Metabolic SyndromeFASTANCT03785197
Effects of a Clinical Dietary Intervention During Inpatient Treatment
An observational study of Metabolic Syndrome and Osteoarthritis, Hip, run by Charite University, Berlin, Germany at 1 site in Germany.
Trial summary
The purpose of the study is a scientific and prospective documentation of the clinical effects of an inpatient treatment at the Immanuel Hospital of Berlin, in the department for complementary and integrative medicine, with the use of a modified fasting regime. Read more about this study
- Who is it for?
- Ages 18 to 85 years
- Conditions the study is for
- Metabolic Syndrome, Osteoarthritis, Hip, Osteoarthritis, Knee
- What is being tested?
- Prolonged modified fasting
- How many people
- 500 participants
- Where
- 1 siteGermany
- Study dates
- 1 Feb 2018to 1 Mar 2022
- Phase
- Observational
- 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 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Regular hospitalised patients
Who may be able to join
- The patient is consents to participating in the trial during the first 24h of his or her stay in the inpatient naturopathic department of the Immanuel Hospital.
- Written informed consent is given
- The referral diagnosis is one of the following: diabetes mellitus type 2/metabolic syndrome, osteoarthritis of the hip, osteoarthritis of the knee, rheumatoid arthritis, fibromyalgia.
Who cannot join
- Language barries to understanding the instructions of the study personnel
- Dementia or other strong cognitive impairment
- Pregnant or lactating women
- Taking part in another study at the same time
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effects of a Clinical Dietary Intervention During Inpatient Treatment (Modified Fasting in Metabolic Syndrome, Osteoarthritis of the Hip or Knee, Rheumatoid Arthritis and Fibromyalgia)
The purpose of the study is a scientific and prospective documentation of the clinical effects of an inpatient treatment at the Immanuel Hospital of Berlin, in the department for complementary and integrative medicine, with the use of a modified fasting regime. A pre- and post- as well as group comparisons are planned. Patients that are admitted to the inpatient department for metabolic syndrome, osteoarthritis of the hip or knee, rheumatoid arthritis and fibromyalgia will be enrolled in the study.
Read the detailed description
At the beginning, during and at the end of the treatment at the inpatient department routine blood parameters, anthropometric parameters and certain scores and parameters specific to the different conditions will be measured. Questionnaires will be filled out by patients before and after the treatment as well as 3, 6 and 12 months after leaving the inpatient department.
- Conditions
- Metabolic Syndrome, Osteoarthritis, Hip, Osteoarthritis, Knee, Rheumatoid Arthritis, Fibromyalgia
- Being tested
- Prolonged modified fasting
- Keywords
- fasting, natural therapies, prolonged fasting
- Medical subject headings
- Metabolic Syndrome, Osteoarthritis, Hip, Osteoarthritis, Knee, Arthritis, Rheumatoid, Fibromyalgia, Fasting
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Prolonged modified fastingOther
The prolonged modified fasting is a dietary intervention with abstinence from solid foods and a caloric intake of 100-400 kcal through juices and vegetable broths
What is being measured
The primary outcome is the main question the study is designed to answer.
Fibromyalgia Impact Questionnaire (FIQ)
Questionnaire; The FIQ is scored in such a way that a higher score indicates a greater impact of the syndrome on the person. Each of the 10 items has a maximum possible score of 10. Thus the maximum possible score is 100. The average FM patient scores about 50, severely afflicted patients are usually 70 plus.
Measured: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Disease Activity Score 28 (DAS 28)
Questionnaire with Clinical Examination; Change from Baseline in the DAS-28, range from 2.0 to 10.0 while higher values meaning a higher disease activity and below of 2.6 meaning remission
Measured: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Health Assessment Questionnaire (HAQ)
Questionnaire; Change from Baseline in the HAQ, range from 0 to 3 while higher values meaning a higher grade of disability
Measured: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
Questionnaire consisting of 24 items divided into 3 subscales: Pain (5items), Stiffness (2 items), Physical Function (17 items). The test questions are scored on a scale of 0-4, which correspond to: None (0), Mild (1), Moderate (2), Severe (3), and Extreme (4).
The scores for each subscale are summed up, with a possible score range of 0-20 for Pain, 0-8 for Stiffness, and 0-68 for Physical Function. Higher values meaning a higher grade of disability.
Measured: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Summary of Diabetes Self Care Activities Measure (SDSCA)
Questionnaire; 11 items with each item scored on a scale of 0-7.
Measured: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Secondary outcomes (16)
Pain on Visual Analogue Scale (VAS)
Questionnaire
Measured: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Hospital Anxiety and Depression Scale (HADS)
Questionnaire; HADS: Assessing full scale, range 0-42, lower score meaning a better outcome
Measured: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Perceived Stress Scale (PSS)
Questionnaire; Change from Baseline in the PSS, range from 0 to 4 in each item. Scores are obtained by reversing responses (e.g., 0 = 4, 1 = 3, 2 = 2, 3 = 1 \& 4 = 0) to the positively stated items and then summing across all scale items while higher values meaning a higher grade of perceived stress.
Measured: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Quality of Life (WHO-5)
Questionnaire; Change from Baseline in the WHO-5, range from 0 to 100 % while higher values meaning a higher grade of well-being
Measured: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Body-Mass-Index (BMI)
Anthropometry
Measured: Change Baseline, 2 weeks
Blood pressure
Measuring systolic and diastolic blood pressure in mmHg
Measured: Change Baseline, 2 weeks
24h-Blood pressure
Measuring systolic and diastolic blood pressure with Device "Mobil-O-Graph"
Measured: Change Baseline, 2 weeks
Blood count
Laboratory test
Measured: Change Baseline, 2 weeks
Glomerular filtration rate (GFR)
Laboratory test
Measured: Change Baseline, 2 weeks
Blood lipids
triglycerides (mmol/L), total cholesterol (mmol/L), LDL (mmol/L), HDL (mmol/L), fasting glucose (mmol/L)
Measured: Change Baseline, 2 weeks
CRP
CRP in milligram per liter (mg/L)
Measured: Change Baseline, 2 weeks
Liver enzymes (GOT, GPT)
Hepatic transaminases (GPT, GOT in U/L)
Measured: Change Baseline, 2 weeks
Stepcounter
With Device "Everion"
Measured: Change Baseline, 2 weeks
Heart Rate Variability
With Device "Faros 180"
Measured: Change Baseline, 2 weeks
Heart Rate
With Device "Everion"
Measured: Change Baseline, 2 weeks
Blood Oxygenation
With Device "Everion"
Measured: Change Baseline, 2 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Dec 2018
- Study start1 Feb 2018
- Primary completion1 Mar 2022 (estimated)
- Study completion1 Mar 2022 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Metabolic SyndromeStudies of the same condition, open and under way.
- More trials run by Charite University, Berlin, GermanyThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 500 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Charite University, Berlin, Germany
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Andreas Michalsen, Charite University, Berlin, Germany
- Investigators
- Andreas Michalsen, Prof. Dr., Principal investigator, Study Principal Investigator
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03785197
- Sponsor's protocol ID
- FASTA
- Acronym
- FASTA
- Status last verified
- May 2021
- First submitted
- 20 Dec 2018
- Last updated
- 12 May 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Koppold DA, Kandil FI, Muller A, Guttler O, Steckhan N, Meiss S, Breinlinger C, Nelle E, Rajput Khokhar A, Jeitler M, Hanslian E, Fischer JM, Michalsen A, Kessler CS. Effects of Prolonged Medical Fasting during an Inpatient, Multimodal, Nature-Based Treatment on Pain, Physical Function, and Psychometric Parameters in Patients with Fibromyalgia: An Observational Study. Nutrients. 2024 Apr 4;16(7):1059. doi: 10.3390/nu16071059.
PubMed 38613092
Study at a glance
From the registry record, last updated by the sponsor on 12 May 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of a Clinical Dietary Intervention During Inpatient Treatment (Modified Fasting in Metabolic Syndrome, Osteoarthritis of the Hip or Knee, Rheumatoid Arthritis and Fibromyalgia)
- ClinicalTrials.gov ID
- NCT03785197
- Acronym / sponsor ID
- FASTA / FASTA
- Conditions
- Metabolic Syndrome, Osteoarthritis, Hip, Osteoarthritis, Knee, Rheumatoid Arthritis, Fibromyalgia
- Keywords
- fasting, natural therapies, prolonged fasting
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 500 participants (estimated)
- Lead sponsor
- Charite University, Berlin, GermanyUniversity, hospital or other
- Study start
- 1 Feb 2018 (actual)
- Primary completion
- 1 Mar 2022 (estimated)
- Study completion
- 1 Mar 2022 (estimated)
- First posted
- 24 Dec 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is a scientific and prospective documentation of the clinical effects of an inpatient treatment at the Immanuel Hospital of Berlin, in the department for complementary and integrative medicine, with the use of a modified fasting regime. A pre- and post- as well as group comparisons are planned. Patients that are admitted to the inpatient department for metabolic syndrome, osteoarthritis of the hip or knee, rheumatoid arthritis and fibromyalgia will be enrolled in the study.
Detailed description
At the beginning, during and at the end of the treatment at the inpatient department routine blood parameters, anthropometric parameters and certain scores and parameters specific to the different conditions will be measured. Questionnaires will be filled out by patients before and after the treatment as well as 3, 6 and 12 months after leaving the inpatient department.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Regular hospitalised patients
Key inclusion criteria (3 listed)
- The patient is consents to participating in the trial during the first 24h of his or her stay in the inpatient naturopathic department of the Immanuel Hospital.
- Written informed consent is given
- The referral diagnosis is one of the following: diabetes mellitus type 2/metabolic syndrome, osteoarthritis of the hip, osteoarthritis of the knee, rheumatoid arthritis, fibromyalgia.
Key exclusion criteria (4 listed)
- Language barries to understanding the instructions of the study personnel
- Dementia or other strong cognitive impairment
- Pregnant or lactating women
- Taking part in another study at the same time
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Prolonged modified fastingThe prolonged modified fasting is a dietary intervention with abstinence from solid foods and a caloric intake of 100-400 kcal through juices and vegetable broths | Other | – |
Primary outcome
Fibromyalgia Impact Questionnaire (FIQ)
Time frame: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Questionnaire; The FIQ is scored in such a way that a higher score indicates a greater impact of the syndrome on the person. Each of the 10 items has a maximum possible score of 10. Thus the maximum possible score is 100. The average FM patient scores about 50, severely afflicted patients are usually 70 plus.
Disease Activity Score 28 (DAS 28)
Time frame: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Questionnaire with Clinical Examination; Change from Baseline in the DAS-28, range from 2.0 to 10.0 while higher values meaning a higher disease activity and below of 2.6 meaning remission
Health Assessment Questionnaire (HAQ)
Time frame: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Questionnaire; Change from Baseline in the HAQ, range from 0 to 3 while higher values meaning a higher grade of disability
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
Time frame: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Questionnaire consisting of 24 items divided into 3 subscales: Pain (5items), Stiffness (2 items), Physical Function (17 items). The test questions are scored on a scale of 0-4, which correspond to: None (0), Mild (1), Moderate (2), Severe (3), and Extreme (4). The scores for each subscale are summed up, with a possible score range of 0-20 for Pain, 0-8 for Stiffness, and 0-68 for Physical Function. Higher values meaning a higher grade of disability.
Summary of Diabetes Self Care Activities Measure (SDSCA)
Time frame: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Questionnaire; 11 items with each item scored on a scale of 0-7.
16 secondary outcomes
Pain on Visual Analogue Scale (VAS)
Time frame: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Hospital Anxiety and Depression Scale (HADS)
Time frame: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Perceived Stress Scale (PSS)
Time frame: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Quality of Life (WHO-5)
Time frame: Change Baseline, 2 weeks, 3 months, 6 months, 12 months
Body-Mass-Index (BMI)
Time frame: Change Baseline, 2 weeks
Blood pressure
Time frame: Change Baseline, 2 weeks
24h-Blood pressure
Time frame: Change Baseline, 2 weeks
Blood count
Time frame: Change Baseline, 2 weeks
Glomerular filtration rate (GFR)
Time frame: Change Baseline, 2 weeks
Blood lipids
Time frame: Change Baseline, 2 weeks
CRP
Time frame: Change Baseline, 2 weeks
Liver enzymes (GOT, GPT)
Time frame: Change Baseline, 2 weeks
Stepcounter
Time frame: Change Baseline, 2 weeks
Heart Rate Variability
Time frame: Change Baseline, 2 weeks
Heart Rate
Time frame: Change Baseline, 2 weeks
Blood Oxygenation
Time frame: Change Baseline, 2 weeks
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 May 2021.
- Derived from this study: PubMed 38613092Koppold DA, Kandil FI, Muller A, Guttler O, Steckhan N, Meiss S, Breinlinger C, Nelle E, Rajput Khokhar A, Jeitler M, Hanslian E, Fischer JM, Michalsen A, Kessler CS. Effects of Prolonged Medical Fasting during an Inpatient, Multimodal, Nature-Based Treatment on Pain, Physical Function, and Psychometric Parameters in Patients with Fibromyalgia: An Observational Study. Nutrients. 2024 Apr 4;16(7):1059. doi: 10.3390/nu16071059.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Andreas Michalsen, Prof. Dr. principal investigator
Study Principal Investigator
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Metabolic Syndrome and Osteoarthritis, Hip, run by Charite University, Berlin, Germany 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 3 inclusion and 4 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: status not confirmed, as of the sponsor's last update on 12 May 2021. 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?
Results are not available in the source record.
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?
Fibromyalgia Impact Questionnaire (FIQ) (time frame: Change Baseline, 2 weeks, 3 months, 6 months, 12 months). The study lists 5 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 NCT03785197, which also lists 1 linked publication.
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 12 May 2021.