ClinicalTrials.gg
CompletedNCT05821660FastresetUpdated Oct 1, 2025

Fastreset Study: Metabolic Effects of a Five-day Remotely Delivered Hypocaloric and Ketogenic Program

An interventional study of Five-day hypocaloric and ketogenic programme in Healthy Nutrition and Healthy Lifestyle, sponsored by Buchinger Wilhelmi Development & Holding GmbH. Completed at 1 site in Germany. Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-10-01.

Sponsored by Buchinger Wilhelmi Development & Holding GmbH · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
64
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The aim of this study is to assess changes in body and metabolism caused by this new five-day hypocaloric and ketogenic programme

Read the detailed description

Therapeutic effects of fasting are increasingly documented. Recent studies on a cohort of subjects doing a long-term fasting lasting from 4 days to several weeks demonstrated beneficial effects on health and well-being. In recent studies on the therapeutic efficacy of the Buchinger Wilhelmi fasting program, long-term fasting significantly improved risk factors for a variety of chronic diseases including hypertension even in medicated subjects, liver steatosis, inflammation, oxidative stress and lipoprotein distribution.

There is an increasing demand for dietary interventions which can be delivered at home. This has been amplified by the Coronavirus-19 disease (COVID-19) pandemic during which many countries kept their population in lockdown at home in isolation. The COVID-19 pandemic has also influenced the lifestyle of individuals, with an increased consumption of unhealthy food and a sedentary behaviour resulting in mental (anxiety, depression, and others) and physical (weight gain, rise in blood pressure) health issues. In order to adapt to this new context, the Buchinger Wilhelmi Clinics have created a hypocaloric, ketogenic program with interval fasting.

The five-day programme is designed to be easily integrated into everyday life and can be applied several times a year. The programme is based on ready-to-eat soups made with locally sourced organic ingredients. The ingredients represent a total daily intake of around 600 kcal per day - with a high share of fats and a limited quantity of carbohydrates and proteins. Minerals and micronutrients used at the Buchinger Wilhelmi Clinics are also supplied. Although the comprehensive medical care and assistance offered at the clinics cannot be replicated, medical professionals are available to support the customers remotely.

The investigators hypothesise that the metabolic changes caused by this new five-day programme can be similar to a short-term fast. In order to test this hypothesis, the investigators will perform a two-arm randomized controlled trial in which a group of participants will perform the five-day Fastingbox programme and a group of participants will receive an eucaloric diet as a control group.

02

Conditions studied

  • Healthy Nutrition
  • Healthy Lifestyle

Keywords

  • hypocaloric and ketogenic diet
  • intestinal microbiota
  • inflammatory status
03

In context

Lead sponsor

Buchinger Wilhelmi Development & Holding GmbH is the lead sponsor of 5 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Exclusion Criteria:

  • Not able to sign the
  • diagnosticated with cachexia, anorexia, nervosa, advanced kidney, liver or cerebrovascular insufficiency.
  • Intake of antibiotics up to 2 months prior the study
  • Medicated high blood pressure
  • Diagnosed hyperuricemia
  • Diagnosed diabetes mellitus type I and II
  • Diagnosed kidney stone
  • Active malignant diseases
  • Known substance addiction
  • Pregnancy or breastfeeding
  • Participation in another study
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
64 participants (actual)

Study arms

  • Experimental
    Five-day hypocaloric and ketogenic programme

    The group will receive a five-day remotely delivered hypocaloric and ketogenic programme followed by a four-day food reintroduction period

    Other: Five-day hypocaloric and ketogenic programme

  • No intervention
    Control

    The group will maintain their habitual diet

Interventions

  • OtherFive-day hypocaloric and ketogenic programme

    Dietary intervention

    Also known as: Buchinger Wilhelmi Fastingbox

06

What researchers measure

Primary outcomes

  1. Changes in body weight

    in kg

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  2. Changes in systolic blood pressure

    in mmHg

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  3. Changes in diastolic blood pressure

    in mmHg

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

Secondary outcomes

  1. Changes in acetoacetic acid

    measured by nitroprussid test in urine in mg/dL

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  2. Changes in total cholesterol

    measured in serum by a routine technique (photometry)

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  3. Changes in HDL-C

    measured in serum by a routine technique (elimination/catalase)

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  4. Changes in LDL-C

    measured in serum by a routine technique (elimination/catalase)

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  5. Changes in triglycerides

    measured in serum by a routine technique (GPO, trinder without serum blank) in mmol/l

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  6. Changes in glucose

    measured in serum by a routine technique (hexokinase) in mmol/l

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  7. Changes in HbA1c

    measured in serum by a routine technique (HPLC) in %

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  8. Changes in Insulin

    measured in serum by a routine technique (CLIA) in mU/l

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  9. Changes in total antioxidant capacity

    measured in serum by a routine technique

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  10. Changes in lipidperoxidation

    measured in serum by a routine technique (in µmol/l)

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  11. Changes in well-being

    WHO-5 well-being index

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  12. Changes in ESR

    measured in mm/h by kinetic flow analysis in capillaries on a photometric basis

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  13. Changes in CRP

    measured in serum by a routine technique

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  14. Changes in IL-6

    measured in serum by a routine technique (ECLIA)

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  15. Changes in IL-10

    measured in serum by a routine technique

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  16. Changes in TNF-a

    measured in serum by a routine technique (CLIA)

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  17. Changes in gut microbiome composition

    Shotgun metagenomics, qPCR, SCFA

    Time frame: At baseline, first stool after 9 days as well as 1 month afterwards

Other outcomes

  1. Changes in body mass index

    in kg/m²

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  2. Changes in abdominal circumference

    in cm

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  3. Changes in resting heart frequency

    in beats/min

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  4. Changes in leucocytes

    measured in serum by a routine technique (electronic count)

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  5. Changes in erythrocytes

    measured in serum by a routine technique (electronic count)

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  6. Changes in haemoglobin

    measured in serum by a routine technique (photometry)

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  7. Changes in haematocrit

    measured in serum by a routine technique (electronic count)

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  8. Changes in MCV

    measured in serum by a routine technique (ELISA)

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  9. Changes in MCH

    measured in serum by a routine technique

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  10. Changes in MCHC

    measured in serum by a routine technique

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  11. Changes in thrombocytes

    measured in serum by a routine technique (electronic count)

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  12. Changes in INR

    measured in serum by a routine technique (coagulometry) in sec

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  13. Changes in PTT

    measured in serum by a routine technique (coagulometry) in sec

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  14. Changes in kidney parameters

    blood parameters: uric acid, urea, creatinine in mg/dl

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  15. Changes in uric acid

    measured in serum by a routine technique (enzymatic/uricase/peroxidas) in mg/dl

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  16. Changes in urea

    measured in serum by a routine technique (GLDH) in mg/dl

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  17. Changes in creatinine

    measured in serum by a routine technique (creatininase) in mg/dl

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  18. Changes in GOT

    measured in serum by a routine technique (IFCC method) in U/l

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  19. Changes in GPT

    measured in serum by a routine technique (IFCC method) in U/l

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  20. Changes in GGT

    measured in serum by a routine technique (IFCC modified) in U/l

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  21. Changes in AP

    measured in serum by a routine technique in U/l

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  22. Changes in sodium

    measured in serum by a routine technique (potentiometric, ISE) in mmol/l

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  23. Changes in potassium

    measured in serum by a routine technique (potentiometric, ISE) in mmol/l

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  24. Changes in calcium

    measured in serum by a routine technique (CPC) in mmol/l

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  25. Changes in magnesium

    measured in serum by a routine technique (ICPMS) in mmol/l

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  26. Changes in continous glucose monitoring

    glucose level in mg/dl

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  27. Changes in physical activity level

    questionnaires: International Physical Activity Questionnaire (IPAQ) 150min./week of exercise is considered sufficient physical activity

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  28. Changes in sleep quality

    questionnaires: Pittsburgh Sleep Quality Index (PSQI), score ranging from 0 to 21, where lower scores denote a healthier sleep quality

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  29. Changes in processed food consumption

    questionnaire: highly processed food consumption (sQ-HPF)

    Time frame: At baseline, after 5 and 9 days as well as 1 month afterwards

  30. Changes in physical well-being

    measured by visual scale (0-10)

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  31. Changes in emotional well-being

    measured by visual scale (0-10)

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  32. Changes in energy level

    measured by visual scale (0-10)

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  33. Changes in cravings

    measured by visual scale (0-10)

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  34. Changes in feeling bloated

    measured by visual scale (0-10)

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  35. Changes in feeling cold

    measured by visual scale (0-10)

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  36. Changes in tiredness

    measured by visual scale (0-10)

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  37. Changes in muscle weakness

    measured by visual scale (0-10)

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  38. Changes in back pain

    measured by visual scale (0-10)

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  39. Changes in headache

    measured by visual scale (0-10)

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  40. Changes in hunger

    measured by visual scale (0-10)

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  41. Changes in anxiety

    measured by visual scale (0-10)

    Time frame: through study completion (11 subsequent days as well as one month afterwards9

  42. Changes in digestive problems

    measured by visual scale (0-10)

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  43. Changes in optimism

    measured by visual scale (0-4)

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  44. Changes in relaxation

    measured by visual scale (0-4)

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  45. Changes in clear thinking

    measured by visual scale (0-4)

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  46. Changes in confidence

    measured by visual scale (0-4)

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  47. Changes in happiness

    measured by visual scale (0-4)

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  48. Changes in physical activity

    measured by visual scale (0-10) and absolut numbers

    Time frame: through study completion (11 subsequent days as well as one month afterwards)

  49. Ethnicity

    Caucasian, Hispanic, African American, Asian, others

    Time frame: baseline

  50. Smoking

    status: never, former, current, flatmate

    Time frame: baseline

  51. Alcohol consumption

    number of glasses: wine, beer, spirits

    Time frame: baseline, after 5 and 9 days as well as 1 month afterwards

  52. Changes in stress level

    measured by visual scale (0-10)

    Time frame: baseline, after 5 and 9 days as well as 1 month afterwards

  53. Changes in energy level

    measured by visual scale (0-10)

    Time frame: baseline, after 5 and 9 days as well as 1 month afterwards

  54. Changes in pain level

    measured by visual scale (0-10)

    Time frame: baseline, after 5 and 9 days as well as 1 month afterwards

07

Study locations

1 site
  • Buchinger Wilhelmi Clinic
    Überlingen, Baden-Wurttemberg 88662, Germany
08

References and documents

Publications

  • Grundler F, Ducarmon QR, Holley A, Knufinke M, Strathmeyer S, Heelemann S, Geyer R, Martinez-Tellez B, MacArthur MR, Zeller G, Wilhelmi de Toledo F, Mesnage R. Health benefits of a five-day at-home modified fasting program: a randomised controlled trial. Genome Med. 2026 Jun 1;18(1):80. doi: 10.1186/s13073-026-01681-3. PubMed 42226305 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2023 to primary completion in Aug 2023, 4 months.

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

Registered
Mar 22, 2023
First posted
Apr 20, 2023
StartActual
Apr 1, 2023
Primary completionActual
Aug 17, 2023
CompletionActual
Aug 17, 2023
Last update
Oct 1, 2025
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 Oct 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05821660
Lead sponsor
Buchinger Wilhelmi Development & Holding GmbH
Collaborators
King's College London, MVZ Labor Ravensburg GbR, Synlab Málaga
Responsible party
Sponsor
First posted
Apr 20, 2023
Start date
Apr 1, 2023
Primary completion
Aug 17, 2023
Completion
Aug 17, 2023
Last update
Oct 1, 2025

Study contacts

Françoise Wilhelmi de Toledo, Dr.
principal investigator · Buchinger Wilhelmi

Oversight

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

Not currently enrolling

This study is completed, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion