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CompletedNCT04179838SDFCUpdated Mar 25, 2020Results posted

Olfactory Contributions to Sleep-dependent Food Craving

An interventional study of Sleep-Deprived and Non-Sleep Deprived in Sleep Deprivation, sponsored by Northwestern University. Completed. Open to participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-03-25.

Sponsored by Northwestern University · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Registered 3 years 2 months after the study started (first participant enrolled Sep 2016, registered Nov 2019).
Phase
Not applicable
Study type
Interventional
Enrollment
29
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
All
01

Study summary

This within-subject experiment uses one night of acute sleep restriction (4h) vs normal sleep (8h) to study state-dependent changes in olfactory processing. Odor-evoked blood oxygen level dependent (BOLD) responses will be measured in olfactory brain regions using functional magnetic resonance imaging (fMRI). Food intake will be measured at a buffet.

Read the detailed description

This randomized within-subject sleep-deprivation protocol is designed to examine the effects of reduced sleep on neural processing of food odors in olfactory brain areas. Subjects will be healthy, normal-weight subjects (N=30) with comparable regular sleep patterns. They will be pseudorandomly assigned to first participate in either the sleep deprived (SD) or the non-deprived (ND) session, and then undergo a 7-day sleep stabilization phase during which subjects will maintain a regular sleep schedule of 8 h (within pre-determined range of 10:30 pm to 7:30 am). After sleep stabilization, subjects will either sleep normally (ND, 8h between 11pm and 7am), or sleep for only for 4h (SD, between 1am and 5am), at home. During the sleep stabilization phase and the night of sleep deprivation, sleep duration, as well as sleep and wakeup time will be recorded using actigraphy (ActiGraph, LLC, Pensacola, Florida). All subjects will participate in both sessions (SD and ND) with the two sessions being separated by 4 weeks. In the evening of the next day, olfactory fMRI will be conducted after dinner. Isocaloric meals will be provided during the 24h before fMRI and no beverages other than water will be permitted. After fMRI, subjects will have ad libitum access to high-caloric snacks in the form of an all-you-can-eat buffet.

During initial screening, subjects will rate the pleasantness of six food odors, including three high-caloric sweet odors (caramel, yellow cake, ginger bread) and three high-caloric savory odors (potato chips, pot roast, garlic butter). Based on each participant's ratings, two sweet and two savory odors that are matched in pleasantness will be selected. In addition, two non-food control odors (fir needle and celery seed) will be used. On the evening after the sleep manipulation, subjects will arrive at the imaging center at 5:15pm, and will consume an isocaloric dinner at 6pm before entering the scanner at 7pm. Neuroimaging will be performed on a Siemens PRISMA system with a 64 channel head/neck coil, using imaging sequences optimized for signal recovery in olfactory and orbitofrontal cortices. Subjects will participate in 4 runs of olfactory stimulation inside the scanner and BOLD responses will be acquired with high spatial (2 mm isotopic) and temporal resolution (2000 ms). On each trial, subjects will be visually cued to sniff, and an odor (food or non-food) or non-odorized air will be delivered. Subsequently, subjects will rate the pleasantness or the intensity of the odor (pseudo-randomized). Sniffing will be measured using an fMRI-compatible breathing belt and spirometer. A high-resolution anatomical image will be acquired for the purpose of spatial normalization and anatomical localization of the fMRI responses.

Upon arrival at the imaging center, a study study nurse will insert an intravenous sterile heparin-lock catheter in the left forearm vein and initiate blood sampling. Blood will be drawn every 30 min after arrival, resulting in 5 samples: before dinner, after dinner, before fMRI, during fMRI, and after fMRI.

At the completion of fMRI, participants will be provided with a buffet where they have ad libitum access to high-caloric food items (sweet [mini muffins, cinnamon buns, chocolate chip cookies, and doughnut holes] and savory high-calorie snacks [pizza bites, potato chips, hash browns, garlic bread]). Subjects will be instructed to consume as much food as they like. All food items will be weighed pre- and post-consumption, and the consumed calories will be calculated.

02

Conditions studied

  • Sleep Deprivation

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03

In context

Sleep Deprivation

300 studies on the registry are indexed under Sleep Deprivation; 60 are open to participants now.

This study's enrollment of 29 is below the median of 45 across 248 interventional studies indexed under Sleep Deprivation.

Browse Sleep Deprivation studies →

Lead sponsor

Northwestern University is the lead sponsor of 1,396 studies on the registry; 199 are open to participants now.

Of its 102 completed or terminated interventional studies of FDA-regulated products, 73 (72%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • age between 18 and 40 years old
  • regular sleep schedule (average sleep duration of ≥7 h/night, habitual mid-sleep time 3-5 am [deviation ≤2 h in daily mid-sleep time], time in bed ≤9 h)
  • right-handed
  • fluent English speakers

Exclusion criteria

Exclusion Criteria:

  • history of significant cerebrovascular disease including (but not limited to) epilepsy, stroke, multiple sclerosis, meningitis
  • body mass index (BMI) below 18.5 (underweight) or above 24.9 (overweight or obese)
  • history of sleep disorder
  • job with night shifts
  • history of major head trauma with sustained loss of consciousness
  • history of neurosurgery, ear-nose-throat (ENT) surgery, or cardiac surgery
  • history of cardiac pacemaker or neurostimulator implantation
  • history of significant medical illness including cardiovascular disease, diabetes, cancer, chronic obstructive pulmonary disease, severe asthma requiring hospitalization for treatment, renal insufficiency requiring dialysis, etc.
  • history of major psychiatric disorder including major affective disorder, obsessive-compulsive disorder, schizophrenia
  • claustrophobia
  • history of significant food or non-food allergy, including latex, detergents, soaps
  • presence of known smell, taste or ENT disorder
  • history of sinusitis or allergic rhinitis
  • history of alcoholism or consistent drug use
  • current smoking
  • current use of medications that affect alertness (e.g. barbiturates, benzodiazepines, cannabinoids, chloral hydrate, haloperidol, lithium, carbamazepine, phenytoin, etc.)
  • current pregnancy (or possible pregnancy)
  • history of metal working, or injury with shrapnel or metal slivers
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
29 participants (actual)

Study arms

  • Experimental
    Sleep-Deprived first, then Non-Sleep Deprived

    Participants will first be tested after 1 night with partial sleep deprivation (sleep-deprived, 4 h sleep). After a washout period of 4 weeks, they will be tested again after 1 night with normal sleep (non-sleep deprived, 8 h sleep).

    Behavioral: Sleep-Deprived · Behavioral: Non-Sleep Deprived

  • Experimental
    Non-Sleep Deprived first, then Sleep-deprived

    Participants will first be tested after 1 night with normal sleep (non-sleep deprived, 8 h sleep). After a washout period of 4 weeks, they will be tested again after 1 night with partial sleep deprivation (sleep-deprived, 4 h sleep).

    Behavioral: Sleep-Deprived · Behavioral: Non-Sleep Deprived

Interventions

  • BehavioralSleep-Deprived

    Sleep for 4 hours at home.

  • BehavioralNon-Sleep Deprived

    Sleep for 8 hours at home.

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What researchers measure

Primary outcomes

  1. Functional Magnetic Resonance Imaging (fMRI)-Based Decoding Accuracy of Food vs Non-food Odors in Piriform Cortex

    In the evening after the night of the "Sleep-Deprived" and the "Non-Sleep Deprived" intervention, odor-evoked brain responses were collected using fMRI. fMRI data was analyzed using searchlight-based support vector machines and leave-one-run-out cross-validation to decode information about food vs. non-food odors. For each participant, this resulted in two maps of decoding accuracy (% data points correctly classified as food or non-food odors), one map per intervention. The measure of interest was decoding accuracy extracted from the piriform cortex.

    Time frame: A single time point, in the evening (~19 h) after both the night of the "Sleep-Deprived" and the "Non-Deprived" intervention.

Secondary outcomes

  1. Energy-density of Consumed Food

    Energy-density (kcal/g) of the food items consumed at the buffet provided after fMRI scanning in the evening after the night of the "Sleep-Deprived" and the "Non-Sleep Deprived" intervention.

    Time frame: A single time point, in the evening (~20 h) after both the night of the "Sleep-Deprived" and the "Non-Deprived" intervention.

  2. Ghrelin

    Ghrelin levels in blood samples (ng/mL) collected in the evening after the night of the "Sleep-Deprived" and the "Non-Sleep Deprived" intervention.

    Time frame: A single time point, in the evening (~19.5 h) after both the night of the "Sleep-Deprived" and the "Non-Deprived" intervention.

  3. Leptin

    Leptin levels in blood samples (ng/mL) collected in the evening after the night of the "Sleep-Deprived" and the "Non-Sleep Deprived" intervention.

    Time frame: A single time point, in the evening (~19.5 h) after both the night of the "Sleep-Deprived" and the "Non-Deprived" intervention.

  4. Total Calories of Consumed Food

    Total calories (kcal) of the food items consumed at the buffet provided after fMRI scanning in the evening after the night of the "Sleep-Deprived" and the "Non-Sleep Deprived" intervention.

    Time frame: A single time point, in the evening (~20 h) after both the night of the "Sleep-Deprived" and the "Non-Deprived" intervention.

  5. Insulin

    Insulin levels in blood samples (uU/mL) collected in the evening after the night of the "Sleep-Deprived" and the "Non-Sleep Deprived" intervention.

    Time frame: A single time point, in the evening (~19.5 h) after both the night of the "Sleep-Deprived" and the "Non-Deprived" intervention.

  6. Cortisol

    Cortisol levels in blood samples (ug/dl) collected in the evening after the night of the "Sleep-Deprived" and the "Non-Sleep Deprived" intervention.

    Time frame: A single time point, in the evening (~19.5 h) after both the night of the "Sleep-Deprived" and the "Non-Deprived" intervention.

07

Results

Posted Mar 25, 2020

Participant flow

First Intervention (1 Day)
Participant flow — First Intervention (1 Day)
MilestoneSleep-Deprived First, Then Non-Sleep DeprivedNon-Sleep Deprived First, Then Sleep-deprived
Started1316
Completed1313
Not completed03
Withdrew: Withdrawal by subject03
Washout (4 Weeks)
Participant flow — Washout (4 Weeks)
MilestoneSleep-Deprived First, Then Non-Sleep DeprivedNon-Sleep Deprived First, Then Sleep-deprived
Started1313
Completed1313
Not completed00
Second Intervention (1 Day)
Participant flow — Second Intervention (1 Day)
MilestoneSleep-Deprived First, Then Non-Sleep DeprivedNon-Sleep Deprived First, Then Sleep-deprived
Started1313
Completed1312
Not completed01
Withdrew: Protocol violation01

Outcome measures

PrimaryFunctional Magnetic Resonance Imaging (fMRI)-Based Decoding Accuracy of Food vs Non-food Odors in Piriform Cortex

In the evening after the night of the "Sleep-Deprived" and the "Non-Sleep Deprived" intervention, odor-evoked brain responses were collected using fMRI. fMRI data was analyzed using searchlight-based support vector machines and leave-one-run-out cross-validation to decode information about food vs. non-food odors. For each participant, this resulted in two maps of decoding accuracy (% data points correctly classified as food or non-food odors), one map per intervention. The measure of interest was decoding accuracy extracted from the piriform cortex.

Time frame:
A single time point, in the evening (~19 h) after both the night of the "Sleep-Deprived" and the "Non-Deprived" intervention.
Reported as:
Mean · Percentage correctly classified
Functional Magnetic Resonance Imaging (fMRI)-Based Decoding Accuracy of Food vs Non-food Odors in Piriform Cortex
Percentage correctly classifiedSleep-DeprivedNon-Sleep Deprived
Functional Magnetic Resonance Imaging (fMRI)-Based Decoding Accuracy of Food vs Non-food Odors in Piriform Cortex54.38 ± 0.8149.65 ± 0.68
Statistical analysis
  • Sleep-Deprived vs Non-Sleep Deprived · t-test, 1 sided · p = 0.001 (Corrected for multiple comparisons in piriform cortex)
SecondaryEnergy-density of Consumed Food

Energy-density (kcal/g) of the food items consumed at the buffet provided after fMRI scanning in the evening after the night of the "Sleep-Deprived" and the "Non-Sleep Deprived" intervention.

Time frame:
A single time point, in the evening (~20 h) after both the night of the "Sleep-Deprived" and the "Non-Deprived" intervention.
Reported as:
Mean · kcal/g
Energy-density of Consumed Food
kcal/gSleep-DeprivedNon-Sleep Deprived
Energy-density of Consumed Food3.88 ± 0.123.68 ± 0.11
Statistical analysis
  • Sleep-Deprived vs Non-Sleep Deprived · t-test, 1 sided · p = 0.021
SecondaryGhrelin

Ghrelin levels in blood samples (ng/mL) collected in the evening after the night of the "Sleep-Deprived" and the "Non-Sleep Deprived" intervention.

Time frame:
A single time point, in the evening (~19.5 h) after both the night of the "Sleep-Deprived" and the "Non-Deprived" intervention.
Reported as:
Mean · ng/mL
Ghrelin
ng/mLSleep-DeprivedNon-Sleep Deprived
Ghrelin584.33 ± 42.78573.47 ± 38.23
Statistical analysis
  • Sleep-Deprived vs Non-Sleep Deprived · t-test, 2 sided · p = 0.63
SecondaryLeptin

Leptin levels in blood samples (ng/mL) collected in the evening after the night of the "Sleep-Deprived" and the "Non-Sleep Deprived" intervention.

Time frame:
A single time point, in the evening (~19.5 h) after both the night of the "Sleep-Deprived" and the "Non-Deprived" intervention.
Reported as:
Mean · ng/mL
Leptin
ng/mLSleep-DeprivedNon-Sleep Deprived
Leptin10.19 ± 1.589.68 ± 1.53
Statistical analysis
  • Sleep-Deprived vs Non-Sleep Deprived · t-test, 2 sided · p = 0.08
SecondaryTotal Calories of Consumed Food

Total calories (kcal) of the food items consumed at the buffet provided after fMRI scanning in the evening after the night of the "Sleep-Deprived" and the "Non-Sleep Deprived" intervention.

Time frame:
A single time point, in the evening (~20 h) after both the night of the "Sleep-Deprived" and the "Non-Deprived" intervention.
Reported as:
Mean · kcal
Total Calories of Consumed Food
kcalSleep-DeprivedNon-Sleep Deprived
Total Calories of Consumed Food932.86 ± 72.55946.49 ± 87.64
Statistical analysis
  • Sleep-Deprived vs Non-Sleep Deprived · t-test, 2 sided · p = 0.28
SecondaryInsulin

Insulin levels in blood samples (uU/mL) collected in the evening after the night of the "Sleep-Deprived" and the "Non-Sleep Deprived" intervention.

Time frame:
A single time point, in the evening (~19.5 h) after both the night of the "Sleep-Deprived" and the "Non-Deprived" intervention.
Reported as:
Mean · uU/mL
Insulin
uU/mLSleep-DeprivedNon-Sleep Deprived
Insulin42.53 ± 5.0448.56 ± 5.15
Statistical analysis
  • Sleep-Deprived vs Non-Sleep Deprived · t-test, 2 sided · p = 0.50
SecondaryCortisol

Cortisol levels in blood samples (ug/dl) collected in the evening after the night of the "Sleep-Deprived" and the "Non-Sleep Deprived" intervention.

Time frame:
A single time point, in the evening (~19.5 h) after both the night of the "Sleep-Deprived" and the "Non-Deprived" intervention.
Reported as:
Mean · ug/dl
Cortisol
ug/dlSleep-DeprivedNon-Sleep Deprived
Cortisol6.08 ± 0.737.50 ± 1.17
Statistical analysis
  • Sleep-Deprived vs Non-Sleep Deprived · t-test, 2 sided · p = 0.58

Adverse events

Collected over Day of Sleep-Deprived and Non-Sleep Deprived sessions, approximately 26 hours. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Sleep-Deprived0/29 (0%)0/29 (0%)0/29 (0%)
Non-Sleep Deprived0/29 (0%)0/29 (0%)0/29 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Sleep-Deprived First, Then Non-Sleep DeprivedNon-Sleep Deprived First, Then Sleep-deprivedTotal
Mean26.3 ± 4.4627 ± 5.5426.64 ± 4.91
Sex: Female, Male
Sex: Female, Male(Participants)Sleep-Deprived First, Then Non-Sleep DeprivedNon-Sleep Deprived First, Then Sleep-deprivedTotal
Female10515
Male3710
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Sleep-Deprived First, Then Non-Sleep DeprivedNon-Sleep Deprived First, Then Sleep-deprivedTotal
Hispanic or Latino112
Not Hispanic or Latino121123
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Sleep-Deprived First, Then Non-Sleep DeprivedNon-Sleep Deprived First, Then Sleep-deprivedTotal
American Indian or Alaska Native000
Asian426
Native Hawaiian or Other Pacific Islander000
Black or African American112
White7714
More than one race123
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Sleep-Deprived First, Then Non-Sleep DeprivedNon-Sleep Deprived First, Then Sleep-deprivedTotal
United States131225
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Study locations

No study locations are listed for this record.

09

References and documents

Publications

  • Bhutani S, Howard JD, Reynolds R, Zee PC, Gottfried J, Kahnt T. Olfactory connectivity mediates sleep-dependent food choices in humans. Elife. 2019 Oct 8;8:e49053. doi: 10.7554/eLife.49053. PubMed 31591965 ↗

Study documents

  • Statistical analysis plan · Mar 9, 2020
  • Study protocol · Apr 22, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — All data that underlie results in a publication

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 25, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04179838
Lead sponsor
Northwestern University
Responsible party
Thorsten Kahnt (Assistant Professor, Northwestern University) — Principal investigator
First posted
Nov 27, 2019
Start date
Sep 19, 2016
Primary completion
Aug 15, 2017
Completion
Aug 15, 2017
Results posted
Mar 25, 2020
Last update
Mar 25, 2020

Study contacts

Thorsten Kahnt, PhD
principal investigator · Northwestern University

Oversight

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

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