Supplementing Neuro-Energy to Aid Cognition

NCT ID: NCT06767124

Last Updated: 2025-10-14

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

17 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-05-01

Study Completion Date

2028-03-31

Brief Summary

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It is projected that by 2030, one in every five Americans will be of retirement age, and this demographic shift is expected to result in more people suffering from dementia. A key feature of the brain is its need for a constant supply of glucose and oxygen to meet the high energy costs of mental activity. This study aims to develop clinically practical, noninvasive imaging methods based on combined positron emission tomography and magnetic resonance imaging to assess brain energy in order to better understand how this critical component of brain health is impacted by aging.

Detailed Description

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There are now close to six million people in the Unites States living with dementia and this number is only expected to grow as the population continues to age. The current lack of effective treatments for Alzheimer's disease (AD) speaks to the need to better understand the multiple factors that contribute to this complex disease. There is growing evidence that age-related metabolic dysfunction in the brain plays a role in the disease's etiology. This concept has led to treatments aimed at improving brain energy production. Notably, ketogenic dietary supplements have been shown to increase brain ketone metabolism and improve cognitive performance in AD patients. However, the overall benefits to brain metabolism in the AD brain are unknown given the complexity of imaging both oxygen and glucose metabolism in a single session by positron emission tomography (PET). Taking advantage of hybrid PET/MR imaging, this study will combine PET and MRI methods to investigate the effects of a ketogenic supplement on brain oxygen and glucose metabolism in AD patients.

Conditions

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Alzheimer Disease and Related Dementias (ADRD)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Each patient receives a placebo and the active treatment on separate occasions undergoing the same imaging protocol.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
Participants will not know if they have consumed the keytone ester supplement drink or a placebo drink.

Study Groups

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Alzheimer's Disease Patients - Treatment

Patients within the Alzheimer's continuum will be selected based on the National Institute of Aging - Alzheimer's Association Diagnostic Framework and be either classified as having mild cognitive impairment or mild-to-moderate dementia. Participants will undergo two PET/MR sessions in which CMRGlu and CMRO2 will be imaged simultaneously by PET and qBOLD MRI. For validation, CMRO2 will also be imaged by PMROx prior to FDG injection. The study will follow a crossover design in which participants will receive ketogenic supplement prior to imaging.

Group Type ACTIVE_COMPARATOR

Ketogenic Supplement

Intervention Type DIETARY_SUPPLEMENT

Commercially available ketone ester drink

Alzheimer's Disease Patients - Placebo

Patients within the Alzheimer's continuum will be selected based on the National Institute of Aging - Alzheimer's Association Diagnostic Framework and be either classified as having mild cognitive impairment or mild-to-moderate dementia. Participants will undergo two PET/MR sessions in which CMRGlu and CMRO2 will be imaged simultaneously by PET and qBOLD MRI. For validation, CMRO2 will also be imaged by PMROx prior to FDG injection. The study will follow a crossover design in which participants will receive a placebo drink prior to imaging.

Group Type PLACEBO_COMPARATOR

Placebo Drink

Intervention Type OTHER

Placebo drink containing sunflower oil.

Interventions

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Ketogenic Supplement

Commercially available ketone ester drink

Intervention Type DIETARY_SUPPLEMENT

Placebo Drink

Placebo drink containing sunflower oil.

Intervention Type OTHER

Other Intervention Names

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Ketone-IQTM

Eligibility Criteria

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Inclusion Criteria

Inclusion Criteria - Healthy Participants: Males and females, Age 21 - 80 years, BMI of 18.5-30

Inclusion Criteria - Alzheimer's Disease Participants: Positive amyloid and tau biomarkers (as noted by PET imaging, cerebrospinal fluid or blood), Mild cognitive impairment or mild-to-moderate dementia, BMI of 18.5-30

Exclusion Criteria: Contraindications to MRI (claustrophobia, metal implants, pacemakers, etc.), Pregnant or breastfeeding women, Neurological disease (healthy participants only), Mental illness, Overt cardio- or neurovascular disease, Recent participation in any procedure(s) involving radioactive agents
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Neurological Disorders and Stroke (NINDS)

NIH

Sponsor Role collaborator

University of Western Ontario, Canada

OTHER

Sponsor Role collaborator

University of Pennsylvania

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Keith St Lawrence, PhD

Role: PRINCIPAL_INVESTIGATOR

Lawson Research Institute

Locations

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Lawson Research Institute

London, Ontario, Canada

Site Status

Countries

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Canada

Central Contacts

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Keith St Lawrence, PhD

Role: CONTACT

(519) 646-6100 ext. 65737

Facility Contacts

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Keith St Lawrence, PhD

Role: primary

(519) 646-6100 ext. 65737

Erain Pagana, NP

Role: backup

(519) 646-6100

Other Identifiers

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1R01NS131235-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

126350

Identifier Type: -

Identifier Source: org_study_id

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