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CompletedNCT04328233TREMNIOSUpdated Oct 1, 2026

Impact of Time-Restricted Eating on Metabolic Homeostasis, Inflammation and Oxidative Stress in Metabolic Syndrome

An interventional study of Time-Restricted Eating in Metabolic Syndrome, Overweight or Obesity and PreDiabetes, sponsored by Nicolaus Copernicus University. Completed at 1 site in Poland. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-10-01.

Sponsored by Nicolaus Copernicus University · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Oct 2019, registered Mar 2020).
Updated Oct 1, 2026Now CompletedPrimary completion moved+3 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
27
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The main purpose of the clinical trial is to determine the health impact of a dietary intervention known as time-restricted eating (TRE) in patients with metabolic syndrome (defined as the presence of elevated fasting plasma glucose and two or more of the following criteria: increased waist circumference, elevated fasting plasma triglycerides, reduced high-density lipoprotein-cholesterol, elevated blood pressure) and self-reported dietary intake of ≥14 hours per day. Participants will reduce the amount of time they eat to 10 hours per day over a 12-week monitored intervention followed by a 12-week self-directed intervention and will log their dietary intake using a smartphone application (myCircadianClock (mCC) app). Glucose homeostasis (blood glucose levels will be monitored continuously for 2 weeks at the baseline, at the end of the monitored intervention, and at the end of the self-directed intervention using a continuous glucose monitor), and other metabolic, neuroendocrine, inflammatory and oxidative stress/antioxidant defense biomarkers, body weight and composition, blood pressure, heart rate, sleep and activity (using mCC app), personal sense of wellness and dietary timing (using health questionnaires) will be evaluated at the baseline, at the end of the monitored intervention, and at the end of the self-directed intervention.

Read the detailed description

Metabolic syndrome occurs in approximately 30% of adults and is associated with increased risk of cardiovascular disease and type 2 diabetes. Circadian rhythm disruption due to lifestyle including erratic eating patterns may lead to metabolic and neuroendocrine dysfunction, inflammation, oxidative stress, and cardiometabolic diseases. Maintaining a daily rhythm of eating and fasting cycles sustains a robust circadian rhythm which improves cellular bioenergetics and metabolism. Recent studies support the notion that restricting a period of food intake to 8-12 hours a day (time-restricted eating, TRE) can prevent and reverse obesity and metabolic dysfunction.

The main purpose of the clinical trial is to determine the health impact of TRE in patients with metabolic syndrome (defined as the presence of elevated fasting plasma glucose and two or more of the following criteria: increased waist circumference, elevated fasting plasma triglycerides, reduced high-density lipoprotein-cholesterol, elevated blood pressure) and self-reported dietary intake of ≥14 hours per day. Participants will reduce the amount of time they eat to 10 hours per day over a 12-week monitored intervention followed by a 12-week self-directed intervention and will log their dietary intake using a smartphone application (myCircadianClock (mCC) app, developed by the Salk Institute for Biological Studies). The participants will select a 10-h eating window that best suits their lifestyle. All food/beverages except water must be consumed within the time-interval. No further dietary restrictions will be applied. The participants will be provided with behavioral nutritional counseling by a dietician. Glucose homeostasis (blood glucose levels will be monitored continuously for 2 weeks at the baseline, at the end of the monitored intervention, and at the end of the self-directed intervention using a continuous glucose monitor), and other metabolic, neuroendocrine, inflammatory and oxidative stress/antioxidant defense biomarkers, body weight and composition, blood pressure, heart rate, sleep and activity (using mCC app), personal sense of wellness and dietary timing (using health questionnaires) will be evaluated at the baseline, at the end of the monitored intervention, and at the end of the self-directed intervention. The investigators will assess for compliance with TRE using mCC app.

02

Conditions studied

  • Metabolic Syndrome
  • Overweight or Obesity
  • PreDiabetes
  • Weight Loss
  • Quality of Life

Keywords

  • Time-Restricted Eating
  • Circadian Rhythm
  • Glucose Homeostasis
  • Fasting
  • Metabolic Syndrome
  • Overweight
  • Obesity
  • PreDiabetes
  • Weight Loss
  • Metabolic Homeostasis
  • Neuroendocrine Biomarkers
  • Inflammation
  • Oxidative Stress
03

In context

Metabolic Syndrome

1,964 studies on the registry are indexed under Metabolic Syndrome; 330 are open to participants now.

This study's enrollment of 27 is below the median of 60 across 1,460 interventional studies indexed under Metabolic Syndrome.

Browse Metabolic Syndrome studies →

Lead sponsor

Nicolaus Copernicus University is the lead sponsor of 19 studies on the registry; 4 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
No

Inclusion criteria

  1. Metabolic syndrome, defined as the presence of elevated fasting plasma glucose ≥ 100 mg/dL and two or more of the following criteria:

    Elevated waist circumference: ≥ 102 cm in men, ≥ 88 cm in women; Fasting plasma triglycerides ≥ 150 mg/dL (or on drug treatment for elevated triglycerides); Reduced High-density lipoprotein (HDL)-cholesterol \< 40 mg/dL in men, \< 50 mg/dL in women (or drug treatment for reduced HDL-cholesterol); Elevated blood pressure, Systolic blood pressure ≥ 130 mm Hg and/or diastolic blood pressure ≥ 85 mm Hg (or drug treatment for hypertension).

  2. BMI > 25
  3. Duration of eating period ≥ 14 hours/day.
  4. Own a Smartphone with Apple Operating System (OS) or Android OS.

Exclusion criteria

Exclusion Criteria:

  1. Diagnosis of diabetes.
  2. Pregnant or lactating women.
  3. Active smoking or illicit drug use or history of treatment for alcohol abuse.
  4. Shift work.
  5. Caregivers for dependent requiring nocturnal care.
  6. Planned travel over time zones during the study period.
  7. History of major adverse cardiovascular event within the past 1 year (acute coronary syndrome, percutaneous coronary intervention, coronary artery bypass graft surgery, hospitalization for congestive heart failure, stroke/transient ischemic attack) or current uncontrolled arrhythmia.
  8. Uncontrolled medical conditions due to rheumatologic, hematologic, oncologic, infectious, gastrointestinal, psychiatric, nephrological, or endocrine diseases.
  9. Known history of an eating disorder.
  10. Currently enrolled in a weight-loss or weight-management program.
  11. Special or prescribed diet for other reasons (e.g. Celiac disease).
  12. Current treatment with antidepressants, medications affecting appetite, or immunosuppression.
  13. History of bariatric surgery.
  14. A score of > 16 on the Epworth Sleepiness Scale.
  15. Depression determined by the Beck Depression Inventory.
  16. Failure to use the smartphone app for documentation during a 2-week baseline period.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
27 participants (actual)

Study arms

  • Experimental
    Time-Restricted Eating

    Behavioral: Time-Restricted Eating

Interventions

  • BehavioralTime-Restricted Eating

    Participants will reduce the amount of time they eat to 10 hours per day over a 12-week monitored intervention followed by a 12-week self-directed intervention and will log their dietary intake using a smartphone application (mCC app). The participants will select a 10-h eating window that best suits their lifestyle. All food/beverages except water must be consumed within the time-interval. No further dietary restrictions will be applied. The participants will be provided with behavioral nutritional counseling by a dietician.

06

What researchers measure

Primary outcomes

  1. Change in body weight

    Body weight (kg) as measured in fasted state on a digital scale

    Time frame: Baseline and after 14 weeks

  2. Change in fasting glucose concentration

    Fasting plasma glucose concentration (mg/dl)

    Time frame: Baseline and after 14 weeks

Secondary outcomes

  1. Body weight

    Body weight (kg) as measured in fasted state on a digital scale

    Time frame: Changes from baseline. Fasted state at baseline, after 14 weeks, and after 26 weeks

  2. Body mass index

    Body mass index (kg/m\^2) as calculated from body weight (kg) and height (m)

    Time frame: Changes from baseline. Fasted state at baseline, after 14 weeks, and after 26 weeks

  3. Mean glucose

    Glucose levels as measured by continuous glucose monitor (mg/dl) for 14 days at baseline, after 14 weeks, and after 26 weeks

    Time frame: Changes from baseline. Measured at baseline, after 14 weeks, and after 26 weeks

  4. Fasting glucose

    Fasting glucose levels as measured by continuous glucose monitor (mg/dl) for 14 days at baseline, after 14 weeks, and after 26 weeks

    Time frame: Changes from baseline. Measured at baseline, after 14 weeks, and after 26 weeks

  5. Lipids

    Fasting blood concentrations of lipids: total cholesterol (mg/dl), LDL cholesterol (mg/dl), HDL cholesterol (mg/dl), and triglycerides (mg/dl)

    Time frame: Changes from baseline. Measured in the blood in the fasted state at baseline, after 14 weeks, and after 26 weeks

  6. Fat mass

    Fat mass percentage (%) as measured by body composition analyzer (using bioelectric impendence technology)

    Time frame: Changes from baseline. Fasted state at baseline, after 14 weeks, and after 26 weeks

  7. HbA1c

    HbA1c (%) assessed from blood samples

    Time frame: Changes from baseline. Fasted state at baseline, after 14 weeks, and after 26 weeks

  8. Metabolic and neuroendocrine biomarkers

    Fasting blood concentrations of metabolic and neuroendocrine biomarkers including but not limited to: free fatty acids, insulin, insulin-like growth factor-1, resistin, adiponectin, leptin, visfatin, irisin, ghrelin, omentin-1, and melatonin

    Time frame: Changes from baseline. Fasted state at baseline, after 14 weeks, and after 26 weeks

  9. Inflammatory biomarkers

    Fasting blood concentrations of inflammatory biomarkers including but not limited to: high sensitivity C-reactive protein, interleukin-6, interleukin-8, interleukin-10, tumor necrosis factor-α, tumor growth factor-β1, growth/differentiation factor 15

    Time frame: Changes from baseline. Fasted state at baseline, after 14 weeks, and after 26 weeks

  10. Oxidative stress/antioxidant defense biomarkers

    Fasting blood concentrations of oxidative stress/antioxidant defense biomarkers including but not limited to: superoxide dismutase-1, catalase, glutathione peroxidase, oxidized LDL, thiobarbituric acid reactive substances, conjugated dienes, malondialdehyde, 4-hydroxynonenal, vitamin A, and vitamin E

    Time frame: Changes from baseline. Fasted state at baseline, after 14 weeks, and after 26 weeks

  11. Waist circumference

    Waist circumference (cm) as measured using tape measure

    Time frame: Changes from baseline. Fasted state at baseline, after 14 weeks, and after 26 weeks

  12. Blood pressure

    Systolic and diastolic blood pressure (mmHg) measured under resting and fasting conditions

    Time frame: Changes from baseline. Fasted state at baseline, after 14 weeks, and after 26 weeks

  13. Heart rate

    Heart rate (bpm) measured under resting conditions during measurements of blood pressure

    Time frame: Changes from baseline. Measured at baseline, after 14 weeks, and after 26 weeks

  14. Energy intake

    Energy intake (kcal/day) assessed from diet records

    Time frame: Registered at baseline, after 14 weeks, and after 26 weeks

  15. Timing of dietary intake

    Timing of dietary intake (hh:mm) assessed from diet records and from the chrono-nutrition questionnaire

    Time frame: Changes from baseline. Registered at baseline, after 14 weeks, and after 26 weeks

  16. Self-reported sleepiness

    Self-reported sleepiness as assessed from the questionnaire the Epworth Sleepiness Scale

    Time frame: Changes from baseline. Assessed at baseline, after 14 weeks, and after 26 weeks

  17. Self-reported sleep quality

    Self-reported sleep quality as assessed from the questionnaire Pittsburgh Sleep Quality Index

    Time frame: Changes from baseline. Assessed at baseline, after 14 weeks, and after 26 weeks

  18. Self-reported chronotype

    Self-reported chronotype as assessed from the Munich Chronotype Questionnaire

    Time frame: Changes from baseline. Assessed at baseline, after 14 weeks, and after 26 weeks

  19. Self-reported overall health and wellbeing

    Self-reported overall health and wellbeing as assessed from the questionnaire Self-reported health (SF-36 health survey)

    Time frame: Changes from baseline. Assessed at baseline, after 14 weeks, and after 26 weeks

  20. Duration of eating period

    Duration from the first to last caloric intake over 24-hour cycle, collected via the smartphone app (mCC app)

    Time frame: Changes from baseline. Assessed at baseline, after 14 weeks, and after 26 weeks

07

Study locations

1 site
  • Nicolaus Copernicus University, Collegium Medicum Bydgoszcz
    Bydgoszcz, Poland
08

References and documents

Publications

  • Chaix A, Zarrinpar A, Miu P, Panda S. Time-restricted feeding is a preventative and therapeutic intervention against diverse nutritional challenges. Cell Metab. 2014 Dec 2;20(6):991-1005. doi: 10.1016/j.cmet.2014.11.001. PubMed 25470547 ↗
  • Gill S, Le HD, Melkani GC, Panda S. Time-restricted feeding attenuates age-related cardiac decline in Drosophila. Science. 2015 Mar 13;347(6227):1265-9. doi: 10.1126/science.1256682. PubMed 25766238 ↗
  • Panda S. Circadian physiology of metabolism. Science. 2016 Nov 25;354(6315):1008-1015. doi: 10.1126/science.aah4967. PubMed 27885007 ↗
  • Pot GK, Almoosawi S, Stephen AM. Meal irregularity and cardiometabolic consequences: results from observational and intervention studies. Proc Nutr Soc. 2016 Nov;75(4):475-486. doi: 10.1017/S0029665116000239. Epub 2016 Jun 22. PubMed 27327128 ↗
  • Gill S, Panda S. A Smartphone App Reveals Erratic Diurnal Eating Patterns in Humans that Can Be Modulated for Health Benefits. Cell Metab. 2015 Nov 3;22(5):789-98. doi: 10.1016/j.cmet.2015.09.005. Epub 2015 Sep 24. PubMed 26411343 ↗
  • Sulli G, Manoogian ENC, Taub PR, Panda S. Training the Circadian Clock, Clocking the Drugs, and Drugging the Clock to Prevent, Manage, and Treat Chronic Diseases. Trends Pharmacol Sci. 2018 Sep;39(9):812-827. doi: 10.1016/j.tips.2018.07.003. Epub 2018 Jul 27. PubMed 30060890 ↗

Individual participant data

Plan to share: No

09

Updates

1 registry update since Sep 25, 2026
Status
Active, not recruiting→Completed
changed Oct 1, 2026
Primary completion
Apr 30, 2024→Sep 20, 2023 (actual)
Oct 1, 2026
Study completion
Dec 31, 2024→Dec 30, 2023 (actual)
Oct 1, 2026
Enrollment
30 (estimated)→27 (actual)
Oct 1, 2026
Also revised
sponsor
Show all 1 update
  1. Oct 1, 2026
    Active, not recruiting→Completed
    Primary completion Apr 30, 2024→Sep 20, 2023 (now actual)
    Study completion Dec 31, 2024→Dec 30, 2023 (now actual)
    Enrollment 30 (estimated)→27 (actual)
    Sponsor Collaborators changed
    + 2 other changes: index terms and verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT04328233
Lead sponsor
Nicolaus Copernicus University
Collaborators
University of California, San Diego, Salk Institute for Biological Studies
Responsible party
Iwona Swiatkiewicz, MD, PhD, FESC (Professor of Medicine, Nicolaus Copernicus University) — Principal investigator
First posted
Mar 31, 2020
Start date
Oct 31, 2019
Primary completion
Sep 20, 2023
Completion
Dec 30, 2023
Last update
Oct 1, 2026

Study contacts

Iwona Swiatkiewicz, MD, PhD
principal investigator · Nicolaus Copernicus University, Collegium Medicum Bydgoszcz

Oversight

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

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