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CompletedNCT03193177Updated Sep 6, 2019

A Retrospective and Prospective Cohort Study of the 21-day Fasting-like Diet in Patients With Metabolic and Autoimmune Diseases

An observational study in Fasting, Chronic Disease and Autoimmune Diseases, sponsored by Tsinghua University. Completed at 1 site in China. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-09-06.

Sponsored by Tsinghua University · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
144
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Effectiveness of fasting or fasting-mimicking diet has been proved an effective approach to treat metabolic and autoimmune diseases in mice. However, clinical trials performing prolonged fasting with more than 7 days have not been reported. Investigators conduct an open label, phase I/II clinical trial to evaluate the safety and effectiveness of the 21-day fasting-like diet in the treatment of metabolic and autoimmune diseases.

Read the detailed description

Although fasting has been proved an effective approach to treat metabolic and autoimmune diseases in mice, prolonged fasting is difficult to implement in human-beings for the safety and feasibility reasons.

In this clinical trial, we will recruit metabolic and autoimmune diseases and then follow a traditional Chinese 21-day fasting-like diet process with extremely low calorie intake (about 5% of normal diet) and prolonged fasting-like period. Blood, urine, stool samples will be collected on day 0 (baseline), day 4, day 7, day 14, day 21 and day 51 after it started up. Therefore we can examine the changes of disease-associated physical indexes and metabolic biomarkers pre and post the 21-day fasting-like diet.

The purpose of the study is to ascertain the impact of the fasting-like diet during the 21 days. The investigators hypothesize that the 21-day fasting-like diet can reduce the biomarkers associated with aging and age-related diseases and benefit for the treatment of metabolic and autoimmune diseases.

02

Conditions studied

  • Fasting
  • Chronic Disease
  • Autoimmune Diseases
  • Metabolic Disease
  • High Blood Pressure
  • Fatty Liver
  • Kidney Stone
  • Gall Stone
  • Hysteromyoma

Keywords

  • fasting-like diet
  • chronic diseases
  • autoimmune diseases
  • metabolic disorder
03

In context

Fasting

86 studies on the registry are indexed under Fasting; 38 are open to participants now.

This study's enrollment of 144 is above the median of 100 across 20 observational studies indexed under Fasting.

Browse Fasting studies →

Lead sponsor

Tsinghua University is the lead sponsor of 27 studies on the registry; 15 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Of these 144 participants, 55 were male and 89 were female. For detailed information, please follow our recent publications.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female, aged ≥18 and ≤75 years;
  • Subjects has a confirmed diagnosis of metabolic and autoimmune diseases, including high blood pressure, kidney stone, gall stone, hysteromyoma, fatty liver, psoriasis, and so on.

Exclusion criteria

Exclusion Criteria:

  • Subjects has a confirmed diagnosis of cancer;
  • Females who are pregnant or nursing;
  • Subject requires a prescheduled regularly administration of drugs;
  • Subject has severe renal insufficiency;
  • Subject has cardiac arhythmia.
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
144 participants (actual)
Patient registry
No

Groups and cohorts

  • the 21-day fasting-like diet

    Participants will be supplied with fasting-like diet containing only 5% of normal calorie intake. Physical examinations will be performed on day 0, 4,7,14,21 and 51 after the clinical trial.

    Other: the 21-day fasting-like diet

Interventions

  • Otherthe 21-day fasting-like diet

    a fasting-like diet with 400 KJ energy intake per day for 21 days

    Also known as: Bigu

06

What researchers measure

Primary outcomes

  1. Number of participants with treatment-related adverse events as assessed by CTCAE v4.0.

    Phase I: To obtain preliminary estimates of the safety of the fasting-like diet.

    Time frame: 30 days after the fasting-like diet

  2. Evaluation of the therapeutic effects on metabolic disorder-associated diseases by the examination of metabolic biomarkers.

    Phase II: To compare the state of diseases pre and post fasting-like diet by the examination of comprehensive metabolic panel.

    Time frame: 30 days after the fasting-like diet

Secondary outcomes

  1. Functional changes in the peripheral blood lymphocytes pre and post fasting-like diet as accesse by flow cytometry and RNA-seq.

    Peripheral blood samples were collected at indicated time points and analyzed by flow cytometry for the composition of lymphocyte subsets and by RNA-seq for their functions.

    Time frame: Baseline, 4 days, 7 days, 14 days, 21 days, 51 days after the beginning of the fasting-like diet

  2. Compositional changes in intestinal microflora pre and post fasting-like diet as accesse by RNA-seq.

    Stool samples were collected in time if possible and analyzed by RNA-seq for the composition of the intestinal microflora.

    Time frame: Baseline, 4 days, 7 days, 14 days, 21 days, 51 days after the beginning of the fasting-like diet

07

Study locations

1 site
  • Nanshan Branch of Qilu Hospital
    Longkou, Shandong 265706, China
08

References and documents

Individual participant data

Plan to share: Yes

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 6, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03193177
Lead sponsor
Tsinghua University
Collaborators
Nanshan Branch of Qilu Hospital
Responsible party
Minghui Zhang (Associate Professor, Tsinghua University) — Principal investigator
First posted
Jun 20, 2017
Start date
Jun 20, 2017
Primary completion
Aug 31, 2018
Completion
Dec 31, 2018
Last update
Sep 6, 2019

Study contacts

Ligang Ming, MD
study director · Nanshan Branch of Qilu Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.

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