NCT07272460

Brief Summary

Time-restricted eating - where no food is consumed over a period of time - has been shown to promote weight loss and improve cardio-metabolic function. In individuals with type 2 diabetes, it is also been shown to improve glucose control. The investigators propose a randomized controlled trial to determine whether time-restricted eating is an effective therapeutic strategy that can preserve pancreatic beta-cell function and improve glycemic control early in participants with type 2 diabetes.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
112

participants targeted

Target at P50-P75 for not_applicable type-2-diabetes

Timeline
40mo left

Started Feb 2026

Typical duration for not_applicable type-2-diabetes

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

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress8%
Feb 2026Jul 2029

First Submitted

Initial submission to the registry

September 29, 2025

Completed
2 months until next milestone

First Posted

Study publicly available on registry

December 9, 2025

Completed
2 months until next milestone

Study Start

First participant enrolled

February 1, 2026

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 30, 2029

Expected
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 31, 2029

Last Updated

February 11, 2026

Status Verified

September 1, 2025

Enrollment Period

3.2 years

First QC Date

September 29, 2025

Last Update Submit

February 9, 2026

Conditions

Keywords

Randomized controlled trialTime-restricted eatingIntermittent fastingType 2 diabetes

Outcome Measures

Primary Outcomes (1)

  • Differences in baseline-adjusted Insulin-Secretion-Sensitivity Index-2 (ISSI-2) between the study groups.

    Baseline-adjusted beta-cell function at 52 weeks, measured by Insulin Secretion-Sensitivity Index-2 (ISSI-2).

    52-weeks

Secondary Outcomes (2)

  • Differences in baseline-adjusted insulin resistance between the study groups

    52-weeks

  • Differences in time in glucose target range between each study group

    52-weeks

Other Outcomes (5)

  • Anthropometric measures

    52-weeks

  • Additional measures of beta-cell function

    52-weeks

  • Additional measures of insulin sensitivity

    52-weeks

  • +2 more other outcomes

Study Arms (2)

Time-restricted eating

EXPERIMENTAL

Time-restricted eating protocol consisting of time-restricted eating with 18 hours of fasting and 6 hour window of eating (between 2 to 8 PM) every day.

Behavioral: Time-restricted eating

Standard lifestyle

ACTIVE COMPARATOR

Standard lifestyle recommendation as per Diabetes Canada Guidelines.

Behavioral: Standard lifestyle

Interventions

18 hours of fasting and 6 hour window of eating (between 2 to 8 PM) every day for 52 weeks.

Time-restricted eating

standard lifestyle recommendations as per Diabetes Canada guidelines \[where patients are encouraged to maintain regularity in timing and spacing of meals with no specific recommendation regarding hours of fasting\]

Standard lifestyle

Eligibility Criteria

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

You may qualify if:

  • Individuals with previously diagnosed BMI ≥ 25 kg/m2 and type 2 diabetes within preceding 10 years.
  • Age 18 - 75 years inclusive
  • Stable weight over past 12 weeks (less than 5% change in body weight) (self-reported)
  • Diabetes treatment consisting of lifestyle only or metformin, dipeptidyl peptidase-4 (DPP-4) inhibitor, and sodium-glucose co-transporter 2 (SGLT2) inhibitors either as monotherapy or in combination.
  • Ability to read and understand English

You may not qualify if:

  • Current diabetes treatment with insulin, glucagon-like peptide-1 receptor agonists, and/or sulfonylureas.
  • Use of any other pharmacological treatment for weight-loss
  • Previous surgical treatment for weight loss such as gastric bypass or gastric band
  • Any history of eating disorder
  • Currently pregnant or lactating
  • Renal dysfunction as evidenced by estimated glomerular filtration rate \< 25 ml/min by CKD-EPI Creatinine Equation
  • New York Heart Association class II-IV heart failure
  • Hepatic disease considered to be clinically significant (includes jaundice, chronic hepatitis, or previous liver transplant) or transaminases \>2.5X the upper limit of normal
  • Malignant neoplasm requiring chemotherapy, surgery, radiation or palliative therapy within the previous 5 years (with the exception of basal cell skin cancer)
  • Any other factor likely to limit adherence to the study, in the opinion of the investigators
  • Concurrent participation in another research study relevant to diabetes and metabolic health

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Leadership Sinai Centre for Diabetes

Toronto, Ontario, M5T3L9, Canada

RECRUITING

Related Publications (1)

  • Retnakaran M, Lessa VL, Kramer CK. Time restricted EAting for Type 2 diabetes and MEtabolic health: The TEA TIME trial study protocol. PLoS One. 2026 Mar 12;21(3):e0343494. doi: 10.1371/journal.pone.0343494. eCollection 2026.

MeSH Terms

Conditions

Diabetes Mellitus, Type 2OverweightIntermittent Fasting

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesOvernutritionNutrition DisordersBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsFastingFeeding BehaviorBehavior

Central Study Contacts

Caroline K Kramer, MD, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 29, 2025

First Posted

December 9, 2025

Study Start

February 1, 2026

Primary Completion (Estimated)

March 30, 2029

Study Completion (Estimated)

July 31, 2029

Last Updated

February 11, 2026

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will not share

Locations