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Time Limited Eating in Type 1 Diabetes (TLET1D) 12 随机化 儿科

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临床试验NCT05031429 (TLET1D)是一项针对1型糖尿病干预性研究试验,试验状态为已完成。试验开始于2022年1月1日,共计划招募12名患者。该研究由Children's Hospital Los Angeles主导,已于2023年6月30日完成。试验数据来源于ClinicalTrials.gov,最后更新时间为2023年8月16日
简要概括
This study is a randomized-control pilot study that aims to evaluate Time Limited Eating (TLE) in the pediatric T1D population, implemented within the first six months after diagnosis. This period is characterized by residual β-cell function, during which TLE may have the ability to preserve and improve β-cell activity, indicated by increased C-peptide production. The investigators aim to assess the feasibility, acce...显示更多
详细描述
This will be a two-armed study with an intervention and control group. Feasibility and acceptability will be assessed by using questionnaires. Safety will be indicated by hypoglycemia occurrence. β-cell function and insulin sensitivity will be evaluated using mixed meal tolerance test with C-peptide and glucose levels. Glycemic control will be indicated by continuous glucose monitor (CGM). Block randomization will be...显示更多
官方标题

Time Limited Eating in New-Onset Type 1 Diabetes: Feasibility, Acceptability, and Effect on β-cell Function

疾病
1型糖尿病
出版物
关于此临床试验发表的科学文章和研究论文:
其他研究标识符
  • TLET1D
  • CHLA-21-00269
NCT编号
实际开始日期
2022-01-01
最近更新发布
2023-08-16
预计完成日期
2023-06-30
计划入组人数
12
研究类型
干预性研究
试验分期 (阶段)
不适用
试验状态
已完成
关键词
Type 1 Diabetes
Time Limited Eating
β-cell
主要目的
治疗方法
分配方式
随机
干预模型
平行
盲法
无(开放性试验)
试验组/干预措施
参与者组/试验组干预措施/治疗方法
无干预Control - Standard Care
* includes a minimum 12-hour feeding window for 7 days per week * no caloric restriction will be used * will wear a continuous glucose monitor
不适用
实验性Intervention - Time Limited Eating
* includes an 8-hour feed/16-hour fast for 7 days per week * will be instructed to consume all of their calories in the afternoon/evening period * can consume non-caloric beverages (water, tea, coffee) during the fasting period * will wear a continuous glucose monitor * no caloric restriction will be used
Time Limited Eating
Includes an 8-hour feed/16-hour fast for 7 days per week, with consumption of all of calories in the afternoon/evening. Can consume non-caloric beverages (water, tea, coffee) during the fasting period. No caloric restriction will be used.
主要终点
结果指标度量标准描述时间框架
Acceptability and feasibility of intervention, as indicated by the "Intervention Satisfaction Survey"
Likert scale "Agree strongly" is 1, "Agree" is 2, "Neutral" is 3, "Disagree" is 4, and "Disagree strongly" is 5. Lower scores indicate more satisfaction, higher scores indicate low satisfaction.
At end of study (at 9 weeks)
Change in β-cell function at 9 weeks, as indicated by mixed meal tolerance test with C-peptide levels
C-peptide and glucose levels will be performed at baseline and 60-, 90-, and 120-minutes post-meal. Baseline plasma C-peptide concentration divided by the baseline plasma glucose concentration will be calculated as a pragmatic marker of β-cell function. The area under the stimulated C-peptide curve will then be calculated, which will be the primary outcome examined.
Baseline and 9 weeks
Change in glycemic control at 9 weeks, as indicated by continuous glucose monitoring (percent time in range), and HbA1c
Continuous glucose monitors will be worn for duration of the study, glycemic control will be evaluated using percent time in range. HbA1c will reflect glycemic control over time.
Up to 9 weeks; HbA1c: Baseline and 9 weeks
Safety, as indicated by hypoglycemia
Hypoglycemia will be defined as blood sugar \< 70 mg/dL on continuous glucose monitor. Frequency and severity of hypoglycemia will be used to assess safety of intervention.
Up to 9 weeks
次要终点
结果指标度量标准描述时间框架
Dietary patterns, as indicated by the Automated Self-Administered 24-hour Dietary Assessment Tool (ASA24)
24-hour dietary recall, \~30 minutes to complete.
Baseline, 9 weeks
Quality of life, as indicated by Pediatric Quality of Life Inventory (PedsQL), Diabetes Module
Likert scale "Never" is 0, "Almost Never" is 1, "Sometimes" is 2, "Often" is 3, and "Almost Always" is 4
Baseline and 9 weeks
Stress level, as indicated by Perceived Stress Scale
Likert scale "Never" is 0, "Almost Never" is 1, "Sometimes" is 2, "Fairly Often" is 3, and "Very Often" is 4
Baseline and 9 weeks
Binge Eating, as indicated by Binge Eating Disorder Screener
Likert scale "Never or rarely" is 0, "Sometimes" is 1, "Often" is 2, "Always" is 3. Additionally, two yes or no questions.
Baseline and 9 weeks
Anxiety, as indicated by Neuro-QOL-Anxiety-Short Form
Likert scale "Never" is 1, "Rarely" is 2, "Sometimes" is 3, "Often" is 4, "Always" is 5
Baseline and 9 weeks
Impact on activities of daily living, as indicated by Munich Chronotype Questionnaire (MCTQ)
Assessment of sleep schedule, school schedule, time spent outdoors. Multiple choice and open-ended questions.
Baseline and 9 weeks
资格标准

适龄参与研究
儿童, 成人
最低年龄要求
12 Years
适龄性别
全部
  • includes age of 12-25 years
  • T1D diagnosed within 6 months
  • at least one positive pancreatic antibody including glutamic acid decarboxylase (GAD) antibody, islet tyrosine phosphatase 2 (IA2) antibody, or insulin antibody
  • can be on either insulin injections or insulin pump
  • can be of any BMI status
  • can speak any language

  • negative pancreatic antibodies
  • unwillingness to wear a CGM
Children's Hospital Los Angeles logoChildren's Hospital Los Angeles
研究责任方
jennifer raymond, 主要研究者, Chief of the Division of Endocrinology, Principal Investigator, Children's Hospital Los Angeles
没有联系数据。
1 位于 1 个国家/地区的研究中心

California

Children's Hospital Los Angeles, Los Angeles, California, 90027, United States