Time Restricted FeedingNCT05037747
Effects of TRF on Obese Patients With CKD Stage 3-4
A study testing Time-restricted feeding(TRF) in people with Time Restricted Feeding and Renal Insufficiency, Chronic, run by Guangdong Provincial Hospital of Traditional Chinese Medicine at 1 site in China.
Trial summary
Obesity is associated with glomerular hyperfiltration leading to renal impairment and is a risk factor for the progression of kidney disease.Weight loss can reduce proteinuria and improve eGFR.Intermittent fasting is safe and effective, and in addition to improving body shape and weight in obese patients, it can also… Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Time Restricted Feeding, Renal Insufficiency, Chronic, Obesity
- What is being tested?
- Time-restricted feeding(TRF)
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 28 participants
- Where
- 1 siteChina
- Study dates
- 12 Aug 2021to 1 Jul 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 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age 18-65 years
- CKD stage 3-4 and not on dialysis (eGFR: 15-59ml/min/1.73m2)
- BMI ≥ 25 kg/m2
- Good reading and comprehension skills, simple smartphone operation and no communication difficulties
- Signed informed consent
Who cannot join
- Pregnant and breastfeeding
- End-stage diseases
- Acute and active diseases such as gastrointestinal bleeding or acute infections, serious decompensation with diseases such as cirrhosis decompensation stage, malignant tumor, serious heart and lung diseases, severe primary diseases of hematopoietic system, severe hypertension (systolic blood pressure ≥200mmHg, diastolic blood pressure ≥120mmHg) and difficult to control blood pressure, within 3 months after major surgery, such as open surgery
- Mental patients
- Using medium-high doses of hormones and immunosuppressants
- Participating in other researchers
Show all 9Show fewer
- Taking other dietary therapies, undergoing weight loss treatment
- Vegetarian
- Type 1 diabetes and type 2 diabetes using insulin
Trial locations and contacts
1 site in 1 country.
China1 site
Guangdong Provincial Hospital of Chinese Medicine
Guangzhou, Guangdong, 510120
About this study
Official title: Effects of Time-restricted Feeding on Obese Patients With Chronic Kidney Disease Stage 3-4: a Pilot Study
Obesity is associated with glomerular hyperfiltration leading to renal impairment and is a risk factor for the progression of kidney disease.Weight loss can reduce proteinuria and improve eGFR.Intermittent fasting is safe and effective, and in addition to improving body shape and weight in obese patients, it can also improve glucolipid metabolism, reduce proteinuria, improve kidney function and delay the progression of kidney disease.
Read the detailed description
KDOQI clinical practice guideline for nutrition in chronic kidney disease (CKD) uses a low-protein diet to reduce renal impairment and delay progression. The current research hotspot is dietary intervention. Time-restricted feeding was used to intervene in the progression of CKD. It restrict the time of eating but not the eaten calories, which have a higher compliance and safety. Studies have shown that intermittent fasting in obese patients with CKD is not only reduce body weight, but also improves glycolipid metabolism, reduces proteinuria and delays the progression of kidney disease. Intermittent fasting is currently a scientific research hotspot, and there are few international studies on the implementation of intermittent fasting to delay the deterioration of renal function in obese CKD patients, and lack of data on Chinese patients, which has great research potential. Based on the above background, this study was conducted as an pilot clinical trial to explore the effects of intermittent fasting on obese patients with CKD and to observe its effectiveness, safety and compliance.
- Being tested
- Time-restricted feeding(TRF)
- Keywords
- time-restricted feeding, chronic kidney disease, obesity
- Medical subject headings
- Intermittent Fasting, Renal Insufficiency, Chronic, Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Time-restricted feeding(TRF)Behavioural
The TRF group was asked to restrict the eating window to 8 hours a day, during waking hours and also continue a low-protein diet.
| Study group | Role | What they receive |
|---|---|---|
| Time-restricted feeding(TRF) | Experimental | The TRF group was asked to restrict the eating window to 8 hours a day, during waking hours and also continue a low-protein diet. Receives: Behavioral: Time-restricted feeding(TRF) |
| Control | No intervention | The control group was asked to continue their usual low-protein diet eating schedule and pattern. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in eGFR (ml/min/1.73m2)
eGFR at final visit - eGFR at initial visit
Measured: 12 weeks
Secondary outcomes (29)
Changes in body weight (Kilograms)
body weight at final visit - body weight at initial visit
Measured: 12 weeks
Changes in waist circumference (cm)
waist circumference at final visit - waist circumference at initial visit
Measured: 12 weeks
Change in body mass index (kg/m2)
body mass index at final visit - body mass index at initial visit
Measured: 12 weeks
Changes in serum total cholesterol levels (mmol/L)
serum total cholesterol levels at final visit - serum total cholesterol levels at initial visit
Measured: 12 weeks
Changes in serum low density lipoprotein cholesterol levels (mmol/L)
serum low density lipoprotein cholesterol levels at final visit - serum low density lipoprotein cholesterol levels at initial visit
Measured: 12 weeks
Changes in serum triglyceride levels (mmol/L)
serum triglyceride levels at final visit - serum triglyceride levels at initial visit
Measured: 12 weeks
Changes in serum high density lipoprotein cholesterol levels (mmol/L)
serum high density lipoprotein cholesterol levels at final visit - serum high density lipoprotein cholesterol levels at initial visit
Measured: 12 weeks
Changes in serum albumin (g/L)
serum albumin at final visit - serum albumin at initial visit
Measured: 12 weeks
Changes in total serum protein (g/L)
total serum protein at final visit - total serum protein at initial visit
Measured: 12 weeks
Changes in fat free mass (kg)
fat free mass at final visit - fat free mass at initial visit
Measured: 12 weeks
Changes in body fat mass (kg)
body fat mass at final visit - body fat mass at initial visit
Measured: 12 weeks
Changes in percent body fat (%)
percent body fat at final visit - percent body fat at initial visit
Measured: 12 weeks
Changes in waist-hip ratio
waist-hip ratio at final visit - waist-hip ratio at initial visit
Measured: 12 weeks
Changes in soft lean mass (kg)
soft lean mass at final visit - soft lean mass at initial visit
Measured: 12 weeks
Changes in visceral fat area (cm2)
visceral fat area at final visit - visceral fat area at initial visit
Measured: 12 weeks
Changes in arm circumference (cm)
arm circumference at final visit - arm circumference at initial visit
Measured: 12 weeks
Changes in triceps skin fold thickness (cm)
triceps skin fold thickness at final visit - triceps skin fold thickness at initial visit
Measured: 12 weeks
Changes in grip strength (kg)
grip strength at final visit - grip strength at initial visit
Measured: 12 weeks
Changes in fasting blood glucose (mmol/L)
fasting blood glucose at final visit - fasting blood glucose at initial visit
Measured: 12 weeks
Changes in serum creatinine (umol/L)
serum creatinine at final visit - serum creatinine at initial visit
Measured: 12 weeks
Changes in blood urea nitrogen (mmol/L)
blood urea nitrogen at final visit - blood urea nitrogen at initial visit
Measured: 12 weeks
Changes in serum uric acid (umol/L)
serum uric acid at final visit - serum uric acid at initial visit
Measured: 12 weeks
Changes in proteinuria creatinine ratio (g/g)
proteinuria creatinine ratio at final visit - proteinuria creatinine ratio at initial visit
Measured: 12 weeks
Changes in serum cystatin C (mg/L)
serum cystatin C at final visit - serum cystatin C at initial visit
Measured: 12 weeks
Changes in total urine urea in 24 hours (mmol/24h)
total urine urea in 24 hours at final visit - total urine urea in 24 hours at initial visit
Measured: 12 weeks
Changes in interleukin-6 (pg/mL)
interleukin-6 at final visit - interleukin-6 at initial visit
Measured: 12 weeks
Changes in tumor necrosis factor-α (pg/mL)
tumor necrosis factor-α at final visit - tumor necrosis factor-α at initial visit
Measured: 12 weeks
Changes in C-reactive protein (mg/L)
C-reactive protein at final visit - C-reactive protein at initial visit
Measured: 12 weeks
Changes in species of intestinal flora
species of intestinal flora at final visit - species of intestinal flora at initial visit
Measured: 12 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Sep 2021
- Study start12 Aug 2021
- Primary completion30 Mar 2022
- Study completion1 Jul 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Time Restricted FeedingStudies of the same condition, open and under way.
- 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Model description
- It was non-randomized trial study design, two parallel groups were assigned to time-restricted feeding(TRF) and control group and to do the intervention for 12 weeks.
- Masking
- None (open label)
- Enrolment
- 28 participants (actual)
Sponsor and investigators
- Lead sponsor
- Guangdong Provincial Hospital of Traditional Chinese Medicine
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Liu Xu-sheng, Guangdong Provincial Hospital of Traditional Chinese Medicine
- Investigators
- Xu-sheng Liu, M.M, Study chair, Guangdong Provincial Hospital of Traditional Chinese Medicine
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05037747
- Sponsor's protocol ID
- YF2021-142
- Status last verified
- Jul 2022
- First submitted
- 31 Aug 2021
- Last updated
- 7 Jul 2022
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 7 Jul 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Time-restricted Feeding on Obese Patients With Chronic Kidney Disease Stage 3-4: a Pilot Study
- ClinicalTrials.gov ID
- NCT05037747
- Acronym / sponsor ID
- YF2021-142
- Keywords
- time-restricted feeding, chronic kidney disease, obesity
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 28 participants (actual)
- Lead sponsor
- Guangdong Provincial Hospital of Traditional Chinese MedicineUniversity, hospital or other
- Study start
- 12 Aug 2021 (actual)
- Primary completion
- 30 Mar 2022 (actual)
- Study completion
- 1 Jul 2022 (actual)
- First posted
- 8 Sep 2021 (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.
Obesity is associated with glomerular hyperfiltration leading to renal impairment and is a risk factor for the progression of kidney disease.Weight loss can reduce proteinuria and improve eGFR.Intermittent fasting is safe and effective, and in addition to improving body shape and weight in obese patients, it can also improve glucolipid metabolism, reduce proteinuria, improve kidney function and delay the progression of kidney disease.
Detailed description
KDOQI clinical practice guideline for nutrition in chronic kidney disease (CKD) uses a low-protein diet to reduce renal impairment and delay progression. The current research hotspot is dietary intervention. Time-restricted feeding was used to intervene in the progression of CKD. It restrict the time of eating but not the eaten calories, which have a higher compliance and safety. Studies have shown that intermittent fasting in obese patients with CKD is not only reduce body weight, but also improves glycolipid metabolism, reduces proteinuria and delays the progression of kidney disease. Intermittent fasting is currently a scientific research hotspot, and there are few international studies on the implementation of intermittent fasting to delay the deterioration of renal function in obese CKD patients, and lack of data on Chinese patients, which has great research potential. Based on the above background, this study was conducted as an pilot clinical trial to explore the effects of intermittent fasting on obese patients with CKD and to observe its effectiveness, safety and compliance.
Study design
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- It was non-randomized trial study design, two parallel groups were assigned to time-restricted feeding(TRF) and control group and to do the intervention for 12 weeks.
| Arm | Type | Receives |
|---|---|---|
| Time-restricted feeding(TRF) | Experimental | Behavioral: Time-restricted feeding(TRF)The TRF group was asked to restrict the eating window to 8 hours a day, during waking hours and also continue a low-protein diet. |
| Control | No intervention | –The control group was asked to continue their usual low-protein diet eating schedule and pattern. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Age 18-65 years
- CKD stage 3-4 and not on dialysis (eGFR: 15-59ml/min/1.73m2)
- BMI ≥ 25 kg/m2
- Good reading and comprehension skills, simple smartphone operation and no communication difficulties
- Signed informed consent
Key exclusion criteria (9 listed)
- Pregnant and breastfeeding
- End-stage diseases
- Acute and active diseases such as gastrointestinal bleeding or acute infections, serious decompensation with diseases such as cirrhosis decompensation stage, malignant tumor, serious heart and lung diseases, severe primary diseases of hematopoietic system, severe hypertension (systolic blood pressure ≥200mmHg, diastolic blood pressure ≥120mmHg) and difficult to control blood pressure, within 3 months after major surgery, such as open surgery
- Mental patients
- Using medium-high doses of hormones and immunosuppressants
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 |
|---|---|---|
| Time-restricted feeding(TRF)The TRF group was asked to restrict the eating window to 8 hours a day, during waking hours and also continue a low-protein diet. | Behavioural | Time-restricted feeding(TRF) |
Primary outcome
Change in eGFR (ml/min/1.73m2)
Time frame: 12 weeks
eGFR at final visit - eGFR at initial visit
29 secondary outcomes
Changes in body weight (Kilograms)
Time frame: 12 weeks
Changes in waist circumference (cm)
Time frame: 12 weeks
Change in body mass index (kg/m2)
Time frame: 12 weeks
Changes in serum total cholesterol levels (mmol/L)
Time frame: 12 weeks
Changes in serum low density lipoprotein cholesterol levels (mmol/L)
Time frame: 12 weeks
Changes in serum triglyceride levels (mmol/L)
Time frame: 12 weeks
Changes in serum high density lipoprotein cholesterol levels (mmol/L)
Time frame: 12 weeks
Changes in serum albumin (g/L)
Time frame: 12 weeks
Changes in total serum protein (g/L)
Time frame: 12 weeks
Changes in fat free mass (kg)
Time frame: 12 weeks
Changes in body fat mass (kg)
Time frame: 12 weeks
Changes in percent body fat (%)
Time frame: 12 weeks
Changes in waist-hip ratio
Time frame: 12 weeks
Changes in soft lean mass (kg)
Time frame: 12 weeks
Changes in visceral fat area (cm2)
Time frame: 12 weeks
Changes in arm circumference (cm)
Time frame: 12 weeks
Changes in triceps skin fold thickness (cm)
Time frame: 12 weeks
Changes in grip strength (kg)
Time frame: 12 weeks
Changes in fasting blood glucose (mmol/L)
Time frame: 12 weeks
Changes in serum creatinine (umol/L)
Time frame: 12 weeks
Changes in blood urea nitrogen (mmol/L)
Time frame: 12 weeks
Changes in serum uric acid (umol/L)
Time frame: 12 weeks
Changes in proteinuria creatinine ratio (g/g)
Time frame: 12 weeks
Changes in serum cystatin C (mg/L)
Time frame: 12 weeks
Changes in total urine urea in 24 hours (mmol/24h)
Time frame: 12 weeks
Changes in interleukin-6 (pg/mL)
Time frame: 12 weeks
Changes in tumor necrosis factor-α (pg/mL)
Time frame: 12 weeks
Changes in C-reactive protein (mg/L)
Time frame: 12 weeks
Changes in species of intestinal flora
Time frame: 12 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Jul 2022.
- 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.
Xu-sheng Liu, M.M study chair
Guangdong Provincial Hospital of Traditional Chinese Medicine
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Time-restricted feeding(TRF) in people with Time Restricted Feeding and Renal Insufficiency, Chronic, run by Guangdong Provincial Hospital of Traditional Chinese Medicine at 1 site in China.
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 9 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 7 Jul 2022. 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 China. 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 eGFR (ml/min/1.73m2) (time frame: 12 weeks). 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 7 Jul 2022.