Modified Atkins Diet Plus KetoCal for Adult Epilepsy

NCT ID: NCT01834482

Last Updated: 2018-08-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-31

Study Completion Date

2017-09-30

Brief Summary

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The modified Atkins diet (MAD) has been shown to be effective in treating children and adults with medically resistant seizures. A recent study in children showed that the use of KetoCal® once per day in addition to the MAD appeared to be beneficial when used during the first month. The investigators hypothesize that including a daily KetoCal® liquid tetrapak with one meal during the initial month of the MAD will produce urinary ketosis in more adult patients than the MAD alone and will lead to greater seizure reduction.

Detailed Description

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Conditions

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Epilepsy Seizure Medically Resistant Epilepsy Medically Resistant Seizures

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Modified Atkins diet plus KetoCal

Patients will receive the modified Atkins diet in combination with a KetoCal tetrapak daily for the first month. The second month, no tetrapaks will be given.

Group Type ACTIVE_COMPARATOR

Modified Atkins diet

Intervention Type DIETARY_SUPPLEMENT

Patients will receive the modified Atkins diet with a 20 gram per day carbohydrate limit and encouragement to consume plenty of fat and eat to satiety.

KetoCal

Intervention Type DIETARY_SUPPLEMENT

Patients will receive a KetoCal 4:1 ratio (fat: carbohydrates and protein) liquid daily for the first month (if randomized to this arm of the study). They will also be started on the modified Atkins diet.

Modified Atkins diet

Patients will receive the modified Atkins diet for the first month. The second month, they will be given the choice to also use KetoCal in addition to the modified Atkins diet if they choose to do so.

Group Type ACTIVE_COMPARATOR

Modified Atkins diet

Intervention Type DIETARY_SUPPLEMENT

Patients will receive the modified Atkins diet with a 20 gram per day carbohydrate limit and encouragement to consume plenty of fat and eat to satiety.

Interventions

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Modified Atkins diet

Patients will receive the modified Atkins diet with a 20 gram per day carbohydrate limit and encouragement to consume plenty of fat and eat to satiety.

Intervention Type DIETARY_SUPPLEMENT

KetoCal

Patients will receive a KetoCal 4:1 ratio (fat: carbohydrates and protein) liquid daily for the first month (if randomized to this arm of the study). They will also be started on the modified Atkins diet.

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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KetoCal 4:1 liquid KetoCal tetrapak

Eligibility Criteria

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Inclusion Criteria

* Adults ages \>17 years.
* At least weekly seizures (or 4 per month). All seizure types allowed.
* Tried at least two anticonvulsants.

Exclusion Criteria

* Unwilling to restrict carbohydrates
* Significantly underweight (Body Mass Index \<18.5)
* Prior use of the modified Atkins diet for ≥ 2 days
* Prior use of KetoCal® at any time for any duration
* Use of the ketogenic diet within the past year
* Kidney disease
* History of hypercholesterolemia (total cholesterol \> 300 mg/dl) or hypertriglyceridemia (triglycerides \> 200 mg/dl)
* Metabolic or mitochondrial disorder
* Pregnancy or breastfeeding
* Lactose intolerance or milk allergy
* Aversion to liquids or inability to eat solid food
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nutricia Liverpool

INDUSTRY

Sponsor Role collaborator

Johns Hopkins University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mackenzie C. Cervenka, M.D.

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University

Locations

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Johns Hopkins University

Baltimore, Maryland, United States

Site Status

Countries

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United States

References

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Kossoff EH, Dorward JL, Turner Z, Pyzik PL. Prospective study of the modified atkins diet in combination with a ketogenic liquid supplement during the initial month. J Child Neurol. 2011 Feb;26(2):147-51. doi: 10.1177/0883073810375718. Epub 2010 Sep 10.

Reference Type BACKGROUND
PMID: 20833798 (View on PubMed)

Cervenka MC, Terao NN, Bosarge JL, Henry BJ, Klees AA, Morrison PF, Kossoff EH. E-mail management of the modified Atkins Diet for adults with epilepsy is feasible and effective. Epilepsia. 2012 Apr;53(4):728-32. doi: 10.1111/j.1528-1167.2012.03406.x. Epub 2012 Feb 14.

Reference Type BACKGROUND
PMID: 22332768 (View on PubMed)

Kossoff EH, Rowley H, Sinha SR, Vining EP. A prospective study of the modified Atkins diet for intractable epilepsy in adults. Epilepsia. 2008 Feb;49(2):316-9. doi: 10.1111/j.1528-1167.2007.01256.x. Epub 2007 Oct 5.

Reference Type BACKGROUND
PMID: 17919301 (View on PubMed)

Related Links

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Other Identifiers

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NA_00068726

Identifier Type: -

Identifier Source: org_study_id

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