ClinicalTrials.gg
Enrolling by invitationNCT06094504Updated Sep 15, 2026

Spectral Lighting and Metabolism

An interventional study of Spectral Lighting in Intestinal Failure, sponsored by Children's Hospital Medical Center, Cincinnati. Enrolling by invitation at 1 site in United States. Open to participants aged Up to 1 Year. Per ClinicalTrials.gov, last updated 2026-09-15.

Sponsored by Children's Hospital Medical Center, Cincinnati · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
32
Allocation
Not applicable
Ages
Up to 1 Year
Sex
All
01

Study summary

The goal of this exploratory n-of-1-study is to compare markers of metabolism in infants in a Level IV Neonatal Intensive Care Unit (NICU) between two lighting environments. Investigators are seeking to learn whether supplementing the lighting environment of infants in the NICU with blue and violet wavelengths of light will allow more efficient utilization of the nutrition provided to participants by influencing hormones involved in regulation of growth and development as compared to a conventional lighting environment.

Pre-clinical studies suggest that violet and blue wavelengths of light are involved in molecular pathways that help regulate metabolic activity.

02

Conditions studied

  • Intestinal Failure

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03

In context

Intestinal Failure

64 studies on the registry are indexed under Intestinal Failure; 17 are open to participants now.

This study's planned enrollment of 32 is below the median of 38 across 42 interventional studies indexed under Intestinal Failure.

Browse Intestinal Failure studies →

Lead sponsor

Children's Hospital Medical Center, Cincinnati is the lead sponsor of 673 studies on the registry; 130 are open to participants now.

Of its 57 completed or terminated interventional studies of FDA-regulated products, 31 (54%) have results posted.

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

04

Who can participate

Ages eligible
Up to 1 Year
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

  • greater than or equal to 32 weeks post-menstrual age (PMA)
  • have an anticipated CCHMC NICU stay of at least 4 weeks following initiation of study participation

Exclusion criteria

Exclusion Criteria:

  • Infants with aneuploidy (having an abnormal amount of chromosomes) or other lethal congenital anomaly
  • Infants \<32 weeks post-menstrual age (PMA)
  • Infants actively receiving dialysis, extracorporeal membrane oxygenation (ECMO) or dependent on any ventricular assist device
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
32 participants (estimated)

Study arms

  • Experimental
    Lighting cycling (Spectral vs Conventional)

    The study protocol will commence the Monday after study subject enrollment, if medically feasible, and will consist of four weeks of alternating periods of 3 days of daytime conventional (CON) hospital lighting followed by 4 days of daytime full spectrum lighting (FS) including violet and blue light wavelengths.

    Other: Spectral Lighting

Interventions

  • OtherSpectral Lighting

    Spectral room lighting containing violet and blue wavelengths of light capable of stimulating non-visual opsins including OPN5 and OPN3.

06

What researchers measure

Primary outcomes

  1. urine metabolomics

    Urine samples will be collected and compared between lighting conditions for each infant utilizing high-resolution mass spectrometry-based proteomics and metabolomics for comprehensive analysis of networks and pathways influenced by SPEC exposure. We intend to target hormones known to be involved in metabolism and energy management, such as insulin, glucagon, adiponecting and leptin.

    Time frame: For four weeks, clean urine will be collected with each diaper change, as possible.

Secondary outcomes

  1. temperature

    body temperature as measured throughout the day, usually every 3-4 hrs

    Time frame: For the duration of the participant's 4-week study timeline

  2. heart rate

    heart rate throughout the day, as collected every 3-4 hrs

    Time frame: For the duration of the participant's 4-week study timeline

  3. Phosphorus concentration

    concentration of Phosphorus in serum (mg/dL)

    Time frame: Typically collected twice-weekly for the duration of the participant's 4-week study timeline

  4. Magnesium concentration

    concentration of Magnesium in serum (mg/dL)

    Time frame: Typically collected twice-weekly for the duration of the participant's 4-week study timeline

  5. Calcium concentration

    concentration of Calcium in serum (mg/dL)

    Time frame: Typically collected twice-weekly for the duration of the participant's 4-week study timeline

  6. Sodium concentration

    concentration of Sodium in serum (mmol/L)

    Time frame: Typically collected twice-weekly for the duration of the participant's 4-week study timeline

  7. Potassium concentration

    concentration of Potassium in serum (mmol/L)

    Time frame: Typically collected twice-weekly for the duration of the participant's 4-week study timeline

  8. Chloride concentration

    concentration of Chloride in serum (mmol/L)

    Time frame: Typically collected twice-weekly for the duration of the participant's 4-week study timeline

  9. glucose

    glucose concentration in mg/dL

    Time frame: Typically collected twice-weekly for the duration of the participant's 4-week study timeline

  10. Blood Urea Nitrogen

    blood urea nitrogen concentration in mg/dL

    Time frame: Typically collected twice-weekly for the duration of the participant's 4-week study timeline

  11. Creatinine

    creatinine concentration in mg/dL

    Time frame: Typically collected twice-weekly for the duration of the participant's 4-week study timeline

  12. Albumin

    albumin concentration in gm/dL

    Time frame: Typically collected twice-weekly for the duration of the participant's 4-week study timeline

  13. Total protein level

    total protein concentration in gm/dL

    Time frame: Typically collected twice-weekly for the duration of the participant's 4-week study timeline

  14. Alanine Aminotransferase (ALT)

    Alanine Aminotransferase concentration in unit/L

    Time frame: Typically collected twice-weekly for the duration of the participant's 4-week study timeline

  15. Aspartate Aminotransferase (AST)

    Aspartate Aminotransferase (AST) concentration in unit/L

    Time frame: Typically collected twice-weekly for the duration of the participant's 4-week study timeline

  16. Alkaline Phosphatase (ALP)

    Alkaline Phosphatase (ALP) concentration in unit/L

    Time frame: Typically collected twice-weekly for the duration of the participant's 4-week study timeline

  17. Gamma Glutamyl Transferase (GGT)

    Gamma Glutamyl Transferase (GGT) concentration in unit/L

    Time frame: Typically collected twice-weekly for the duration of the participant's 4-week study timeline

  18. Triglyceride

    Triglyceride concentration in mg/dL

    Time frame: Typically collected twice-weekly for the duration of the participant's 4-week study timeline

  19. Total Bilirubin

    Total Bilirubin concentration in mg/dL

    Time frame: Typically collected twice-weekly for the duration of the participant's 4-week study timeline

  20. Direct Bilirubin

    Direct Bilirubin concentration in mg/dL

    Time frame: Typically collected twice-weekly for the duration of the participant's 4-week study timeline

07

Study locations

1 site
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References and documents

Publications

  • Zhang KX, D'Souza S, Upton BA, Kernodle S, Vemaraju S, Nayak G, Gaitonde KD, Holt AL, Linne CD, Smith AN, Petts NT, Batie M, Mukherjee R, Tiwari D, Buhr ED, Van Gelder RN, Gross C, Sweeney A, Sanchez-Gurmaches J, Seeley RJ, Lang RA. Violet-light suppression of thermogenesis by opsin 5 hypothalamic neurons. Nature. 2020 Sep;585(7825):420-425. doi: 10.1038/s41586-020-2683-0. Epub 2020 Sep 2. PubMed 32879486 ↗
  • Nayak G, Zhang KX, Vemaraju S, Odaka Y, Buhr ED, Holt-Jones A, Kernodle S, Smith AN, Upton BA, D'Souza S, Zhan JJ, Diaz N, Nguyen MT, Mukherjee R, Gordon SA, Wu G, Schmidt R, Mei X, Petts NT, Batie M, Rao S, Hogenesch JB, Nakamura T, Sweeney A, Seeley RJ, Van Gelder RN, Sanchez-Gurmaches J, Lang RA. Adaptive Thermogenesis in Mice Is Enhanced by Opsin 3-Dependent Adipocyte Light Sensing. Cell Rep. 2020 Jan 21;30(3):672-686.e8. doi: 10.1016/j.celrep.2019.12.043. PubMed 31968245 ↗
  • Tarttelin EE, Bellingham J, Hankins MW, Foster RG, Lucas RJ. Neuropsin (Opn5): a novel opsin identified in mammalian neural tissue. FEBS Lett. 2003 Nov 20;554(3):410-6. doi: 10.1016/s0014-5793(03)01212-2. PubMed 14623103 ↗
  • Hair AB, Good M. Dilemmas in feeding infants with intestinal failure: a neonatologist's perspective. J Perinatol. 2023 Jan;43(1):114-119. doi: 10.1038/s41372-022-01504-4. Epub 2022 Sep 20. PubMed 36127395 ↗
  • Gattini D, Roberts AJ, Wales PW, Beath SV, Evans HM, Hind J, Mercer D, Wong T, Yap J, Belza C, Huysentruyt K, Avitzur Y. Trends in Pediatric Intestinal Failure: A Multicenter, Multinational Study. J Pediatr. 2021 Oct;237:16-23.e4. doi: 10.1016/j.jpeds.2021.06.025. Epub 2021 Jun 18. PubMed 34153281 ↗
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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

Started Mar 2024 (actual). Primary completion is estimated for Sep 2028, 54 months after the start.

Of 17 interventional studies with no phase under Intestinal Failure, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 59. This study's planned 54 months is above that.

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

Registered
Sep 21, 2023
First posted
Oct 23, 2023
StartActual
Mar 1, 2024
Primary completionEst.
Sep 15, 2028
CompletionEst.
Mar 15, 2029
Last update
Sep 15, 2026
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 Sep 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06094504
Responsible party
Sponsor
First posted
Oct 23, 2023
Start date
Mar 1, 2024
Primary completion
Sep 15, 2028 (estimated)
Completion
Mar 15, 2029 (estimated)
Last update
Sep 15, 2026

Study contacts

James M Greenberg, MD
principal investigator · Children's Hospital Medical Center, Cincinnati

Oversight

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

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