Ketone Supplementation in Cystic Fibrosis

NCT ID: NCT04938726

Last Updated: 2025-02-13

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-01

Study Completion Date

2023-04-30

Brief Summary

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This study will examine the effects of a novel ketone monester supplement on patients with cystic fibrosis experiencing an acute pulmonary exacerbation requiring hospitalization. Patients will undergo standard testing along with blood sampling to examine concentrations of inflammatory markers. Patients will then receive the ketone supplement for 5 days followed by post-testing to examine changes in pulmonary function and inflammatory markers

Detailed Description

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Up to 25 hospitalized patients with cystic fibrosis will take part in this study at UAB. Patients will be randomly assigned to receive either an exogenous ketone or placebo supplement. Participants will take the ketone or placebo for 5 days during hospitalization. Participants will drink one 60 mL bottle twice daily of either the ketone or placebo. On day 1 and day 5, before the patient drinks the ketone (or placebo) the patient will be asked to fast overnight for 8 hours. Following administration of the first morning dose of ketones (or placebo) blood samples will be obtained from a finger stick before (time 0 min) and following (15, 30, 60, 90, and 120 min) after they drink the supplement. A commercially available ketone meter (Keto-Mojo, Napa, CA) that provides instant assessment of circulating ketone concentrations will be used to measure ketone concentrations in the blood. Medical history history will be obtained at hospitalization. The study team will also examine the body for any abnormal signs and symptoms. Sputum and blood will be collected prior to and following the ketone supplement or placebo. The hypothesis is that ketone supplementation will reduce inflammation via a well known inflammatory pathway to improve outcomes in patients with cystic fibrosis experiencing an acute pulmonary exacerbation

Conditions

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Cystic Fibrosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Two-way ANOVA with repeated measures on time
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
All involved with blinded, except for the study pharmacist

Study Groups

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Ketone Monoester

The ketone used is from KetoneAid and is commercially available as KE4 and will be consumed at 30 mL twice daily (15 g / dose)

Group Type EXPERIMENTAL

Ketone Monoester

Intervention Type DIETARY_SUPPLEMENT

Ketone supplement will be taken by mouth at a dose of 15 mL twice per day

Placebo

A placebo is being manufactured by KetoneAid to match the taste and other characteristics of the ketone supplement for blinding purposes

Group Type PLACEBO_COMPARATOR

Ketone Monoester

Intervention Type DIETARY_SUPPLEMENT

Ketone supplement will be taken by mouth at a dose of 15 mL twice per day

Interventions

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Ketone Monoester

Ketone supplement will be taken by mouth at a dose of 15 mL twice per day

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of CF
* Age \>19
* Colonization with P. Aeruginosa
* Acute pulmonary exacerbation requiring inpatient care

Exclusion Criteria

* Concurrent or recent (within 28 d of enrollment) use of corticosteroids
* Inability to produce sputum
* Acute respiratory failure
* Chronic liver or renal disease
* Pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

89 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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

NIH

Sponsor Role collaborator

University of Alabama at Birmingham

OTHER

Sponsor Role lead

Responsible Party

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Eric P. Plaisance

Associate Professor and Chair

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Eric P Plaisance, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Alabama at Birmingham

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Other Identifiers

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P30DK079626

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IRB-300007323

Identifier Type: -

Identifier Source: org_study_id

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