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Metabolic SyndromeTREMNIOSNCT04328233

Impact of Time-Restricted Eating on Metabolic Homeostasis, Inflammation and Oxidative Stress in Metabolic Syndrome

A study testing Time-Restricted Eating in people with Metabolic Syndrome and Overweight or Obesity, run by Nicolaus Copernicus University at 1 site in Poland.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The main purpose of the clinical trial is to determine the health impact of a dietary intervention known as time-restricted eating (TRE) in patients with metabolic syndrome (defined as the presence of elevated fasting plasma glucose and two or more of the following criteria: increased waist circumference, elevated… Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
Time-Restricted Eating
Could I receive a placebo?
No, everyone receives an active treatment
How many people
27 participants
Where
1 sitePoland
Study dates
31 Oct 2019to 30 Dec 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Metabolic syndrome, defined as the presence of elevated fasting plasma glucose ≥ 100 mg/dL and two or more of the following criteria:
  • Elevated waist circumference: ≥ 102 cm in men, ≥ 88 cm in women; Fasting plasma triglycerides ≥ 150 mg/dL (or on drug treatment for elevated triglycerides); Reduced High-density lipoprotein (HDL)-cholesterol < 40 mg/dL in men, < 50 mg/dL in women (or drug treatment for reduced HDL-cholesterol); Elevated blood pressure, Systolic blood pressure ≥ 130 mm Hg and/or diastolic blood pressure ≥ 85 mm Hg (or drug treatment for hypertension).
  • BMI > 25
  • Duration of eating period ≥ 14 hours/day.
  • Own a Smartphone with Apple Operating System (OS) or Android OS.

Who cannot join

  • Diagnosis of diabetes.
  • Pregnant or lactating women.
  • Active smoking or illicit drug use or history of treatment for alcohol abuse.
  • Shift work.
  • Caregivers for dependent requiring nocturnal care.
  • Planned travel over time zones during the study period.
Show all 16Show fewer
  • History of major adverse cardiovascular event within the past 1 year (acute coronary syndrome, percutaneous coronary intervention, coronary artery bypass graft surgery, hospitalization for congestive heart failure, stroke/transient ischemic attack) or current uncontrolled arrhythmia.
  • Uncontrolled medical conditions due to rheumatologic, hematologic, oncologic, infectious, gastrointestinal, psychiatric, nephrological, or endocrine diseases.
  • Known history of an eating disorder.
  • Currently enrolled in a weight-loss or weight-management program.
  • Special or prescribed diet for other reasons (e.g. Celiac disease).
  • Current treatment with antidepressants, medications affecting appetite, or immunosuppression.
  • History of bariatric surgery.
  • A score of > 16 on the Epworth Sleepiness Scale.
  • Depression determined by the Beck Depression Inventory.
  • Failure to use the smartphone app for documentation during a 2-week baseline period.

Trial locations and contacts

1 site in 1 country.

Poland1 site
  • Nicolaus Copernicus University, Collegium Medicum Bydgoszcz

    Bydgoszcz

Other trials in Poland

About this study

Official title: Impact of Time-Restricted Eating on Metabolic and Neuroendocrine Homeostasis, Inflammation and Oxidative Stress in Patients With Metabolic Syndrome: the TREMNIOS Pilot Clinical Trial

The main purpose of the clinical trial is to determine the health impact of a dietary intervention known as time-restricted eating (TRE) in patients with metabolic syndrome (defined as the presence of elevated fasting plasma glucose and two or more of the following criteria: increased waist circumference, elevated fasting plasma triglycerides, reduced high-density lipoprotein-cholesterol, elevated blood pressure) and self-reported dietary intake of ≥14 hours per day. Participants will reduce the amount of time they eat to 10 hours per day over a 12-week monitored intervention followed by a 12-week self-directed intervention and will log their dietary intake using a smartphone application (myCircadianClock (mCC) app). Glucose homeostasis (blood glucose levels will be monitored continuously for 2 weeks at the baseline, at the end of the monitored intervention, and at the end of the self-directed intervention using a continuous glucose monitor), and other metabolic, neuroendocrine, inflammatory and oxidative stress/antioxidant defense biomarkers, body weight and composition, blood pressure, heart rate, sleep and activity (using mCC app), personal sense of wellness and dietary timing (using health questionnaires) will be evaluated at the baseline, at the end of the monitored intervention, and at the end of the self-directed intervention.

Read the detailed description

Metabolic syndrome occurs in approximately 30% of adults and is associated with increased risk of cardiovascular disease and type 2 diabetes. Circadian rhythm disruption due to lifestyle including erratic eating patterns may lead to metabolic and neuroendocrine dysfunction, inflammation, oxidative stress, and cardiometabolic diseases. Maintaining a daily rhythm of eating and fasting cycles sustains a robust circadian rhythm which improves cellular bioenergetics and metabolism. Recent studies support the notion that restricting a period of food intake to 8-12 hours a day (time-restricted eating, TRE) can prevent and reverse obesity and metabolic dysfunction.

The main purpose of the clinical trial is to determine the health impact of TRE in patients with metabolic syndrome (defined as the presence of elevated fasting plasma glucose and two or more of the following criteria: increased waist circumference, elevated fasting plasma triglycerides, reduced high-density lipoprotein-cholesterol, elevated blood pressure) and self-reported dietary intake of ≥14 hours per day. Participants will reduce the amount of time they eat to 10 hours per day over a 12-week monitored intervention followed by a 12-week self-directed intervention and will log their dietary intake using a smartphone application (myCircadianClock (mCC) app, developed by the Salk Institute for Biological Studies). The participants will select a 10-h eating window that best suits their lifestyle. All food/beverages except water must be consumed within the time-interval. No further dietary restrictions will be applied. The participants will be provided with behavioral nutritional counseling by a dietician. Glucose homeostasis (blood glucose levels will be monitored continuously for 2 weeks at the baseline, at the end of the monitored intervention, and at the end of the self-directed intervention using a continuous glucose monitor), and other metabolic, neuroendocrine, inflammatory and oxidative stress/antioxidant defense biomarkers, body weight and composition, blood pressure, heart rate, sleep and activity (using mCC app), personal sense of wellness and dietary timing (using health questionnaires) will be evaluated at the baseline, at the end of the monitored intervention, and at the end of the self-directed intervention. The investigators will assess for compliance with TRE using mCC app.

Being tested
Time-Restricted Eating
Keywords
Time-Restricted Eating, Circadian Rhythm, Glucose Homeostasis, Fasting, Metabolic Syndrome, Overweight, Obesity, PreDiabetes, Weight Loss, Metabolic Homeostasis, Neuroendocrine Biomarkers, Inflammation, Oxidative Stress
Medical subject headings
Metabolic Syndrome, Overweight, Obesity, Prediabetic State, Weight Loss, Intermittent Fasting, Fasting, Inflammation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Time-Restricted EatingBehavioural

    Participants will reduce the amount of time they eat to 10 hours per day over a 12-week monitored intervention followed by a 12-week self-directed intervention and will log their dietary intake using a smartphone application (mCC app). The participants will select a 10-h eating window that best suits their lifestyle. All food/beverages except water must be consumed within the time-interval. No further dietary restrictions will be applied. The participants will be provided with behavioral nutritional counseling by a dietician.

Study groups in NCT04328233
Study groupRoleWhat they receive
Time-Restricted EatingExperimentalNot described
Receives: Behavioral: Time-Restricted Eating

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in body weight

    Body weight (kg) as measured in fasted state on a digital scale

    Measured: Baseline and after 14 weeks

  2. Change in fasting glucose concentration

    Fasting plasma glucose concentration (mg/dl)

    Measured: Baseline and after 14 weeks

Secondary outcomes (20)
  1. Body weight

    Body weight (kg) as measured in fasted state on a digital scale

    Measured: Changes from baseline. Fasted state at baseline, after 14 weeks, and after 26 weeks

  2. Body mass index

    Body mass index (kg/m^2) as calculated from body weight (kg) and height (m)

    Measured: Changes from baseline. Fasted state at baseline, after 14 weeks, and after 26 weeks

  3. Mean glucose

    Glucose levels as measured by continuous glucose monitor (mg/dl) for 14 days at baseline, after 14 weeks, and after 26 weeks

    Measured: Changes from baseline. Measured at baseline, after 14 weeks, and after 26 weeks

  4. Fasting glucose

    Fasting glucose levels as measured by continuous glucose monitor (mg/dl) for 14 days at baseline, after 14 weeks, and after 26 weeks

    Measured: Changes from baseline. Measured at baseline, after 14 weeks, and after 26 weeks

  5. Lipids

    Fasting blood concentrations of lipids: total cholesterol (mg/dl), LDL cholesterol (mg/dl), HDL cholesterol (mg/dl), and triglycerides (mg/dl)

    Measured: Changes from baseline. Measured in the blood in the fasted state at baseline, after 14 weeks, and after 26 weeks

  6. Fat mass

    Fat mass percentage (%) as measured by body composition analyzer (using bioelectric impendence technology)

    Measured: Changes from baseline. Fasted state at baseline, after 14 weeks, and after 26 weeks

  7. HbA1c

    HbA1c (%) assessed from blood samples

    Measured: Changes from baseline. Fasted state at baseline, after 14 weeks, and after 26 weeks

  8. Metabolic and neuroendocrine biomarkers

    Fasting blood concentrations of metabolic and neuroendocrine biomarkers including but not limited to: free fatty acids, insulin, insulin-like growth factor-1, resistin, adiponectin, leptin, visfatin, irisin, ghrelin, omentin-1, and melatonin

    Measured: Changes from baseline. Fasted state at baseline, after 14 weeks, and after 26 weeks

  9. Inflammatory biomarkers

    Fasting blood concentrations of inflammatory biomarkers including but not limited to: high sensitivity C-reactive protein, interleukin-6, interleukin-8, interleukin-10, tumor necrosis factor-α, tumor growth factor-β1, growth/differentiation factor 15

    Measured: Changes from baseline. Fasted state at baseline, after 14 weeks, and after 26 weeks

  10. Oxidative stress/antioxidant defense biomarkers

    Fasting blood concentrations of oxidative stress/antioxidant defense biomarkers including but not limited to: superoxide dismutase-1, catalase, glutathione peroxidase, oxidized LDL, thiobarbituric acid reactive substances, conjugated dienes, malondialdehyde, 4-hydroxynonenal, vitamin A, and vitamin E

    Measured: Changes from baseline. Fasted state at baseline, after 14 weeks, and after 26 weeks

  11. Waist circumference

    Waist circumference (cm) as measured using tape measure

    Measured: Changes from baseline. Fasted state at baseline, after 14 weeks, and after 26 weeks

  12. Blood pressure

    Systolic and diastolic blood pressure (mmHg) measured under resting and fasting conditions

    Measured: Changes from baseline. Fasted state at baseline, after 14 weeks, and after 26 weeks

  13. Heart rate

    Heart rate (bpm) measured under resting conditions during measurements of blood pressure

    Measured: Changes from baseline. Measured at baseline, after 14 weeks, and after 26 weeks

  14. Energy intake

    Energy intake (kcal/day) assessed from diet records

    Measured: Registered at baseline, after 14 weeks, and after 26 weeks

  15. Timing of dietary intake

    Timing of dietary intake (hh:mm) assessed from diet records and from the chrono-nutrition questionnaire

    Measured: Changes from baseline. Registered at baseline, after 14 weeks, and after 26 weeks

  16. Self-reported sleepiness

    Self-reported sleepiness as assessed from the questionnaire the Epworth Sleepiness Scale

    Measured: Changes from baseline. Assessed at baseline, after 14 weeks, and after 26 weeks

  17. Self-reported sleep quality

    Self-reported sleep quality as assessed from the questionnaire Pittsburgh Sleep Quality Index

    Measured: Changes from baseline. Assessed at baseline, after 14 weeks, and after 26 weeks

  18. Self-reported chronotype

    Self-reported chronotype as assessed from the Munich Chronotype Questionnaire

    Measured: Changes from baseline. Assessed at baseline, after 14 weeks, and after 26 weeks

  19. Self-reported overall health and wellbeing

    Self-reported overall health and wellbeing as assessed from the questionnaire Self-reported health (SF-36 health survey)

    Measured: Changes from baseline. Assessed at baseline, after 14 weeks, and after 26 weeks

  20. Duration of eating period

    Duration from the first to last caloric intake over 24-hour cycle, collected via the smartphone app (mCC app)

    Measured: Changes from baseline. Assessed at baseline, after 14 weeks, and after 26 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Mar 2020
  2. Study start31 Oct 2019
  3. Primary completion20 Sep 2023
  4. Study completion30 Dec 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
27 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04328233
Sponsor's protocol ID
NCU CM IRB 107/2019
Acronym
TREMNIOS
Status last verified
Sep 2026
First submitted
27 Mar 2020
Last updated
1 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Chaix A, Zarrinpar A, Miu P, Panda S. Time-restricted feeding is a preventative and therapeutic intervention against diverse nutritional challenges. Cell Metab. 2014 Dec 2;20(6):991-1005. doi: 10.1016/j.cmet.2014.11.001.

    PubMed 25470547
  • Gill S, Le HD, Melkani GC, Panda S. Time-restricted feeding attenuates age-related cardiac decline in Drosophila. Science. 2015 Mar 13;347(6227):1265-9. doi: 10.1126/science.1256682.

    PubMed 25766238
  • Panda S. Circadian physiology of metabolism. Science. 2016 Nov 25;354(6315):1008-1015. doi: 10.1126/science.aah4967.

    PubMed 27885007
  • Pot GK, Almoosawi S, Stephen AM. Meal irregularity and cardiometabolic consequences: results from observational and intervention studies. Proc Nutr Soc. 2016 Nov;75(4):475-486. doi: 10.1017/S0029665116000239. Epub 2016 Jun 22.

    PubMed 27327128
  • Gill S, Panda S. A Smartphone App Reveals Erratic Diurnal Eating Patterns in Humans that Can Be Modulated for Health Benefits. Cell Metab. 2015 Nov 3;22(5):789-98. doi: 10.1016/j.cmet.2015.09.005. Epub 2015 Sep 24.

    PubMed 26411343
  • Sulli G, Manoogian ENC, Taub PR, Panda S. Training the Circadian Clock, Clocking the Drugs, and Drugging the Clock to Prevent, Manage, and Treat Chronic Diseases. Trends Pharmacol Sci. 2018 Sep;39(9):812-827. doi: 10.1016/j.tips.2018.07.003. Epub 2018 Jul 27.

    PubMed 30060890

Questions about this trial

What is this clinical trial studying?

A study testing Time-Restricted Eating in people with Metabolic Syndrome and Overweight or Obesity, run by Nicolaus Copernicus University at 1 site in Poland.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Poland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in body weight (time frame: Baseline and after 14 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04328233, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Oct 2026.

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