Trial Outcomes & Findings for Time Limited Eating in Adolescents (Time LEAd): a Pilot Study (NCT NCT03954223)

NCT ID: NCT03954223

Last Updated: 2024-03-04

Results Overview

Percent Change in BMI in excess of the 95th percentile (%BMIp95) as calculated by the CDC extended SAS equations at week 12 minus %BMIp95 at baseline. For example If the BMI is greater than the 95th percentile: BMI percentile equals 90 plus 10 times the cumulative distribution function (CDF) of the standard normal distribution. Sigma is the value from the data table corresponding to the sex of the child and the age in months. and are the cumulative distribution function (CDF) of the standard normal distribution and its inverse function. Standard normal distribution tables can be found in statistics textbooks, online sources, and statistical computer programs. Example: A boy aged 4 years and 2 months (50.5 months) with BMI = 22.6. For this boy, P95 (95th percentile) is 17.8219 so his BMI is above the 95th percentile and sigma = 2.3983.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

50 participants

Primary outcome timeframe

%BMIp95 at Week 12 minus %BMIp95 at baseline

Results posted on

2024-03-04

Participant Flow

Participant milestones

Participant milestones
Measure
LSC + Blinded CGM
Group 1) Low sugar and carbohydrate diet (LSC, \<90 gm carbohydrate (CHO)/day, \<25 gm added sugar/day) + blinded CGM (used to monitor adherence and glycemic outcomes without real time feedback) Low sugar and carbohydrate diet: Low sugar and carbohydrate diet (LSC, \<90 gm carbohydrate (CHO)/day, \<25 gm added sugar/day) Continuous Glucose Monitor: CGM (used to monitor adherence and glycemic outcomes without real time feedback)
LSC+TLE + Blinded CGM
Group 2) LSC+Time limited eating (TLE) (16-hour fast/8-hour feed for 3 days per week) + blinded CGM Low sugar and carbohydrate diet: Low sugar and carbohydrate diet (LSC, \<90 gm carbohydrate (CHO)/day, \<25 gm added sugar/day) Time Limited Eating: 16-hour fast/8-hour feed for 3 days per week Continuous Glucose Monitor: CGM (used to monitor adherence and glycemic outcomes without real time feedback)
LSC+TLE+ Real Time Feedback Via CGM
Group 3) LSC+TLE+ real time feedback via CGM (to evaluate effect of providing CGM data on intervention efficacy). Low sugar and carbohydrate diet: Low sugar and carbohydrate diet (LSC, \<90 gm carbohydrate (CHO)/day, \<25 gm added sugar/day) Time Limited Eating: 16-hour fast/8-hour feed for 3 days per week Continuous Glucose Monitor: CGM (used to monitor adherence and glycemic outcomes without real time feedback)
Overall Study
STARTED
15
19
16
Overall Study
COMPLETED
15
19
16
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Time Limited Eating in Adolescents (Time LEAd): a Pilot Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
LSC + Blinded CGM
n=15 Participants
Group 1) Low sugar and carbohydrate diet (LSC, \<90 gm carbohydrate (CHO)/day, \<25 gm added sugar/day) + blinded CGM (used to monitor adherence and glycemic outcomes without real time feedback) Low sugar and carbohydrate diet: Low sugar and carbohydrate diet (LSC, \<90 gm carbohydrate (CHO)/day, \<25 gm added sugar/day) Continuous Glucose Monitor: CGM (used to monitor adherence and glycemic outcomes without real time feedback)
LSC+TLE + Blinded CGM
n=19 Participants
Group 2) LSC+Time limited eating (TLE) (16-hour fast/8-hour feed for 3 days per week) + blinded CGM Low sugar and carbohydrate diet: Low sugar and carbohydrate diet (LSC, \<90 gm carbohydrate (CHO)/day, \<25 gm added sugar/day) Time Limited Eating: 16-hour fast/8-hour feed for 3 days per week Continuous Glucose Monitor: CGM (used to monitor adherence and glycemic outcomes without real time feedback)
LSC+TLE+ Real Time Feedback Via CGM
n=16 Participants
Group 3) LSC+TLE+ real time feedback via CGM (to evaluate effect of providing CGM data on intervention efficacy). Low sugar and carbohydrate diet: Low sugar and carbohydrate diet (LSC, \<90 gm carbohydrate (CHO)/day, \<25 gm added sugar/day) Time Limited Eating: 16-hour fast/8-hour feed for 3 days per week Continuous Glucose Monitor: CGM (used to monitor adherence and glycemic outcomes without real time feedback)
Total
n=50 Participants
Total of all reporting groups
Age, Categorical
<=18 years
15 Participants
n=5 Participants
19 Participants
n=7 Participants
16 Participants
n=5 Participants
50 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Continuous
16.38 year
STANDARD_DEVIATION 1.25 • n=5 Participants
16.16 year
STANDARD_DEVIATION 1.16 • n=7 Participants
16.80 year
STANDARD_DEVIATION 1.09 • n=5 Participants
16.80 year
STANDARD_DEVIATION 1.09 • n=4 Participants
Sex: Female, Male
Female
12 Participants
n=5 Participants
13 Participants
n=7 Participants
11 Participants
n=5 Participants
36 Participants
n=4 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
6 Participants
n=7 Participants
5 Participants
n=5 Participants
14 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants
n=5 Participants
15 Participants
n=7 Participants
13 Participants
n=5 Participants
35 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
4 Participants
n=7 Participants
3 Participants
n=5 Participants
15 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
15 Participants
n=5 Participants
19 Participants
n=7 Participants
16 Participants
n=5 Participants
50 Participants
n=4 Participants
BMI Z-score
2.30 Z-score
STANDARD_DEVIATION 0.5 • n=5 Participants
2.28 Z-score
STANDARD_DEVIATION 0.4 • n=7 Participants
2.30 Z-score
STANDARD_DEVIATION 0.5 • n=5 Participants
2.30 Z-score
STANDARD_DEVIATION 0.5 • n=4 Participants

PRIMARY outcome

Timeframe: %BMIp95 at Week 12 minus %BMIp95 at baseline

Percent Change in BMI in excess of the 95th percentile (%BMIp95) as calculated by the CDC extended SAS equations at week 12 minus %BMIp95 at baseline. For example If the BMI is greater than the 95th percentile: BMI percentile equals 90 plus 10 times the cumulative distribution function (CDF) of the standard normal distribution. Sigma is the value from the data table corresponding to the sex of the child and the age in months. and are the cumulative distribution function (CDF) of the standard normal distribution and its inverse function. Standard normal distribution tables can be found in statistics textbooks, online sources, and statistical computer programs. Example: A boy aged 4 years and 2 months (50.5 months) with BMI = 22.6. For this boy, P95 (95th percentile) is 17.8219 so his BMI is above the 95th percentile and sigma = 2.3983.

Outcome measures

Outcome measures
Measure
LSC + Blinded CGM
n=15 Participants
Group 1) Low sugar and carbohydrate diet (LSC, \<90 gm carbohydrate (CHO)/day, \<25 gm added sugar/day) + blinded CGM (used to monitor adherence and glycemic outcomes without real time feedback) Low sugar and carbohydrate diet: Low sugar and carbohydrate diet (LSC, \<90 gm carbohydrate (CHO)/day, \<25 gm added sugar/day) Continuous Glucose Monitor: CGM (used to monitor adherence and glycemic outcomes without real time feedback)
LSC+TLE + Blinded CGM
n=19 Participants
Group 2) LSC+Time limited eating (TLE) (16-hour fast/8-hour feed for 3 days per week) + blinded CGM Low sugar and carbohydrate diet: Low sugar and carbohydrate diet (LSC, \<90 gm carbohydrate (CHO)/day, \<25 gm added sugar/day) Time Limited Eating: 16-hour fast/8-hour feed for 3 days per week Continuous Glucose Monitor: CGM (used to monitor adherence and glycemic outcomes without real time feedback)
LSC+TLE+ Real Time Feedback Via CGM
n=16 Participants
Group 3) LSC+TLE+ real time feedback via CGM (to evaluate effect of providing CGM data on intervention efficacy). Low sugar and carbohydrate diet: Low sugar and carbohydrate diet (LSC, \<90 gm carbohydrate (CHO)/day, \<25 gm added sugar/day) Time Limited Eating: 16-hour fast/8-hour feed for 3 days per week Continuous Glucose Monitor: CGM (used to monitor adherence and glycemic outcomes without real time feedback)
Percent Change in BMI in Excess of the 95th Percentile (%BMIp95)
-3.27 percent
Standard Deviation 3.34
-3.76 percent
Standard Deviation 5.76
-4.85 percent
Standard Deviation 5.08

SECONDARY outcome

Timeframe: Change in average glucose at week 12 minus average glucose at baseline

Affect of TRE on change in average glucose

Outcome measures

Outcome measures
Measure
LSC + Blinded CGM
n=15 Participants
Group 1) Low sugar and carbohydrate diet (LSC, \<90 gm carbohydrate (CHO)/day, \<25 gm added sugar/day) + blinded CGM (used to monitor adherence and glycemic outcomes without real time feedback) Low sugar and carbohydrate diet: Low sugar and carbohydrate diet (LSC, \<90 gm carbohydrate (CHO)/day, \<25 gm added sugar/day) Continuous Glucose Monitor: CGM (used to monitor adherence and glycemic outcomes without real time feedback)
LSC+TLE + Blinded CGM
n=19 Participants
Group 2) LSC+Time limited eating (TLE) (16-hour fast/8-hour feed for 3 days per week) + blinded CGM Low sugar and carbohydrate diet: Low sugar and carbohydrate diet (LSC, \<90 gm carbohydrate (CHO)/day, \<25 gm added sugar/day) Time Limited Eating: 16-hour fast/8-hour feed for 3 days per week Continuous Glucose Monitor: CGM (used to monitor adherence and glycemic outcomes without real time feedback)
LSC+TLE+ Real Time Feedback Via CGM
n=16 Participants
Group 3) LSC+TLE+ real time feedback via CGM (to evaluate effect of providing CGM data on intervention efficacy). Low sugar and carbohydrate diet: Low sugar and carbohydrate diet (LSC, \<90 gm carbohydrate (CHO)/day, \<25 gm added sugar/day) Time Limited Eating: 16-hour fast/8-hour feed for 3 days per week Continuous Glucose Monitor: CGM (used to monitor adherence and glycemic outcomes without real time feedback)
Average Glucose
0.5 mg/dL
Interval -20.2 to 6.0
-7.1 mg/dL
Interval -18.2 to 6.0
-4.2 mg/dL
Interval -14.7 to 6.1

Adverse Events

LSC + Blinded CGM

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

LSC+TLE + Blinded CGM

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

LSC+TLE+ Real Time Feedback Via CGM

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Alaina Vidmar, MD

Children's Hospital Los Angeles

Phone: 323-361-3385

Results disclosure agreements

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