Clinical trial Recruiting at 1 site Interventional Ages 18 to 64

Impact of meal timing on neurological health in adults with multiple sclerosis

Official title: Understanding the Impact of Meal Timing on Neurological Health in Adults With Multiple Sclerosis

Run by University of Alabama at Birmingham · NCT07475377 · Data updated 2026-11-12

This study tests whether eating within an 8-hour daily window or over a longer 12+ hour period affects brain health markers and inflammation in adults with MS.

Quick facts

Study typeInterventional
Ages18 Years to 64 Years
SexAll
Enrollment22 (estimated)
SponsorUniversity of Alabama at Birmingham
Academic / other
Locations1 site (Birmingham, Alabama)
StatusRecruiting
StartedAugust 1, 2026
Main results expectedSeptember 1, 2027
Study endsDecember 31, 2027
Registry record updatedSeptember 25, 2026
Trial IDNCT07475377 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with RRMS or SPMS who are stable on or off disease-modifying therapy and able to follow a fixed eating schedule with smartphone access.

Probably not a fit

Participants whose disease biology does not respond to meal timing or who do not adhere to the eating schedules may not experience benefits.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This pilot study will assign adults with RRMS or SPMS to either time-restricted eating (8-hour window) or unrestricted eating (12+ hours) for 12 weeks. Researchers will measure biomarkers of neuronal health (NfL, BDNF) and inflammatory markers (IL-6, IL-17, TNF-α), plus circadian and autophagy gene expression. A subset of participants (n=8) will have exploratory PET imaging to evaluate neuroinflammation and assess feasibility for future trials. Participants will report meal start/stop times via smartphone prompts to ensure adherence. The study builds on prior data suggesting TRE may reduce inflammation by aligning circadian rhythms and aims to clarify mechanisms in MS.

Why it matters

Potential benefit: If successful, the approach could offer a non-pharmacologic strategy to support brain health and reduce inflammation in MS.

How similar studies have gone: Prior research with TRE shows potential anti-inflammatory effects, but data in MS specifically are limited and pilot in nature.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosed with relapsing remitting or secondary progressive multiple sclerosis (RRMS or SPMS)
* If on disease modifying therapy (DMTs), stable for 6 months
* If not on DMTs, no DMT usage within previous 6 months
* BMI 18.5-50 kg/m2
* Access to a smartphone
* Responsible for personal eating schedule or able to have input into schedule

Exclusion Criteria:

* Relapse within previous 30 days
* Actively engaged in a weight loss program or unwilling to follow assigned eating schedule
* Current use of GLP-1 or use within previous 3 months
* Regularly fasts \> 12 hours/day
* Employed in night shift or rotating shift work
* Unable to walk 25 feet with or without assistive device (EDSS \> 6.5).
* Current use of insulin or sulfonylurea agents
* Pregnant or breastfeeding
* Currently enrolled in another trial that would confound results (e.g., exercise studies or other diet studies)

Where it's running

  • University of Alabama at Birmingham
    Birmingham, Alabama, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.