Trial Outcomes & Findings for CALERIE: Comprehensive Assessment of Long-Term Effects of Reducing Intake of Energy (NCT NCT00427193)

NCT ID: NCT00427193

Last Updated: 2022-03-16

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

238 participants

Primary outcome timeframe

Baseline to 12 months

Results posted on

2022-03-16

Participant Flow

238 Participants were eligible, 18 participants withdrew prior to randomization, 220 participants were randomized to the study, and 2 participants withdrew prior to initiating the intervention.

Participant milestones

Participant milestones
Measure
Caloric Restriction (CR)
25% caloric restriction Caloric Restriction (CR): Participants follow a diet with 25% fewer calories than calculated at baseline over a period of 24 months
Ad Libitum
Ad libitum energy intake Control: Participants continue their current diet for 24 months
Overall Study
STARTED
143
75
Overall Study
COMPLETED
117
71
Overall Study
NOT COMPLETED
26
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

CALERIE: Comprehensive Assessment of Long-Term Effects of Reducing Intake of Energy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Caloric Restriction (CR)
n=143 Participants
25% caloric restriction Caloric Restriction (CR): Participants follow a diet with 25% fewer calories than calculated at baseline over a period of 24 months
Ad Libitum
n=75 Participants
Ad libitum energy intake Control: Participants continue their current diet for 24 months
Total
n=218 Participants
Total of all reporting groups
Age, Continuous
38.2 years
STANDARD_DEVIATION 7.3 • n=5 Participants
38.1 years
STANDARD_DEVIATION 6.9 • n=7 Participants
38.1 years
STANDARD_DEVIATION 7.2 • n=5 Participants
Sex: Female, Male
Female
99 Participants
n=5 Participants
53 Participants
n=7 Participants
152 Participants
n=5 Participants
Sex: Female, Male
Male
44 Participants
n=5 Participants
22 Participants
n=7 Participants
66 Participants
n=5 Participants
Race/Ethnicity, Customized
White
111 Participants
n=5 Participants
57 Participants
n=7 Participants
168 Participants
n=5 Participants
Race/Ethnicity, Customized
African-American
15 Participants
n=5 Participants
11 Participants
n=7 Participants
26 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
17 Participants
n=5 Participants
7 Participants
n=7 Participants
24 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to 12 months

Outcome measures

Outcome measures
Measure
Caloric Restriction (CR)
n=143 Participants
25% caloric restriction Caloric Restriction (CR): Participants follow a diet with 25% fewer calories than calculated at baseline over a period of 24 months
Ad Libitum
n=75 Participants
Ad libitum energy intake Control: Participants continue their current diet for 24 months
Change in Core Body Temperature, Baseline to 12 Months
-0.05 degrees Celsius
Standard Deviation 0.02
-0.03 degrees Celsius
Standard Deviation 0.02

PRIMARY outcome

Timeframe: Baseline to 24 months

Outcome measures

Outcome measures
Measure
Caloric Restriction (CR)
n=143 Participants
25% caloric restriction Caloric Restriction (CR): Participants follow a diet with 25% fewer calories than calculated at baseline over a period of 24 months
Ad Libitum
n=75 Participants
Ad libitum energy intake Control: Participants continue their current diet for 24 months
Change in Core Temperature, Baseline to 24 Months
-0.05 degrees Celsius
Standard Deviation 0.02
-0.02 degrees Celsius
Standard Deviation 0.02

PRIMARY outcome

Timeframe: Baseline, 12 months

Outcome measures

Outcome measures
Measure
Caloric Restriction (CR)
n=143 Participants
25% caloric restriction Caloric Restriction (CR): Participants follow a diet with 25% fewer calories than calculated at baseline over a period of 24 months
Ad Libitum
n=75 Participants
Ad libitum energy intake Control: Participants continue their current diet for 24 months
Change in Resting Metabolic Rate (RMR) Corrected for Changes in Body Composition, Baseline to 12 Months
-83 Kcal/day
Standard Deviation 10
-1 Kcal/day
Standard Deviation 13

PRIMARY outcome

Timeframe: Baseline, 24 months

Outcome measures

Outcome measures
Measure
Caloric Restriction (CR)
n=143 Participants
25% caloric restriction Caloric Restriction (CR): Participants follow a diet with 25% fewer calories than calculated at baseline over a period of 24 months
Ad Libitum
n=75 Participants
Ad libitum energy intake Control: Participants continue their current diet for 24 months
Change in Resting Metabolic Rate (RMR) Corrected for Changes in Body Composition
-71 Kcal/day
Standard Deviation 12
-7 Kcal/day
Standard Deviation 16

SECONDARY outcome

Timeframe: change baseline to 12 months

Outcome measures

Outcome measures
Measure
Caloric Restriction (CR)
n=143 Participants
25% caloric restriction Caloric Restriction (CR): Participants follow a diet with 25% fewer calories than calculated at baseline over a period of 24 months
Ad Libitum
n=75 Participants
Ad libitum energy intake Control: Participants continue their current diet for 24 months
Change in Tumor Necrosis Factor-α (TNF-α), Baseline to 12 Months
-0.30 pg/mL
Standard Deviation 0.09
-0.34 pg/mL
Standard Deviation 0.12

OTHER_PRE_SPECIFIED outcome

Timeframe: change 0 to 24 months

Difference in change in Fat Mass between prescribed 25% Caloric Restriction (CR) and Ad Libitum (AL) at 12 and 24 months as measured by dual X-ray absorptiometry (DXA) using the Hologic 4500A, Delphi W or Discovery A, by a standardized protocol according to a standardized protocol. Fat Mass (FM) was determined for the whole body.

Outcome measures

Outcome measures
Measure
Caloric Restriction (CR)
n=143 Participants
25% caloric restriction Caloric Restriction (CR): Participants follow a diet with 25% fewer calories than calculated at baseline over a period of 24 months
Ad Libitum
n=75 Participants
Ad libitum energy intake Control: Participants continue their current diet for 24 months
Change in Fat Mass
-6.1 kg
Standard Deviation 0.22
-0.2 kg
Standard Deviation 0.28

OTHER_PRE_SPECIFIED outcome

Timeframe: baseline, 12 months

Difference in change in Fat Mass between prescribed 25% Caloric Restriction (CR) and Ad Libitum (AL) at 12 and 24 months as measured by dual X-ray absorptiometry (DXA) using the Hologic 4500A, Delphi W or Discovery A, by a standardized protocol according to a standardized protocol. Fat Mass (FM) was determined for the whole body.

Outcome measures

Outcome measures
Measure
Caloric Restriction (CR)
n=143 Participants
25% caloric restriction Caloric Restriction (CR): Participants follow a diet with 25% fewer calories than calculated at baseline over a period of 24 months
Ad Libitum
n=75 Participants
Ad libitum energy intake Control: Participants continue their current diet for 24 months
Change in Fat Mass
-6.1 Kg
Standard Deviation 0.22
-0.3 Kg
Standard Deviation 0.28

Adverse Events

Caloric Restriction (CR)

Serious events: 1 serious events
Other events: 136 other events
Deaths: 0 deaths

Ad Libitum

Serious events: 7 serious events
Other events: 72 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Caloric Restriction (CR)
n=143 participants at risk
25% caloric restriction Caloric Restriction (CR): Participants follow a diet with 25% fewer calories than calculated at baseline over a period of 24 months
Ad Libitum
n=75 participants at risk
Ad libitum energy intake Control: Participants continue their current diet for 24 months
Pregnancy, puerperium and perinatal conditions
spontaneous miscarriage
0.70%
1/143 • Number of events 1 • 0 to 24 months
0.00%
0/75 • 0 to 24 months
Injury, poisoning and procedural complications
pneumothorax
0.00%
0/143 • 0 to 24 months
1.3%
1/75 • Number of events 1 • 0 to 24 months
Reproductive system and breast disorders
leiomyoma
0.00%
0/143 • 0 to 24 months
1.3%
1/75 • Number of events 1 • 0 to 24 months
Musculoskeletal and connective tissue disorders
scoliosis
0.00%
0/143 • 0 to 24 months
1.3%
1/75 • Number of events 1 • 0 to 24 months
Musculoskeletal and connective tissue disorders
spinal osteoarthritis
0.00%
0/143 • 0 to 24 months
1.3%
1/75 • Number of events 1 • 0 to 24 months
Gastrointestinal disorders
intestinal abscess
0.00%
0/143 • 0 to 24 months
1.3%
1/75 • Number of events 1 • 0 to 24 months
Gastrointestinal disorders
small intestinal obstruction
0.00%
0/143 • 0 to 24 months
1.3%
1/75 • Number of events 1 • 0 to 24 months
Vascular disorders
atrial septal defect
0.00%
0/143 • 0 to 24 months
1.3%
1/75 • Number of events 1 • 0 to 24 months

Other adverse events

Other adverse events
Measure
Caloric Restriction (CR)
n=143 participants at risk
25% caloric restriction Caloric Restriction (CR): Participants follow a diet with 25% fewer calories than calculated at baseline over a period of 24 months
Ad Libitum
n=75 participants at risk
Ad libitum energy intake Control: Participants continue their current diet for 24 months
Respiratory, thoracic and mediastinal disorders
sinus congestion
16.1%
23/143 • Number of events 43 • 0 to 24 months
10.7%
8/75 • Number of events 17 • 0 to 24 months
Reproductive system and breast disorders
dysmenorrhea
21.0%
30/143 • Number of events 78 • 0 to 24 months
14.7%
11/75 • Number of events 31 • 0 to 24 months
General disorders
dizziness
6.3%
9/143 • Number of events 48 • 0 to 24 months
13.3%
10/75 • Number of events 14 • 0 to 24 months
Metabolism and nutrition disorders
diarrhea
14.0%
20/143 • Number of events 27 • 0 to 24 months
13.3%
10/75 • Number of events 16 • 0 to 24 months
General disorders
nasal congestion
13.3%
19/143 • Number of events 28 • 0 to 24 months
6.7%
5/75 • Number of events 14 • 0 to 24 months
General disorders
constipation
12.6%
18/143 • Number of events 44 • 0 to 24 months
6.7%
5/75 • Number of events 11 • 0 to 24 months
General disorders
toothache
4.2%
6/143 • Number of events 21 • 0 to 24 months
6.7%
5/75 • Number of events 12 • 0 to 24 months
Musculoskeletal and connective tissue disorders
muscle strain
2.1%
3/143 • Number of events 16 • 0 to 24 months
4.0%
3/75 • Number of events 4 • 0 to 24 months
Infections and infestations
gastrointestinal virus
9.1%
13/143 • Number of events 16 • 0 to 24 months
6.7%
5/75 • Number of events 5 • 0 to 24 months
General disorders
pain
8.4%
12/143 • Number of events 20 • 0 to 24 months
6.7%
5/75 • Number of events 10 • 0 to 24 months
General disorders
rash
6.3%
9/143 • Number of events 9 • 0 to 24 months
1.3%
1/75 • Number of events 1 • 0 to 24 months
Infections and infestations
urinary tract infection
2.8%
4/143 • Number of events 11 • 0 to 24 months
5.3%
4/75 • Number of events 6 • 0 to 24 months
Blood and lymphatic system disorders
anemia
24.5%
35/143 • Number of events 99 • 0 to 24 months
22.7%
17/75 • Number of events 34 • 0 to 24 months
Musculoskeletal and connective tissue disorders
Excessive bone loss
2.1%
3/143 • Number of events 3 • 0 to 24 months
0.00%
0/75 • 0 to 24 months

Additional Information

William E. Kraus, Director of Clinical Research, Duke Center for Living

Duke University Medical Center

Phone: 919-681-6733

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place