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Type 2 DiabetesEaT2DMNCT06887543

The Impact of Time Restricted Eating on Type 2 Diabetes

A study testing Meal timing, Time restricted eating and Usual feeding pattern. in people with Type 2 Diabetes, run by Rockefeller University at 1 site in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Time-restricted feeding limits caloric intake to active daytime hours with fasting for 14 to 16 hours. It has shown great promise as a novel intervention for stabilizing blood glucose, reducing weight, and improving cardiovascular disease outcomes. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Type 2 Diabetes
What is being tested?
Meal timing, Time restricted eating and Usual feeding pattern.
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
2 participants
Where
1 siteUnited States
Study dates
29 May 2025to 4 Aug 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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18-75 able to give consent
  • BMI >25 kg/m2
  • Hemoglobin A1C ≥ 6.5%
  • Willing to eat only the food provided
  • Willing to follow the feeding schedule, including fasting for 16 hours/day for six days.
  • Usual sleep time is between 10 PM and 8 AM
  • Fluent in the English language

Who cannot join

  • Current use of anti-obesity medications (Ozempic, Mounjaro, Trulicity, Wegovy, Zepbound, Qsymia, Contrave, Saxenda, Victoza, Orlistat)
  • Report history of Cirrhosis
  • HIV positive
  • Self-reported autoimmune disease (rheumatoid arthritis, systemic lupus erythematosus, Crohn's disease, ulcerative colitis, psoriasis, etc.)
  • Current use of steroids (inhalers are permissible)
  • Currently pregnant
Show all 17Show fewer
  • Smoked tobacco within the last 3 months
  • Allergy to adhesive tape
  • Skips breakfast
  • Followed TRF or intermittent fasting in the last 2 weeks
  • Shift or night worker
  • Current use of insulin
  • Current use of sulfonylureas
  • Current use of glucagon-like peptide-1 (GLP-1) receptor agonists
  • Hemoglobin A1c >8%
  • Unable to sync smartphone with Bluetooth for scale data
  • Any medical, psychological, or social condition that, in the opinion of the investigator, would jeopardize the health or well-being of the participant during any study procedures or the integrity of the data.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • The Rockefeller University Hospital

    New York, New York, 10065

Other trials in United States

About this study

Official title: The Impact of Time Restricted Eating on Type 2 Diabetes Study

Time-restricted feeding limits caloric intake to active daytime hours with fasting for 14 to 16 hours. It has shown great promise as a novel intervention for stabilizing blood glucose, reducing weight, and improving cardiovascular disease outcomes. However, this approach has not been tested on people with diabetes, a group that would benefit from improved blood glucose and weight loss.

The impact of Time-Restricted Eating on Type 2 Diabetes Study (EaT2D Study) is a randomized six-day weight stable crossover feeding study in the Day Patient/Outpatient unit of The Rockefeller Hospital investigating how the time of day that meals are eaten affects weight, blood sugar and blood pressure. The investigators will compare an early time-restricted eating intervention (80% of calories consumed before 2 pm) to a usual feeding pattern (50% of calories consumed after 4 pm) among 10 persons with type 2 diabetes to determine effects on blood sugar and small molecules found in the blood.

Studies have shown benefits of eating during active periods (mornings and early afternoon) for metabolic health (blood sugar, body weight) compared to eating during inactive periods (evening and bedtime). Eating earlier in the day may lead to reduced sugar stores, burning fat for energy, and decreased inflammation when compared to eating later in the day. The investigators will compare the effects of eating earlier during the day for six days versus later in the day for six days, on blood sugar, blood pressure, blood ketones, and other measures of metabolic health in diabetic participants. Studies in animals supports these benefits.

Read the detailed description

Early Time Restricted Eating (eTRE) is a meal timing strategy that restricts the daily eating window to the first 6-8 waking hours of the day, while extending the fasting window between the final meal of the day and the first meal the following morning.

There is an increasing body of evidence that circadian misalignment caused by changes in sleeping and eating behaviors is a significant contributor to obesity and cardiometabolic disease, and late-night eating behaviors are associated with obesity, weight loss inhibition, and various cardiovascular disease risk factors. While the mechanisms underlying these correlations are not well understood, these effects are most likely due to suboptimal timing of caloric intake against diurnal variations in hormone and metabolite activity. Therefore, eTRE shows great promise as a novel intervention for addressing obesity and related cardiovascular outcomes. In support of this, recent studies have demonstrated weight-independent benefits of eTRE on measures of insulin sensitivity and cardiac risk. However, studies to date have primarily focused on metabolically healthy or prediabetic populations and the effect of this dietary practice on individuals with type 2 diabetes has not yet been evaluated.

To this end, the investigators propose to conduct a randomized isocaloric 15-day crossover feeding trial in the outpatient unit at The Rockefeller University Hospital (RUH) comparing an eTRE intervention (feeding window 8 AM-4 PM; 80% of calories consumed prior to 2 PM; remaining 20% to be consumed by 4 PM) to a Usual Feeding Pattern (UFP) (50% of calories consumed after 4 PM) among 10 persons with type 2 diabetes and obesity to determine effects on glycemic variation and various time-in-range metrics. The primary hypothesis of this study is that restriction of caloric intake to earlier in the day will have metabolic benefits in terms of glycemic variation and time in hyperglycemia relative to consuming the majority of calories later in the day, as in the control arm. Additionally, the investigators anticipate no increase in hypoglycemia in the eTRE arm compared to the UPF control arm. This feeding study provides a unique opportunity to study the weight-independent effects of eTRE on a population that has frequently been excluded from dietary studies in this area, yet for whom diet and lifestyle modifications are foundational components of treatment. Additionally, the proposed work will complement our recent study performed at Rockefeller University Hospital (RUH), "The Time-Restricted-Feeding Effects on Inflammation and Obesity" (TRIO) Study, which utilized a similar study design to show the weight-independent glycemic benefits of eTRE in individuals with prediabetes and obesity.

The investigators propose to obtain glucometric data including glycemic variation and various time in range metrics by Continuous Glucose Monitoring (CGM), circulating advanced glycation end-products (AGEs), and targeted plasma metabolomic profiles as surrogate measures of overall dysglycemia affected by the eTRE intervention in the RUH metabolic study.

The collaborative research proposed between RUH and New York University (NYU) Obesity Center in this application will take advantage of the expertise of both centers and advance the science of obesity and cardiovascular disease. Members of our team have extensive experience in clinical dietary studies and advanced glucometric analysis. The investigators will be able to evaluate the effectiveness of eTRE as a weight-independent therapeutic strategy for type 2 diabetes management and identify the metabolic pathways invoked, thereby synergistically expanding the work of each institution.

The rationale for this study is that early time-restricted eating (eTRE) has been shown to improve glycemic variation in a weight-neutral setting within 48 hours in individuals with prediabetes, making it a promising dietary intervention to mitigate dysglycemia. However, it has not been studied in individuals with type 2 diabetes.

Conditions
Type 2 Diabetes
Being tested
Meal timing, Time restricted eating, Usual feeding pattern.
Keywords
Type 2 diabetes, Time restricted eating, Intermittent fasting
Medical subject headings
Diabetes Mellitus, Type 2, Intermittent Fasting

What participants receive

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

  • Meal timingOther

    Participants either eat all of their daily calories between 8 AM and 4 PM with 16 hours fasting for six days, or they eat the same meals ad lib daily for six days. After post-testing, they crossover to the other arm.

  • Time restricted eatingOther

    Eating restricted to 8 AM - 2 PM for 80% of caloric intake, the remaining 20% consumed by 4 PM, subsequent 16-hour fasting (4 PM-8 AM) each day for six days while on Time Restricted Arm.

  • Usual feeding pattern.Other

    Participant consumes usual diet ad lib without enforced fasting period for six days while on Usual Feeding Pattern arm.

Study groups in NCT06887543
Study groupRoleWhat they receive
Time restricted eatingActive comparatorSelection of the order of the arms is randomized prior to active study participation. Caloric requirements and meal selection are done during screening and calculated to maintain weight neutrality. In Arm 1, participants are required to start breakfast at 8 AM, complete lunch by 2 PM (80% of total daily calories) and snack by 4 PM (20% of calories). They then fast from 4 PM till 8 AM the next day (16 hour fast). This is done for six days. The next day is for testing (2 hour oral glucose tolerance test, resting energy expenditure, research and clinical blood tests) prior to crossover to Arm 2.
Receives: Other: Meal timing; Other: Time restricted eating
Usual feeding pattern, with meals eaten ad libPlacebo comparatorParticipants consume the same meals as in the other arm, but may eat ad lib without prolonged fasting. This is done for six days. Post-testing including 2 hour oral glucose tolerance test, resting energy expenditure, and research and clinical blood tests are done the following day.
Receives: Other: Usual feeding pattern.

What is being measured

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

  1. Change in glycemic variation by Mean Amplitude of Glycemic Excursion (MAGE) in the Early Time Restricted Eating (eTRE) arm relative to the usual feeding pattern (UFP) arm between Day 1, Day 8, and Day 15. arm

    Glycemic variation (changes in glucose levels in milligrams per deciliter (mg/dL) will be measured by continuous glucose monitoring (Abbott Freestyle Libre) recorded every 5 minutes for the entire study, as well as 2-hour oral glucose tolerance testing (measured by glucose measurements in mg/dL every 30 minutes for 120 minutes), at baseline testing and upon completion of each arm (Days 1, 8, 15).

    Measured: From Day 1-15 of study intervention.

Secondary outcomes (2)
  1. Diurnal and prandial variation of GLP-1 will correlate with improved glycemia (serum glucose measured in mg/dL) in the eTRE arm

    Measure of change in diurnal and prandial variation of GLP-1 levels during glucose tolerance test in the eTRE arm relative to the UPF arm between Days1, 8, and 15.

    Measured: Day 1 through Day 15

  2. Diurnal and fasting variation of beta-hydroxybutyrate will correlate with improved glycemia (glucose levels measured in mg/dL) in the eTRE arm

    Measure of change fasting beta-hydroxybutyrate levels in the eTRE arm relative to the UPF arm between Days 1, 8, and 15.

    Measured: Day 1 through Day 15

Timeline

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

  1. First posted20 Mar 2025
  2. Study start29 May 2025
  3. Primary completion4 Aug 2025
  4. Study completion4 Aug 2025

Why it stopped: clinical facility could no longer support study conduct; loss of funding, PI left the institution

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
Other
Allocation
Randomised
Intervention model
Crossover
Masking
Single blind
Who is masked
Participant
Enrolment
2 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06887543
Sponsor's protocol ID
JAL-1056
Acronym
EaT2DM
Status last verified
Jan 2026
First submitted
12 Mar 2025
Last updated
20 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Individual participant data that underlie the results reported in the published article after deidentification (text, tables, figures and appendices)

Publications

  • Bruno J, Walker JM, Nasserifar S, Upadhyay D, Ronning A, Vanegas SM, Popp CJ, Barua S, Aleman JO. Weight-neutral early time-restricted eating improves glycemic variation and time in range without changes in inflammatory markers. iScience. 2024 Nov 29;27(12):111501. doi: 10.1016/j.isci.2024.111501. eCollection 2024 Dec 20.

    PubMed 39759025
  • Aleman JO, Iyengar NM, Walker JM, Milne GL, Da Rosa JC, Liang Y, Giri DD, Zhou XK, Pollak MN, Hudis CA, Breslow JL, Holt PR, Dannenberg AJ. Effects of Rapid Weight Loss on Systemic and Adipose Tissue Inflammation and Metabolism in Obese Postmenopausal Women. J Endocr Soc. 2017 Apr 25;1(6):625-637. doi: 10.1210/js.2017-00020. eCollection 2017 Jun 1.

    PubMed 29264516
  • Bruno J, Verano M, Vanegas SM, Weinshel E, Ren-Fielding C, Lofton H, Fielding G, Schwack B, Chua DL, Wang C, Li H, Aleman JO. Body Weight and Prandial Variation of Plasma Metabolites in Subjects Undergoing Gastric Band-Induced Weight Loss. Obes Med. 2022 Aug;33:100434. doi: 10.1016/j.obmed.2022.100434. Epub 2022 Jul 1.

    PubMed 37216066
  • Wilkinson MJ, Manoogian ENC, Zadourian A, Lo H, Fakhouri S, Shoghi A, Wang X, Fleischer JG, Navlakha S, Panda S, Taub PR. Ten-Hour Time-Restricted Eating Reduces Weight, Blood Pressure, and Atherogenic Lipids in Patients with Metabolic Syndrome. Cell Metab. 2020 Jan 7;31(1):92-104.e5. doi: 10.1016/j.cmet.2019.11.004. Epub 2019 Dec 5.

    PubMed 31813824
  • Sutton EF, Beyl R, Early KS, Cefalu WT, Ravussin E, Peterson CM. Early Time-Restricted Feeding Improves Insulin Sensitivity, Blood Pressure, and Oxidative Stress Even without Weight Loss in Men with Prediabetes. Cell Metab. 2018 Jun 5;27(6):1212-1221.e3. doi: 10.1016/j.cmet.2018.04.010. Epub 2018 May 10.

    PubMed 29754952
  • Scheer FA, Hilton MF, Mantzoros CS, Shea SA. Adverse metabolic and cardiovascular consequences of circadian misalignment. Proc Natl Acad Sci U S A. 2009 Mar 17;106(11):4453-8. doi: 10.1073/pnas.0808180106. Epub 2009 Mar 2.

    PubMed 19255424
  • Sakai R, Hashimoto Y, Ushigome E, Miki A, Okamura T, Matsugasumi M, Fukuda T, Majima S, Matsumoto S, Senmaru T, Hamaguchi M, Tanaka M, Asano M, Yamazaki M, Oda Y, Fukui M. Late-night-dinner is associated with poor glycemic control in people with type 2 diabetes: The KAMOGAWA-DM cohort study. Endocr J. 2018 Apr 26;65(4):395-402. doi: 10.1507/endocrj.EJ17-0414. Epub 2018 Jan 27.

    PubMed 29375081
  • Poggiogalle E, Jamshed H, Peterson CM. Circadian regulation of glucose, lipid, and energy metabolism in humans. Metabolism. 2018 Jul;84:11-27. doi: 10.1016/j.metabol.2017.11.017. Epub 2018 Jan 9.

    PubMed 29195759
  • Morris CJ, Yang JN, Garcia JI, Myers S, Bozzi I, Wang W, Buxton OM, Shea SA, Scheer FA. Endogenous circadian system and circadian misalignment impact glucose tolerance via separate mechanisms in humans. Proc Natl Acad Sci U S A. 2015 Apr 28;112(17):E2225-34. doi: 10.1073/pnas.1418955112. Epub 2015 Apr 13.

    PubMed 25870289
  • McHill AW, Phillips AJ, Czeisler CA, Keating L, Yee K, Barger LK, Garaulet M, Scheer FA, Klerman EB. Later circadian timing of food intake is associated with increased body fat. Am J Clin Nutr. 2017 Nov;106(5):1213-1219. doi: 10.3945/ajcn.117.161588. Epub 2017 Sep 6.

    PubMed 28877894
  • Jones R, Pabla P, Mallinson J, Nixon A, Taylor T, Bennett A, Tsintzas K. Two weeks of early time-restricted feeding (eTRF) improves skeletal muscle insulin and anabolic sensitivity in healthy men. Am J Clin Nutr. 2020 Oct 1;112(4):1015-1028. doi: 10.1093/ajcn/nqaa192.

    PubMed 32729615
  • Jamshed H, Beyl RA, Della Manna DL, Yang ES, Ravussin E, Peterson CM. Early Time-Restricted Feeding Improves 24-Hour Glucose Levels and Affects Markers of the Circadian Clock, Aging, and Autophagy in Humans. Nutrients. 2019 May 30;11(6):1234. doi: 10.3390/nu11061234.

    PubMed 31151228

Questions about this trial

What is this clinical trial studying?

A study testing Meal timing, Time restricted eating and Usual feeding pattern. in people with Type 2 Diabetes, run by Rockefeller University 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?

The sponsor lists 7 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: stopped early, as of the sponsor's last update on 20 Jan 2026. 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. Some participants in this study may receive a placebo. 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 was stopped early (reason given: clinical facility could no longer support study conduct; loss of funding, PI left the institution). Results are not available in the source record.

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 glycemic variation by Mean Amplitude of Glycemic Excursion (MAGE) in the Early Time Restricted Eating (eTRE) arm relative to the usual feeding pattern (UFP) arm between Day 1, Day 8, and Day 15. arm (time frame: From Day 1-15 of study intervention.). 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 NCT06887543, which also lists 12 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 20 Jan 2026.

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