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CompletedNCT05629858Updated Mar 13, 2025

Time Restricted Eating for the Treatment of PCOS

An interventional study of 6-h Time restricted eating (TRE) and Calorie restriction (CR) in Polycystic Ovary Syndrome, Obesity and Overweight, sponsored by University of Illinois at Chicago. Completed at 1 site in United States. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-03-13.

Sponsored by University of Illinois at Chicago · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
76
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

BACKGROUND:

Polycystic ovary syndrome (PCOS) is the most common cause of anovulatory infertility among young women. This syndrome is a reproductive and endocrinological disorder that affects up to 18% of reproductive-aged women. To date, the only strategy shown to reverse PCOS is sustained weight loss of 5-10%. At present, daily calorie restriction (CR) is the main diet prescribed to patients with PCOS for weight loss. However, some women find it difficult to adhere to CR because calorie intake must be vigilantly monitored every day. Considering these problems with CR, another approach that limits timing of food intake, instead of number of calories consumed, has been developed. This diet is called "time restricted eating" (TRE) and involves confining the period of food intake to 6-8 h per day. TRE allows individuals to self-select foods and eat ad libitum during a large part of the day, which can increase compliance to these protocols. Recent findings show that TRE significantly reduces body weight and insulin resistance in adults with obesity. However, no randomized controlled trials have studied the role of TRE in treating PCOS.

OBJECTIVE:

We conducted a 6-month, randomized, controlled trial comparing the effects of 6-h TRE (eating all food between 1:00 pm to 7:00 pm, without calorie counting), versus CR (25% energy restriction daily), and a control group (eating over a period of 10 or more hours per day), on body weight and PCOS symptoms in a racially-ethnically diverse group of females with PCOS.

METHODS:

A 6-month randomized, controlled, parallel-arm trial will be implemented. Females with overweight/obesity and PCOS will be randomized to 1 of 3 groups: (1) 6-h TRE (eating all food between 1:00 pm to 7:00 pm, without calorie counting); (2) CR (25% energy restriction daily); or (3) control group (eating over a period of 10 or more hours per day).

02

Conditions studied

  • Polycystic Ovary Syndrome
  • Obesity
  • Overweight
03

In context

Polycystic Ovary Syndrome

944 studies on the registry are indexed under Polycystic Ovary Syndrome; 174 are open to participants now.

This study's enrollment of 76 is close to the median of 70 across 685 interventional studies indexed under Polycystic Ovary Syndrome.

Browse Polycystic Ovary Syndrome studies →

Lead sponsor

University of Illinois at Chicago is the lead sponsor of 515 studies on the registry; 133 are open to participants now.

Of its 31 completed or terminated interventional studies of FDA-regulated products, 18 (58%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • Diagnosed with PCOS based on the Rotterdam criteria in which two of three of the following criteria are present: (i) androgen excess skin manifestations (hirsutism, acne, and seborrhea) and/or hyperandrogenemia (total testosterone >55 pg/ml, free testosterone >9.4 pg/ml, androstenedione >2.1 ng/ml or DHEA-S >340 ug/dl); (ii) polycystic ovarian morphology on ultrasound (ovarian volume >10 cc and /or antral follicle count 20 in at least one ovary); and (iii) chronic oligo-amenorrhea (intermenstrual intervals >35 days or 7 periods/year)
  • BMI between 25-50 kg/m2
  • Age between 18-45 years

Exclusion criteria

4.2 Exclusion criteria:

  • Postmenopausal (absence of menses for >2 y)
  • Diagnosed type 1 diabetes or type 2 diabetes
  • Previously diagnosed with a mood depressive disorder (by a doctor or psychologist)
  • Have a history of eating disorders (anorexia, bulimia, or binge eating disorder)
  • Are not weight stable for 3 months prior to the beginning of the study
  • Are taking drugs that affect study outcomes, such as oral contraceptives, weight loss, insulin-sensitizing agents, androgen antagonists, anti-seizure, or antipsychotic medication (within 2 months of starting study)
  • Are currently following a TRE protocol
  • Are athletes or those engaging in >1 hour of high-intensity training on more than 5 days/week
  • Are active smokers (within 3 months of starting the study)
  • Do not have a Wi-Fi connection at home (needed for zoom calls)
  • Pregnant or trying to become pregnant
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
76 participants (actual)

Study arms

  • Experimental
    6-hour Time restricted eating (TRE)

    Ad libitum food intake from 1-7 pm every day Fasting from 7-1 pm every day (18-h fast)

    Other: 6-h Time restricted eating (TRE)

  • Experimental
    Calorie restriction (CR)

    25% energy restriction every day

    Other: Calorie restriction (CR)

  • Experimental
    Control

    Usual diet, eating over \>10 h per day

    Other: Control

Interventions

  • Other6-h Time restricted eating (TRE)

    Ad libitum food intake from 1-7 pm every day Fasting from 7-1 pm every day (18-h fast)

  • OtherCalorie restriction (CR)

    25% energy restriction every day

  • OtherControl

    Usual diet, eating over \>10 h per day

06

What researchers measure

Primary outcomes

  1. Change in percent body weight

    Measured by an electronic scale

    Time frame: Measured at month 0 and 6

Secondary outcomes

  1. Change in fat mass, lean mass, visceral fat mass

    Measured by DXA

    Time frame: Measured at month 0 and 6

  2. Change in waist circumference

    Measured by a measuring tape

    Time frame: Measured at month 0 and 6

  3. Change in insulin resistance

    Measured by HOMA-IR (Homeostatic Model Assessment for Insulin Resistance)

    Time frame: Measured at month 0 and 6

  4. Change in insulin sensitivity

    Measured by QUICKI (Quantitative insulin sensitivity check index)

    Time frame: Measured at month 0 and 6

  5. Change in fasting glucose

    Measured by a commercial lab (Medstar, IL)

    Time frame: Measured at month 0 and 6

  6. Change in fasting insulin

    Measured by a commercial lab (Medstar, IL)

    Time frame: Measured at month 0 and 6

  7. Change in HbA1c

    Measured by a commercial lab (Medstar, IL)

    Time frame: Measured at month 0 and 6

  8. Change in blood pressure

    Measured by a blood pressure cuff

    Time frame: Measured at month 0 and 6

  9. Change in heart rate

    Measured by a blood pressure cuff

    Time frame: Measured at month 0 and 6

  10. Change in plasma lipids (LDL cholesterol, HDL cholesterol, triglycerides)

    Measured by a commercial lab (Medstar, IL)

    Time frame: Measured at month 0 and 6

  11. Change in reproductive hormones (testosterone, DHEA, SHBG)

    Measured by a commercial lab (Medstar, IL)

    Time frame: Measured at month 0 and 6

  12. Change in free androgen index (FAI)

    FAI is calculated by multiplying total testosterone by 100 and dividing by sex hormone binding globulin (SHBG)

    Time frame: Measured at month 0 and 6

  13. Change in energy and nutrient intake

    Measured by 7-day food record

    Time frame: Measured at month 0 and 6

  14. Change in dietary adherence

    Measured by survey

    Time frame: Measured at month 0 and 6

  15. Change in physical activity (steps/d)

    Measured by pedometer

    Time frame: Measured at month 0 and 6

  16. Change in PCOS symptoms

    Measured by a validated questionnaire (PMSIS: Premenstrual symptom impact survey)

    Time frame: Measured at month 0 and 6

  17. Change in hirsutism

    Measured by a validated questionnaire (mFG: modified Ferriman-Gallwey hirsutism scale)

    Time frame: Measured at month 0 and 6

  18. Change in acne severity

    Measured by a validated questionnaire (CASS: Comprehensive acne severity scale)

    Time frame: Measured at month 0 and 6

  19. Change in seborrhea

    Measured by clinical assessment

    Time frame: Measured at month 0 and 6

  20. Change in menstrual regularity and blood loss

    Measured by survey (PBAC: Pictorial blood loss assessment chart)

    Time frame: Measured at month 0 and 6

  21. Occurences of adverse events

    Measured by adverse event survey

    Time frame: Measured at month 0 and 6

07

Study locations

1 site
  • University of Illinois Chicago
    Chicago, Illinois 60612, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 13, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05629858
Lead sponsor
University of Illinois at Chicago
Responsible party
Krista Varady (Professor of Nutrition, University of Illinois at Chicago) — Principal investigator
First posted
Nov 29, 2022
Start date
Jan 15, 2023
Primary completion
Dec 15, 2024
Completion
Dec 15, 2024
Last update
Mar 13, 2025

Study contacts

Krista Varady, PhD
principal investigator · University of Illinois Chicago

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 Mar 2025. You cannot join it, but the record below documents what was studied.

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