed as the sole nutrition source during a 7-day physically demanding military training exercise

Other: FSR

Interventions

CCAROTHER

The CCAR will be consumed as the sole source of nutrition during a 7-day military training exercise.

Close Combat Assault Ration
FSROTHER

The FSR will be consumed as the sole source of nutrition during a 7-day military training exercise.

First Strike Ration

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Active-duty male or female military personnel who are actively participating in the 7-day strenuous military training exercise.
  • Willing to consume only foods/beverages provided by study staff during the training exercise, except for coffee and water.

You may not qualify if:

  • Any injury or health condition limiting full participation in the 7-day Field Training Exercise.
  • Any food allergy, lactose intolerance, or vegetarian practices.
  • Not willing to participate in all study procedures.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

U.S. Army Research Institute of Environmental Medicine

Natick, Massachusetts, 01760, United States

Location

Related Publications (3)

  • Margolis LM, Rood J, Champagne C, Young AJ, Castellani JW. Energy balance and body composition during US Army special forces training. Appl Physiol Nutr Metab. 2013 Apr;38(4):396-400. doi: 10.1139/apnm-2012-0323. Epub 2013 Apr 3.

    PMID: 23713532BACKGROUND
  • Hoyt RW, Jones TE, Baker-Fulco CJ, Schoeller DA, Schoene RB, Schwartz RS, Askew EW, Cymerman A. Doubly labeled water measurement of human energy expenditure during exercise at high altitude. Am J Physiol. 1994 Mar;266(3 Pt 2):R966-71. doi: 10.1152/ajpregu.1994.266.3.R966.

    PMID: 8160893BACKGROUND
  • Karl JP, Hatch-McChesney A, Allen JT, Fagnant HS, Radcliffe PN, Finlayson G, Gwin JA, Margolis LM, Hennigar SR, McClung JP, Pasiakos SM. Effects of energy balance on appetite and physiological mediators of appetite during strenuous physical activity: secondary analysis of a randomised crossover trial. Br J Nutr. 2021 Nov 28;126(10):1571-1584. doi: 10.1017/S0007114521000131. Epub 2021 Jan 14.

    PMID: 33441218BACKGROUND

Study Officials

  • Michael A Dawson, PhD

    United States Army Research Institute of Environmental Medicine

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
FED
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 29, 2024

First Posted

February 15, 2024

Study Start

February 22, 2024

Primary Completion

March 4, 2024

Study Completion

March 4, 2024

Last Updated

March 20, 2025

Record last verified: 2025-03

Data Sharing

IPD Sharing
Will not share

Locations