Beta-Hydroxybutyrate Feasibility Treating IBD

NCT ID: NCT06351124

Last Updated: 2024-09-19

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

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-28

Study Completion Date

2025-12-31

Brief Summary

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This clinical trial aims to understand the feasibility of patients taking ketone body supplement beta-hydroxybutyrate (BHB) for 4 weeks with a confirmed diagnosis of Crohn's disease and starting new therapy for active disease.

The main questions it aims to answer are:

* BHB supplementation will be feasible and acceptable to patients.
* BHB supplementation will be associated with a reduction in systemic inflammation.
* BHB supplementation will be associated with a reduction in pro-inflammatory bacterial colonies.

Participants will:

* Take 3 capsules x 3 times per day for 4 weeks.
* Document food consumption using a 24-hour food recall questionnaire.
* Provide blood and fecal samples twice, at the beginning of the study and the 4-week mark.

Researchers will compare the group taking the ketone body supplement and the group not taking the supplement to see if the supplement provides relief of symptoms suffered from Crohn's disease.

Detailed Description

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A clinical trial designed to determine the feasibility of prebiotic supplementation with beta-hydroxybutyrate (BHB) in Crohn's patients in a prospective, open-label pilot trial and to assess the association between BHB supplementation and changes in the microbiome, inflammation, and markers of disease severity in Crohn's patients in a prospective pre-/post-study design.

Conditions

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Crohn's Disease Inflammatory Bowel Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This will be a prospective, open-label, randomized, two-arm pilot trial of adults
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Eligible consenting patients will be randomized to either standard of care therapy (control) vs standard of care therapy plus BHB supplementation (intervention). BHB will be supplemented as a capsule taken orally three times daily for four weeks for those randomized to the intervention arm.

Study Groups

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standard of care therapy (control)

Arm does not receive the BHB supplement

Group Type NO_INTERVENTION

No interventions assigned to this group

Standard of care therapy plus BHB supplementation (intervention).

Arm does receives the BHB supplement

Group Type ACTIVE_COMPARATOR

Feasibility of beta-hydroxybutyrate supplementation to reduce inflammation in patients with Crohn's

Intervention Type BIOLOGICAL

Is Beta-hydroxybutyrate a supplement that can control symptoms and progression of Crohn's.

Interventions

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Feasibility of beta-hydroxybutyrate supplementation to reduce inflammation in patients with Crohn's

Is Beta-hydroxybutyrate a supplement that can control symptoms and progression of Crohn's.

Intervention Type BIOLOGICAL

Other Intervention Names

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BHB Feasibility

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years of age
* Confirmed diagnosis of Crohn's disease
* Active disease defined as either a fecal calprotectin \>250 µg/g or active disease on endoscopy within the prior 3 months
* Starting a new therapy defined as a biologic (anti-TNF, anti-integrin, IL-12/23, or IL-23) or small molecule therapy (JAK inhibitor, S1P receptor modulator)
* Willing to provide consent for participation.
* Managed at UT Digestive Health Clinic.

Exclusion Criteria

* Any current or recent (within 4 weeks) use of BHB supplement
* Currently or recently (within 4 weeks) following a ketogenic diet
* Currently or recently (within 4 weeks) following an intermittent fasting diet
* Any recent antibiotic use (within 3 months)
* Recent infection with C. difficile (within 6 months)
* Current or recent (within 4 weeks) daily use of acid-suppressing therapy (proton pump inhibitor or H2 receptor blocker)
* Current or recent use (within four weeks) of non-dietary probiotic supplements
* Unwilling to provide signed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Texas at Austin

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Linda A. Feagins, Associate Professor, MD

Role: PRINCIPAL_INVESTIGATOR

University of Texas at Austin

Locations

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University of Texas at Austin

Austin, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Linda A. Feagins, Associate Professor, MD

Role: CONTACT

512-495-5641

Juan P Robayo, Research Program Manager, MPH

Role: CONTACT

407-928-3556

Facility Contacts

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Michelle Stickler, Associate Vice President, DEd

Role: primary

512-475-6323

Thomas Street, Executive Director

Role: backup

512 495 5142

Other Identifiers

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00005294

Identifier Type: -

Identifier Source: org_study_id

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