Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID05766774

Feeding Study to Optimize Endocrine Dysfunction in Cystic Fibrosis

Led by Emory University · Updated on 2026-06-03

60

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

E

Emory University

Lead Sponsor

N

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are investigating how excess dietary sugars affect glucose intolerance and diabetes risk in adults with cystic fibrosis (CF), a genetic disease. CF patients often follow a high-calorie, high-fat diet to prevent malnutrition, but this diet includes more added sugars than recommended. The study aims to understand if this high-sugar diet contributes to diabetes risk and increased abdominal fat in people with CF. The trial will involve 60 adults with CF who will be randomly assigned to one of two diet groups for 8 weeks. One group will receive a low-added sugar, high-fat diet with less than 5% of calories from added sugars and a glycemic index of 45 or lower. The other group will follow a typical CF diet with high added sugar (13% or more of calories) and a higher glycemic index above 60. All meals, snacks, and drinks will be delivered to participants' homes every 3 to 4 days, and diets will be tailored to maintain body weight. Participants will have four study visits at the clinical research unit: a screening visit with tests to check for diabetes, a baseline visit with insulin tests and MRI scans to measure visceral fat, a 4-week check-in with another glucose tolerance test, and a final 8-week visit repeating the insulin and MRI tests. Blood samples will be collected and stored. Researchers will measure changes in insulin response, visceral fat, and other markers related to diabetes risk. Participants will be compensated for their time and effort during the study.

CONDITIONS

Brief Title

FEED-Cystic Fibrosis (FEED-CF)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Confirmed diagnosis of cystic fibrosis
  • Age 18 years or older
  • Estimated daily total added sugar intake greater than 16 teaspoons based on dietary questionnaire
Not Eligible

You will not qualify if you...

  • Use of nocturnal tube feeding
  • Body mass index less than 18.5 kg/m2
  • Life expectancy less than 12 months
  • Confirmed cystic fibrosis-related diabetes diagnosis
  • Fasting blood sugar 126 mg/dL or higher on screening test
  • Chronic use of steroids
  • Current pregnancy or breastfeeding
  • Unable or unwilling to eat most of the study foods
  • Presence of non-removable metal incompatible with MRI
  • Uncontrolled pancreatic insufficiency or malabsorption
  • Medical instability or recent changes in treatment within 21 days
  • Started CFTR modulator treatment within past 8 weeks or unstable weight/lung changes due to modulator
  • Actively trying to gain or lose weight
  • Food allergies or intolerances that cannot be managed
  • Any medical condition that may prevent study completion or affect results

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person) including an oral glucose tolerance test with blood draws to determine diabetes status

Baseline Assessment

Duration - 1 day

Participants undergo tests to assess diabetes risk and measure visceral fat before starting the diet intervention.

1 baseline visit (in-person) including an insulin secretion test (glucose-potentiated arginine stimulation test) and MRI testing

Diet Intervention

Duration - 8 weeks

Participants receive either a low-added sugar, high-fat diet or a typical CF diet with no sugar restrictions for 8 weeks. All foods are provided and delivered to participants' homes every 3-4 days. Participants are expected to consume only the provided foods.

No in-person visits during diet delivery; food delivered to homes every 3-4 days

Mid-Intervention Check-in

Duration - 1 day

Participants return for an oral glucose tolerance test and an in-person check-in to monitor progress during the diet intervention.

1 visit (in-person) at 4 weeks including an oral glucose tolerance test and health check-in

End of Intervention Assessment

Duration - 1 day

Participants complete final tests to assess changes in diabetes risk and visceral fat after the 8-week diet intervention.

1 visit (in-person) including an insulin secretion test (glucose-potentiated arginine stimulation test) and MRI testing

Trial Site Locations

Total: 1 location

1

Emory University Hospital

Atlanta, Georgia, United States, 30322

Actively Recruiting

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Research Team

J

Jessica A Alvarez, PhD, RD

S

Swati Zaveri, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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Published Research Related To This Trial

Low-added sugar dietary intervention study to mitigate glucose intolerance and improve body composition in adults with cystic fibrosis: a protocol of a double-blind, randomised study.

Swati Zaveri, Arlene Stecenko, William R Hunt...

https://pubmed.ncbi.nlm.nih.gov/39725418