Polycystic Ovary SyndromeNCT05629858
Time Restricted Eating for the Treatment of PCOS
A study testing 6-h Time restricted eating (TRE) and Calorie restriction (CR) in people with Polycystic Ovary Syndrome and Obesity, run by University of Illinois Chicago at 1 site in United States.
Trial summary
BACKGROUND: Polycystic ovary syndrome (PCOS) is the most common cause of anovulatory infertility among young women. This syndrome is a reproductive and endocrinological disorder that affects up to 18% of reproductive-aged women. To date, the only strategy shown to reverse PCOS is sustained weight loss of 5-10%. Read more about this study
- Who is it for?
- Ages 18 to 45 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Polycystic Ovary Syndrome, Obesity, Overweight
- What is being tested?
- 6-h Time restricted eating (TRE) and Calorie restriction (CR)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 76 participants
- Where
- 1 siteUnited States
- Study dates
- 15 Jan 2023to 15 Dec 2024
- 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 45 years
- Women only
- Healthy volunteers accepted
- Adult
4.1 Inclusion criteria:
- Diagnosed with PCOS based on the Rotterdam criteria in which two of three of the following criteria are present: (i) androgen excess skin manifestations (hirsutism, acne, and seborrhea) and/or hyperandrogenemia (total testosterone >55 pg/ml, free testosterone >9.4 pg/ml, androstenedione >2.1 ng/ml or DHEA-S >340 ug/dl); (ii) polycystic ovarian morphology on ultrasound (ovarian volume >10 cc and /or antral follicle count 20 in at least one ovary); and (iii) chronic oligo-amenorrhea (intermenstrual intervals >35 days or 7 periods/year)
- BMI between 25-50 kg/m2
- Age between 18-45 years
4.2 Exclusion criteria:
- Postmenopausal (absence of menses for >2 y)
- Diagnosed type 1 diabetes or type 2 diabetes
- Previously diagnosed with a mood depressive disorder (by a doctor or psychologist)
- Have a history of eating disorders (anorexia, bulimia, or binge eating disorder)
- Are not weight stable for 3 months prior to the beginning of the study
- Are taking drugs that affect study outcomes, such as oral contraceptives, weight loss, insulin-sensitizing agents, androgen antagonists, anti-seizure, or antipsychotic medication (within 2 months of starting study)
- Are currently following a TRE protocol
- Are athletes or those engaging in >1 hour of high-intensity training on more than 5 days/week
- Are active smokers (within 3 months of starting the study)
- Do not have a Wi-Fi connection at home (needed for zoom calls)
- Pregnant or trying to become pregnant
Trial locations and contacts
1 site in 1 country.
United States1 site
University of Illinois Chicago
Chicago, Illinois, 60612
About this study
Official title: Time Restricted Eating for the Treatment of Polycystic Ovarian Syndrome (PCOS)
BACKGROUND:
Polycystic ovary syndrome (PCOS) is the most common cause of anovulatory infertility among young women. This syndrome is a reproductive and endocrinological disorder that affects up to 18% of reproductive-aged women. To date, the only strategy shown to reverse PCOS is sustained weight loss of 5-10%. At present, daily calorie restriction (CR) is the main diet prescribed to patients with PCOS for weight loss. However, some women find it difficult to adhere to CR because calorie intake must be vigilantly monitored every day. Considering these problems with CR, another approach that limits timing of food intake, instead of number of calories consumed, has been developed. This diet is called "time restricted eating" (TRE) and involves confining the period of food intake to 6-8 h per day. TRE allows individuals to self-select foods and eat ad libitum during a large part of the day, which can increase compliance to these protocols. Recent findings show that TRE significantly reduces body weight and insulin resistance in adults with obesity. However, no randomized controlled trials have studied the role of TRE in treating PCOS.
Read more
OBJECTIVE:
We conducted a 6-month, randomized, controlled trial comparing the effects of 6-h TRE (eating all food between 1:00 pm to 7:00 pm, without calorie counting), versus CR (25% energy restriction daily), and a control group (eating over a period of 10 or more hours per day), on body weight and PCOS symptoms in a racially-ethnically diverse group of females with PCOS.
METHODS:
A 6-month randomized, controlled, parallel-arm trial will be implemented. Females with overweight/obesity and PCOS will be randomized to 1 of 3 groups: (1) 6-h TRE (eating all food between 1:00 pm to 7:00 pm, without calorie counting); (2) CR (25% energy restriction daily); or (3) control group (eating over a period of 10 or more hours per day).
- Conditions
- Polycystic Ovary Syndrome, Obesity, Overweight
- Being tested
- 6-h Time restricted eating (TRE), Calorie restriction (CR), Control
- Medical subject headings
- Polycystic Ovary Syndrome, Obesity, Overweight
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
6-h Time restricted eating (TRE)Other
Ad libitum food intake from 1-7 pm every day Fasting from 7-1 pm every day (18-h fast)
Calorie restriction (CR)Other
25% energy restriction every day
ControlOther
Usual diet, eating over >10 h per day
| Study group | Role | What they receive |
|---|---|---|
| 6-hour Time restricted eating (TRE) | Experimental | Ad libitum food intake from 1-7 pm every day Fasting from 7-1 pm every day (18-h fast) Receives: Other: 6-h Time restricted eating (TRE) |
| Calorie restriction (CR) | Experimental | 25% energy restriction every day Receives: Other: Calorie restriction (CR) |
| Control | Experimental | Usual diet, eating over >10 h per day Receives: Other: Control |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in percent body weight
Measured by an electronic scale
Measured: Measured at month 0 and 6
Secondary outcomes (21)
Change in fat mass, lean mass, visceral fat mass
Measured by DXA
Measured: Measured at month 0 and 6
Change in waist circumference
Measured by a measuring tape
Measured: Measured at month 0 and 6
Change in insulin resistance
Measured by HOMA-IR (Homeostatic Model Assessment for Insulin Resistance)
Measured: Measured at month 0 and 6
Change in insulin sensitivity
Measured by QUICKI (Quantitative insulin sensitivity check index)
Measured: Measured at month 0 and 6
Change in fasting glucose
Measured by a commercial lab (Medstar, IL)
Measured: Measured at month 0 and 6
Change in fasting insulin
Measured by a commercial lab (Medstar, IL)
Measured: Measured at month 0 and 6
Change in HbA1c
Measured by a commercial lab (Medstar, IL)
Measured: Measured at month 0 and 6
Change in blood pressure
Measured by a blood pressure cuff
Measured: Measured at month 0 and 6
Change in heart rate
Measured by a blood pressure cuff
Measured: Measured at month 0 and 6
Change in plasma lipids (LDL cholesterol, HDL cholesterol, triglycerides)
Measured by a commercial lab (Medstar, IL)
Measured: Measured at month 0 and 6
Change in reproductive hormones (testosterone, DHEA, SHBG)
Measured by a commercial lab (Medstar, IL)
Measured: Measured at month 0 and 6
Change in free androgen index (FAI)
FAI is calculated by multiplying total testosterone by 100 and dividing by sex hormone binding globulin (SHBG)
Measured: Measured at month 0 and 6
Change in energy and nutrient intake
Measured by 7-day food record
Measured: Measured at month 0 and 6
Change in dietary adherence
Measured by survey
Measured: Measured at month 0 and 6
Change in physical activity (steps/d)
Measured by pedometer
Measured: Measured at month 0 and 6
Change in PCOS symptoms
Measured by a validated questionnaire (PMSIS: Premenstrual symptom impact survey)
Measured: Measured at month 0 and 6
Change in hirsutism
Measured by a validated questionnaire (mFG: modified Ferriman-Gallwey hirsutism scale)
Measured: Measured at month 0 and 6
Change in acne severity
Measured by a validated questionnaire (CASS: Comprehensive acne severity scale)
Measured: Measured at month 0 and 6
Change in seborrhea
Measured by clinical assessment
Measured: Measured at month 0 and 6
Change in menstrual regularity and blood loss
Measured by survey (PBAC: Pictorial blood loss assessment chart)
Measured: Measured at month 0 and 6
Occurences of adverse events
Measured by adverse event survey
Measured: Measured at month 0 and 6
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Nov 2022
- Study start15 Jan 2023
- Primary completion15 Dec 2024
- Study completion15 Dec 2024
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 Polycystic Ovary SyndromeStudies of the same condition, open and under way.
- More trials run by University of Illinois ChicagoThe 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 76 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Illinois Chicago
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Krista Varady, University of Illinois Chicago
- Investigators
- Krista Varady, PhD, Principal investigator, University of Illinois Chicago
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05629858
- Sponsor's protocol ID
- 2022-1500
- Status last verified
- Mar 2025
- First submitted
- 17 Nov 2022
- Last updated
- 13 Mar 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Corapi S, Runchey MC, Lyons J, Alonso de Leon M, Pavlou V, Lin S, Ezpeleta M, Gabel K, Tussing-Humphreys L, Oddo VM, Alexandria SJ, Sanchez J, Vidmar AP, Varady KA, Cienfuegos S. Time-restricted eating for body weight management in women with polycystic ovary syndrome: a randomized controlled trial. Nat Med. 2026 Jun;32(6):2155-2163. doi: 10.1038/s41591-026-04316-7. Epub 2026 Mar 27.
PubMed 41896647
Study at a glance
From the registry record, last updated by the sponsor on 13 Mar 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Time Restricted Eating for the Treatment of Polycystic Ovarian Syndrome (PCOS)
- ClinicalTrials.gov ID
- NCT05629858
- Acronym / sponsor ID
- 2022-1500
- Conditions
- Polycystic Ovary Syndrome, Obesity, Overweight
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 76 participants (actual)
- Lead sponsor
- University of Illinois ChicagoUniversity, hospital or other
- Study start
- 15 Jan 2023 (actual)
- Primary completion
- 15 Dec 2024 (actual)
- Study completion
- 15 Dec 2024 (actual)
- First posted
- 29 Nov 2022 (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.
BACKGROUND:
Polycystic ovary syndrome (PCOS) is the most common cause of anovulatory infertility among young women. This syndrome is a reproductive and endocrinological disorder that affects up to 18% of reproductive-aged women. To date, the only strategy shown to reverse PCOS is sustained weight loss of 5-10%. At present, daily calorie restriction (CR) is the main diet prescribed to patients with PCOS for weight loss. However, some women find it difficult to adhere to CR because calorie intake must be vigilantly monitored every day. Considering these problems with CR, another approach that limits timing of food intake, instead of number of calories consumed, has been developed. This diet is called "time restricted eating" (TRE) and involves confining the period of food intake to 6-8 h per day. TRE allows individuals to self-select foods and eat ad libitum during a large part of the day, which can increase compliance to these protocols. Recent findings show that TRE significantly reduces body weight and insulin resistance in adults with obesity. However, no randomized controlled trials have studied the role of TRE in treating PCOS.
OBJECTIVE:
We conducted a 6-month, randomized, controlled trial comparing the effects of 6-h TRE (eating all food between 1:00 pm to 7:00 pm, without calorie counting), versus CR (25% energy restriction daily), and a control group (eating over a period of 10 or more hours per day), on body weight and PCOS symptoms in a racially-ethnically diverse group of females with PCOS.
METHODS:
A 6-month randomized, controlled, parallel-arm trial will be implemented. Females with overweight/obesity and PCOS will be randomized to 1 of 3 groups: (1) 6-h TRE (eating all food between 1:00 pm to 7:00 pm, without calorie counting); (2) CR (25% energy restriction daily); or (3) control group (eating over a period of 10 or more hours per day).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| 6-hour Time restricted eating (TRE) | Experimental | Other: 6-h Time restricted eating (TRE)Ad libitum food intake from 1-7 pm every day Fasting from 7-1 pm every day (18-h fast) |
| Calorie restriction (CR) | Experimental | Other: Calorie restriction (CR)25% energy restriction every day |
| Control | Experimental | Other: ControlUsual diet, eating over >10 h per day |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
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 |
|---|---|---|
| 6-h Time restricted eating (TRE)Ad libitum food intake from 1-7 pm every day Fasting from 7-1 pm every day (18-h fast) | Other | 6-hour Time restricted eating (TRE) |
| Calorie restriction (CR)25% energy restriction every day | Other | Calorie restriction (CR) |
| ControlUsual diet, eating over >10 h per day | Other | Control |
Primary outcome
Change in percent body weight
Time frame: Measured at month 0 and 6
Measured by an electronic scale
21 secondary outcomes
Change in fat mass, lean mass, visceral fat mass
Time frame: Measured at month 0 and 6
Change in waist circumference
Time frame: Measured at month 0 and 6
Change in insulin resistance
Time frame: Measured at month 0 and 6
Change in insulin sensitivity
Time frame: Measured at month 0 and 6
Change in fasting glucose
Time frame: Measured at month 0 and 6
Change in fasting insulin
Time frame: Measured at month 0 and 6
Change in HbA1c
Time frame: Measured at month 0 and 6
Change in blood pressure
Time frame: Measured at month 0 and 6
Change in heart rate
Time frame: Measured at month 0 and 6
Change in plasma lipids (LDL cholesterol, HDL cholesterol, triglycerides)
Time frame: Measured at month 0 and 6
Change in reproductive hormones (testosterone, DHEA, SHBG)
Time frame: Measured at month 0 and 6
Change in free androgen index (FAI)
Time frame: Measured at month 0 and 6
Change in energy and nutrient intake
Time frame: Measured at month 0 and 6
Change in dietary adherence
Time frame: Measured at month 0 and 6
Change in physical activity (steps/d)
Time frame: Measured at month 0 and 6
Change in PCOS symptoms
Time frame: Measured at month 0 and 6
Change in hirsutism
Time frame: Measured at month 0 and 6
Change in acne severity
Time frame: Measured at month 0 and 6
Change in seborrhea
Time frame: Measured at month 0 and 6
Change in menstrual regularity and blood loss
Time frame: Measured at month 0 and 6
Occurences of adverse events
Time frame: Measured at month 0 and 6
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 13 Mar 2025.
- Derived from this study: PubMed 41896647Corapi S, Runchey MC, Lyons J, Alonso de Leon M, Pavlou V, Lin S, Ezpeleta M, Gabel K, Tussing-Humphreys L, Oddo VM, Alexandria SJ, Sanchez J, Vidmar AP, Varady KA, Cienfuegos S. Time-restricted eating for body weight management in women with polycystic ovary syndrome: a randomized controlled trial. Nat Med. 2026 Jun;32(6):2155-2163. doi: 10.1038/s41591-026-04316-7. Epub 2026 Mar 27.
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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.
Krista Varady, PhD principal investigator
University of Illinois Chicago
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing 6-h Time restricted eating (TRE) and Calorie restriction (CR) in people with Polycystic Ovary Syndrome and Obesity, run by University of Illinois Chicago at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
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 13 Mar 2025. 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 United States. 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 percent body weight (time frame: Measured at month 0 and 6). 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 NCT05629858, 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 13 Mar 2025.