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CompletedNCT05866744Updated Oct 30, 2024

Effects of Time-restricted Hypocaloric Diet in Patients with NAFLD

An interventional study of Early Time-Restricted Feeding Plus Hypocaloric Mediterranean Diet and Late Time-Restricted Feeding Plus Hypocaloric Mediterranean Diet in Non-Alcoholic Fatty Liver Disease, sponsored by Agricultural University of Athens. Completed at 2 sites in Greece. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-10-30.

Sponsored by Agricultural University of Athens · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
59
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The effects of a time-restricted hypocaloric Mediterranean type diet compared to a conventional hypocaloric Mediterranean type diet on blood glucose metabolism and liver steatosis in people with non-alcoholic fatty liver disease will be investigated.

Read the detailed description

The goal of this clinical trial is to evaluate the effects of the time in which food intake is restricted (morning or evening hours or no restriction in time) on glucose metabolism and liver steatosis in the context of a hypocaloric diet plan in 54 patients with non-alcoholic fatty liver disease (NAFLD). The participants will be divided into 3 groups of 18 individuals each and will be randomly assigned to one of the 3 dietary interventions. In the first group (control group), participants will be given a weight loss program based on the principles of the Mediterranean Diet (energy deficit of 500 kcal/day with the aim of losing 0.5 kg per week) with the instruction to consume their meals throughout the day, without time restriction. In the second group (early eaters), individuals will be given a weight loss program based on the principles of the Mediterranean Diet (energy deficit of 500 kcal/day with the aim of losing 0.5 kg per week), and they will be asked to consume all of their meals within 10 hours (between 07:00-09:00 and 17:00-19:00) and refrain from consuming caloric foods and drinks for the remaining 14 hours. In the third group (late eaters), individuals will be given a weight loss program based on the principles of the Mediterranean Diet (energy deficit of 500 kcal/day with the aim of losing 0.5 kg per week), and they will be asked to consume all of their meals within 10 hours (between 11:00-13:00 and 21:00-23:00) and refrain from consuming caloric foods and drinks for the remaining 14 hours.

02

Conditions studied

  • Non-Alcoholic Fatty Liver Disease

Keywords

  • Time-Restricted Feeding
  • Mediterranean Diet
03

In context

Liver Diseases

2,081 studies on the registry are indexed under Liver Diseases; 390 are open to participants now.

This study's enrollment of 59 is above the median of 50 across 1,323 interventional studies indexed under Liver Diseases.

Browse Liver Diseases studies →

Lead sponsor

Agricultural University of Athens is the lead sponsor of 21 studies on the registry; 1 is 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

  • Body Mass Index >25 kg/m2
  • Liver steatosis with Magnetic Resonance Elastography (MRE)

Exclusion criteria

Exclusion Criteria:

  • Other chronic liver diseases
  • Alcohol consumption >20 g/day (female) and >30 g/day (male)
  • Medications that cause liver disease or secondary NAFLD (e.g. tamoxifen, corticosteroids, Methotrexate, tetracycline, estrogens, valproic acid)
  • Changes in body weight ± 3 % in the last 3 months
  • Patients following a hypocaloric diet program and/or time-restricted feeding and/or other intermittent fasting protocols
  • Unstable glucose-lowering medications in the last 6 months
  • Body weight lowering medications and/or history of bariatric surgery
  • Statins and/ or other fat-reducing medications if not taken in steady dosage for at least 3 months
  • Uncontrolled type 2 diabetes mellitus defined as HbA1c value > 9.0% or insulin depending type 1 and 2 diabetes mellitus
  • Pregnancy
  • Lactation
  • Immunologic or inflammatory diseases
  • Depression and other psychiatric diseases
  • Patients working in shifts
  • Cancer
05

Study design

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

Study arms

  • Experimental
    Early Time-Restricted Feeding Plus Hypocaloric Mediterranean Diet

    Early 14:10 time-restricted feeding plus hypocaloric Mediterranean diet

    Other: Early Time-Restricted Feeding Plus Hypocaloric Mediterranean Diet

  • Experimental
    Late Time-Restricted Feeding Plus Hypocaloric Mediterranean Diet

    Late 14:10 time-restricted feeding plus hypocaloric Mediterranean diet

    Other: Late Time-Restricted Feeding Plus Hypocaloric Mediterranean Diet

  • Active comparator
    Hypocaloric Mediterranean Diet Without Time Restriction In Feeding

    Hypocaloric Mediterranean diet without time restriction in feeding

    Other: Hypocaloric Mediterranean Diet Without Time Restriction In Feeding

Interventions

  • OtherEarly Time-Restricted Feeding Plus Hypocaloric Mediterranean Diet

    18 patients with NAFLD will be asked to follow an early 14:10 (14 hours fasting and 10 hours feeding) time-restricted (eating between 08:00-18:00) and individualized Mediterranean diet plan with caloric restriction (energy deficit of 500 kcal/day) for 12 weeks

  • OtherLate Time-Restricted Feeding Plus Hypocaloric Mediterranean Diet

    18 patients with NAFLD will be asked to follow a late 14:10 (14 hours fasting and 10 hours feeding) time-restricted (eating between 12:00-22:00) and individualized Mediterranean diet plan with caloric restriction (energy deficit of 500 kcal/day) for 12 weeks

  • OtherHypocaloric Mediterranean Diet Without Time Restriction In Feeding

    18 patients with NAFLD will be asked to follow an individualized Mediterranean diet plan with caloric restriction (energy deficit of 500 kcal/day) without time restriction in feeding (eating throughout the day) for 12 weeks

06

What researchers measure

Primary outcomes

  1. Change in blood glucose concentrations

    Clinically significant change in blood glucose concentrations (mg/dL)

    Time frame: 12 weeks

Secondary outcomes

  1. Change in body weight

    Clinically significant change in body weight (kg)

    Time frame: 12 weeks

  2. Change in blood insulin concentrations

    Clinically significant change in blood insulin concentrations (μU/L)

    Time frame: 12 weeks

  3. Change in Controlled Attenuation Parameter (CAP)

    Clinically significant change in CAP (dB/m)

    Time frame: 12 weeks

  4. Change in blood lipids levels

    Clinically significant change in triglycerides (mg/dL), total cholesterol (mg/dL), low-density lipoprotein (mg/dL) and high-density lipoprotein (mg/dl)

    Time frame: 12 weeks

  5. Change in Chronic Liver Disease Questionnaire (CLDQ)

    Clinically significant change in health status within individuals with NAFLD. The CLDQ includes 29 items in the following domains: abdominal symptoms, fatigue, systemic symptoms, activity, emotional function and worry. Overall CLDQ scores calculated for each domain range from 1 (most impaired) to 7 (minimum frequency of symptoms). The total score is calculated as the average score of the 29 items.

    Time frame: 12 weeks

07

Study locations

2 sites
  • Laiko General Hospital of Athens
    Athens, Attica 11527, Greece
  • Agricultural University of Athens
    Athens, Attica 11855, Greece
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 30, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05866744
Lead sponsor
Agricultural University of Athens
Collaborators
Laikο General Hospital, Athens
Responsible party
Aimilia Papakonstantinou (Assistant Professor, Agricultural University of Athens) — Principal investigator
First posted
May 19, 2023
Start date
May 8, 2023
Primary completion
Jul 15, 2024
Completion
Jul 30, 2024
Last update
Oct 30, 2024

Oversight

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

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