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RecruitingNCT06482515Updated Jun 5, 2026

Take the Reins: The Effects of Nutrient Timing on Cancer-related Fatigue

A Phase 2 interventional study of Time-restricted eating and Nutrition counseling in Neoplasms, Blood Cancer and Fatigue, sponsored by University of Maryland, Baltimore. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-05.

Primary conditionHematologic NeoplasmsRegistry: NeoplasmsReclassifiedWhy we changed it
Registry
Neoplasms — the first condition term the registry derived for this study.
ClinicalTrials.gg
Hematologic Neoplasms
Why
  1. The study's listed conditions name Hematologic Neoplasms, a narrower term within Neoplasms.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by University of Maryland, Baltimore · Phase 2, Interventional, and Supportive care

From the registry’s dates

  • Started Nov 2024; still recruiting 2 years later.
Phase
Phase 2
Study type
Interventional
Enrollment
96
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Cancer-related fatigue affects at least 30-90% of patients with cancer, depending on the type of cancer and their treatment(s) (e.g., chemotherapy, radiation). It is not relieved by sleep or rest, and it sometimes can persist for years after a person's cancer was treated. The fatigue can be so bad that people cannot return to work, hobbies, family roles, or other daily activities, thereby greatly reducing quality of life. The causes of this fatigue are unknown, and we currently do not have anything that can reliably prevent or cure the fatigue. However, there are recent data suggesting that circadian rhythm, or a person's internal body clock, may be disrupted by the cancer experience and contribute to fatigue. Food intake is an external cue that can entrain circadian rhythm. We recently showed that cancer survivors are willing and able to eat all their food within a 10-hour eating window-a practice called time-restricted eating. Herein, we are testing time-restricted eating against a control group (matched for time-, attention, and expectancy) to see if time-restricted eating can indeed alleviate cancer-related fatigue. All participants will be asked to use the myCircadianClock smartphone app to log their food intake and weekly body weight measurements. The participants assigned to the time-restricted eating group will be asked to eat all their food in a 10-hour window during the day. People can choose their start time based on their schedule and preferences, but we ask that the window is the same for the whole study (e.g., 7am-5pm,9:30am-7:30pm). Black coffee and unsweetened tea are allowed before the eating window, and water and medicines are allowed at all times. The participants in the control group will meet with a nutritionist to discuss the American Cancer Society nutrition guidelines in cancer survivorship; they will not be restricted to when they can eat. Participants in both groups will give us valuable information regarding how diet is related to the experience of fatigue. The purpose of this study is to test the effects of a 12-week TRE intervention vs. an unrestricted eating pattern on fatigue, the sustainability of the program at 24 weeks, and the effects of TRE on circadian rhythm and sugar metabolism.

02

Conditions studied

  • Neoplasms
  • Blood Cancer
  • Fatigue
  • Diet Habit
  • Survivorship
  • Fasting, Intermittent
03

In context

Hematologic Neoplasms Reclassified

1,444 studies on the registry are indexed under Hematologic Neoplasms; 420 are open to participants now.

This study's planned enrollment of 96 is above the median of 46 across 1,044 interventional studies indexed under Hematologic Neoplasms.

Browse Hematologic Neoplasms studies →

Lead sponsor

University of Maryland, Baltimore is the lead sponsor of 700 studies on the registry; 132 are open to participants now.

Of its 92 completed or terminated interventional studies of FDA-regulated products, 66 (72%) have results posted.

Compared within Hematologic Neoplasms, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Neoplasms. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
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

  • Have a diagnosis of a hematologic neoplasm (e.g., leukemia, lymphoma, multiple myeloma);
  • Be at least 2 months post-treatment with chemotherapy, radiation, targeted therapy, chimeric antigen receptor (CAR)-T cell therapy, stem cell transplant, or another therapy (maintenance therapies are okay; steady unchanged treatment for disease for >2 months and expected to stay on it until progression is okay);
  • Have a baseline level of fatigue, as determined by at least one of the following:

    1. Reporting a score of 4 or higher in response to the question, "What was your worst fatigue in the last week, on a scale of 0-10, where 0 is no fatigue and 10 is the worst fatigue?"
    2. In the habit of taking daytime naps,
    3. Have fatigue that interferes with their ability to work, engage in social events, or is more than would be expected from physical exertion,
  • Be able to speak and/or read and write in English or Spanish;
  • Be at least 18 years old; and
  • Be able to provide .

Exclusion criteria

Exclusion criteria (participants must not…)

  • Be underweight, as defined as a \<18.5 kg/m2;
  • Already eat all their food within a window that is 10 h or shorter most (6/7) days of the week;
  • Be employed in a job where they regularly work away from the home at night (e.g., night shift);
  • Have surgery planned during the study duration;
  • Have any to the proposed nutrition intervention as identified by their medical provider, their designee, or the study team (e.g., type 1 diabetes, risk for hypoglycemia, medication requirements, pregnancy, breastfeeding, recent history of an eating disorder);
  • Be taking insulin; or
  • Be on enteral or parenteral nutrition.
Terms in these criteria, in plain language(4)

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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 2
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
96 participants (estimated)

Study arms

  • Experimental
    Time-restricted eating

    Behavioral: Time-restricted eating · Behavioral: Nutrition counseling

  • Active comparator
    Time-unrestricted eating

    Behavioral: Nutrition counseling

Interventions

  • BehavioralTime-restricted eating

    Participants will be asked to eat all their food in a self-selected 10-hour eating window every day.

  • BehavioralNutrition counseling

    Participants will meet with a nutritionist to discuss their dietary habits and how they compare to the American Cancer Society nutrition guidelines.

06

What researchers measure

Primary outcomes

  1. Fatigue

    Multidimensional Fatigue Symptom Inventory-Short Form; the total MFSI-SF score ranges from -24 to 96 with a higher score indicating higher levels of fatigue

    Time frame: baseline, 6 weeks, 12 weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Kleckner AS, Clingan CL, Badros AZ, Manoogian ENC, Mustian KM, Panda S, Ryan AS, Zhu S. Take the reins: a study protocol of a randomized controlled trial testing the effects of time-restricted eating vs. nutrition control on cancer-related fatigue among survivors of hematological malignancies. BMC Nutr. 2025 Oct 31;11(1):200. doi: 10.1186/s40795-025-01185-0. PubMed 41174725 ↗

Individual participant data

Plan to share: Yes — Data files and transcripts will be shared using Dryad (datadryad.org) per guidelines of the data repository, or similar repositories. All de-identified demographic data, clinical record data, and arm allocation from the parent trial will be shared in conjunction with the data to increase the usefulness to other researchers. In addition, the interview guide will be shared in text format (.pdf or .txt). The blank questionnaires will also be shared via the same repository.

Time frame: Data will be made available when the work is published or the award/support period ends, whichever comes first. Data will be accessible at a minimum of three years post-completion of this award and the parent grant, as required by the federal retention guidelines. We will keep the data available as long as it is useful, which we estimate will be 10-20 years. We hope to have the data accessible indefinitely.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06482515
Responsible party
Amber Kleckner (Assistant Professor, University of Maryland, Baltimore) — Principal investigator
First posted
Jul 1, 2024
Start date
Nov 4, 2024
Primary completion
May 1, 2028 (estimated)
Completion
Aug 31, 2028 (estimated)
Last update
Jun 5, 2026

Study contacts

Amber Kleckner
Contact
amber.kleckner@umaryland.edu
4107065961

Oversight

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

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