Myocardial InfarctionTRESNCT06007950
Time-restricted Eating Study (TRES): Impacts on Anthropometric, Cardiometabolic and Cardiovascular Health
A study testing Time-restricted eating 10-hr in people with Myocardial Infarction, run by Universiti Teknologi Mara at 1 site in Malaysia.
Trial summary
The goal of this clinical trial is to learn about the effects of time-restricted eating in patients with history of acute coronary syndrome. The main questions it aims to answer are: 1) Is 10-hr TRE safe and feasible for patients with ACS; 2)What are the impacts of 10-hr TRE on anthropometric measurements… Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Myocardial Infarction
- What is being tested?
- Time-restricted eating 10-hr
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 48 participants
- Where
- 1 siteMalaysia
- Study dates
- 1 Sep 2023to Sep 2025
- 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
- Adult, 18- 65 years old.
- Had history of acute coronary syndrome (ACS)
- Clinically stable
- Self-reported eating window of at least 12 h per day.
Who cannot join
- Severe obesity (body mass index ≥40 kg m-2).
- Unstable weight in the past three months (gain or lose more than 4 kg of weight).
- Unstable cardiovascular, renal, cardiac, liver, lung, adrenal, or nervous system disease that may compromise study validity.
- Any medications or supplements known to change sleep, circadian rhythms, or metabolism.
- Pregnant or lactating women.
- Perform overnight shift work more than one day/week on average.
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- Regularly fasted for more than 15 hours/day or having completed twelve 24-hr fasts within the past three months).
- Active use of tobacco or illicit drug or history of treatment for alcohol abuse.
- Type I diabetes or diabetic, treated with insulin.
- Use of anti-obesity drugs or other drugs affecting body weight.
- Currently enrolled in weight loss or management programme, including surgical intervention.
- Severe kidney failure (glomerular filtration rate (GFR) <30 mL/min).
- Eating disorder or current diagnosis of uncontrolled psychiatric illness, which may impair study involvement.
- Malignancy undergoing active treatment.
- Had gastrointestinal surgery or impaired nutrient absorption.
- Travelled more than two time zones away two months prior to enrolling in the trial or will travel more than two time zones away during the study period.
- Concurrent participation in other interventional studies
Trial locations and contacts
1 site in 1 country.
Nur Islami Mohd Fahmi Teng, PhD contact
Malaysia1 site, 1 recruiting
- Recruiting
Pusat Perkhidmatan Klinikal (CTC) UiTM
Kuala Selangor
Sazzli Shahlan Kasim, MBBCh, +60361265000
Nur Islami Mohd Fahmi Teng, PhD
About this study
Official title: Impacts of Time-Restricted Eating on Weight, Cardiometabolic and Cardiovascular Health in Patients With Acute Coronary Syndrome
The goal of this clinical trial is to learn about the effects of time-restricted eating in patients with history of acute coronary syndrome. The main questions it aims to answer are: 1) Is 10-hr TRE safe and feasible for patients with ACS; 2)What are the impacts of 10-hr TRE on anthropometric measurements, cardiometabolic health and cardiovascular health compared to ad libitum eating in patients with ACS?. Participants will be asked to limit eating duration to 10 hours daily.
Read the detailed description
Justification: The effects of TRE on humans varies results, with some showing improvements in weight loss, insulin sensitivity, and cardiovascular markers, while others exhibiting no significant changes. TRE studies on metabolically altered individuals especially patients with heart diseases are limited.
Written approval of the study has been obtained from the Universiti Teknologi MARA Ethics Committee before commencement of this study.
The TRES study utilizes an investigator-led, pragmatic, parallel, randomized, single-blinded clinical trial design to evaluate the safety, feasibility, and effectiveness of a 10-hour time-restricted eating (TRE) intervention compared to unrestricted eating in patients diagnosed with acute coronary syndrome. The study aims to assess the impact of TRE on anthropometric measurements, as well as cardiometabolic and cardiovascular health outcomes. The duration of the randomized controlled trial (RCT) spans a period of five weeks. The trial consisted of a baseline period of one week, which was then followed by a four-week intervention phase. The participants will be assigned randomly to either the TRE (Time-Restricted Eating) group or the control group, which involves ad libitum eating. They will be instructed to adhere to their allotted eating duration during the four-week intervention period.
- Conditions
- Myocardial Infarction
- Being tested
- Time-restricted eating 10-hr
- Keywords
- coronary heart disease, time-restricted eating, intermittent fasting
- Medical subject headings
- Myocardial Infarction, Coronary Disease, Intermittent Fasting
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Time-restricted eating 10-hrBehavioural
Time-restricted eating is a form of intermittent fasting. In this study, 10-hr TRE will be employed, where eating duration is limited to 10 hours. Participants are allowed to consume non-caloric beverages during fasting period.
| Study group | Role | What they receive |
|---|---|---|
| Ad-libitum eating duration | No intervention | 24 patients will be randomly assigned to the control group. Participants will be asked to continue usual eating duration. Participants will receive the standard care and heart-healthy nutrition education. |
| Time-restricted eating (TRE) duration | Experimental | 24 patients will be randomly assigned to the intervention group. Participants in this arm will be asked to limit the number of hours they eat in a day to 10 hours in addition to receiving the standard of care health and heart-healthy nutrition education. Receives: Behavioral: Time-restricted eating 10-hr |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in weight
unit: kg
Measured: 4 weeks (pre- & post intervention)
Secondary outcomes (17)
Change in lean body mass
unit : kg
Measured: 4 weeks (pre- & post intervention)
Change in fat mass
unit : kg
Measured: 4 weeks (pre- & post intervention)
Change in fasting glucose concentration
Glycaemic biomarker, unit: mmol/L
Measured: 4 weeks (pre- & post intervention)
Change in fasting insulin concentration
Glycaemic biomarker, unit:pmol/L
Measured: 4 weeks (pre- & post intervention)
Change in total cholesterol concentration
Lipid metabolism biomarker, unit: mmol/L
Measured: 4 weeks (pre- & post intervention)
Change in high-density lipoprotein concentration
Lipid metabolism biomarker, unit: mmol/L
Measured: 4 weeks (pre- & post intervention)
Change in low-density lipoprotein concentration
Lipid metabolism biomarker, unit: mmol/L
Measured: 4 weeks (pre- & post intervention)
Change in triglycerides concentration
Lipid metabolism biomarker, unit: mmol/L
Measured: 4 weeks (pre- & post intervention)
Change in C-reactive protein concentration
Inflammatory biomarkers, unit: mg/dL
Measured: 4 weeks (pre- & post intervention)
Change in Malondialdehyde (MDA) level
Oxidative stress Lipid peroxidation, unit:μmol/L
Measured: 4 weeks (pre- & post intervention)
Change in flow-mediated dilatation,
Endothelial function, unit:%
Measured: 4 weeks (pre- & post intervention)
Change in Brachial-ankle pulse wave velocity
arterial stiffness, unit:m/s
Measured: 4 weeks (pre- & post intervention)
Change in perceived appetite
Visual analog scale (VAS), linear scale in 100mm (not hungry at all-extremely hungry)
Measured: 4 weeks (pre- & post intervention)
Adverse event monitoring
Report of incidence of adverse events for safety monitoring
Measured: 4 weeks
Change in Hemoglobin level
Safety monitoring, unit: g/dl
Measured: 4 weeks
Change in sleep quality
Pittsburgh Sleep Quality Index (PSQI) scale, A higher score indicates a worse sleep quality. PSQI score >5= poor sleep.
Measured: 4 weeks (pre- & post intervention)
Change in physical activity
Short version of the International Physical Activity Questionnaire (IPAQ), unit: metabolic equivalent (MET)-minutes
Measured: 4 weeks (pre- & post intervention)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Aug 2023
- Study start1 Sep 2023
- Primary completionSep 2024 (estimated)
- Study completionSep 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Myocardial InfarctionStudies 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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Care provider, Outcomes assessor
- Enrolment
- 48 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Universiti Teknologi Mara
- Sponsor type
- University, hospital or other
- Collaborators
- Ministry of Higher Education, Malaysia
- Responsible party
- Principal investigator, MAZUIN KAMARUL ZAMAN, Universiti Teknologi Mara
- Investigators
- Mazuin Kamarul Zaman, MMed Sc, Principal investigator, Universiti Teknologi Mara
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06007950
- Sponsor's protocol ID
- TRES2301
- Acronym
- TRES
- Status last verified
- Jul 2024
- First submitted
- 11 Aug 2023
- Last updated
- 18 Jul 2024
- Results posted
- No
- Data monitoring committee
- 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 18 Jul 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Impacts of Time-Restricted Eating on Weight, Cardiometabolic and Cardiovascular Health in Patients With Acute Coronary Syndrome
- ClinicalTrials.gov ID
- NCT06007950
- Acronym / sponsor ID
- TRES / TRES2301
- Conditions
- Myocardial Infarction
- Keywords
- coronary heart disease, time-restricted eating, intermittent fasting
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 48 participants (estimated)
- Lead sponsor
- Universiti Teknologi MaraUniversity, hospital or other
- Collaborators
- Ministry of Higher Education, Malaysia
- Study start
- 1 Sep 2023 (actual)
- Primary completion
- Sep 2024 (estimated)
- Study completion
- Sep 2025 (estimated)
- First posted
- 23 Aug 2023 (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 goal of this clinical trial is to learn about the effects of time-restricted eating in patients with history of acute coronary syndrome. The main questions it aims to answer are: 1) Is 10-hr TRE safe and feasible for patients with ACS; 2)What are the impacts of 10-hr TRE on anthropometric measurements, cardiometabolic health and cardiovascular health compared to ad libitum eating in patients with ACS?. Participants will be asked to limit eating duration to 10 hours daily.
Detailed description
Justification: The effects of TRE on humans varies results, with some showing improvements in weight loss, insulin sensitivity, and cardiovascular markers, while others exhibiting no significant changes. TRE studies on metabolically altered individuals especially patients with heart diseases are limited.
Written approval of the study has been obtained from the Universiti Teknologi MARA Ethics Committee before commencement of this study.
The TRES study utilizes an investigator-led, pragmatic, parallel, randomized, single-blinded clinical trial design to evaluate the safety, feasibility, and effectiveness of a 10-hour time-restricted eating (TRE) intervention compared to unrestricted eating in patients diagnosed with acute coronary syndrome. The study aims to assess the impact of TRE on anthropometric measurements, as well as cardiometabolic and cardiovascular health outcomes. The duration of the randomized controlled trial (RCT) spans a period of five weeks. The trial consisted of a baseline period of one week, which was then followed by a four-week intervention phase. The participants will be assigned randomly to either the TRE (Time-Restricted Eating) group or the control group, which involves ad libitum eating. They will be instructed to adhere to their allotted eating duration during the four-week intervention period.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (care provider, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Ad-libitum eating duration | No intervention | –24 patients will be randomly assigned to the control group. Participants will be asked to continue usual eating duration. Participants will receive the standard care and heart-healthy nutrition education. |
| Time-restricted eating (TRE) duration | Experimental | Behavioral: Time-restricted eating 10-hr24 patients will be randomly assigned to the intervention group. Participants in this arm will be asked to limit the number of hours they eat in a day to 10 hours in addition to receiving the standard of care health and heart-healthy nutrition education. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Adult, 18- 65 years old.
- Had history of acute coronary syndrome (ACS)
- Clinically stable
- Self-reported eating window of at least 12 h per day.
Key exclusion criteria (17 listed)
- Severe obesity (body mass index ≥40 kg m-2).
- Unstable weight in the past three months (gain or lose more than 4 kg of weight).
- Unstable cardiovascular, renal, cardiac, liver, lung, adrenal, or nervous system disease that may compromise study validity.
- Any medications or supplements known to change sleep, circadian rhythms, or metabolism.
- Pregnant or lactating women.
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 eating 10-hrTime-restricted eating is a form of intermittent fasting. In this study, 10-hr TRE will be employed, where eating duration is limited to 10 hours. Participants are allowed to consume non-caloric beverages during fasting period. | Behavioural | Time-restricted eating (TRE) duration |
Primary outcome
Change in weight
Time frame: 4 weeks (pre- & post intervention)
unit: kg
17 secondary outcomes
Change in lean body mass
Time frame: 4 weeks (pre- & post intervention)
Change in fat mass
Time frame: 4 weeks (pre- & post intervention)
Change in fasting glucose concentration
Time frame: 4 weeks (pre- & post intervention)
Change in fasting insulin concentration
Time frame: 4 weeks (pre- & post intervention)
Change in total cholesterol concentration
Time frame: 4 weeks (pre- & post intervention)
Change in high-density lipoprotein concentration
Time frame: 4 weeks (pre- & post intervention)
Change in low-density lipoprotein concentration
Time frame: 4 weeks (pre- & post intervention)
Change in triglycerides concentration
Time frame: 4 weeks (pre- & post intervention)
Change in C-reactive protein concentration
Time frame: 4 weeks (pre- & post intervention)
Change in Malondialdehyde (MDA) level
Time frame: 4 weeks (pre- & post intervention)
Change in flow-mediated dilatation,
Time frame: 4 weeks (pre- & post intervention)
Change in Brachial-ankle pulse wave velocity
Time frame: 4 weeks (pre- & post intervention)
Change in perceived appetite
Time frame: 4 weeks (pre- & post intervention)
Adverse event monitoring
Time frame: 4 weeks
Change in Hemoglobin level
Time frame: 4 weeks
Change in sleep quality
Time frame: 4 weeks (pre- & post intervention)
Change in physical activity
Time frame: 4 weeks (pre- & post intervention)
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Jul 2024.
- 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.
Nur Islami Mohd Fahmi Teng, PhD contact
Mazuin Kamarul Zaman, MMed Sc principal investigator
Universiti Teknologi Mara
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 eating 10-hr in people with Myocardial Infarction, run by Universiti Teknologi Mara at 1 site in Malaysia.
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 4 inclusion and 17 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 18 Jul 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 Malaysia. 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?
Contact Mazuin Kamarul Zaman, MMed Sc (+60332564397, mazuin0233@uitm.edu.my), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in weight (time frame: 4 weeks (pre- & post intervention)). 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 18 Jul 2024.