Towards Understanding Between ADT Treatment, Circadian Rhythm, and Physiological Responsiveness

  • Recruiting
  • Supportive care
  • Interventional
  • Randomized
  • Behavioral
  • PHASE1/PHASE2
  • University of Maryland, Baltimore
  • 55 Years -


Study Purpose

Frailty is one of the main reasons older adults lose independence. Frailty describes a reduced ability to withstand stress on the physiological scale, or a reduced physiological reserve. The theory is that entrainment of circadian rhythm via time-restricted eating will improve the body's ability to predict energy supply and demand, and therefore enable the body to allocate more resources to anabolic processes and promote resilience to cancer treatment, thereby preventing the progression of frailty. A total of 30 individuals over 55 years old undergoing ADT therapy for prostate cancer will be recruited. Participants will be randomized 1:1 to a 12-week TRE intervention or a time-unrestricted nutrition control intervention. At baseline and post-intervention, Fried's Frailty Index will be used to assess frailty, and a novel set of five physiological responsiveness measures will be used to assess physiological responsiveness-1) lying-to-standing blood pressure, 2) heart rate variability, 3) oral glucose tolerance test, 4) 24-hour circadian cortisol rhythm, and 5) usual vs. fast gait speed. These data will allow assessment of 1) the feasibility of TRE among patients with prostate cancer during ADT treatment with the ultimate goal of optimizing an intervention to prevent the progression of frailty, and 2) the effects of TRE vs. control on frailty and physiological responsiveness.

Intervention

Behavioral : Dietary recommendations

Behavioral : Time-restricted eating


Eligibility Requirements

info icon Have a diagnosis of prostate cancer

info icon Be undergoing androgen deprivation therapy

info icon Be 55 years old or older

info icon Speak and/or read English

info icon Be able and willing to adhere to the study procedures

info icon Minimum age: 55

info icon Already eat all their food in a window that is 10 h or shorter on most (6/7) days of the week

info icon Be underweight (≤18.5 kg/m2)

info icon Have surgery planned during the study duration

info icon Have lost more than 10 pounds unintentionally in the last 12 months

info icon Have any contraindications to the proposed nutrition intervention as identified by their medical provider, their designee, or the study team (e.g., type 1 diabetes, risk for hypoglycemia, medication requirements, recent history of an eating disorder)

info icon Be on artificial nutrition

Recruiting status

Recruiting

Estimated enrollment

30

 
Study start date

Jan 29, 2024

Study end date

Dec 31, 2027

Last updated

Mar 23, 2025

Primary purpose

Supportive care

Design

Interventional

Intervention

Behavioral

Study phase

PHASE1/PHASE2

Allocation

Randomized

 

Sponsor:

University of Maryland, Baltimore

Collaborator:

N/A

Investigator:

Amber Kleckner, PhD

NCT05968144

Clinic Location Investigator Distance RECRUITING STATUS Contact