β-hydroxybutyrate, Glucose Metabolism and Prediabetes

NCT ID: NCT03889210

Last Updated: 2019-11-06

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

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-01

Study Completion Date

2019-08-30

Brief Summary

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The study aims to investigate changes in blood glucose metabolism after administration of a ketone ester drink.

Detailed Description

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New-onset prediabetes is the most significant risk factor for diabetes. Clinical studies in healthy human volunteers have demonstrated that ketone esters lower blood glucose levels in both fasting and fed state.

Participants will visit the COSMOS clinic on two occasions and will be randomly allocated to receive either the HVMN ketone drink or placebo, in a cross-over design. Blood samples will be collected sequentially every 30 minutes for up to 150 minutes. Blood samples will be assayed for glucose and other markers of glucose metabolism.

Conditions

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PreDiabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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HVMN ketone drink

HVMN ketone drink will be given in a total volume of 100 ml.

Group Type ACTIVE_COMPARATOR

HVMN Ketone

Intervention Type OTHER

Water-based, flavoured sport beverage

Placebo

Placebo will be given in a total volume of 100 ml.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Water, stevia, malic acid, and thickening agent

Interventions

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HVMN Ketone

Water-based, flavoured sport beverage

Intervention Type OTHER

Placebo

Water, stevia, malic acid, and thickening agent

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Individuals over 18 years
* Individuals diagnosed with prediabetes; defined based on the American Diabetes Association guidelines
* History of at least one episode of acute pancreatitis
* Written informed consent

Exclusion Criteria

* Individuals who are on a ketogenic diet or consuming nutritional ketone supplements
* History of cancer or chronic pancreatitis
* History of bariatric or gastrointestinal surgery
* Pregnant or breastfeeding women
* Individuals involved in intensive endurance training or competitive athletics
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Auckland, New Zealand

OTHER

Sponsor Role lead

Responsible Party

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Max Petrov

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of Auckland; Auckland City Hospital

Auckland, , New Zealand

Site Status

Countries

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New Zealand

References

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Charles S, Liu Y, Bharmal SH, Kimita W, Petrov MS. Effect of Acute Nutritional Ketosis on Circulating Levels of Growth Differentiation Factor 15: Findings from a Cross-Over Randomised Controlled Trial. Biomolecules. 2024 Jun 6;14(6):665. doi: 10.3390/biom14060665.

Reference Type DERIVED
PMID: 38927068 (View on PubMed)

Charles S, Liu Y, Kimita W, Ko J, Bharmal SH, Petrov MS. Effect of D-beta-hydroxybutyrate-(R)-1,3 butanediol on plasma levels of asprosin and leptin: results from a randomised controlled trial. Food Funct. 2023 Jan 23;14(2):759-768. doi: 10.1039/d2fo02405e.

Reference Type DERIVED
PMID: 36594212 (View on PubMed)

Liu Y, Bharmal SH, Kimita W, Petrov MS. Effect of d-beta-Hydroxybutyrate-(R)-1,3 Butanediol on Appetite Regulation in People with Prediabetes. Mol Nutr Food Res. 2023 Feb;67(4):e2200615. doi: 10.1002/mnfr.202200615. Epub 2023 Jan 26.

Reference Type DERIVED
PMID: 36565045 (View on PubMed)

Liu Y, Bharmal SH, Kimita W, Petrov MS. Effect of acute ketosis on lipid profile in prediabetes: findings from a cross-over randomized controlled trial. Cardiovasc Diabetol. 2022 Jul 23;21(1):138. doi: 10.1186/s12933-022-01571-z.

Reference Type DERIVED
PMID: 35871064 (View on PubMed)

Bharmal SH, Alarcon Ramos GC, Ko J, Petrov MS. Abdominal fat distribution modulates the metabolic effects of exogenous ketones in individuals with new-onset prediabetes after acute pancreatitis: Results from a randomized placebo-controlled trial. Clin Nutr ESPEN. 2021 Jun;43:117-129. doi: 10.1016/j.clnesp.2021.03.013. Epub 2021 Mar 21.

Reference Type DERIVED
PMID: 34024503 (View on PubMed)

Bharmal SH, Cho J, Alarcon Ramos GC, Ko J, Cameron-Smith D, Petrov MS. Acute Nutritional Ketosis and Its Implications for Plasma Glucose and Glucoregulatory Peptides in Adults with Prediabetes: A Crossover Placebo-Controlled Randomized Trial. J Nutr. 2021 Apr 8;151(4):921-929. doi: 10.1093/jn/nxaa417.

Reference Type DERIVED
PMID: 33561274 (View on PubMed)

Other Identifiers

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18/NTB/161

Identifier Type: -

Identifier Source: org_study_id

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