VR circadian reset to change REM sleep and reduce binge eating
Official title: Use of Circadian Reset Technology to Alter REM Sleep and Appetitive Control Through Improved Network Connectivity in Brain in Patients With Binge Eating Disorder
Run by Icahn School of Medicine at Mount Sinai · NCT06858774 · Data updated 2026-11-12
This trial uses a VR-based circadian reset program to try to reduce binge-eating episodes in adults with binge-eating disorder.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | Icahn School of Medicine at Mount Sinai Academic / other |
| Locations | 1 site (New York, New York) |
| Status | Recruiting |
| Started | May 13, 2025 |
| Main results expected | November 2026 |
| Study ends | November 2026 |
| Registry record updated | April 20, 2026 |
| Trial ID | NCT06858774 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 or older with a confirmed diagnosis of binge-eating disorder who are English-speaking, have at least some sleep disturbance, and have no medical/vestibular conditions that make VR unsafe are ideal candidates.
✕Probably not a fit
People with good baseline sleep (PSQI <5), pregnancy, active suicidal ideation, or medical conditions that increase VR risk (seizure risk, unstable cardiac disease, significant vision or inner-ear problems) would be unlikely to benefit or be ineligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Forty adults with diagnosed binge-eating disorder will be randomized to use a VR headset twice daily for one month with either circadian reset technology (CRT) software or a control software. Each VR session is 5 minutes on waking and 5 minutes before sleep, with baseline, weekly, daily EMA, and a 1-month follow-up including repeat measures and fMRI. Primary outcome is change in binge eating frequency; secondary outcomes include sleep quality, appetite regulation, food craving/impulsivity, mood, and fMRI functional connectivity. All recruitment, device setup, and key visits (including the fMRI) are conducted through the Center of Excellence in Eating and Weight Disorders at the Icahn School of Medicine at Mount Sinai.
Why it matters
Potential benefit: If successful, this non-drug approach could reduce binge-eating episodes by improving sleep and appetitive control.
How similar studies have gone: Light- and circadian-based interventions have shown promise for sleep and mood, but using VR-delivered circadian reset specifically to reduce binge eating is largely novel and not well tested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Ages 18+ * Diagnosed with Binge Eating Disorder using EDA-5 * English-speaking Exclusion Criteria: * Pregnancy * Acute suicide risk/active suicidal ideation * PSQI score \<5 indicating good sleep quality * A condition that may create a risk while using the VR headset including risk of falls, seizures, a heart condition, migraines, an eye or vision condition, or an inner ear condition.
Where it's running
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Department of Psychiatry, Eating and Weight Disorders Program
New York, New York, United States Recruiting
Study contacts
- Principal investigator: Tom Hildebrandt — Icahn School of Medicine at Mount Sinai
- Study coordinator: Tom Hildebrandt
- Email: tom.hildebrandt@mssm.edu
- Phone: 212-659-8673
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.