NCT04195594

Brief Summary

The present study will investigate the effects of Nic's Ketogenic diet, comprised of 70% fat, 5% carbohydrate, and 25% protein on middle-aged males and females with mid-range elevated LDL. With the mixed evidence on the causative effect of LDL cholesterol on increased cardiovascular health risk, further studies are warranted to examine the relation of elevated LDL and other biomarkers of cardiovascular health in response to a lifestyle intervention. Furthermore, this study will investigate weight loss and body composition changes with adherence to this dietary intervention over a 140-day period. In this study the efficacy of Nic's Ketogenic diet on weight loss and biomarkers of cardiovascular health will be examined.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
14

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Jan 2020

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 4, 2019

Completed
8 days until next milestone

First Posted

Study publicly available on registry

December 12, 2019

Completed
1 month until next milestone

Study Start

First participant enrolled

January 14, 2020

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 13, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 13, 2020

Completed
7 months until next milestone

Results Posted

Study results publicly available

May 4, 2021

Completed
Last Updated

May 4, 2021

Status Verified

April 1, 2021

Enrollment Period

9 months

First QC Date

December 4, 2019

Results QC Date

February 9, 2021

Last Update Submit

April 7, 2021

Conditions

Keywords

Ketogenic DietNic's keto dietCardiovascular healthElevated LDL levels

Outcome Measures

Primary Outcomes (6)

  • Changes to Body Fat Percentage as Assessed by DEXA Scan From Baseline to Day 70 Following Nic's Keto Diet

    The DEXA scan is a form of X-ray radiation that measures the body tissue density, which was reported at baseline and compared to day 70.

    70 days

  • Changes to Muscle Mass Percentage as Assessed by DEXA Scan From Baseline to Day 70 Following Nic's Keto Diet

    The DEXA scan is a form of X-ray radiation that measures the body tissue density, which was reported at baseline and compared to day 70.

    70 days

  • Changes to Body Fat Percentage as Assessed by DEXA Scan From Baseline to Day 140 Following Nic's Keto Diet

    The DEXA scan is a form of X-ray radiation that measures the body tissue density, which was reported at baseline and compared to day 140.

    140 days

  • Changes to Muscle Mass Percentage as Assessed by DEXA Scan From Baseline to Day 140 Following Nic's Keto Diet

    The DEXA scan is a form of X-ray radiation that measures the body tissue density, which was reported at baseline and compared to day 140.

    140 days

  • Changes to Weight as Assessed by BMI From Baseline to Day 70 Following Nic's Keto Diet

    Changes to weight as assessed by BMI was reported at baseline and compared to day 70.

    70 days

  • Changes to Weight as Assessed by BMI From Baseline to Day 140 Following Nic's Keto Diet

    Changes to weight as assessed by BMI was reported at baseline and compared to day 140.

    140 days

Secondary Outcomes (43)

  • The Change in Inflammation, as Assessed by the Change in Erythrocyte Sedimentation Rate (ESR) Following Nic's Keto Diet for 140 Days

    140 days

  • The Change in Inflammation, as Assessed by the Change in C-reactive Protein (CRP) Following Nic's Keto Diet for 140 Days

    140 days

  • Changes to Weight From Baseline to Day 28 Following Nic's Keto Diet

    28 days

  • Changes to Weight From Baseline to Day 56 Following Nic's Keto Diet

    56 days

  • Changes to Weight From Baseline to Day 84 Following Nic's Keto Diet

    84 days

  • +38 more secondary outcomes

Other Outcomes (28)

  • Number of Pre-emergent and Post-emergent Adverse Events

    140 days

  • Number of Participants With Abnormal Electrocardiogram (ECG) Readings After 70 Days Following Nic's Keto Diet

    70 days

  • Number of Participants With Abnormal Electrocardiogram (ECG) Readings After 140 Days Following Nic's Keto Diet

    140 days

  • +25 more other outcomes

Study Arms (1)

Nic's Keto Diet

EXPERIMENTAL
Other: Nic's Keto Diet

Interventions

Participants will be instructed to follow Nic's keto diet plan for 140 days. They will be asked to not exceed 20 g of carbohydrates (up to 5% caloric intake) and to consume the remaining 70% of calories from fat sources and 25% from protein sources.

Nic's Keto Diet

Eligibility Criteria

Age30 Years - 55 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Provided voluntary, written, informed consent to participate in study
  • Males and females between 30 and 55 years of age
  • BMI between 20.0 to 29.9 kg/m2, inclusive
  • Female participant is not of child-bearing potential, defined as females who have undergone a sterilization procedure (e.g. hysterectomy, bilateral oophorectomy, bilateral tubal ligation, total endometrial ablation) Or,
  • Females of child-bearing potential must have a negative baseline urine pregnancy test and agree to use a medically approved method of birth control for the duration of the study. Acceptable methods of birth control include:
  • Non hormonal contraceptives
  • Double-barrier method
  • Intrauterine devices
  • Non-heterosexual lifestyle or agrees to use contraception if planning on changing to heterosexual partner(s)
  • Vasectomy of partner at least 6 months prior to screening
  • Subjects with mid-range (2.5-4.1mmol/L or 100-159 mg/dL) elevated LDL-C levels
  • Agrees to maintain current level of physical activity throughout the study
  • Willingness to complete all questionnaires, records, and diaries and assessments associated with the study and to complete all clinic visits.
  • Healthy as determined by medical history, laboratory results, and as assessed by Qualified Investigator (QI)

You may not qualify if:

  • Women who are pregnant, breast feeding, or planning to become pregnant during the course of the trial
  • Women who are menopausal or post-menopausal
  • Currently following a diet (i.e. Ketogenic Diet, low-carbohydrate diet)
  • Subjects with high TSH level (\>4.5mU/L) or Self reported pre-existing thyroid condition. Treatment on a stable dose of medication for at least 3 months will be considered by the QI
  • Participants with type I or II Diabetes Mellitus
  • Cancer, except skin cancers completely excised with no chemotherapy or radiation with a follow up that is negative. Volunteers with cancer in full remission for more than five years after diagnosis are acceptable.
  • Participants with previous or current pathology of the pancreas
  • Current or history of Gastroesophageal reflux disease (GERD) or any significant disease of the gastrointestinal tract
  • Self reported hypertension or on hypertensives.
  • Significant cardiovascular event in the past 6 months as assessed by the QI.
  • Major surgery in the past 3 months or individuals who have planned surgery during the course of the trial. Participants with minor surgery will be considered on a case-by-case basis by the QI
  • Gastric bypass surgery
  • Individuals with an autoimmune disease or are immune-compromised
  • Self reported HIV-, Hepatitis B- and/or C-positive diagnosis
  • History of or current diagnosis with kidney and/or liver diseases as assessed by the QI on a case-by-case basis, with the exception of history of kidney stones symptom free for 6 months
  • +12 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

KGK Science Inc.

London, Ontario, N6A 5R8, Canada

Location

Related Publications (1)

  • Tzenios N, Lewis ED, Crowley DC, Chahine M, Evans M. Examining the Efficacy of a Very-Low-Carbohydrate Ketogenic Diet on Cardiovascular Health in Adults with Mildly Elevated Low-Density Lipoprotein Cholesterol in an Open-Label Pilot Study. Metab Syndr Relat Disord. 2022 Mar;20(2):94-103. doi: 10.1089/met.2021.0042. Epub 2021 Dec 16.

Results Point of Contact

Title
Nikolaos Tzenios
Organization
TRCGEN+ (managed by Trans Russian Co)

Study Officials

  • David Crowley, MD

    KGK Science Inc.

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
OTHER
Intervention Model
SINGLE GROUP
Model Details: Open-Label
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 4, 2019

First Posted

December 12, 2019

Study Start

January 14, 2020

Primary Completion

October 13, 2020

Study Completion

October 13, 2020

Last Updated

May 4, 2021

Results First Posted

May 4, 2021

Record last verified: 2021-04

Locations