NCT06382480

Brief Summary

The overall aim is to identify the dietary pattern for prevention and treatment of type 2 diabetes. The specific aim of this pilot project is to compare effects of two diets with different diurnal distribution of carbohydrates and protein on the glucose metabolism in subjects with prediabetes and type 2 diabetes and its effects on inflammatory status.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
10mo left

Started Apr 2024

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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

Study Progress72%
Apr 2024Feb 2027

First Submitted

Initial submission to the registry

March 15, 2024

Completed
28 days until next milestone

Study Start

First participant enrolled

April 12, 2024

Completed
12 days until next milestone

First Posted

Study publicly available on registry

April 24, 2024

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2026

Expected
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2027

Last Updated

August 26, 2025

Status Verified

August 1, 2025

Enrollment Period

2.7 years

First QC Date

March 15, 2024

Last Update Submit

August 19, 2025

Conditions

Keywords

GlucoseOverweightObesityPrediabetesType 2 DiabetesMetabolismChrononutritionMacronutrient compositionHigh-proteinHigh-carbIsocaloric dietPrevention and treatment of type 2 diabetes

Outcome Measures

Primary Outcomes (1)

  • Mean 24-hour glucose

    Mean 24-hour glucose assessed by continuous glucose monitoring (CGM)

    4 weeks

Secondary Outcomes (19)

  • Measurement of height

    4 weeks

  • Measurement of body weight

    4 weeks

  • Waist and hip circumference / waist to hip ratio

    4 weeks

  • Systolic and diastolic blood pressure

    4 weeks

  • Body fat and lean mass

    4 weeks

  • +14 more secondary outcomes

Study Arms (2)

HP/HC - HC/HP

EXPERIMENTAL

Isocaloric 4-week HP/HC intervention followed by a 4-week HC/HP intervention.

Other: Diet with specific macronutrient composition.

HC/HP - HP/HC

EXPERIMENTAL

Isocaloric 4-week HC/HP intervention followed by a 4-week HP/HC intervention.

Other: Diet with specific macronutrient composition.

Interventions

The intervention is about an isocaloric diet that differs in terms of distribution of carbohydrates and protein throughout the day. The interventions include a HP-breakfast and a HC-dinner vs. a HC-breakfast and a HP-dinner. A HP low-carb meal (breakfast or dinner) will contain 35%E protein, 35%E carbs, and 30%E fat, and a HC meal (breakfast or dinner) will contain 10%E protein, 60%E carbs, and 30%E fat.

HC/HP - HP/HCHP/HC - HC/HP

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Prediabetes (fasting blood sugar 100-125 mg/dl)
  • Diabetes type 2 (fasting blood sugar \>126 mg/dl)
  • Overweight and obesity (BMI 25-50 kg/m2)

You may not qualify if:

  • Other diabetes types
  • Insulin treatment
  • Shift work
  • Weight changes \>5% within past 3 months
  • Systemic glucocorticoid therapy
  • Systemic infections
  • Severe anemia
  • High blood pressure (\>180/110 mmHg)
  • Endocrinologic, liver and heart disorders
  • Immune diseases
  • Thyroid dysfunction
  • Heart attack or stroke
  • Cancer in the last 2 years
  • Eating disorders, food intolerance/allergy, addiction disorders, digestive disorders intestinal, liver, cardiovascular diseases
  • Hereditary or acquired coagulation disorders
  • +4 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Olga Ramich

Potsdam, Potsdam-Rehbrücke, 14558, Germany

RECRUITING

MeSH Terms

Conditions

OverweightObesityPrediabetic StateDiabetes Mellitus, Type 2

Interventions

Diet

Condition Hierarchy (Ancestors)

OvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsDiabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Nutritional Physiological PhenomenaDiet, Food, and NutritionPhysiological Phenomena

Study Officials

  • Olga Ramich, PD Dr.

    German Institute of Human Nutrition

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Olga Ramich, PD Dr.

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
CROSSOVER
Model Details: The trial will have a cross-over design and compare metabolic effects of two isocaloric 4-week interventions with opposite timely distribution of macronutrient intake divided by a 4-week wash-out phase.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Head of Research Group Molecular Nutritional Medicine

Study Record Dates

First Submitted

March 15, 2024

First Posted

April 24, 2024

Study Start

April 12, 2024

Primary Completion (Estimated)

December 31, 2026

Study Completion (Estimated)

February 28, 2027

Last Updated

August 26, 2025

Record last verified: 2025-08

Data Sharing

IPD Sharing
Will not share

Locations