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Metabolic RegulationNCT06997315

Bath Myorhythms Project

A study testing Time of exercise and No exercise in people with Metabolic Regulation, run by University of Bath at 1 site in United Kingdom.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Human Physiology is coordinated by a circadian timing system that synchronises daily cycles of light-dark, wake- sleep, activity-rest and feeding-fasting. The alignment of these behavioural patterns with underlying biological rhythms is closely linked to physiological function, with misalignment linked to chronic… Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Metabolic Regulation
What is being tested?
Time of exercise and No exercise
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 siteUnited Kingdom
Study dates
23 May 2025to Nov 2027
Phase
Interventional
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 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Women and men - with targeted recruitment to encourage females to volunteer given previous recruitment rates; anticipating fewer women than men, sex will also be included as a strata in the randomisation plan to favour the few who do volunteer being relatively evenly distributed between conditions.
  • A body mass index of >18 and <35 kg•m-2.
  • Minimum absolute body mass of 67 kg (to accommodate the required dose of lidocaine for 7 biopsies, plus additional for pre-incisions)
  • be between 18-50 years of age
  • Premenopausal women
  • Metabolically healthy (free from diagnosed metabolic illness or family history of type II diabetes
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  • be able and willing to give informed oral and written consent,
  • complete and meet the defined criteria of pre-study questionnaires and screens
  • have a regular sleep cycle with a sleep duration between 6 and 8 h
  • do not exhibit extreme morning or evening preference (Horne and Ostberg, 1976)
  • agree to keep a constant sleep/wake cycle with a self-selected 8-h duration in bed/dark trying to sleep (from which it cannot be deviated by more than 30 minutes) for one week prior to the lab study
  • obtain 15 minutes of sunlight within 1.5 hours of waking up and agree to nap only within a 4 h designated nap window for one week prior to the lab study
  • allow confirmation of compliance to these instructions by wearing ActiHeart and light monitors continuously and complete daily sleep and event diaries for one week before the study session
  • agree to refrain from alcohol, caffeine, strenuous exercise and certain food components for one day before the study session
  • agree to weigh and record daily meals (based on individual energy requirements) for TWO days prior to the study
  • agree to refrain from prescribed and 'over the counter' medication and food/vitamin supplements for a wash-out period three weeks before and during the study IF the drug is deemed to affect study outcomes and may safely be withheld for that period.

Who cannot join

  • are taking regular medication (also non-prescribed) or food supplements (e.g. vitamins, minerals, fish oil, antioxidant tablets) from which it is not possible to refrain, known to influence: sleep/alertness/the circadian timing system (e.g. beta-blockers, barbituates, antidepressants, benzodiazepines, melatonin, ritalin, modafinil, soporifics, St John's Wort), any of the metabolic functions (e.g. affecting thyroid, kidney, liver or gastrointestinal function) any of the inflammatory markers (e.g. aspirin, ibuprofen, antibiotics, hay fever medication, medication for sore throats and colds), and/or any of the endothelial markers (e.g. ACE inhibitors and angiotensin (receptor) blockers, diuretics, beta-blockers, anti-thrombosis medication), any anticoagulant medication
  • have a history of any circadian or sleep disorder or metabolic, cardiovascular or chronic infectious / inflammatory disease as confirmed by the GP or the pre-study questionnaires (e.g. a Pittsburgh Sleep Quality Index > 5 will result in exclusion)
  • have a history of psychiatric or neurological disease or drug and alcohol abuse
  • have donated over 400 ml of blood in the three months preceding the study
  • have participated in shift work (regularly working past a typical bed time of 2300 h) or have travelled across more than two time zones within three weeks before the study
  • do not keep a regular sleep-wake cycle
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  • do not refrain from alcohol, caffeine containing drinks (e.g. coffee, coke, tea, Red Bull), strenuous exercise and certain foods (e.g. those high in fat and green vegetables) for one day before and during the laboratory session
  • regularly consume more than 4 cups of caffeinated beverages (e.g. tea, coffee, cola) daily
  • smokers
  • have a known lidocaine allergy

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

James A Betts, PhD contact

01225 383 448

jb335@bath.ac.uk

United Kingdom1 site, 1 recruiting
  • University of Bath

    Bath, BA2 7AY

    James A Betts, PhD, jb335@bath.ac.uk

    Recruiting

Other trials in United Kingdom

About this study

Official title: Bath MyoRhythms Project (BMP): Characterising Rhythmicity in Human Skeletal Muscle Metabolism

Human Physiology is coordinated by a circadian timing system that synchronises daily cycles of light-dark, wake- sleep, activity-rest and feeding-fasting. The alignment of these behavioural patterns with underlying biological rhythms is closely linked to physiological function, with misalignment linked to chronic metabolic diseases.

The vast majority of evidence about rhythms in metabolism comes from studies of rodents, which is remarkable given that rodents differ fundamentally from humans in both behaviour and metabolic regulation. Moreover, almost no research in any species has examined the effects of muscle contractile activity on 24-h rhythms in metabolism. Skeletal muscle is a key site of metabolic regulation and contractile activity is a powerful stimulus to increase metabolism. The researchers have established a novel protocol for serial muscle sampling throughout 24 hours and pilot work completed in preparation for this grant revealed diurnal transcriptomic and lipidomic rhythms in human skeletal muscle. Further development of that protocol has used enteral feeding via a tube which delivers nutrient directly to the stomach to enable constant nutrient delivery (including during sleep), with preliminary data indicating that underlying rhythms in metabolism are responsive to nutrient availability patterns.

The researchers will now capitalise on those findings by incorporating multiple isotope tracers within the protocol, thus finally documenting the nature of rhythmic flux in carbohydrate metabolism and protein turnover in human skeletal muscle, and how those rhythms are aligned with timing and patterns of exercise. In summary, participants will stay in the laboratory for 36 hours with 24 hours of constant feeding via nasogastric tube, and muscle and blood sampling. Participants will be allocated to either the early or late exercise group (involving 1 hour of cycling at either 0800 or 2000 h, respectively) or the control group who will rest for the 24 hours.

Read the detailed description

Once eligibility has been verified, participants will attend the laboratory for preliminary testing which will include a submaximal exercise test on an exercise bike. Participants will then be monitored for one-week ahead of their main laboratory visit and will adhere to pre-trial dietary and lifestyle controls for the final 48 h of the pre-trial week (including records of wake/sleep cycles and weighed-food diaries, along with wearable technologies to continuously monitor physical activity, light exposure and sub-cutaneous interstitial glucose concentrations) and standardised meals will be provided to all participants for the 24 h ahead of laboratory visits.

Participants will arrive in the laboratory at 1900 h (DAY 1) the day before the 24-h monitoring period to consume a standardised evening meal (baked potato, beans, broccoli). A cannula will be fitted to an antecubital vein prior and participants will sleep in the laboratory ready for monitoring to commence upon waking the next morning (DAY 2).

At 0600 h, whilst the participant remains asleep, infusion of labelled protein and glucose will be commenced to achieve steady state before starting the sampling period and to allow measurement of protein and glucose metabolism. Resting metabolic rate (the amount of energy required at rest) will be measured immediately upon waking by collecting expired breath samples. Specifically, expired gases will be collected for 20-30 minutes using the gold-standard Douglas bag technique. This measured value will then be used to individually prescribe the energy requirements to be met via nasogastric feeding. A second cannula will then be fitted and a nasogastric tube will be inserted through the nose into the stomach to commence delivery of a nutritionally balanced meal-replacement solution at 0800 h which will be delivered continuously throughout the 24 hour monitoring period. A muscle sample will be obtained at 0730. Participants in the early exercise group will commence 1 hour of exercise at a moderate intensity with 1-min expired breath samples and blood samples collected every 15 minutes and heart rate monitored throughout to verify the exercise intensity.

Further muscle samples will be obtained at 4-h intervals to allow for 7 time-points ending at the final sample at 0800 h the next morning (DAY 3) and blood sampling will occur hourly. The inactive group will follow the same sampling schedule without the exercise. The late exercise group will adhere to the same series of events as described above but with a 12-h delayed shift in time of day. Upon completion of those final tissue samples, participants will be provided with the same breakfast as they had been provided on DAY 1 as part of their dietary standardisation and they will be issued with the same lunch as was consumed on DAY 1 to take away. All wearable devices other than the continuous glucose monitor will then be removed before the participant leaves the laboratory. Body temperature will also be measured throughout the protocol via ingestible thermometers.

Being tested
Time of exercise, No exercise

What participants receive

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

  • Time of exerciseOther

    The intervention is 1 hour of exercise at 50% between lactate threshold 1 and 2 either in the morning or the evening at the start of the 24 hour sampling period.

  • No exerciseOther

    The participants will rest for the full 24 hour sampling period.

Study groups in NCT06997315
Study groupRoleWhat they receive
ControlActive comparatorNot described
Receives: Other: No exercise
Early exerciseExperimentalNot described
Receives: Other: Time of exercise
Late exerciseExperimentalNot described
Receives: Other: Time of exercise

What is being measured

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

  1. Carbohydrate flux

    Rates of exogenous glucose appearance, endogenous glucose production, total carbohydrate oxidation, exogenous carbohydrate oxidation and net glycogen degradation in muscle biopsies over 24 hours

    Measured: 24 hours

  2. Skeletal muscle protein synthesis

    Plasma amino acid concentrations derived from the L-[ring-13C]-phenylalanine infusion over 24 hours.

    Measured: 24 hours

  3. Skeletal muscle protein synthesis

    Protein fractional synthetic rates in muscle samples derived from the L-[ring-13C]-phenylalanine infusion over 24 hours.

    Measured: 24 hours

Secondary outcomes (19)
  1. Mass spectrometry phosphoproteomics

    Mass spectrometry phosphoproteomics from skeletal muscle biopsies over 24 hours.

    Measured: 24 hours

  2. Protein content of proteins involved in insulin signalling, glucose transport and protein synthesis.

    The content of proteins involved in insulin signalling, glucose transport and protein synthesis determined by semi-quantitative western blotting in skeletal muscle biopsies over 24 hours.

    Measured: 24 hours.

  3. Skeletal muscle gene expression

    Transcriptomic and targeted quantitative real-time PCR TaqMan analyses of skeletal muscle gene expression from muscle biopsies over 24 hours.

    Measured: 24 hours

  4. Intramuscular metabolites

    Liquid chromatography-mass spectrometry to quantify circulating and intramuscular metabolites indicative of carbohydrate, lipid and amino acid metabolism in skeletal muscle biopsies over 24 hours.

    Measured: 24 hours

  5. Intramuscular enzymes

    Liquid chromatography-mass spectrometry to quantify the activation of intramuscular enzymes involved in the formation of acetyl-CoA in skeletal muscle biopsies over 24 hours.

    Measured: 24 hours

  6. Plasma glucose concentrations

    Plasma glucose concentrations over 24 hours.

    Measured: 24 hours

  7. Plasma non-esterified fatty acid concentrations

    Plasma non-esterified fatty acid concentrations over 24 hours

    Measured: 24 hours

  8. Plasma glycerol concentrations

    Plasma glycerol concentrations over 24 hours

    Measured: 24 hours

  9. Plasma triacylglycerol concentrations

    Plasma triacylglycerol concentrations over 24 hours

    Measured: 24 hours

  10. Plasma urea concentrations

    Plasma urea concentrations over 24 hours

    Measured: 24 hours

  11. Plasma insulin concentrations

    Plasma insulin concentrations over 24 hours

    Measured: 24 hours

  12. Plasma glucagon-like peptide-1 concentrations

    Plasma glucagon-like peptide-1 concentrations over 24 hours

    Measured: 24 hours

  13. Plasma insulin-like growth factor 1 concentrations

    Plasma insulin-like growth factor 1 concentrations over 24 hours

    Measured: 24 hours

  14. Plasma gastric inhibitory polypeptide concentrations

    Plasma gastric inhibitory polypeptide concentrations over 24 hours

    Measured: 24 hours

  15. Plasma peptide YY concentrations

    Plasma peptide YY concentrations over 24 hours

    Measured: 24 hours

  16. Plasma cortisol concentrations

    Plasma cortisol concentrations over 24 hours

    Measured: 24 hours

  17. Plasma total ghrelin concentrations

    Plasma total ghrelin concentrations over 24 hours

    Measured: 24 hours

  18. Plasma leptin concentrations

    Plasma leptin concentrations over 24 hours

    Measured: 24 hours

  19. Plasma melatonin concentrations

    Plasma melatonin concentrations over 24 hours

    Measured: 24 hours

Timeline

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

  1. First posted30 May 2025
  2. Study start23 May 2025
  3. Primary completionNov 2027 (estimated)
  4. Study completionNov 2027 (estimated)

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
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06997315
Sponsor's protocol ID
7560-9757
Status last verified
May 2026
First submitted
22 Apr 2025
Last updated
11 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

Questions about this trial

What is this clinical trial studying?

A study testing Time of exercise and No exercise in people with Metabolic Regulation, run by University of Bath at 1 site in United Kingdom.

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 16 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: looking for participants now, as of the sponsor's last update on 11 May 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 Kingdom. 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?

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 James A Betts, PhD (01225 383 448, jb335@bath.ac.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Carbohydrate flux (time frame: 24 hours). The study lists 3 primary outcomes in all. 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 11 May 2026.

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