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

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ClinicalTrials.gov Identifier: NCT00427193
Recruitment Status : Completed
First Posted : January 26, 2007
Results First Posted : December 6, 2018
Last Update Posted : December 6, 2018
Sponsor:
Information provided by (Responsible Party):
Duke University

Brief Summary:
The purpose of this study is to test the hypothesis that two years of sustained 25% caloric restriction (CR) in men age 21-50 (inclusive) and women age 21-47 (inclusive) will slow aging and protect against age-related disease processes.

Condition or disease Intervention/treatment Phase
Aging Behavioral: Caloric Restriction (CR) Behavioral: Control Not Applicable

Detailed Description:

The overall aim of CALERIE Phase 2 is to test the hypothesis that two years of sustained caloric restriction (CR), involving a reduction in energy intake to 75% of baseline (25% CR), in healthy, non-obese men aged 21-50 (inclusive) and women aged 21-47 (inclusive), will result in the same adaptive changes that were observed in a wide variety of animal studies. Particular emphasis is on the adaptive responses thought to be involved in slowing the aging process and protecting against age-related disease processes. Primary outcomes include core body temperature and resting metabolic rate. Secondary outcomes include risk factors for cardiovascular disease, inflammatory markers, immune function, psychological and physical function; oxidative changes in lipids, proteins, and DNA; and, risk factors for age-related conditions such as diabetes and body composition. An important secondary aim is to identify potential adverse effects of CR in humans.

The study will be conducted as a multi-center, parallel-group, randomized, controlled trial (RCT). A sample of 200 participants will be enrolled, and assigned to either the CR intervention or a control group. Control participants will be advised to simply continue their current diets. Participants in both treatment arms will be followed over a period of 24 months. A comprehensive set of evaluations will be performed prior to initiating the intervention, with follow-up evaluations at 1, 3, 6, 9, 12, 18 and 24 months afterwards.


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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 238 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Masking Description: all lab based assays were masked due to de-identified person and time interval measured. All physical measures were masked to intervention group status.
Primary Purpose: Prevention
Official Title: Comprehensive Assessment of Long-Term Effects of Reducing Intake of Energy (CALERIE)
Study Start Date : May 2007
Actual Primary Completion Date : November 2012
Actual Study Completion Date : November 2012

Arm Intervention/treatment
Experimental: Caloric Restriction (CR)
25% caloric restriction
Behavioral: Caloric Restriction (CR)
Participants follow a diet with 25% fewer calories than calculated at baseline over a period of 24 months

Active Comparator: Control, Ad libitum (AL)
Ad libitum energy intake
Behavioral: Control
Participants continue their current diet for 24 months




Primary Outcome Measures :
  1. Change in Core Body Temperature, Baseline to 12 Months [ Time Frame: Baseline to 12 months ]
  2. Change in Core Temperature, Baseline to 24 Months [ Time Frame: Baseline to 24 months ]
  3. Change in Resting Metabolic Rate (RMR) Corrected for Changes in Body Composition, Baseline to 12 Months [ Time Frame: Baseline, 12 months ]
  4. Change in Resting Metabolic Rate (RMR) Corrected for Changes in Body Composition [ Time Frame: Baseline, 24 months ]

Secondary Outcome Measures :
  1. Change in Tumor Necrosis Factor-α (TNF-α), Baseline to 12 Months [ Time Frame: change baseline to 12 months ]

Other Outcome Measures:
  1. Change in Fat Mass [ Time Frame: 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.

  2. Change in Fat Mass [ Time Frame: 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.



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Ages Eligible for Study:   21 Years to 50 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Age must be between 21-50 (inclusive) for men and 21-47 (inclusive) for women
  • Body mass index (BMI) must be greater than or equal to 22 and less than 28
  • Female participants must use acceptable forms of contraception (barrier method, oral contraceptive, intra-uterine device, or similar) and be willing to continue using such a method while enrolled in the study

Exclusion Criteria:

  • History or clinical manifestation of cardiovascular disease or an elevated blood pressure (greater than 140/90 mm Hg)
  • Abnormal resting ECG
  • History or clinical manifestation of diabetes
  • History or clinical manifestation of cholelithiasis (the presence or formation of gallstones in the gallbladder or bile ducts)
  • History of anaphylaxis, severe allergies, or asthma
  • History or clinical manifestation of any other significant metabolic, hematologic, pulmonary, cardiovascular, gastrointestinal, neurologic, immune, hepatic, renal, urologic disorders, or cancer that, in opinion of the investigator, would make the candidate ineligible for the study
  • History of stomach or intestinal surgery (except appendectomy) or major abdominal, thoracic or non-peripheral vascular surgery within one year prior to the randomization date
  • Any disease or condition that seriously affects body weight and/or body composition
  • Potassium level above the upper limit of normal at the screening visit confirmed by a test repeated within two weeks
  • Hemoglobin, hematocrit, RBC, or iron level below the lower limit of normal at the screening visit confirmed by a test repeated within two weeks
  • Evidence of active liver disease or ALT levels above 1.5 times the upper limit of normal
  • Practice a vegan dietary lifestyle
  • History or clinical manifestation of any eating disorder
  • Any history of pharmacologic treatment for a psychiatric disorder within one year prior to the randomization date or a history of more than one episode of a pharmacologic treatment for a psychiatric disorder within lifetime
  • History of drug or alcohol abuse (up to 14 drinks a week are allowed) within the past two years
  • BDI (Beck Depression Inventory) score of 20 or higher at screening or baseline
  • Treatment with steroids for more than a month within five years prior to the randomization date, or short-term (less than a month) treatment with steroids within six months prior to the randomization date
  • Regular use of other medications, except contraceptives
  • Participated in the CALERIE Phase 1 studies
  • Lost or gained 3 kg or more over the past six months
  • A volunteer must be either a never-smoker of tobacco products or an ex-smoker who quit completely at least 12 months prior to the screening visit
  • Donated blood within 30 days prior to the randomization date
  • Concurrent participation in any other interventional study
  • Breast-feeding or pregnant women or women intending to become pregnant before the scheduled end of the intervention
  • Engaged in a regular program of physical fitness involving some kind of heavy physical activity (e.g., jogging, running or riding fast on a bicycle for 30 minutes or more) five or more times per week over the past year
  • Unwilling to be assigned at random to the CR or control intervention
  • Unwilling or unable to adhere to the rigors of the CR intervention over the entire two-year intervention period
  • Unable or unwilling to discontinue dietary supplements or adhere to the alcohol consumption restrictions during the study
  • Unwilling or unable to adhere to the rigors of the data collection and clinical evaluation schedule over the entire two-year period follow-up period

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00427193


Locations
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United States, Louisiana
Pennington Biomedical Research Center
Baton Rouge, Louisiana, United States, 70808
United States, Massachusetts
Jean Mayer Human Nutrition Research Center on Aging at Tufts University
Boston, Massachusetts, United States, 02111
United States, Missouri
Washington University School of Medicine
Saint Louis, Missouri, United States, 63110
Sponsors and Collaborators
Duke University
Investigators
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Principal Investigator: William Kraus, MD Duke Clinical Research Institute

Publications of Results:

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

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Responsible Party: Duke University
ClinicalTrials.gov Identifier: NCT00427193     History of Changes
Other Study ID Numbers: Pro00016876
PBRC U01-AG0204878
Tufts U01-AG020480
WashU U01-AG020487
DCRI/Duke U01-AG022132
AG0078
First Posted: January 26, 2007    Key Record Dates
Results First Posted: December 6, 2018
Last Update Posted: December 6, 2018
Last Verified: December 2018
Keywords provided by Duke University:
dietary restriction
disease /disorder prevention /control
nutrition of aging
bioenergetics
cardiovascular function
disease /disorder proneness /risk
insulin sensitivity / resistance