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NCT Number: NCT05276739

Role of Photic and Non-photic Time Cues in Resetting Circadian Rhythms

The aim of this study is to determine the principal time cue (light or meals) for resetting circadian rhythms in melatonin and metabolic outcomes.

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This study is active but is not currently recruiting participants.

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Key information

Age range

18 year–30 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Brigham and Women's Hospital

Boston, Massachusetts, 02115, United States

About this study

The objective of this proposal is to construct and compare PRCs describing the relationship between the timing of light exposure and meals across the 24-hour day and the size and direction of shift in circadian rhythms of circulating lipids and melatonin in humans. Completion of the work will provide mechanistic insight on the role of photic and non-photic cues mediating entrainment of circadian rhythms in humans besides that of melatonin. In this proposal, we will use the same experimental paradigm that we have successfully used previously to characterize and compare PRCs for shifts in melatonin in response to light exposure of different durations and spectra, and as used in our pilot trials demonstrating a robust PRC of lipid circadian rhythms in response to combined photic and non-photic stimuli across the day. We will achieve our objective using a randomized controlled trial in young healthy adults (n=48, 18-30 years) that systematically manipulates the timing of 6.5-hour bright light exposure and 6.5-hour time restricted eating across the 24-hour circadian cycle to specifically:

Aim 1: Determine if light is the primary time cue for resetting melatonin but not lipid circadian rhythms. Hypothesis: The resetting response of circadian rhythms in melatonin but not cholesterol and triglycerides is dependent upon the circadian phase at which a 6.5-hour bright light exposure occurs.

Aim 2: Determine if meal timing is the primary time cue for resetting lipid but not melatonin circadian rhythms. Hypothesis: The resetting response of circadian rhythms in cholesterol and triglycerides but not melatonin is dependent upon the circadian phase at which a 6.5-hour time restricted eating occurs.

Aim 3 (Exploratory): Evaluate the acute effects of eating across the 24-hour day on circulating lipid levels. Hypothesis: The acute effects of 6.5-hour time restricted eating on circulating cholesterol and triglycerides levels are dependent on the circadian phase at which meals are eaten.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Aged between 18-30 years
  • Healthy (no medical, psychiatric or sleep disorders;
  • Non-smoking for at least 6 months;
  • Body Mass Index of >18 or <30 kg/m2;
  • Able to maintain 8-hour consistent sleep schedule during the study
  • Able to refrain from caffeine, alcohol, medication and supplements during the study

Exclusion criteria

  • History of alcohol or substance abuse;
  • Positive result on drugs of abuse urine toxicology;
  • Current or past history of sleep disorders, including but not limited to obstructive sleep apnea, narcolepsy, insomnia, or any significant sleep complaint
  • Psychiatric disorder, or first degree relative with a psychiatric disorder
  • Recent acute or chronic medical disorder
  • Use of drugs or medication (birth control OK) likely to affect sleep, alertness or light sensitivity, as determined by the investigators
  • Visual disorder, including but not limited to color blindness, or family history of glaucoma
  • Pregnancy or lactation
  • Shift work (past 3 years)
  • Transmeridian travel (2 or more time zones) in the past 3 months
  • Any other reason as determine by the Principal Investigator

Treatment and study plan

Bright light

Behavioral

6.5-hour 10,000 lux light pulse (4100K fluorescent light) centered within the 16-hour wake episode (start 4.75 hour after wake and end 11.25 hour after wake).

Time-restricted eating

Behavioral

6.5-hour restricted meal window (4 meals at 4.75, 6.9, 9.1, 11.25 hours after waking) centered within the 16-hour wake episode.

Dim Light

Behavioral

dim light (<3 lux) throughout the 16-hour wake episode

12-h meal window

Behavioral

12-hour restricted meal window (4 meals at 2, 6, 10, and 14 hours after waking) centered within the 16-hour wake episode.

Primary outcomes

  1. Amplitude of Phase Response Curve of melatonin

    Time frame: 24 hours

    Amplitude of phase response curve of melatonin derived by fitting a sinusoidal regression to the individual phase shift data across ~24 hours

  2. Amplitude of Phase Response Curve of triglyceride

    Time frame: 24 hours

    Amplitude of phase response curve of triglyceride derived by fitting a sinusoidal regression to the individual phase shift data across ~24 hours

  3. Amplitude of Phase Response Curve of cholesterol

    Time frame: 24 hours

    Amplitude of phase response curve of cholesterol derived by fitting a sinusoidal regression to the individual phase shift data across ~24 hours

Secondary outcomes

  1. Area under the curve (AUC) of melatonin

    Time frame: 6.5 hours during intervention

    AUC of melatonin

  2. Area under the curve (AUC) of triglyceride

    Time frame: 6.5 hours during intervention

    AUC of triglyceride

  3. Area under the curve (AUC) of cholesterol

    Time frame: 6.5 hours during intervention

    AUC of cholesterol

Sponsors and collaborators

Lead sponsor

Brigham and Women's Hospital

Other

Registry information

Official study title

Determining the Role of Photic and Non-photic Time Cues in Resetting Circadian Rhythms in Humans

Acronym: LipidPRC

Important dates

Study start
2022
Primary completion
2027
Study completion
2027
First posted
Mar 11, 2022
Registry last updated
May 26, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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