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Diet, HealthyFMD1NCT04529161

Olfactory and Taste Changes During Fasting Mimicking Diet (FMD)

A study testing Fasting Mimicking Diet (FMD) and Routinary diet habits in people with Diet, Healthy and Obesity, run by Uniter Onlus at 1 site in Italy.

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

Literature experiences demonstrated the impact of medically-assisted pulsed fasting on olfactory behavior in both the animal and human models and - conversely - the lack of homogeneous results linked - up to now - to administrations of pulsed fasting which are not widely codified. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Diet, Healthy, Obesity, Olfaction Disorders
What is being tested?
Fasting Mimicking Diet (FMD) and Routinary diet habits
Could I receive a placebo?
No, everyone receives an active treatment
How many people
102 participants
Where
1 siteItaly
Study dates
1 Oct 2020to 30 Oct 2022
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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • subjects excluded from bariatric surgical treatment for failing to neuropsychological tests or for co-morbidities that would excessively increase the intra-operative and/or
  • non-responders to any previous dietary / nutritional treatment
  • BMI > 25

Who cannot join

  • Subjects under the age of 18 and over 75 years.
  • Subjects already undergoing bariatric surgical treatment
  • Women who are pregnant or breastfeeding
  • Hormonal therapies and / or chemotherapy in place
  • Active mental or psychiatric illness
  • Addiction to drugs of abuse or alcohol
Show all 10Show fewer
  • other acute or chronic systemic disorders
  • Severe hypertension (systolic blood pressure> 200 mm Hg and / or diastolic blood pressure> 105 mm Hg)
  • Visual impairment (for completion of neuropsychological tests)
  • Inability to complete home FMD

Trial locations and contacts

1 site in 1 country.

Italy1 site
  • University of Rome Tor Vergata - UNITER Onlus

    Roma, Rome, 00012

Other trials in Italy

About this study

Official title: Changes in Olfactory and Taste Behavior in Overweight / Obese Subjects Undergoing Fasting Mimicking Diet (FMD)

Literature experiences demonstrated the impact of medically-assisted pulsed fasting on olfactory behavior in both the animal and human models and - conversely - the lack of homogeneous results linked - up to now - to administrations of pulsed fasting which are not widely codified.

Thus, objective of this study protocol is to evaluate the olfactory-gustatory aspects and blood patterns of a group of subjects suffering from obesity / overweight after a 6-month period of Fasting Mimicking Diet (FMD) (Group A) - consisting of a caloric restriction regimen - compared to a group of homogeneous subjects observing their own eating habits (Group B) which - according to a "cross-over" model - will undergo FMD in the following semester during which the subjects belonging to Group A will observe their eating habits.

Read the detailed description

A group of obese and/or overweighted patients who did not pass screening criteria (BMI andor neuropsychological testing) to undergo surgical procedure aimed at reducing weight (grastrectomy, bypass, other…) will follow a 6-month period of FMD followed by 6-month period of routinary eating behaviour (Group A) or viceversa (Group B).

All the patients will undergo - before and after the administration of FMD or the routinary diet habit - a battery of:

  • Olfactory test (sniffin' stick test)
  • Taste Test (Taste strips)
  • Blood Samples including: IGF-1, IGFBP1/3, VEGF, insulin, adiponectin, c reactive protein, plasma ghrelin, serum glucose, alanine aminotransferase (ALT) and aspartate aminotransferase (AST), total cholesterol, triglycerides (TGs), high density lipoprotein (HDL) cholesterol and low-density lipoprotein (LDL) cholesterol, erythrocyte sedimentation rate (ESR), conjugated and unconjugated bilirubin, uraemia, serum creatinine and leptin.
  • anthropometeric measures, including height and body weight, BMI, waist circumference (WC), estimation of fat mass (FM, in % and Kg), skeletal muscle mass (MM, in % and Kg) and grade of visceral fat (VF level)
Being tested
Fasting Mimicking Diet (FMD), Routinary diet habits
Medical subject headings
Obesity, Olfaction Disorders

What participants receive

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

  • Fasting Mimicking Diet (FMD)Dietary supplement

    The treatment consists in the self-administration of FMD at home - closely followed by the neuropsychologist by phone and by a properly trained nutritionist in the FMD sector - for 5 days a month for 6 consecutive months.

  • Routinary diet habitsDietary supplement

    Subjects will follow their routinary eating habits for 6 consecutive months

Study groups in NCT04529161
Study groupRoleWhat they receive
Group AExperimentalDiet followed by routine eating
Receives: Dietary Supplement: Fasting Mimicking Diet (FMD); Dietary Supplement: Routinary diet habits
Group BExperimentalRoutine eating followed by diet
Receives: Dietary Supplement: Fasting Mimicking Diet (FMD); Dietary Supplement: Routinary diet habits

What is being measured

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

  1. Sniffing stick test change

    Quantitative screening of olfactory performance

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  2. Taste Strips

    Quantitative assessment of taste performance

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

Secondary outcomes (26)
  1. Incidence of abnormal laboratory tests results

    serum glucose

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  2. Incidence of abnormal laboratory tests results

    Serum/plasma growth factors: IGF-1

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  3. Incidence of abnormal laboratory tests results

    Serum/plasma growth factors: IGFBP1/3

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  4. Incidence of abnormal laboratory tests results

    Serum/plasma growth factors: insulin

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  5. Incidence of abnormal laboratory tests results

    Serum/plasma growth factors: VEGF

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  6. Incidence of abnormal laboratory tests results

    plasma ghrelin.

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  7. Incidence of abnormal laboratory tests results

    Serum/plasma inflammatory markers: adiponectin

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  8. Incidence of abnormal laboratory tests results

    Serum/plasma inflammatory markers: c reactive protein

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  9. Incidence of abnormal laboratory tests results

    alanine aminotransferase

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  10. Incidence of abnormal laboratory tests results

    aspartate aminotransferase

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  11. Incidence of abnormal laboratory tests results

    total cholesterol

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  12. Incidence of abnormal laboratory tests results

    triglycerides

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  13. Incidence of abnormal laboratory tests results

    high density lipoprotein cholesterol

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  14. Incidence of abnormal laboratory tests results

    low-density lipoprotein cholesterol

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  15. Incidence of abnormal laboratory tests results

    erythrocyte sedimentation rate

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  16. Incidence of abnormal laboratory tests results

    conjugated and unconjugated bilirubin

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  17. Incidence of abnormal laboratory tests results

    uraemia

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  18. Incidence of abnormal laboratory tests results

    serum creatinine

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  19. Incidence of abnormal laboratory tests results

    leptin

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  20. anthropometric measures

    height

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  21. anthropometric measures

    weight

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  22. anthropometric measures

    body mass index

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  23. anthropometric measures

    waist circumference

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  24. anthropometric measures

    estimation of fat mass

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  25. anthropometric measures

    estimation of skeletal muscle mass

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

  26. anthropometric measures

    estimation of grade of visceral fat

    Measured: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months

Timeline

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

  1. First posted27 Aug 2020
  2. Study start1 Oct 2020
  3. Primary completion30 Oct 2022
  4. Study completion30 Oct 2022

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
Supportive care
Allocation
Randomised
Intervention model
Crossover
Model description
Patients will follow a 6-months period of FMD followed by a 6-months of routinary eating habits (Group A) or viceversa (Group B)
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
102 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04529161
Sponsor's protocol ID
UniterFMD
Acronym
FMD1
Status last verified
Mar 2024
First submitted
18 Aug 2020
Last updated
12 Mar 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Cameron JD, Goldfield GS, Doucet E. Fasting for 24 h improves nasal chemosensory performance and food palatability in a related manner. Appetite. 2012 Jun;58(3):978-81. doi: 10.1016/j.appet.2012.02.050. Epub 2012 Mar 2.

    PubMed 22387713
  • Palouzier-Paulignan B, Lacroix MC, Aime P, Baly C, Caillol M, Congar P, Julliard AK, Tucker K, Fadool DA. Olfaction under metabolic influences. Chem Senses. 2012 Nov;37(9):769-97. doi: 10.1093/chemse/bjs059. Epub 2012 Jul 25.

    PubMed 22832483
  • Pager J, Giachetti I, Holley A, Le Magnen J. A selective control of olfactory bulb electrical activity in relation to food deprivation and satiety in rats. Physiol Behav. 1972 Oct;9(4):573-9. doi: 10.1016/0031-9384(72)90014-5. No abstract available.

    PubMed 4670856
  • Tong J, Mannea E, Aime P, Pfluger PT, Yi CX, Castaneda TR, Davis HW, Ren X, Pixley S, Benoit S, Julliard K, Woods SC, Horvath TL, Sleeman MM, D'Alessio D, Obici S, Frank R, Tschop MH. Ghrelin enhances olfactory sensitivity and exploratory sniffing in rodents and humans. J Neurosci. 2011 Apr 13;31(15):5841-6. doi: 10.1523/JNEUROSCI.5680-10.2011.

    PubMed 21490225
  • Tschop M, Weyer C, Tataranni PA, Devanarayan V, Ravussin E, Heiman ML. Circulating ghrelin levels are decreased in human obesity. Diabetes. 2001 Apr;50(4):707-9. doi: 10.2337/diabetes.50.4.707.

    PubMed 11289032
  • English PJ, Ghatei MA, Malik IA, Bloom SR, Wilding JP. Food fails to suppress ghrelin levels in obese humans. J Clin Endocrinol Metab. 2002 Jun;87(6):2984. doi: 10.1210/jcem.87.6.8738.

    PubMed 12050284
  • Meyer-Gerspach AC, Wolnerhanssen B, Beglinger B, Nessenius F, Napitupulu M, Schulte FH, Steinert RE, Beglinger C. Gastric and intestinal satiation in obese and normal weight healthy people. Physiol Behav. 2014 Apr 22;129:265-71. doi: 10.1016/j.physbeh.2014.02.043. Epub 2014 Feb 28.

    PubMed 24582673
  • Stafford LD, Welbeck K. High hunger state increases olfactory sensitivity to neutral but not food odors. Chem Senses. 2011 Jan;36(2):189-98. doi: 10.1093/chemse/bjq114. Epub 2010 Oct 26.

    PubMed 20978137
  • Goldstone AP, Prechtl CG, Scholtz S, Miras AD, Chhina N, Durighel G, Deliran SS, Beckmann C, Ghatei MA, Ashby DR, Waldman AD, Gaylinn BD, Thorner MO, Frost GS, Bloom SR, Bell JD. Ghrelin mimics fasting to enhance human hedonic, orbitofrontal cortex, and hippocampal responses to food. Am J Clin Nutr. 2014 Jun;99(6):1319-30. doi: 10.3945/ajcn.113.075291. Epub 2014 Apr 23.

    PubMed 24760977
  • Wei M, Brandhorst S, Shelehchi M, Mirzaei H, Cheng CW, Budniak J, Groshen S, Mack WJ, Guen E, Di Biase S, Cohen P, Morgan TE, Dorff T, Hong K, Michalsen A, Laviano A, Longo VD. Fasting-mimicking diet and markers/risk factors for aging, diabetes, cancer, and cardiovascular disease. Sci Transl Med. 2017 Feb 15;9(377):eaai8700. doi: 10.1126/scitranslmed.aai8700.

    PubMed 28202779
  • Micarelli A, Mrakic-Sposta S, Vezzoli A, Malacrida S, Caputo S, Micarelli B, Misici I, Carbini V, Iennaco I, Granito I, Longo VD, Alessandrini M. Chemosensory and cardiometabolic improvements after a fasting-mimicking diet: A randomized cross-over clinical trial. Cell Rep Med. 2025 Feb 18;6(2):101971. doi: 10.1016/j.xcrm.2025.101971.

    PubMed 39970875

Questions about this trial

What is this clinical trial studying?

A study testing Fasting Mimicking Diet (FMD) and Routinary diet habits in people with Diet, Healthy and Obesity, run by Uniter Onlus at 1 site in Italy.

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 10 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 12 Mar 2024. 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 Italy. 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?

Sniffing stick test change (time frame: From date of randomization until the date of first documented progression, assessed at the 6th and 12 months). 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 NCT04529161, which also lists 11 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 12 Mar 2024; AzTrials last refreshed its copy on 1 Nov 2026.

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