AzTrials
AzTrials

Nutritional and Metabolic DiseasesLIME-ANCT07868601

LIfestyle MEtabotype Study A

An observational study of Nutritional and Metabolic Diseases and Prediabetes, run by German Institute of Human Nutrition at 1 site in Germany.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Glycemic responses vary significantly among individuals, even when consuming identical foods or meals, but the factors predicting individual glucose response to food intake remain poorly investigated. Read more about this study

Who is it for?
Ages 40 to 75 yearsHealthy volunteers can take part
Type of treatment
Pill or oral medicine
How many people
300 participants
Where
1 siteGermany
Study dates
10 Oct 2026to 31 Dec 2031
Phase
Observational
Are there results?
Not yet: the study is under way

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 40 to 75 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Adults (40-75 years) with overweight or obesity and with prediabetes or T2D or without prediabetes and T2D

Who may be able to join

  • Overweight or obesity (BMI 25-40 kg/m²)
  • Good knowledge of German

Who cannot join

  • Weight changes of more than 5% in the last 3 months
  • Night shift work
  • Travel across more than one time zone in the last month before and during study participation
  • Intensive regular physical activity of more than 2 hours per day
  • Current pregnancy or breastfeeding
  • Severe renal, liver or heart disease
Show all 26Show fewer
  • Existing or past hematological malignancies, other malignant tumors, unless successfully treated more than 12 months before study start
  • Severe neurological or psychiatric disorders
  • Daily alcohol consumption of more than 20 grams or more than 150 grams per week
  • Use of illicit or legal drugs one week prior to study start and during study participation
  • Known systemic infections
  • Type 1 diabetes and rare forms of diabetes
  • Diabetes treatment with insulin or sulfonylureas or diabetes medication in the absence of manifest type 2 diabetes
  • Unstable thyroid dysfunction
  • Blood coagulation disorders or anticoagulation therapy that cannot be interrupted
  • Medications affecting nutrient absorption
  • Medications with immunosuppressants or steroids (oral or parenteral)
  • Current eating disorders, functional or structural digestive disorders or bariatric surgery
  • Food allergies or intolerances to ingredients of the test meals
  • Intermittent fasting or calorie-restricted diet four weeks prior to the start of the study or during the study
  • Ketogenic diet or ketogenic supplements four weeks prior to or during module B
  • Left-handedness
  • Severe claustrophobia
  • Electrical implants or non-removable metallic implants
  • Concurrent participation in another intervention study
  • Assessment by the study physician based on medical concerns precluding study participation

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Olga Ramich, Prof. Dr. contact

+49 33200 882749

olga.ramich@dife.de

Beeke Peters, MSc contact

+49 33200 882690

beeke.peters@dife.de

Germany1 site, 1 recruiting
  • German Institute of Human Nutrition, Dept. Molecular Metabolism and Precision Nutrition and Decision Neuroscience and Nutrition

    Potsdam, Potsdam-Rehbrücke, 14558

    Beeke Peters, MSc, +49 33200 882690, beeke.peters@dife.de

    Eva Fröhlich, Dr., +49 33200 882511, eva.froehlich@dife.de

    Recruiting

Other trials in Germany

About this study

Official title: LIfestyle MEtabotype Study (Module A)

Glycemic responses vary significantly among individuals, even when consuming identical foods or meals, but the factors predicting individual glucose response to food intake remain poorly investigated.

The aim of the LIfestyle MEtabotype study (LIME) observational study is to identify lifestyle-related and mechanistic factors which predict individual postprandial glucose fluctuations in individuals with different glycemic status (prediabetes, type 2 diabetes [T2D], and absence of prediabetes or T2D). To address this aim, the study will conduct a comprehensive lifestyle characterization and metabolic, molecular and neurocognitive phenotyping during study center visits and a dietary, glucose, sleep and activity monitoring during the observational phase.

Read the detailed description

Studies show that glycemic responses vary significantly among individuals, even when consuming identical foods or meals. These varying glycemic responses are attributed to metabolic differences between individuals. Recently, machine learning models incorporating metabolic data (including microbiome composition) have been able to successfully predict individual blood glucose responses. Precision nutrition recommendations based on such predictions could facilitate better glycemic control and reduce the risk of diabetes. From this perspective, considering metabolic biomarkers, phenotype and genotype, as well as gut microbiome composition, could play a role in deriving dietary recommendations and thereby achieving the best possible health outcomes through nutrition. In addition to macronutrient composition, the timing, frequency and number of meals may also play a significant role in the glycemic response to diet. Finally, socioeconomic, cultural and personal lifestyle factors also have an influence on the glycemic response. Therefore, this study aims to characterize the personal lifestyle differences between individuals with prediabetes, T2D, and those without prediabetes or T2D.

Furthermore, ketone bodies, specifically β-hydroxybutyrate (βHB), are gaining importance, as they serve as both metabolic biomarkers and alternative energy sources in periods of low carbohydrate availability. In individuals with insulin resistance or prediabetes, cerebral glucose utilization is often impaired; leading to the use of ketone bodies as a compensatory energy source for the brain. Findings indicate that the individual ketone response to dietary interventions varies significantly between individuals and could thus itself be relevant as a metabolic phenotype marker in the context of precision nutrition. Therefore, the study also aims to further investigate the extent to which exogenous βHB supplementation influences neurocognitive processes and decision-making behavior, and whether characteristic neurocognitive phenotypes can be derived from this in metabolic risk groups.

This study will achieve its aims by completing a comprehensive lifestyle characterization and metabolic, molecular and neurocognitive phenotyping of individuals with different glycemic status (prediabetes, type 2 diabetes [T2D], and absence of prediabetes or T2D) in a German cohort. The study consists of modules A and B.

This record represents a description of module A which includes a 14-days observational period at home and two visits (screening and phenotyping visits) of the study center at the German Institute for Human Nutrition Potsdam-Rehbrueke before and after the observational period, respectively. In the observation period, food intake, sleep, activity, and interstitial glucose will be monitored during 14 days, and test meals will be consumed at two days at specific times. Study visits of module A include the intensive characterization using questionaries, anthropometric and metabolic assessments as well as collection of biosamples.

Module B has an interventional crossover design and is registered an a separate record. Module B takes place 1-12 weeks after module A and include two visits of the study center at the Free University of Berlin, separated by a two-week interval. Study visits of module B will focus on neurocognitive phenotyping including MRI of brain anatomy, function and complete computer-based decision-making behavior tests, and a consumption of the test drink containing ketone β-hydroxybutyrate (βHB) (test and placebo visits).

The aims of the study are as follows:

Primary aims:

  • Identification of metabolic biomarkers and omics-based scores that predict individual glycemic response to food
  • Identification of general lifestyle patterns that distinguish individuals with prediabetes or T2D from those without prediabetes or T2D
  • Identification of personal factors and differences in lifestyle patterns that predict individual glucose response to food

Secondary aim:

  • Elucidation of neuronal, metabolic, and molecular mechanisms associated with specific lifestyle patterns
Keywords
Prediabetes, Type 2 Diabetes, Metabolism, Lifestyle, Glycemic response, Eating timing
Medical subject headings
Nutritional and Metabolic Diseases, Prediabetic State, Diabetes Mellitus, Type 2

What participants receive

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

Study groups in NCT07868601
Study groupRoleWhat they receive
Group A (without Prediabetes or Type 2 Diabetes)HbA1c <5.7% and fasting plasma glucose < 100 mg/dl
Group B (Prediabetes)HbA1c 5.7-6.4%, or fasting plasma glucose 100-125 mg/dL
Group C (Type 2 Diabetes)HbA1c ≥6.5%, fasting plasma glucose ≥ 126 mg/dl, or existing T2D diagnosis by physician, or T2D diagnosis based on an available result from standardized 75 g oral glucose tolerance test

What is being measured

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

  1. Glucose incremental Area Under the Curve (iAUC) after a morning test meal

    Glucose iAUC [mg/dL⋅min] measured using continuous glucose monitoring (CGM) after a standardized morning test meal as an average of two test days within the observation period

    Measured: 3 and 10 days

Secondary outcomes (46)
  1. Body height

    Body height [m] measured using a stadiometer or calibrated wall-mounted measuring tape

    Measured: 2 weeks

  2. Body weight

    Body weight [kg] measured by scale weight

    Measured: 2 weeks

  3. Waist and hip circumference

    Waist and hip circumference [cm] measured using tape

    Measured: 2 weeks

  4. Body Mass Index (BMI)

    BMI [kg/m2], calculated as weight/square height

    Measured: 2 weeks

  5. Body composition

    Fat and muscle mass [kg] measured by bioelectrical impedance analysis (BIA)

    Measured: 2 weeks

  6. Basal metabolic rate

    Basal metabolic rate [kcal/day] assessed by indirect calorimetry

    Measured: 2 weeks

  7. Handgrip strength

    Maximal isometric handgrip strength [kg] as measured by a hand-dynamometers

    Measured: 2 weeks

  8. Blood pressure

    Systolic and diastolic blood pressure [mm Hg], as measured by a blood pressure monitor

    Measured: 2 weeks

  9. Fasting glucose

    Glucose levels [mg/dL] assessed in fasting blood samples

    Measured: 2 weeks

  10. HbA1c

    HbA1c levels [%] assessed in fasting blood samples

    Measured: 2 weeks

  11. Concentration of metabolic hormones

    Insulin, C-peptide, glucagon, leptin and adiponectin levels [ng/mL] assessed in fasting blood samples

    Measured: 2 weeks

  12. Concentration of blood lipids

    Total cholesterol, low-density lipoprotein (LDL), high-density lipoprotein cholesterol (HDL), triglycerides [mg/dL] and lipidomic-based lipid patterns assessed in fasting blood samples

    Measured: 2 weeks

  13. Concentration of inflammatory markers

    Interleukin-6 and hsCRP levels [mg/L] measured in blood samples

    Measured: 2 weeks

  14. Concentration of liver enzymes

    γ-glutamyltransferase (GGT), aspartate aminotransferase (AST), and alanine aminotransferase (ALT) levels [U/L] determined in fasting blood samples

    Measured: 2 weeks

  15. Concentration of kidney parameters

    Creatinine, urea, uric acid levels [mg/dL] determined in fasting blood samples

    Measured: 2 weeks

  16. Concentration of blood metabolites

    Metabolite levels measured by metabolomic analysis in blood samples

    Measured: 2 weeks

  17. Gene expression in blood mononuclear cells (PBMC)

    Gene expression assessed by RNA-Seq or qPCR analysis in PBMC

    Measured: 2 weeks

  18. Gene expression in subcutaneous adipose tissue (SAT)

    Gene expression assessed by RNA-Seq or qPCR analysis in SAT

    Measured: 2 weeks

  19. Immune cell composition in PBMC and SAT

    Immune cell composition measured using FACS analysis

    Measured: 2 weeks

  20. Gut microbiome composition

    Gut microbiome species as assessed by 16S rRNA gene sequencing of stool samples

    Measured: 2 weeks

  21. Gut microbiome metabolites

    Levels of microbiome-derived metabolites measured in stool samples

    Measured: 2 weeks

  22. Mean glucose

    Mean glucose level [mg/dL] measured using CGM

    Measured: 2 weeks

  23. Glycemic variability

    Intra- and inter-day glycemic fluctuation indices [AU] from CGM measurement

    Measured: 2 weeks

  24. Time in range (TIR)

    TIR [%] from CGM measurement

    Measured: 2 weeks

  25. Glucose Management Indicator (GMI, estimated HbA1c)

    GMI [%] from CGM measurement

    Measured: 2 weeks

  26. Glucose Area Under the Curve (AUC) after a morning test meal

    Glucose AUC [mg/dL⋅min] measured using CGM after a standardized morning test meal as an average of two test days within the observation period

    Measured: 3 and 10 days

  27. Glucose AUC and iAUC after an evening test meal

    Glucose AUC and iAUC [mg/dL⋅min] is measured using CGM after a standardized evening test meal as an average of two test days within the observation period

    Measured: 5 and 12 days

  28. Eating timing and composition

    Food type, quality, meal times and nutrient composition assessed by digital or paper-based food records

    Measured: 2 weeks

  29. Physical activity

    24-hour physical activity monitored by actigraphy

    Measured: 2 weeks

  30. Sleep timing

    Sleep timing (sleep onset and offset [hh:mm]) and sleep duration as monitored using a sleep diary and actigraphy

    Measured: 2 weeks

  31. Objective sleep quality

    Sleep quality as assessed by actigraphy

    Measured: 2 weeks

  32. Light exposure

    24-hour light exposure [lux] as monitored by actigraphy

    Measured: 2 weeks

  33. Body temperature

    24-hour body temperature [°C] will be monitored by actigraphy

    Measured: 2 weeks

  34. Subjective sleep quality

    Sleep quality as assessed by the Pittsburgh Sleep Quality Index (PSQI score, which ranges from 0-21, where higher values correspond to worse sleep quality)

    Measured: 2 weeks

  35. Chronotype

    Chronotype assessed by the Munich Chronotype Questionnaire (MSFsc time, where later values correspond to later chronotype) and Morning-Eveningness Questionnaire (D-MEQ score, which ranges 19-76, where higher values correspond to later chronotype)

    Measured: 2 weeks

  36. Body awareness

    Body awareness assessed by the Multidimensional Assessment of Interoceptive Awareness (MAIA-2) and list of subjective hypoglycemia symptoms. The MAIA-2 provides subscale scores (across 8 dimensions) ranging from 1 to 5, where higher values correspond to greater interoceptive awareness and sensitivity to internal body signals

    Measured: 2 weeks

  37. Eating Behavior

    Eating behavior as assessed by the Dutch Eating Behavior Questionnaire (DEBQ). The DEBQ provides three distinct subscale scores-Emotional, External, and Controlled eating-each ranging from 1 to 4, where higher values correspond to greater prevalence of that specific eating behavior.

    Measured: 2 weeks

  38. Emotional eating

    Emotional eating behavior as assessed using the Salzburg Emotional Eating Scale (SEES). The SEES provides a score ranging from 1 to 5, where higher values correspond to greater frequency of emotional eating.

    Measured: 2 weeks

  39. Food Timing

    Food timing assessed using the Food Timing Screener (FTS) questionnaire, which provides timing of main meals and snacks [hh:mm]

    Measured: 2 weeks

  40. Subjective feelings of hunger and satiety

    Satiety and hunger scores assessed using Visual Analog Scales (VAS) before and after standardized test meals. VAS scores range from 0 to 100 mm, where higher values correspond to increased levels of hunger or fullness, respectively.

    Measured: 3, 5, 10 and 12 days

  41. Health-related quality of life

    Health-related quality-of-life, as assessed by the 36-Item Short Form Health Survey (SF-36), which provides standardized scores ranging from 0 to 100, where higher values correspond to better health-related quality of life

    Measured: 2 weeks

  42. Affective states

    Affective states as assessed with the Positive and Negative Affect Schedule (PANAS). The PANAS provides two subscale scores (Positive Affect and Negative Affect) ranging from 1 to 5, where higher values correspond to increased levels of positive or negative affect, respectively

    Measured: 2 weeks

  43. Perceived stress

    Perceived stress as assessed using the Perceived Stress Questionnaire (PSQ), which provides a score ranging from 0 to 40, where higher values correspond to greater levels of perceived stress

    Measured: 2 weeks

  44. Anxiety

    Anxiety levels as assessed using State-Trait Anxiety Inventory (STAI), which provides two subscale scores (State and Trait) ranging from 20 to 80, where higher values correspond to greater levels of state or trait anxiety, respectively

    Measured: 2 weeks

  45. Depression

    Depression levels as assessed using the Beck Depression Inventory (BDI) and the Health Questionnaire for Patients (PHQ-D). The BDI provides a score ranging from 0 to 63, where higher values correspond to greater severity of depressive symptoms. The PHQ-9 provides a score ranging from 0 to 27, where higher values correspond to greater severity of depressive symptoms.

    Measured: 2 weeks

  46. Motivation

    Motivation levels as assessed using the Behavioral Inhibition and Activation (BISBAS). The BIS/BAS provides three subscale scores (BIS, BAS-Reward Responsiveness, and BAS-Impulsivity) ranging from 8 to 32, where higher values correspond to greater sensitivity to threat or reward, respectively

    Measured: 2 weeks

Timeline

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

  1. First posted9 Oct 2026
  2. Study start10 Oct 2026 (estimated)
  3. Primary completion31 Dec 2030 (estimated)
  4. Study completion31 Dec 2031 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07868601
Sponsor's protocol ID
2026-91-BO-ff
Acronym
LIME-A
Status last verified
Oct 2026
First submitted
28 Sep 2026
Last updated
9 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Nutritional and Metabolic Diseases and Prediabetes, run by German Institute of Human Nutrition at 1 site in Germany.

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 2 inclusion and 26 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: looking for participants now, as of the sponsor's last update on 9 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 Germany. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Olga Ramich, Prof. Dr. (+49 33200 882749, olga.ramich@dife.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Glucose incremental Area Under the Curve (iAUC) after a morning test meal (time frame: 3 and 10 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 9 Oct 2026.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in