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Not yet recruitingNCT07897097Updated Oct 27, 2026

Study on the Mechanism of Central Obesity Induced by Sleep Restriction and the Therapeutic Effect of n-3 Polyunsaturated Fatty Acid: a Randomized, Double-blind, Placebo-controlled Trial (COSPA Study)

An interventional study of n-3 PUFA Supplementation and Placebo Supplementation in Sleep Deprivation, sponsored by Beijing Anzhen Hospital. Not yet recruiting. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by Beijing Anzhen Hospital · Not applicable, Interventional, and Prevention

Updated Oct 27, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Study summary

This randomized, double-blind, placebo-controlled trial aims to investigate whether n-3 polyunsaturated fatty acid (PUFA) supplementation attenuates abdominal visceral fat accumulation induced by experimental sleep restriction.

Forty healthy adults aged 18-50 years will be randomly assigned to receive n-3 PUFA supplementation (approximately 1.1 g/day of EPA and DHA) or a matching placebo. The intervention will last approximately 75 days, including a 19-day residential sleep protocol consisting of 3 adaptation days, 14 days of sleep restriction (4 hours per night), and 2 recovery days.

The primary outcome is the change in abdominal visceral adipose tissue area measured by CT. Additional assessments include body composition, metabolic and inflammatory markers, gut microbiota, microbial metabolites, and adipose tissue molecular profiles.

Read the detailed description

Experimental sleep restriction provides a controlled model for investigating the metabolic consequences of insufficient sleep. This study will examine whether n-3 PUFA supplementation modifies visceral fat accumulation and related biological responses during sleep restriction.

Participants will undergo a standardized residential sleep protocol with continuous polysomnographic monitoring. Abdominal CT will be performed on Days 3 and 17 to assess changes in visceral and subcutaneous adipose tissue. Additional measurements will include dual-energy X-ray absorptiometry, ambulatory blood pressure monitoring, cognitive assessments, biological sample collection, and exploratory molecular analyses.

The study will also explore potential mechanisms involving gut microbiota, microbial metabolism, inflammation, and adipose tissue responses.

02

Conditions studied

  • Sleep Deprivation

Keywords

  • Sleep Restriction
  • Visceral Adipose Tissue
  • Omega-3 Fatty Acids
  • Gut Microbiota
  • Metabolic Changes
  • Inflammation
03

In context

Sleep Deprivation

308 studies on the registry are indexed under Sleep Deprivation; 62 are open to participants now.

This study's planned enrollment of 40 is close to the median of 44 across 253 interventional studies indexed under Sleep Deprivation.

Browse Sleep Deprivation studies →

Lead sponsor

Beijing Anzhen Hospital is the lead sponsor of 192 studies on the registry; 103 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  1. Age ≥18 and ≤50 years.
  2. Currently not taking any medications.
  3. Regular sleep-wake schedule during the past month, with a usual sleep duration of 6-8 hours per night.
  4. Willing to reside in the sleep center for 19 days, comply with the prescribed sleep-wake schedule, and provide written informed consent.

Exclusion criteria

Exclusion Criteria:

  1. Diagnosed with obstructive sleep apnea (OSA) or other sleep disorders based on sleep monitoring.
  2. History of or current chronic diseases that may affect metabolism or study safety, including hypertension, diabetes mellitus, coronary heart disease, or kidney disease.
  3. Obesity (BMI ≥28 kg/m²).
  4. Current smoking.
  5. Pregnancy or breastfeeding, menopause, or current use of oral contraceptives.
  6. Presence of an intrauterine device (IUD), which may interfere with CT-based assessment of abdominal fat.
  7. Allergy to fish oil or related components, or current use or use within the past 3 months of dietary supplements containing n-3 polyunsaturated fatty acids (n-3 PUFAs).
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    n-3 PUFA Group

    Participants will receive two oral fish oil softgel capsules daily, providing approximately 1.1 g/day of EPA and DHA, for approximately 75 days, including the residential sleep restriction period.

    Dietary Supplement: n-3 PUFA Supplementation · Behavioral: Experimental Sleep Restriction

  • Placebo comparator
    Placebo Group

    Participants will receive two matching placebo softgel capsules containing vegetable oil without EPA or DHA daily for approximately 75 days, including the residential sleep restriction period.

    Dietary Supplement: Placebo Supplementation · Behavioral: Experimental Sleep Restriction

Interventions

  • Dietary supplementn-3 PUFA Supplementation

    Participants will receive two oral fish oil softgel capsules daily, providing approximately 1.1 g/day of EPA and DHA, for approximately 75 days, including the residential sleep restriction period.

  • Dietary supplementPlacebo Supplementation

    Participants will receive two matching placebo softgel capsules containing vegetable oil without EPA or DHA daily for approximately 75 days, including the residential sleep restriction period.

  • BehavioralExperimental Sleep Restriction

    All participants will undergo a standardized 19-day residential sleep protocol, including 3 days of adaptation, 14 days of sleep restriction (00:30-04:30), and 2 days of recovery.

06

What researchers measure

Primary outcomes

  1. Change in Visceral Adipose Tissue Area

    Change in abdominal visceral adipose tissue area measured by CT, calculated as the value on Day 17 minus the value on Day 3, expressed in cm².

    Time frame: Day 3 (T1) and Day 17 (T2)

Secondary outcomes

  1. Change in Subcutaneous Adipose Tissue Area

    Change in abdominal subcutaneous adipose tissue (SAT) area measured by CT, calculated as SAT area on Day 17 minus SAT area on Day 3 (ΔSAT), expressed in cm²

    Time frame: Day 3 (T1) and Day 17 (T2)

  2. Change in Total Abdominal Adipose Tissue Area

    Change in total abdominal adipose tissue (TAT) area measured by CT, calculated as TAT area on Day 17 minus TAT area on Day 3 (ΔTAT), expressed in cm²

    Time frame: Day 3 (T1) and Day 17 (T2)

  3. Change in Visceral-to-Subcutaneous Adipose Tissue Ratio

    Change in the ratio of visceral to subcutaneous adipose tissue area (VAT/SAT), calculated as the ratio on Day 17 minus the ratio on Day 3

    Time frame: Day 3 (T1) and Day 17 (T2)

  4. Changes in Gut Microbial Alpha Diversity (Shannon Index)

    Changes in fecal gut microbial alpha diversity measured by the Shannon diversity index using 16S rRNA gene sequencing. Shannon index values reflect microbial richness and evenness and are unitless.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  5. Changes in Gut Microbial Beta Diversity (Bray-Curtis Dissimilarity)

    Changes in gut microbial community composition assessed using Bray-Curtis dissimilarity based on 16S rRNA gene sequencing data. Between-sample differences will be evaluated using PERMANOVA.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  6. Changes in Gut Microbial Taxonomic Abundance

    Changes in the relative abundance of gut microbial taxa assessed by fecal microbiome sequencing and differential abundance analysis

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  7. Changes in Fecal Short-Chain Fatty Acid Concentrations

    Changes in fecal short-chain fatty acid concentrations, including acetate, propionate, and butyrate, assessed using metabolomic methods.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  8. Changes in High-Sensitivity C-Reactive Protein Levels

    Changes in serum or plasma hs-CRP concentrations measured across the study time points.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  9. Changes in Interleukin-6 Levels

    Changes in serum or plasma IL-6 concentrations measured across the study time points.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  10. Changes in Interleukin-10 Levels

    Changes in serum or plasma IL-10 concentrations measured across the study time points.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  11. Changes in Interleukin-18 Levels

    Changes in serum or plasma IL-18 concentrations measured across the study time points.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  12. Changes in Tumor Necrosis Factor-alpha Levels

    Changes in serum or plasma TNF-α concentrations measured across the study time points.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  13. Changes in Interleukin-1 Beta Levels

    Changes in serum or plasma IL-1β concentrations measured across the study time points.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  14. Changes in Monocyte Chemoattractant Protein-1 Levels

    Changes in serum or plasma MCP-1/CCL2 concentrations measured across the study time points.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  15. Changes in Adipose Tissue UCP1 mRNA Expression

    Changes in relative UCP1 mRNA expression in adipose tissue biopsies measured by RT-qPCR between Day 3 and Day 17.

    Time frame: Day 3 (T1) and Day 17 (T2)

  16. Changes in Adipose Tissue UCP1 Protein Expression

    Changes in relative UCP1 protein expression in adipose tissue biopsies measured by Western blot between Day 3 and Day 17.

    Time frame: Day 3 (T1) and Day 17 (T2)

  17. Changes in Total Body Fat Mass

    Changes in total body fat mass measured by dual-energy X-ray absorptiometry (DEXA), expressed in kg.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  18. Changes in Lean Body Mass

    Changes in lean body mass measured by DEXA, expressed in kg.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  19. Changes in Body Fat Percentage

    Changes in body fat percentage measured by DEXA, expressed as a percentage.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  20. Changes in HOMA-IR

    Changes in insulin resistance estimated using HOMA-IR, calculated from fasting glucose and insulin concentrations. Unitless.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  21. Changes in Fasting Plasma Glucose

    Changes in fasting plasma glucose concentrations, expressed in mmol/L.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  22. Changes in Fasting Insulin

    Changes in fasting insulin concentrations measured at each study time point.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  23. Changes in Leptin Concentrations

    Changes in circulating leptin concentrations measured at each study time point.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  24. Changes in Ghrelin Concentrations

    Changes in circulating ghrelin concentrations measured at each study time point.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  25. Changes in Adiponectin Concentrations

    Changes in circulating adiponectin concentrations measured at each study time point.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  26. Changes in Complex Attention Standard Score

    Changes in the Complex Attention standard score assessed using CNS Vital Signs. Higher scores indicate better performance.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  27. Changes in Reaction Time Standard Score

    Changes in the Reaction Time domain standard score assessed using CNS Vital Signs. Higher scores indicate better performance.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  28. Changes in 24-Hour Mean Systolic Blood Pressure

    Changes in mean 24-hour systolic blood pressure measured by ambulatory blood pressure monitoring (ABPM), expressed in mmHg.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  29. Changes in 24-Hour Mean Diastolic Blood Pressure

    Changes in mean 24-hour diastolic blood pressure measured by ABPM, expressed in mmHg.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  30. Changes in 24-Hour Mean Arterial Pressure

    Changes in mean 24-hour arterial pressure measured or calculated from ABPM, expressed in mmHg.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  31. Changes in 24-Hour Pulse Pressure

    Changes in 24-hour pulse pressure calculated as systolic minus diastolic blood pressure, expressed in mmHg.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  32. Changes in 24-Hour Mean Heart Rate

    Changes in mean 24-hour heart rate measured by ambulatory monitoring, expressed in beats per minute.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  33. Change in Body Weight

    Changes in body weight measured at each study time point, expressed in kg.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  34. Change in Waist Circumference

    Changes in waist circumference measured at each study time point, expressed in cm.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  35. Change in Hip Circumference

    Changes in hip circumference measured at each study time point, expressed in cm.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  36. Changes in Fasting C-Peptide

    Changes in fasting C-peptide concentrations measured at each study time point.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  37. Changes in 2-Hour Plasma Glucose

    8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

    Time frame: Changes in 2-hour plasma glucose concentrations measured during the oral glucose tolerance test.

  38. Changes in 2-Hour Insulin

    Changes in 2-hour insulin concentrations measured during the oral glucose tolerance test.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  39. Changes in 2-Hour C-Peptide

    Changes in 2-hour C-peptide concentrations measured during the oral glucose tolerance test.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  40. Changes in Hemoglobin A1c

    Changes in HbA1c concentrations measured at each study time point, expressed as a percentage.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  41. Changes in Cortisol Levels

    Changes in circulating cortisol concentrations measured at each study time point.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  42. Changes in Lipid Profile

    Changes in lipid profile, including total cholesterol, triglycerides, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol, measured at each study time point. Concentrations are expressed in mmol/L.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  43. Changes in Free Fatty Acid Levels

    Changes in circulating free fatty acid concentrations measured at each study time point.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  44. Changes in Executive Function Standard Score

    Changes in the Executive Function standard score assessed using CNS Vital Signs. Higher scores indicate better performance.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  45. Changes in Memory Standard Score

    Changes in the Memory standard score assessed using CNS Vital Signs. Higher scores indicate better performance.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

  46. Changes in Cognitive Flexibility Standard Score

    Changes in the Cognitive Flexibility standard score assessed using CNS Vital Signs. Higher scores indicate better performance.

    Time frame: 8 weeks before the residential phase (T0), Day 3 (T1), Day 10, and Day 17 (T2)

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be routinely shared with other researchers due to ethical, privacy, and institutional data management requirements. Data may be considered for sharing in a de-identified form upon appropriate review and approval by the principal investigator and relevant institutional authorities, where permitted by the informed consent and applicable regulations.

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07897097
Responsible party
Sponsor
First posted
Oct 27, 2026
Start date
Dec 2026 (estimated)
Primary completion
Oct 2028 (estimated)
Completion
Dec 2028 (estimated)
Last update
Oct 27, 2026

Study contacts

Yuting Zhang
Contact
yuting07192000@163.com
+8613407059715
Jiang Xie
principal investigator · Beijing Anzhen Hospital

Oversight

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

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