CancerPhase 2NCT06862323
Time Restricted Eating in Haematological Malignancies
A Phase 2 study testing Time-Restricted Eating in people with Cancer and Chronic Lymphocytic Leukemia, run by British Columbia Cancer Agency at 1 site in Canada.
Trial summary
The goal of this clinical trial is to learn if time restricted eating (TRE), a form of intermittent fasting, can impact health outcomes in patients with chronic lymphocytic leukemia (CLL). Read more about this study
- Who is it for?
- Ages 18 to 85 yearsHealthy volunteers can take part
- Conditions the study is for
- Cancer, Chronic Lymphocytic Leukemia
- What is being tested?
- Time-Restricted Eating
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 75 participants
- Where
- 1 siteCanada
- Study dates
- Jun 2025to Aug 2027
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
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
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Experimental Participants:
- Diagnosis of CLL or SLL, Age 18-85
- Peripheral blood lymphocytes >20 x 10^9/L
- Hemoglobin >90g/L
- Platelets ˃90 x 10^9/L
- BMI of >=20kg/m2
Show all 14Show fewer
- ECOG Performance Status >=2
- Not following any form of IF for 4 months prior to study
- Control Participants:
- Absence of cancer diagnosis (active or historical)
- Age 18-85, Peripheral blood lymphocytes <5 x10^9/L
- BMI of >=20kg/m2
- ECOG Performance Status >=2
- Not following any form of IF for 4 months prior to study
Who cannot join
- Experimental and Control Participants:
- Unable to give consent
- On medications required to be taken with food during the fasting window
- Pregnant or breastfeeding
- Diabetes mellitus
- BMI drop to < 18.5kg/m2 at any time during study
Show all 10Show fewer
- Anti-lymphoma therapy within the past 3 months
- Expected to initiate anti-lymphoma therapy within the next 3 months
- Unable to fast due to a digestive system disorder
- > 85 years of age (due to frailty, increased risk of infection, and burden of additional blood collections)
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Nicol Macpherson, MD, PhD, FRCPC contact
Canada1 site
BC Cancer
Victoria, British Columbia, V8R 6V5
Eleah Stringer, 1-250-519-5523, eleah.stringer@bccancer.bc.ca
Nicol Macpherson, nmacpher5@bccancer.bc.ca
About this study
Official title: Does Timing Matter? A Trial of Time Restricted Eating in Haematological Malignancies
The goal of this clinical trial is to learn if time restricted eating (TRE), a form of intermittent fasting, can impact health outcomes in patients with chronic lymphocytic leukemia (CLL). The main questions it aims to answer are:
- In patients with CLL, is there a decrease or stabilization in cancer cell counts associated with TRE compared to baseline?
- Is there a decrease in immune cell autophagy (a cellular recycling process) activity associated with TRE compared to baseline?
- Does adherence to a TRE regimen improve patient experience and quality of life?
Read more
Immune cell autophagy activity in cancer patients will be compared to a subset of control participants without cancer.
Participants will:
- Adhere to a 16/8 fasting regimen, which involves eating as normal for 8 hours per day and fasting (only consuming water, black coffee or black tea) for the remaining 16 hours. They will follow this intervention for their choice of either 3 or 6 months.
- Complete monthly blood collections
- Complete weekly journal entries to record weekly weight and timing of first and last daily meals
- Complete weekly safety check-ins with a study team member for the first 4 weeks of the study and then bi-weekly thereafter
- Complete 3 quality of life questionnaires
- Provide 3 stool samples (optional component of study)
- Complete an end of study interview (optional component of study)
- Conditions
- Cancer, Chronic Lymphocytic Leukemia
- Being tested
- Time-Restricted Eating
- Keywords
- Time Restricted Eating, Intermittent Fasting, Diet, Cancer, Chronic Lymphocytic Leukemia, Autophagy, Microbiome, Inflammation, Epigenetics
- Medical subject headings
- Neoplasms, Leukemia, Lymphocytic, Chronic, B-Cell, Intermittent Fasting, Inflammation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Time-Restricted EatingBehavioural
TRE will be defined as a 16 hour fast with an 8 hour feeding window, with the option of a longer feeding window one day per week. All participants will adhere to the fasting intervention for either 90 days (3 months) or 180 days (6 months) based on their preference. Participants will be provided guidance (see appendix 7, Fasting Guidelines) on how to achieve an 8 hour feeding window by day 9 of the study and are recommended to adhere to the 16 hour fast/8 hour feeding window daily for the remainder of the study.
| Study group | Role | What they receive |
|---|---|---|
| Experimental Group | Experimental | Research Design: A nonrandomized control design will be followed with a 4:1 ratio (experimental: control). The experimental arm will consist of patients with early stage CLL who are on surveillance (n=60). Participants will follow a fasting intervention of an 8-hour feeding window with a 16-hour fasting window for a minimum of 6/7 days per week for either 3 months (90 days) or 6 months (180 days) based on their preference. Participants with cancer will provide blood samples, stool samples (optional) and will complete journals, check ins, and quality of life surveys per the schedule outlined in section 5.7 as well as in the attached study protocol document in section 6. Upon completion of study, participants with cancer may also complete an optional end of study interview. Receives: Behavioral: Time-Restricted Eating |
| Control Group | Active comparator | The control arm will consist of community members who do not have cancer (n=15). Participants will follow a fasting intervention of an 8-hour feeding window with a 16-hour fasting window for a minimum of 6/7 days per week for either 3 months (90 days) or 6 months (180 days) based on their preference. Control participants will provide blood samples and weekly journals to serve as a control for autophagy flux analysis. Receives: Behavioral: Time-Restricted Eating |
What is being measured
The primary outcome is the main question the study is designed to answer.
Blood Sample Lymphocyte Count
Lymphocyte count assessment will be made at pre-intervention (within 3 months of the start of the IF study period), then monthly. If participants opt for a 90-day fast, blood collections will be completed on day 1, 30, 60, 90 and one month after completion of the TRE study period, to examine if TRE had an effect on lymphocyte numbers. Participants who opt for the 180-day fast will complete blood collections on day 1, 30, 60, 90, 120, 150 and 180. Blood collected at these time points will be analyzed for autophagy activation and for changes in immune, inflammatory, metabolic and epigenetic parameters.
Measured: 3 months
Blood Sample Autophagy Flux Analysis
Participants will provide blood samples for autophagy flux analysis.
Measured: 3 months
Epigenetic Analysis via PBMC Profiling
PBMC Profiling
Measured: 3 months
Microbiome Analysis of Stool Samples
Optionally, stool samples will be collected for microbiome analysis.
Measured: 3 months
Secondary outcomes (1)
Participant Experience: QLQ-30 and FACITF Questionnaires
Descriptive statistics will characterize study participants and quality of life indicators from QLQ-30 and FACITF questionnaires.
Measured: 3 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Mar 2025
- Study startJun 2025 (estimated)
- Primary completionDec 2026 (estimated)
- Study completionAug 2027 (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 CancerStudies 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 2
- Primary purpose
- Supportive care
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Model description
- A dietary intervention of intermittent fasting will be provided to the experimental arm of people with cancer and control arm of people without cancer.
- Masking
- None (open label)
- Enrolment
- 75 participants (estimated)
Sponsor and investigators
- Lead sponsor
- British Columbia Cancer Agency
- Sponsor type
- University, hospital or other
- Collaborators
- BC Cancer Foundation, Michael Smith Foundation for Health Research
- Responsible party
- Principal investigator, Eleah Stringer, British Columbia Cancer Agency
- Investigators
- Eleah Stringer, MSc, RD, CSO, Principal investigator, BC Cancer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06862323
- Sponsor's protocol ID
- H24-01236
- Status last verified
- Jun 2025
- First submitted
- 3 Mar 2025
- Last updated
- 13 Jun 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: IPD will be available through OSF upon study completion. The protocol will be published.
Publications
Stringer EJ, Cloke RWG, Van der Meer L, Murphy RA, Macpherson NA, Lum JJ. The Clinical Impact of Time-restricted Eating on Cancer: A Systematic Review. Nutr Rev. 2025 Jul 1;83(7):e1660-e1676. doi: 10.1093/nutrit/nuae105.
PubMed 39212676
Study at a glance
From the registry record, last updated by the sponsor on 13 Jun 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Does Timing Matter? A Trial of Time Restricted Eating in Haematological Malignancies
- ClinicalTrials.gov ID
- NCT06862323
- Acronym / sponsor ID
- H24-01236
- Conditions
- Cancer, Chronic Lymphocytic Leukemia
- Keywords
- Time Restricted Eating, Intermittent Fasting, Diet, Cancer, Chronic Lymphocytic Leukemia, Autophagy, Microbiome, Inflammation
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 75 participants (estimated)
- Lead sponsor
- British Columbia Cancer AgencyUniversity, hospital or other
- Collaborators
- BC Cancer Foundation, Michael Smith Foundation for Health Research
- Study start
- Jun 2025 (estimated)
- Primary completion
- Dec 2026 (estimated)
- Study completion
- Aug 2027 (estimated)
- First posted
- 6 Mar 2025 (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 if time restricted eating (TRE), a form of intermittent fasting, can impact health outcomes in patients with chronic lymphocytic leukemia (CLL). The main questions it aims to answer are:
- In patients with CLL, is there a decrease or stabilization in cancer cell counts associated with TRE compared to baseline?
- Is there a decrease in immune cell autophagy (a cellular recycling process) activity associated with TRE compared to baseline?
- Does adherence to a TRE regimen improve patient experience and quality of life?
Immune cell autophagy activity in cancer patients will be compared to a subset of control participants without cancer.
Participants will:
- Adhere to a 16/8 fasting regimen, which involves eating as normal for 8 hours per day and fasting (only consuming water, black coffee or black tea) for the remaining 16 hours. They will follow this intervention for their choice of either 3 or 6 months.
- Complete monthly blood collections
- Complete weekly journal entries to record weekly weight and timing of first and last daily meals
- Complete weekly safety check-ins with a study team member for the first 4 weeks of the study and then bi-weekly thereafter
- Complete 3 quality of life questionnaires
- Provide 3 stool samples (optional component of study)
- Complete an end of study interview (optional component of study)
Study design
- Primary purpose
- Supportive care
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- A dietary intervention of intermittent fasting will be provided to the experimental arm of people with cancer and control arm of people without cancer.
| Arm | Type | Receives |
|---|---|---|
| Experimental Group | Experimental | Behavioral: Time-Restricted EatingResearch Design: A nonrandomized control design will be followed with a 4:1 ratio (experimental: control). The experimental arm will consist of patients with early stage CLL who are on surveillance (n=60). Participants will follow a fasting intervention of an 8-hour feeding window with a 16-hour fasting window for a minimum of 6/7 days per week for either 3 months (90 days) or 6 months (180 days) based on their preference. Participants with cancer will provide blood samples, stool samples (optional) and will complete journals, check ins, and quality of life surveys per the schedule outlined in section 5.7 as well as in the attached study protocol document in section 6. Upon completion of study, participants with cancer may also complete an optional end of study interview. |
| Control Group | Active comparator | Behavioral: Time-Restricted EatingThe control arm will consist of community members who do not have cancer (n=15). Participants will follow a fasting intervention of an 8-hour feeding window with a 16-hour fasting window for a minimum of 6/7 days per week for either 3 months (90 days) or 6 months (180 days) based on their preference. Control participants will provide blood samples and weekly journals to serve as a control for autophagy flux analysis. |
Who may qualify
- Ages
- 18 to 85 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Diagnosis of CLL or SLL, Age 18-85
- Peripheral blood lymphocytes >20 x 10^9/L
- Hemoglobin >90g/L
- Platelets ˃90 x 10^9/L
- BMI of >=20kg/m2
Key exclusion criteria (10 listed)
- Unable to give consent
- On medications required to be taken with food during the fasting window
- Pregnant or breastfeeding
- Diabetes mellitus
- BMI drop to < 18.5kg/m2 at any time during study
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 EatingTRE will be defined as a 16 hour fast with an 8 hour feeding window, with the option of a longer feeding window one day per week. All participants will adhere to the fasting intervention for either 90 days (3 months) or 180 days (6 months) based on their preference. Participants will be provided guidance (see appendix 7, Fasting Guidelines) on how to achieve an 8 hour feeding window by day 9 of the study and are recommended to adhere to the 16 hour fast/8 hour feeding window daily for the remainder of the study. | Behavioural | Control Group, Experimental Group |
Primary outcome
Blood Sample Lymphocyte Count
Time frame: 3 months
Lymphocyte count assessment will be made at pre-intervention (within 3 months of the start of the IF study period), then monthly. If participants opt for a 90-day fast, blood collections will be completed on day 1, 30, 60, 90 and one month after completion of the TRE study period, to examine if TRE had an effect on lymphocyte numbers. Participants who opt for the 180-day fast will complete blood collections on day 1, 30, 60, 90, 120, 150 and 180. Blood collected at these time points will be analyzed for autophagy activation and for changes in immune, inflammatory, metabolic and epigenetic parameters.
Blood Sample Autophagy Flux Analysis
Time frame: 3 months
Participants will provide blood samples for autophagy flux analysis.
Epigenetic Analysis via PBMC Profiling
Time frame: 3 months
PBMC Profiling
Microbiome Analysis of Stool Samples
Time frame: 3 months
Optionally, stool samples will be collected for microbiome analysis.
1 secondary outcome
Participant Experience: QLQ-30 and FACITF Questionnaires
Time frame: 3 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Jun 2025.
- Background: PubMed 39212676Stringer EJ, Cloke RWG, Van der Meer L, Murphy RA, Macpherson NA, Lum JJ. The Clinical Impact of Time-restricted Eating on Cancer: A Systematic Review. Nutr Rev. 2025 Jul 1;83(7):e1660-e1676. doi: 10.1093/nutrit/nuae105.
- Description of research programLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. IPD will be available through OSF upon study completion. The protocol will be published.
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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.
Nicol Macpherson, MD, PhD, FRCPC contact
Eleah Stringer, MSc, RD, CSO principal investigator
BC Cancer
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Time-Restricted Eating in people with Cancer and Chronic Lymphocytic Leukemia, run by British Columbia Cancer Agency at 1 site in Canada.
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 14 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: opening soon, as of the sponsor's last update on 13 Jun 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 Canada. 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.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Eleah Stringer, MSc, RD, CSO (1-250-519-5523, eleah.stringer@bccancer.bc.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Blood Sample Lymphocyte Count (time frame: 3 months). The study lists 4 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 NCT06862323, 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 Jun 2025; AzTrials last refreshed its copy on 1 Nov 2026.