ClinicalTrials.gg
Not yet recruitingNCT07920952Updated Nov 10, 2026

Effects of Ad Libitum Ultra-Processed Diet on Brain Dopamine in Humans

An interventional study of [11C] raclopride and liquid nutritive stimulus in Healthy Volunteers, sponsored by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Not yet recruiting at 1 site in United States. Open to participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) · Not applicable, Interventional, and Basic science

Updated Nov 10, 2026Start date movedNewly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
All
01

Study summary

Background:

Dopamine is a chemical that the brain makes when a person expects a reward. Researchers want to learn more about how eating different types of food affects dopamine levels in the brain.

Objective:

To test how eating different foods affects dopamine levels in the brains of healthy people.

Eligibility:

Healthy people aged 18 to 45 years old.

Design:

Participants will be divided into 2 groups (cohorts). Both will have overnight stays in the clinic.

All participants will be screened. They will talk to a dietitian about their eating habits. They will have a test of how much energy their body uses: They will lie on a table with a clear hood over their heads to measure the gases as they breathe.

During the 3 weeks before participants stay at the clinic, a dietitian will call at 3 random times to ask what they ate the day before. They will complete questionnaires. Cohort 1 will wear a device to track their step count for at least 7 days; these participants will be given food to eat for 2 days before they stay in the clinic.

Cohort 1 will stay in the clinic for 14 days. They will eat as much or as little as they would like on 2 different diets for 5 days each and a normal diet on the other days. They will have blood collected multiple times. They will have 2 d ifferent types of imaging scans. For 1 type, they will receive a drug through a vein to show how much dopamine is in their brains.

Cohort 2 will stay in the clinic for 2 days. They will eat only the foods provided. They will have imaging scans before and after drinking a milkshake. For both scans, they will receive a drug through a vein to show how much dopamine is in their brains. They will have blood collected multiple times.

Read the detailed description

Study Description:

In this single-site study, we will recruit a cohort of 32 adult volunteers to a randomized crossover diet study to investigate change in dopamine D2 receptor availability (via [11C]raclopride binding potential). During their participation, after a 2-day outpatient stabilization diet, participants will be admitted for a 14-day, 13-night inpatient stay at the NIH Clinical Center. Following 2 days of inpatient stabilization diet, participants will consume two ad libitum test diets with distinct proportions of ultra-processed food for 5 days each in random order separated by 1 day of stabilization diet. We will collect information via Positron Emission Tomography (PET) about dopamine D2 receptor availability under fasting conditions and dopamine response to an oral stimulus solution. Additionally, magnetic resonance spectroscopy and imaging (MRS, MRI) will be used to collect information on changes in brain GABA tone, white matter hyperintensities, brain iron content, and brain activity in response to the two test diets. Further, we will additionally recruit a cohort of 36 adult volunteers for a 2 day/1night stay at the Clinical Center to measure dopamine D2 receptor availability in the extended post ingestive state to determine whether dopamine release may be quantified in this period of the postprandial state.

Objectives:

  • Primary Objective: To determine the impact of two 5-day ad libitum test diets differing in proportion of ultra-processed, energy-dense, hyper-palatable foods on fasting striatal [11C]raclopride dopamine D2 receptor binding potential (D2BP) as well as the magnitude of any change from baseline.
  • Secondary Objective: To determine differences in spatiotemporal components of striatal dopamine response (rDA) to a milkshake after two 5-day ad libitum test diets matched for presented nutrients but different in proportion of ultra-processed, energy-dense, hyperpalatable foods.
  • Secondary Objective: To determine change in whole striatal dopamine D2BP in the extended post-ingestive period, beginning 1.5 - 3 hours following consumption of a UPF milkshake, as measured by [11C]raclopride

Endpoints:

  • Primary Endpoint: Dopamine D2 receptor binding potential (D2BP) in the striatum after two test diets will be quantified during steady state portion of 20mCi [11C]raclopride infusion PET neuroimaging.
  • Secondary Endpoint: Regionally and temporally specific dopamine response to in-scanner milkshake consumption and digestion after 5 days of each test diet will be determined voxelwise (spatial) over a duration of [11C]raclopride infusion (temporal), compared to equivalent endpoints for "tasteless" oral stimulus.
  • Secondary Endpoint: D2BP in the striatum will be quantified using a bolus of 20mCi [11C]raclopride in both the overnight fasted state and delayed post-ingestive state for each participant.
02

Conditions studied

  • Healthy Volunteers

Keywords

  • Raclopride
  • Ultra-Processed Foods
  • Neuroimaging
  • Dopamine Response
03

In context

Lead sponsor

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) is the lead sponsor of 538 studies on the registry; 55 are open to participants now.

Of its 80 completed or terminated interventional studies of FDA-regulated products, 51 (64%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
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

In order to be eligible to participate in this study, an individual must meet all of the following criteria:

  1. Aged 18 to 45 years old
  2. In good general health as evidenced by medical history
  3. Weight stable (\< +/- 5% change in last 6 months), based on self-report
    1. Cohort 1: 18.5 - 24.9 kg/m\^2
    2. Cohort 2: >= 18.5 kg/m\^2

Exclusion criteria

EXCLUSION CRITERIA

An individual who meets any of the following criteria will be excluded from participation in this study:

  1. Body weight > 400 lbs. (weight limit of PET scanner)
  2. History or current self-report of conditions that may influence appetite, in the opinion of the study investigators, including but not limited to cancer, diabetes mellitus, evidence of metabolic dysfunction, changes in senses of smell or taste (e.g., covid-related), or metabolic/bariatric surgery
  3. History or current neurological, mood, eating, or substance use disorders by self-report, history/physical, Eating Disorder Examination Questionnaire, and/or Cross-cutting symptom measure.
  4. Measured resting energy expenditure +/- 30% of that predicted by Mifflin St-Jeor equation.
  5. Uncontrolled hypertension, with blood pressure >140/90 mm Hg
  6. Pregnancy or lactation
  7. Known allergic reactions to components of the PET agent, [C-11] raclopride.
  8. Having had previous radiation exposure within the last year for either medical or research purposes (e.g. X-rays, PET scans, etc.) that would exceed research limits. Excessive radiation exposure will be determined at the discretion of the PI and/or study team
  9. Inability or unwillingness (e.g. due to claustrophobia) to tolerate lying flat on their back for extended periods of time in PET/MR or MRI scanner or (Cohort 1 only) inability to tolerate swallowing drops of liquid delivered onto tongue while lying down on bed.
  10. Having metal implants incompatible with MRI (for example, pacemakers, metallic prostheses such as cochlear implants or heart valves, shrapnel fragments, etc.).
  11. Left-handedness, by self-report and confirmation via Edinburgh Handedness Survey
  12. Self-report of daily alcohol intake > 3 drinks (males) or > 2 drinks (females)
  13. Current nicotine use (e.g. cigarette, vaping) determined by participant report or nicotine dependence confirmed by Fagerstrom Nicotine Dependence (score >= 4)
  14. Current use of medications or drugs of abuse which may influence appetite or have central effects, in the opinion of study investigators
  15. Caffeine consumption > 300 mg/day (roughly >=3 cups coffee or 2-3 energy drinks)
  16. Significant dietary restrictions, based on evaluation by nutrition staff and results of nutrition screener (rating fewer than 75% of foods listed as a 4 or higher score on The Food Enjoyment Questionnaire)
  17. Unable or unwilling to provide
  18. Unable or unwilling to adhere to study diet, procedures, schedule, and lifestyle considerations
Terms in these criteria, in plain language(3)

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.

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.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

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
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
140 participants (estimated)

Study arms

  • Experimental
    MPF-UPF

    Participants will be randomized to the one of two diet sequences (study arms: UPF-MPF vs MPF-UPF) by NIH dietitians after enrollment, in advance of admission. A total of n=32 participants will be evenly grouped into 16 batches according to date of inpatient admission. Within each batch of 2 participants, participants will be randomly assigned to one of the two diet sequences, ensuring any order effects will be counterbalanced and maintaining balance across diet sequence assignments.

    Drug: [11C] raclopride · Other: liquid nutritive stimulus · Other: Tasteless Oral Stimulus Solution · Other: Minimally Processed Diet · Other: Baseline Diet

  • Experimental
    UPF-MPF

    Participants will be randomized to the one of two diet sequences (study arms: UPF-MPF vs MPF-UPF) by NIH dietitians after enrollment, in advance of admission. A total of n=32 participants will be evenly grouped into 16 batches according to date of inpatient admission. Within each batch of 2 participants, participants will be randomly assigned to one of the two diet sequences, ensuring any order effects will be counterbalanced and maintaining balance across diet sequence assignments.

    Drug: [11C] raclopride · Other: liquid nutritive stimulus · Other: Tasteless Oral Stimulus Solution · Other: Ultra Processed Diet · Other: Baseline Diet

Interventions

  • The drug is intended for use as a radiopharmaceutical for positron emission tomography (PET) administered at a maximum prescribed dose of 20mCi and will be administered intravenously via indwelling catheter

  • Otherliquid nutritive stimulus

    The \~8 oz liquid meal will be high in both dietary fat and sugar and ultra-processed designation based on ingredients and will be prepared by the NIH Clinical Center Metabolic Kitchen for participant consumption during the PET scans at the end of both test dietary intervention periods (Cohort 1) or for consumption between the PET scans (Cohort 2).

  • OtherTasteless Oral Stimulus Solution

    The control stimulus is a non-rewarding tasteless solution with viscosity distinct from pure water (i.e., artificial saliva). Four dilutions of 25mM potassium chloride + 2.5mM sodium bicarbonate will be prepared by NIH Clinical Center Pharmacy for participant oral stimulus taste test

  • OtherMinimally Processed Diet

    The minimally processed diet will derive \~80% of calories from minimally processed foods and will contain no ultra-processed foods, (NOVA 1-3), as defined by the degree, extent, and purpose of processing according to the NOVA classification system. The minimally processed diet will be matched to the ultra-processed diet for presented macronutrients, sugar, sodium, and fiber. This diet will be low in both non-beverage energy density and hyper-palatable foods

  • OtherUltra Processed Diet

    The ultra-processed diet will derive \~80% of energy from ultra-processed foods (NOVA 4), as defined by the degree, extent, and purpose of processing according to the NOVA classification system. The ultra processed diet will be matched to the minimally processed diet for presented macronutrients, sugar, sodium, and fiber. This diet will be high in both non-beverage energy density and hyper-palatable foods.

  • OtherBaseline Diet

    The baseline (control) diet will be composed of 50% of energy from ultra-processed foods while matching distribution of macronutrients presented in test diets and total sugar, sodium, and fiber). Energy needs will be estimated using resting energy expenditure multiplied by an appropriate activity factor collected at screening visit to facilitate production by the NIH Metabolic Kitchen.

06

What researchers measure

Primary outcomes

  1. Dopamine D2 receptor binding potential (D2BP) during steady portion of [11C]raclopride infusion PET neuroimaging

    Fasting (steady state) whole striatal dopamine D2 receptor binding at the conclusion of three diet periods (on 4th day of control diet, after 5 full days ad libitum UPF, and after 5 full days ad libitum MPF)

    Time frame: 5 days

Secondary outcomes

  1. The magnitude of striatal dopamine responses to orosensory and post-ingestive milkshake exposure

    Measured at the conclusion of three diet periods (on 4th day of control diet, after 5 full days ad libitum UPF, and after 5 full days ad libitum MPF).

    Time frame: 5 days

  2. The difference between striatal dopamine D2 receptor binding potential

    Measured while fasting and 1.3 -3 hours after a palatable liquid meal (Cohort 2).

    Time frame: 90-180 minutes

07

Study locations

1 site
  • National Institutes of Health Clinical Center
    Bethesda, Maryland 20892, United States
08

References and documents

Individual participant data

Plan to share: Yes — Data published in Harvard Dataverse (https://dataverse.harvard.edu/) will be accessible to the research community for the long-term. Terms of access to data to require requestors to log in and provide information including their identity and intended use to initiate an access request to Dr. Darcey, the PI.

Supporting information: Study protocol, Informed consent form

Time frame: Data will be made available as soon as possible or at the time of associated publication, whichever comes first

Access criteria: Terms of access to data to require requestors to log in and provide information including their identity and intended use to initiate an access request to Dr. Darcey, the PI.

09

Timeline

3 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Nov 2026; primary completion for Nov 2030, 47 months later.

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

Registered
Nov 5, 2026
First posted
Nov 6, 2026
StartEst.
Nov 15, 2026
Primary completionEst.
Nov 10, 2030
CompletionEst.
Nov 10, 2030
Last update
Nov 10, 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.
Start date
Nov 11, 2026→Nov 15, 2026
moved 2 times, Nov 9, 2026 – Nov 10, 2026
Registered
First appeared on the registry
Nov 6, 2026
Show all 3 updates
  1. Nov 10, 2026
    Start date Nov 12, 2026→Nov 15, 2026
  2. Nov 9, 2026
    Start date Nov 11, 2026→Nov 12, 2026
  3. Nov 6, 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
NCT07920952
Responsible party
Sponsor
First posted
Nov 6, 2026
Start date
Nov 15, 2026 (estimated)
Primary completion
Nov 10, 2030 (estimated)
Completion
Nov 10, 2030 (estimated)
Last update
Nov 10, 2026

Study contacts

Nan Zhai, C.R.N.P.
Contact
nan.zhai@nih.gov
(301) 827-3324
Valerie L Darcey
Contact
valerie.darcey@nih.gov
(301) 402-9689
Valerie L Darcey
principal investigator · National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Oversight

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

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