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Healthy VolunteersNCT07920952

Effects of Ad Libitum Ultra-Processed Diet on Brain Dopamine in Humans

A study testing [11C] raclopride, liquid nutritive stimulus and Tasteless Oral Stimulus Solution in people with Healthy Volunteers, run by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) at 1 site in United States.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Background: Dopamine is a chemical that the brain makes when a person expects a reward. Researchers want to learn more about how eating different types of food affects dopamine levels in the brain. Objective: To test how eating different foods affects dopamine levels in the brains of healthy people. Read more about this study

Who is it for?
Ages 18 to 45 years
Conditions the study is for
Healthy Volunteers
What is being tested?
[11C] raclopride, liquid nutritive stimulus and Tasteless Oral Stimulus Solution
Could I receive a placebo?
No, everyone receives an active treatment
How many people
140 participants
Where
1 siteUnited States
Study dates
11 Nov 2026to 10 Nov 2030
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 45 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • In order to be eligible to participate in this study, an individual must meet all of the following criteria:
  • Aged 18 to 45 years old
  • In good general health as evidenced by medical history
  • Weight stable (< +/- 5% change in last 6 months), based on self-report
  • BMI
  • Cohort 1: 18.5 - 24.9 kg/m^2
  • Cohort 2: >= 18.5 kg/m^2

Who cannot join

  • An individual who meets any of the following criteria will be excluded from participation in this study:
  • Body weight > 400 lbs. (weight limit of PET scanner)
  • History or current self-report of conditions that may influence appetite, in the opinion of the study investigators, including but not limited to cancer, diabetes mellitus, evidence of metabolic dysfunction, changes in senses of smell or taste (e.g., covid-related), or metabolic/bariatric surgery
  • History or current neurological, mood, eating, or substance use disorders by self-report, history/physical, Eating Disorder Examination Questionnaire, and/or DSM-5 Cross-cutting symptom measure.
  • Measured resting energy expenditure +/- 30% of that predicted by Mifflin St-Jeor equation.
  • Uncontrolled hypertension, with blood pressure >140/90 mm Hg
Show all 19Show fewer
  • Pregnancy or lactation
  • Known allergic reactions to components of the PET agent, [C-11] raclopride.
  • Having had previous radiation exposure within the last year for either medical or research purposes (e.g. X-rays, PET scans, etc.) that would exceed research limits. Excessive radiation exposure will be determined at the discretion of the PI and/or study team
  • Inability or unwillingness (e.g. due to claustrophobia) to tolerate lying flat on their back for extended periods of time in PET/MR or MRI scanner or (Cohort 1 only) inability to tolerate swallowing drops of liquid delivered onto tongue while lying down on bed.
  • Having metal implants incompatible with MRI (for example, pacemakers, metallic prostheses such as cochlear implants or heart valves, shrapnel fragments, etc.).
  • Left-handedness, by self-report and confirmation via Edinburgh Handedness Survey
  • Self-report of daily alcohol intake > 3 drinks (males) or > 2 drinks (females)
  • Current nicotine use (e.g. cigarette, vaping) determined by participant report or nicotine dependence confirmed by Fagerstrom Nicotine Dependence (score >= 4)
  • Current use of medications or drugs of abuse which may influence appetite or have central effects, in the opinion of study investigators
  • Caffeine consumption > 300 mg/day (roughly >=3 cups coffee or 2-3 energy drinks)
  • Significant dietary restrictions, based on evaluation by nutrition staff and results of nutrition screener (rating fewer than 75% of foods listed as a 4 or higher score on The Food Enjoyment Questionnaire)
  • Unable or unwilling to provide informed consent
  • Unable or unwilling to adhere to study diet, procedures, schedule, and lifestyle considerations

Trial locations and contacts

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

Nan Zhai, C.R.N.P. contact

(301) 827-3324

nan.zhai@nih.gov

Valerie L Darcey contact

(301) 402-9689

valerie.darcey@nih.gov

United States1 site
  • National Institutes of Health Clinical Center

    Bethesda, Maryland, 20892

    Valerie Darcey, 301-402-9689, valerie.darcey@nih.gov

Other trials in United States

About this study

Background:

Dopamine is a chemical that the brain makes when a person expects a reward. Researchers want to learn more about how eating different types of food affects dopamine levels in the brain.

Read more

Objective:

To test how eating different foods affects dopamine levels in the brains of healthy people.

Eligibility:

Healthy people aged 18 to 45 years old.

Design:

Participants will be divided into 2 groups (cohorts). Both will have overnight stays in the clinic.

All participants will be screened. They will talk to a dietitian about their eating habits. They will have a test of how much energy their body uses: They will lie on a table with a clear hood over their heads to measure the gases as they breathe.

During the 3 weeks before participants stay at the clinic, a dietitian will call at 3 random times to ask what they ate the day before. They will complete questionnaires. Cohort 1 will wear a device to track their step count for at least 7 days; these participants will be given food to eat for 2 days before they stay in the clinic.

Cohort 1 will stay in the clinic for 14 days. They will eat as much or as little as they would like on 2 different diets for 5 days each and a normal diet on the other days. They will have blood collected multiple times. They will have 2 d ifferent types of imaging scans. For 1 type, they will receive a drug through a vein to show how much dopamine is in their brains.

Cohort 2 will stay in the clinic for 2 days. They will eat only the foods provided. They will have imaging scans before and after drinking a milkshake. For both scans, they will receive a drug through a vein to show how much dopamine is in their brains. They will have blood collected multiple times.

Read the detailed description

Study Description:

In this single-site study, we will recruit a cohort of 32 adult volunteers to a randomized crossover diet study to investigate change in dopamine D2 receptor availability (via [11C]raclopride binding potential). During their participation, after a 2-day outpatient stabilization diet, participants will be admitted for a 14-day, 13-night inpatient stay at the NIH Clinical Center. Following 2 days of inpatient stabilization diet, participants will consume two ad libitum test diets with distinct proportions of ultra-processed food for 5 days each in random order separated by 1 day of stabilization diet. We will collect information via Positron Emission Tomography (PET) about dopamine D2 receptor availability under fasting conditions and dopamine response to an oral stimulus solution. Additionally, magnetic resonance spectroscopy and imaging (MRS, MRI) will be used to collect information on changes in brain GABA tone, white matter hyperintensities, brain iron content, and brain activity in response to the two test diets. Further, we will additionally recruit a cohort of 36 adult volunteers for a 2 day/1night stay at the Clinical Center to measure dopamine D2 receptor availability in the extended post ingestive state to determine whether dopamine release may be quantified in this period of the postprandial state.

Objectives:

  • Primary Objective: To determine the impact of two 5-day ad libitum test diets differing in proportion of ultra-processed, energy-dense, hyper-palatable foods on fasting striatal [11C]raclopride dopamine D2 receptor binding potential (D2BP) as well as the magnitude of any change from baseline.
  • Secondary Objective: To determine differences in spatiotemporal components of striatal dopamine response (rDA) to a milkshake after two 5-day ad libitum test diets matched for presented nutrients but different in proportion of ultra-processed, energy-dense, hyperpalatable foods.
  • Secondary Objective: To determine change in whole striatal dopamine D2BP in the extended post-ingestive period, beginning 1.5 - 3 hours following consumption of a UPF milkshake, as measured by [11C]raclopride

Endpoints:

  • Primary Endpoint: Dopamine D2 receptor binding potential (D2BP) in the striatum after two test diets will be quantified during steady state portion of 20mCi [11C]raclopride infusion PET neuroimaging.
  • Secondary Endpoint: Regionally and temporally specific dopamine response to in-scanner milkshake consumption and digestion after 5 days of each test diet will be determined voxelwise (spatial) over a duration of [11C]raclopride infusion (temporal), compared to equivalent endpoints for "tasteless" oral stimulus.
  • Secondary Endpoint: D2BP in the striatum will be quantified using a bolus of 20mCi [11C]raclopride in both the overnight fasted state and delayed post-ingestive state for each participant.
Being tested
[11C] raclopride, liquid nutritive stimulus, Tasteless Oral Stimulus Solution, Minimally Processed Diet, Ultra Processed Diet
Keywords
Raclopride, Ultra-Processed Foods, Neuroimaging, Dopamine Response

What participants receive

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

  • [11C] racloprideDrug

    The drug is intended for use as a radiopharmaceutical for positron emission tomography (PET) administered at a maximum prescribed dose of 20mCi and will be administered intravenously via indwelling catheter

  • liquid nutritive stimulusOther

    The ~8 oz liquid meal will be high in both dietary fat and sugar and ultra-processed designation based on ingredients and will be prepared by the NIH Clinical Center Metabolic Kitchen for participant consumption during the PET scans at the end of both test dietary intervention periods (Cohort 1) or for consumption between the PET scans (Cohort 2).

  • Tasteless Oral Stimulus SolutionOther

    The control stimulus is a non-rewarding tasteless solution with viscosity distinct from pure water (i.e., artificial saliva). Four dilutions of 25mM potassium chloride + 2.5mM sodium bicarbonate will be prepared by NIH Clinical Center Pharmacy for participant oral stimulus taste test

  • Minimally Processed DietOther

    The minimally processed diet will derive ~80% of calories from minimally processed foods and will contain no ultra-processed foods, (NOVA 1-3), as defined by the degree, extent, and purpose of processing according to the NOVA classification system. The minimally processed diet will be matched to the ultra-processed diet for presented macronutrients, sugar, sodium, and fiber. This diet will be low in both non-beverage energy density and hyper-palatable foods

  • Ultra Processed DietOther

    The ultra-processed diet will derive ~80% of energy from ultra-processed foods (NOVA 4), as defined by the degree, extent, and purpose of processing according to the NOVA classification system. The ultra processed diet will be matched to the minimally processed diet for presented macronutrients, sugar, sodium, and fiber. This diet will be high in both non-beverage energy density and hyper-palatable foods.

  • Baseline DietOther

    The baseline (control) diet will be composed of 50% of energy from ultra-processed foods while matching distribution of macronutrients presented in test diets and total sugar, sodium, and fiber). Energy needs will be estimated using resting energy expenditure multiplied by an appropriate activity factor collected at screening visit to facilitate production by the NIH Metabolic Kitchen.

Study groups in NCT07920952
Study groupRoleWhat they receive
MPF-UPFExperimentalParticipants will be randomized to the one of two diet sequences (study arms: UPF-MPF vs MPF-UPF) by NIH dietitians after enrollment, in advance of admission. A total of n=32 participants will be evenly grouped into 16 batches according to date of inpatient admission. Within each batch of 2 participants, participants will be randomly assigned to one of the two diet sequences, ensuring any order effects will be counterbalanced and maintaining balance across diet sequence assignments.
Receives: Drug: [11C] raclopride; Other: liquid nutritive stimulus; Other: Tasteless Oral Stimulus Solution; Other: Minimally Processed Diet; Other: Baseline Diet
UPF-MPFExperimentalParticipants will be randomized to the one of two diet sequences (study arms: UPF-MPF vs MPF-UPF) by NIH dietitians after enrollment, in advance of admission. A total of n=32 participants will be evenly grouped into 16 batches according to date of inpatient admission. Within each batch of 2 participants, participants will be randomly assigned to one of the two diet sequences, ensuring any order effects will be counterbalanced and maintaining balance across diet sequence assignments.
Receives: Drug: [11C] raclopride; Other: liquid nutritive stimulus; Other: Tasteless Oral Stimulus Solution; Other: Ultra Processed Diet; Other: Baseline Diet

What is being measured

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

  1. Dopamine D2 receptor binding potential (D2BP) during steady portion of [11C]raclopride infusion PET neuroimaging

    Fasting (steady state) whole striatal dopamine D2 receptor binding at the conclusion of three diet periods (on 4th day of control diet, after 5 full days ad libitum UPF, and after 5 full days ad libitum MPF)

    Measured: 5 days

Secondary outcomes (2)
  1. The magnitude of striatal dopamine responses to orosensory and post-ingestive milkshake exposure

    Measured at the conclusion of three diet periods (on 4th day of control diet, after 5 full days ad libitum UPF, and after 5 full days ad libitum MPF).

    Measured: 5 days

  2. The difference between striatal dopamine D2 receptor binding potential

    Measured while fasting and 1.3 -3 hours after a palatable liquid meal (Cohort 2).

    Measured: 90-180 minutes

Timeline

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

  1. First posted6 Nov 2026
  2. Study start11 Nov 2026 (estimated)
  3. Primary completion10 Nov 2030 (estimated)
  4. Study completion10 Nov 2030 (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
Crossover
Masking
None (open label)
Enrolment
140 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07920952
Sponsor's protocol ID
10002388
Other IDs
002388-DK
Status last verified
27 Oct 2026
First submitted
5 Nov 2026
Last updated
6 Nov 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Data published in Harvard Dataverse (https://dataverse.harvard.edu/) will be accessible to the research community for the long-term. Terms of access to data to require requestors to log in and provide information including their identity and intended use to initiate an access request to Dr. Darcey, the PI.

Questions about this trial

What is this clinical trial studying?

A study testing [11C] raclopride, liquid nutritive stimulus and Tasteless Oral Stimulus Solution in people with Healthy Volunteers, run by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) 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 19 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 6 Nov 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. 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 Nan Zhai, C.R.N.P. ((301) 827-3324, nan.zhai@nih.gov), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dopamine D2 receptor binding potential (D2BP) during steady portion of [11C]raclopride infusion PET neuroimaging (time frame: 5 days). 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 6 Nov 2026.

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