NCT07438158

Brief Summary

This randomized controlled trial will examine the effects of within-day protein distribution and leucine supplementation on body composition, physical performance, and biomarkers of muscle damage in tactical athletes during an 8-week intensive training program. Sixty-nine healthy male participants (18-35 years) enrolled in a Ministry of Defense training course will be randomly assigned to one of three iso-caloric dietary groups providing 1.6 g/kg/day of protein: (1) evenly distributed protein across three meals (EVEN), (2) a 16-hour daily protein fasting pattern with protein concentrated at lunch and dinner (FAST), or (3) the same fasting pattern with 5 g leucine supplementation at breakfast (FAST-RESCUE). Primary outcomes include changes in lean body mass. Secondary outcomes include strength, anaerobic performance, and biochemical markers of muscle damage, including urinary titin N-terminal fragment (UTF). Assessments will be conducted at baseline, Week 5, and Week 8.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
69

participants targeted

Target at P50-P75 for not_applicable

Timeline
30mo left

Started Mar 2026

Typical duration for not_applicable

Status
not yet 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 Progress11%
Mar 2026Dec 2028

First Submitted

Initial submission to the registry

February 22, 2026

Completed
5 days until next milestone

First Posted

Study publicly available on registry

February 27, 2026

Completed
2 days until next milestone

Study Start

First participant enrolled

March 1, 2026

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2028

Last Updated

March 2, 2026

Status Verified

February 1, 2026

Enrollment Period

2.8 years

First QC Date

February 22, 2026

Last Update Submit

February 26, 2026

Conditions

Keywords

Tactical AthletesProtein DistributionLeucine SupplementationLean Body MassMuscle Protein SynthesisResistance Training

Outcome Measures

Primary Outcomes (1)

  • Change in Lean Body Mass (LBM)

    Lean body mass (kg) assessed by multi-frequency bioelectrical impedance analysis (BIA) using the SECA mBCA 515.

    Baseline (Week 1) to Week 8

Secondary Outcomes (17)

  • Change in Fat Mass Percentage

    Baseline (Week 1), Week 5, and Week 8

  • Change in Fat-Free Mass (FFM)

    Baseline (Week 1), Week 5, and Week 8

  • Change in Skeletal Muscle Mass (SMM)

    Baseline (Week 1), Week 5, and Week 8

  • Change in Maximal Strength - Isometric Mid-Thigh Pull (IMTP)

    Baseline (Week 1), Week 5, and Week 8

  • Change in Maximal Voluntary Isometric Contraction (MVC)

    Baseline (Week 1), Week 5, and Week 8

  • +12 more secondary outcomes

Study Arms (3)

EVEN (Even Protein Distribution)

OTHER

Participants consume an iso-caloric diet providing 1.6 g/kg/day protein, distributed evenly across three daily meals at approximately 08:00, 13:00, and 18:00, with each meal providing \~one-third of daily protein. Participants follow an overnight protein fasting window of approximately 21:00-08:00.

Behavioral: Even Protein Distribution

FAST (Protein-Fasting Morning; Protein at Lunch + Dinner)

EXPERIMENTAL

Participants consume an iso-caloric diet providing 1.6 g/kg/day protein using a skewed distribution that creates a 16-hour protein-free window (21:00-13:00) by omitting protein at breakfast (breakfast contains carbohydrate and fat only). Daily protein intake is concentrated at lunch and dinner to achieve the total 1.6 g/kg/day target.

Behavioral: Skewed Protein Distribution (16-hour Protein-Fasting Window)

FAST-RESCUE (FAST + Leucine at Breakfast)

EXPERIMENTAL

Identical dietary pattern to FAST: iso-caloric diet with 1.6 g/kg/day protein, protein-free breakfast, and protein concentrated at lunch and dinner, creating a 16-hour protein-free window (21:00-13:00).

Dietary Supplement: L-leucine supplementation

Interventions

L-leucine supplementationDIETARY_SUPPLEMENT

Participants ingest 5 g free-form L-leucine at breakfast (\~08:00) daily for 8 weeks. Leucine is provided as unflavored, pharmaceutical-grade instantized powder, reconstituted in water and consumed at the protein-free breakfast meal.

FAST-RESCUE (FAST + Leucine at Breakfast)

Iso-caloric diet providing 1.6 g/kg/day protein evenly distributed across three daily meals for 8 weeks.

EVEN (Even Protein Distribution)

Iso-caloric diet providing 1.6 g/kg/day protein with protein omitted at breakfast and concentrated at lunch and dinner, creating a 16-hour daily protein-free window for 8 weeks.

FAST (Protein-Fasting Morning; Protein at Lunch + Dinner)

Eligibility Criteria

Age18 Years - 35 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Male participants aged 18-35 years
  • Enrolled in an active Ministry of Defense tactical training program
  • Physically active and medically cleared to participate in intensive training
  • Willing and able to comply with the dietary intervention and training protocol
  • Provide written informed consent prior to participation

You may not qualify if:

  • Musculoskeletal or neuromuscular injury or impairment limiting participation in exercise training
  • Cardiopulmonary disease (including recent myocardial infarction or unstable angina)
  • History of cancer, diabetes, thyroid disease, hypertension, or chronic renal failure
  • Cognitive impairment affecting ability to provide informed consent
  • Use of medications that may affect metabolism, muscle physiology, or exercise performance
  • Known allergy or intolerance to study dietary components or leucine supplementation
  • Non-compliance with study protocol requirements

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Officials

  • Yftach Gepner, PhD

    Tel Aviv University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Masking Details
Due to the nature of the dietary intervention and differences in meal timing, participants and study personnel responsible for dietary supervision are not blinded to group allocation. Laboratory analyses of biochemical outcomes may be performed without knowledge of group assignment.
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: This is a three-arm, parallel-group randomized controlled trial. Participants will be randomly assigned in a 1:1:1 ratio to one of three dietary intervention groups (EVEN, FAST, FAST-RESCUE) for 8 weeks during an intensive tactical training program. Each group will follow a distinct protein distribution strategy while maintaining identical total daily protein intake (1.6 g/kg/day) and iso-caloric energy intake.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator - Professor

Study Record Dates

First Submitted

February 22, 2026

First Posted

February 27, 2026

Study Start

March 1, 2026

Primary Completion (Estimated)

December 1, 2028

Study Completion (Estimated)

December 1, 2028

Last Updated

March 2, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will not share