BRAHMS: Bed Rest And HypoMetabolism Study
BRAHMS
1 other identifier
interventional
10
1 country
1
Brief Summary
The goal of this single arm, interventional monocentric clinical trial is to investigate the physiological effects of a combination of head-down bedrest and caloric restriction on the human body. A set of measurements will assess the changes in the musculoskeletal, cardiovascular, hematological, immune, neurological, cognitive and metabolic systems, in 10 healthy male volunteers. The main question it aims to answer is: what are the physiological responses to fasting in a microgravity environment? In an exploratory study such as this one, where many physiological systems are explored, it is difficult to select a single important endpoint. However, given the known effect of both caloric restriction and head-down bedrest on muscle loss, and its critical importance for the success of space missions, lean body mass, as assessed by DEXA, was chosen as the primary endpoint. The secondary endpoints are:
- Cardiovascular, muscular, neuro-vestibular and neuropsychological functional performance
- The onset of clinical symptoms and biological changes Participants will be exposed to a microgravity analog model (head down bed rest) and controled caloric restriction environment for 10 days, multiple physiological assessments will be performed during this period. Followed by a rehab period before leaving the study.
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 Mar 2026
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
February 27, 2026
CompletedStudy Start
First participant enrolled
March 10, 2026
CompletedFirst Posted
Study publicly available on registry
March 30, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 21, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 21, 2027
March 30, 2026
March 1, 2026
7 months
February 27, 2026
March 23, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Lean Body Mass
Lean Body Mass assessed by dual energy x-ray absorptiometry (DEXA)
At baseline, during the ten days of intervention and until 90 days after the end of the intervention
Secondary Outcomes (36)
Change in body fluid compartments by bioelectrical impedance analysis
At baseline, during the ten days of intervention and until 90 days after the end of the intervention
Change in whole-body Magnetic Resonance Imaging (MRI)
At baseline and at day 9 of intervention period
Change in mood
At baseline, during the ten days of intervention and until 4 days after the end of the intervention
Assessment of movements by volunteers
At baseline, during the ten days of the intervention and until 4 days after the end of the intervention
Change in cardiovascular deconditioning and orthostatic tolerance (stand test)
At baseline and 1 day after the end of intervention period
- +31 more secondary outcomes
Study Arms (1)
Caloric restriction
EXPERIMENTALhead down bedrest and caloric restriction (250 kcal/day)
Interventions
the intervention is 10 days of head down bedrest (-6°) and controlled and progressive caloric restriction, then controlled and progressive refeeding
Eligibility Criteria
You may qualify if:
- Healthy male volunteers (see below the description of medical tests and laboratory analysis performed at the selection visit)
- Certified as healthy by a comprehensive clinical assessment (detailed medical history and complete physical examination): in particular, free from any known chronic disease or any acute mood or eating disorder, infectious disease or cardiovascular, metabolic, neurological, ENT (especially orthostatic hypotension and vestibular disorders), orthopedic or musculoskeletal disorders.
- to 40 years old
- to 185 cm
- Body Mass Index between 20 and 26 kg.m-2
- Stable body weight in the past 3 months (less than 4% change)
- Fat Mass Index (FMI), defined as (bodyfat weigh in kg)/(height in m)2: between 3 and 6 kg.m-2, measured by whole-body DEXA
- Triglyceride level under 1.7 mmol.L-1
- Normal bone mass density at left hip and lumbar spine: T-score\>-1.5, measured by DEXA
- VO2peak/VO2max between 35 and 55 mL.min-1.kg-1
- Non-smokers
- No alcohol or drug dependence, no medical treatment on a regular basis
- Affiliated to a Social Security system and, for non-French resident, holding a European Health Insurance Card (EHIC) or a Global Health Insurance Card (GHIC).
- Free of any engagement during the study
- Who agreed to take part in the study and signed the informed consent
You may not qualify if:
- Any history or presence of clinically relevant chronic disease; any acute infectious disease. Particularly (but not limited to):
- Symptomatic orthostatic hypotension whatever the decrease in blood pressure, or asymptomatic postural hypotension defined by a decrease in SBP equal to or greater than 20 mmHg within 3 minutes when changing from the supine to the standing position
- Personal or family history of thrombosis, genetic mutation for factor V or prothrombin gene
- Cardiac arrhythmia
- Hypertension
- Auto-immune diseases or Raynaud's syndrome
- History or symptoms of sleep apnea
- Chronic back pains,
- Vertebral fracture, scoliosis, or herniated disc,
- Color-blindness,
- Self-reported hearing problems or binocular visual acuity under 6/10 after correction
- Vestibular disorders
- Drug addiction
- History of migraines,
- History of hiatus hernia or gastro-esophageal reflux,
- +25 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Medes - Imps
Toulouse, Medes-imps, 31400, France
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 27, 2026
First Posted
March 30, 2026
Study Start
March 10, 2026
Primary Completion (Estimated)
September 21, 2026
Study Completion (Estimated)
September 21, 2027
Last Updated
March 30, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share