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CompletedNCT04618133Updated Dec 16, 2024

Time-restricted Eating in Morning Chronotype

An interventional study of Early time-restricted eating and Late time-restricted eating in Overweight and Obesity, sponsored by Tinh-Hai Collet, MD. Completed at 1 site in Switzerland. Open to participants aged 25 Years to 50 Years. Per ClinicalTrials.gov, last updated 2024-12-16.

Sponsored by Tinh-Hai Collet, MD · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
92
Allocation
Randomized
Ages
25 Years to 50 Years
Sex
All
01

Study summary

Overweight and obesity are highly prevalent conditions worldwide, despite active research of new interventions over decades. Current interventions include medications or bariatric surgery, but these approaches cannot be used in all patients and require clear indications and a close multidisciplinary management. Therefore most patients and physicians rely on lifestyle interventions, focusing on a balanced diet and physical exercise.

Recent studies have uncovered that energy metabolism is also regulated by circadian rhythms, which depend on spontaneous diurnal oscillations of the central clock, retinal sensing of ambient light, and daily feeding-fasting cycles. The chronotype has an influence on behavioral patterns, where some people describe that they are more alert in the morning or in the evening: The morning or evening chronotypes, respectively. However, in modern societies, many people are exposed to external cues in misalignment with their circadians clocks. The mismatch between the individual chronotype and the social/work life can lead to metabolic disorders.

Time-restricted eating (TRE), i.e. energy intake limited to certain windows of time without restricting calories, is an appealing approach because it proposes to realign the circadian clocks with external cues provided by the timing of food intake, thus leading to better metabolic outcomes.

The investigators speculate that the TRE intervention needs to be personalized to reach efficacy in a broader population. To tailor the TRE intervention to each individual and harmonize their eating patterns in accordance to their chronotype, the investigators plan to test early TRE vs. late TRE vs. active control in overweight and obese individuals with morning chronotype.

02

Conditions studied

  • Overweight and Obesity
03

In context

Overweight

3,771 studies on the registry are indexed under Overweight; 863 are open to participants now.

This study's enrollment of 92 is above the median of 73 across 3,263 interventional studies indexed under Overweight.

Browse Overweight studies →

Lead sponsor

Tinh-Hai Collet, MD is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
25 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Clinical criteria

    • Men and premenopausal women
    • Age 25-50 years
    • BMI 25-34 kg/m2
    • Stable weight (maximum ± 2 kg of usual body weight) over the previous 3 months
    • Stable body fat mass (maximum ± 1 kg of body fat mass) during the run-in phase
    • Eating window ≥ 12 hours during the run-in phase
    • Morning chronotype
  • Work-related criteria

    • Daytime work at least 3 days per week over the previous 1 month and planned during the study
  • Study-related criteria

    • Able to give informed consent and follow the study procedures for the entire duration
    • Confident use of a smartphone and able to take regular pictures of food/drinks

Exclusion criteria

Exclusion Criteria:

  • Clinical criteria

    • Pregnant and breastfeeding women, plans for maternity during the study
    • On a diet, intermittent fasting, in a weight management program over the previous 3 months or planned during the study
    • Eating disorder(s) or prior bariatric surgery
    • Diabetes with hypoglycemic drug(s)
    • Major illness/fever over the previous 1 month
    • Active major cardiovascular, respiratory, liver, gastrointestinal, renal, neurological or endocrine disorders
    • Coagulation disorder, on anticoagulant drug, skin disorder affecting wound healing
    • Active cancer and/or oncologic treatment over the previous 12 months
    • Major sleep disorder (including untreated sleep apnea syndrome), major mental illness
    • Consumption of > 7 standard units of alcohol per week for women and > 14 standard units of alcohol per week for men
  • Work and time-related criteria

    • Shift work, such as evening shifts or night shifts, over the previous 1 month or planned during the study
    • Travel/trip to a different time zone (≥ 2-hour time difference) over the previous 1 month or planned during the study
  • Study-related criteria and other interventions

    • Enrolled in another interventional clinical trial (medication, medical device) over the previous 1 month and planned during the study
    • Regular medications over the previous 1 month that could affect the study endpoints (e.g. centrally acting, medications affecting gut absorption, transit or weight, hypoglycemic drug, hormonal treatment...)
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
92 participants (actual)

Study arms

  • Experimental
    Early time-restricted eating

    Duration: 12 weeks

    Behavioral: Early time-restricted eating

  • Experimental
    Late time-restricted eating

    Duration: 12 weeks

    Behavioral: Late time-restricted eating

  • Active comparator
    Active control

    Duration: 12 weeks

    Behavioral: Active control

Interventions

  • BehavioralEarly time-restricted eating

    Participants will be advised to eat only during a selected window of 8 hours over the 24-hour cycle, i.e. from 6am to 2pm, with a 1-hour allowance according to their daily routine

    Also known as: Early TRE

  • BehavioralLate time-restricted eating

    Participants will be advised to eat only during a selected window of 8 hours over the 24-hour cycle, i.e. from noon to 8pm, with a 1-hour allowance according to their daily routine

    Also known as: Late TRE

  • BehavioralActive control

    Participants will be advised to eat a minimum of 3 meals over the 24-hour cycle, i.e. breakfast from 6am to 9am, lunch from 11am to 2pm, dinner from 6pm to 10pm. Snacks will be allowed between meals

06

What researchers measure

Primary outcomes

  1. Change in body fat mass

    As measured by dual-energy x-rax absorptiometry (DXA)

    Time frame: From randomization visit to close-out visit (12 weeks)

Secondary outcomes

  1. Change in physical activity

    As measured by actigraphy

    Time frame: From randomization visit to close-out visit (12 weeks)

  2. Change in sleep/wake cycles

    As measured by actigraphy

    Time frame: From randomization visit to close-out visit (12 weeks)

  3. Change in ambient light

    As measured by actigraphy

    Time frame: From randomization visit to close-out visit (12 weeks)

  4. Change in sleep quality

    As measured by the Pittsburgh Sleep Quality Index (scale 0-21, 0 indicating no sleeping difficulty, 21 indicating severe sleeping difficulties)

    Time frame: From randomization visit to close-out visit (12 weeks)

  5. Change in eating duration

    Duration from the first to last caloric intake over 24-hour cycle

    Time frame: From randomization visit to close-out visit (12 weeks)

  6. Change in calorie intake over the 24-hour cycle

    Assessed by a 24-hour food recall

    Time frame: From randomization visit to close-out visit (12 weeks)

  7. Change in weight

    Body weight (kg)

    Time frame: From randomization visit to close-out visit (12 weeks)

  8. Change in waist circumference

    Waist circumference (cm) assessed with a measuring tape

    Time frame: From randomization visit to close-out visit (12 weeks)

  9. Change in hip circumference

    Hip circumference (cm) assessed with a measuring tape

    Time frame: From randomization visit to close-out visit (12 weeks)

  10. Change in systolic and diastolic blood pressure

    As measured with an arm cuff in the sitting position

    Time frame: From randomization visit to close-out visit (12 weeks)

  11. Change in fasting glucose

    As measured in clinical chemistry

    Time frame: From randomization visit to close-out visit (12 weeks)

  12. Change in lipid profile (concentration of total cholesterol, LDL cholesterol, triglycerides, HDL cholesterol)

    As measured by clinical chemistry

    Time frame: From randomization visit to close-out visit (12 weeks)

  13. Change in body fat mass

    As measured by bioelectrical impedance analysis (BIA)

    Time frame: From randomization visit to close-out visit (12 weeks)

  14. Change in lean body mass

    As measured by dual-energy x-rax absorptiometry (DXA)

    Time frame: From randomization visit to close-out visit (12 weeks)

  15. Change in fat-free mass

    As measured by bioelectrical impedance analysis (BIA)

    Time frame: From randomization visit to close-out visit (12 weeks)

  16. Change in resting energy expenditure

    As measured by indirect calorimetry

    Time frame: From randomization visit to close-out visit (12 weeks)

  17. Change in glucose excursion

    As measured by continuous glucose monitoring

    Time frame: From randomization visit to close-out visit (12 weeks)

  18. Incidence of adverse events in response to the randomized intervention

    Adverse events graded after the Common Terminology Criteria for Adverse Events version 5.0

    Time frame: From randomization visit to close-out visit (12 weeks)

Other outcomes

  1. Change in in vitro circadian parameters (amplitude and magnitude)

    As measured in cultured skin fibroblasts (in a subset of the study population)

    Time frame: From randomization visit to close-out visit (12 weeks)

  2. Change in metabolomic parameters

    As measured by high-throughput mass spectrometry metabolomics

    Time frame: From randomization visit to close-out visit (12 weeks)

  3. Change in lipid metabolism

    As measured by high-throughput mass spectrometry lipidomics

    Time frame: From randomization visit to close-out visit (12 weeks)

  4. Change in blood hormonal profile

    Cortisol, insulin, thyroid-stimulating hormone

    Time frame: From randomization visit to close-out visit (12 weeks)

07

Study locations

1 site
  • Geneva University Hospitals
    Geneva, 1211, Switzerland
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2021 to primary completion in Jul 2024, 42 months.

Of 1,356 non-industry interventional studies with no phase under Overweight, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 38. This study's 42 months is above that.

Counting every sponsor, half of 1,472 studies reached it within 17 months; a quarter within 7 and three quarters within 36.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 28, 2020
First posted
Nov 5, 2020
StartActual
Jan 4, 2021
Primary completionActual
Jul 15, 2024
CompletionActual
Oct 22, 2024
Last update
Dec 16, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04618133
Lead sponsor
Tinh-Hai Collet, MD
Responsible party
Tinh-Hai Collet, MD (Principal Investigator, University Hospital, Geneva) — Sponsor-investigator
First posted
Nov 5, 2020
Start date
Jan 4, 2021
Primary completion
Jul 15, 2024
Completion
Oct 22, 2024
Last update
Dec 16, 2024

Study contacts

Tinh-Hai Collet, MD
principal investigator · Geneva University Hospitals, Geneva

Oversight

Data monitoring committee
No
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 Dec 2024. You cannot join it, but the record below documents what was studied.

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