Clinical trial Recruiting at 1 site Interventional Ages 25 to 65

Time-restricted eating to help keep weight off

Official title: Time Restricted Eating for WeIght LoSs MainTenance-2 (TWIST-2): A Single-site, 2-arm Randomized Clinical Trial in Adults With Recent Weight Loss

Run by NYU Langone Health · NCT07190170 · Data updated 2026-11-12

This 12-month randomized test will see if eating only within a 10-hour daily window helps adults who recently lost weight keep it off and limit fat regain.

Quick facts

Study typeInterventional
Ages25 Years to 65 Years
SexAll
Enrollment110 (estimated)
SponsorNYU Langone Health
Academic / other
Locations1 site (New York, New York)
StatusRecruiting
StartedOctober 1, 2025
Main results expectedJanuary 1, 2028
Study endsJanuary 1, 2028
Registry record updatedNovember 2, 2026
Trial IDNCT07190170 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 25–65 with recent non-surgical weight loss of ≥5% in the last 3 months, a current BMI of 20.5–45 kg/m2, and access to (or willingness to use) a smartphone are ideal candidates.

Probably not a fit

People who are pregnant or breastfeeding, have had or plan bariatric surgery, have current or past eating disorders, are taking appetite-suppressing or weight-altering medications, do frequent overnight shift work or already eat within a ≤12-hour window are unlikely to benefit from participation.

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

What this trial studies

This is a 12-month, two-arm randomized trial in adults who recently lost at least 5% of body weight. After a 4-week run-in to stabilize weight and measure baseline eating patterns, eligible participants are randomized to a time-restricted eating (≤10-hour) intervention or a control condition, with both groups receiving one-page weight-maintenance advice. Body composition is measured by bioelectrical impedance and DEXA at baseline, 6, and 12 months, and a subset complete a mixed-meal tolerance test with subjective appetite ratings. Participants self-monitor intake with a smartphone for adherence and the trial compares weight and fat mass regain between groups.

Why it matters

Potential benefit: If successful, this approach could help people maintain weight loss and reduce fat regain using a simple daily eating-window strategy.

How similar studies have gone: Short-term trials of time-restricted eating have shown modest weight or metabolic benefits, but long-term evidence for preventing weight regain is limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* ≥5% non-surgical weight loss in the last 3 mos;
* current BMI 20.5-45 mg/kg2;
* between the ages 25 to 65 years old;
* own a smartphone or willing to use a smartphone if provided for self-monitoring. For in-person screening, eligible participants will provide signed informed consent and have their temporal eating patterns measured.

Exclusion Criteria:

* pregnant, trying to get pregnant or breastfeeding;
* previous or planned bariatric surgery;
* previous or current history of eating disorder;
* ongoing participation in another weight-management research study;
* continued participation in a weight loss program other than the proposed study;
* currently on appetite suppressants;
* currently following intermittent fasting; or skipping meals;
* eating window \<11h 59min/day;
* perform overnight shift work more than once a week;
* work that includes travel across one or more time zones;
* taking medications that affect body weight or would preclude TRE;
* unable or unwilling to provide informed consent;
* unable to participate meaningfully in the intervention (e.g., uncorrected sight and hearing impairment);
* unwilling to accept randomization assignment;
* unable to log at least 2 meals into the smartphone app for 70% (\~20 days) during of the run-in period;
* have type 1 or type 2 diabetes, or other conditions that would preclude restricted eating windows;
* narcolepsy,
* \>2.5 kg additional weight loss during run-in phase (weight regain is not an exclusion criteria);
* is non-English speaking (the mCC app is currently only available in English).

Where it's running

  • NYU Langone Health
    New York, New York, United States
    Recruiting

Study contacts

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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.