NCT04399954

Brief Summary

For 28 days, 30 participants aged 3 to 18 years of age (inclusive) with a condition requiring a ketogenic diet will incorporate Ketoflo into their usual dietary regime. Ketoflo is a nutritionally complete Food For Special Medical Purposes and is suitable for administration by both tube feeding and use as a sip feed. Data on gastrointestinal tolerance, participants adherence to recommended intakes and their thoughts on the product's palatability will be self-reported in Daily Study Diaries.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
25

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Feb 2020

Longer than P75 for not_applicable

Geographic Reach
1 country

5 active sites

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

Study Start

First participant enrolled

February 24, 2020

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

May 18, 2020

Completed
4 days until next milestone

First Posted

Study publicly available on registry

May 22, 2020

Completed
3.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2023

Completed
Last Updated

February 15, 2024

Status Verified

February 1, 2024

Enrollment Period

3.3 years

First QC Date

May 18, 2020

Last Update Submit

February 14, 2024

Conditions

Outcome Measures

Primary Outcomes (5)

  • Change in gastrointestinal tolerance from week 1 to week 4

    Participants will self-report any gastrointestinal symptoms experienced over the course of the study in Daily Study Diaries.

    Days 1 - 7 and days 21 - 28.

  • Adherence

    Participants will record the amount of Ketoflo taken each day compared to the amount recommended by their dietitian.

    Days 1 - 28.

  • Palatability and ease of use

    Participants will answer questions relating to Ketoflo's palatability and ease of use following the end of the study.

    Day 28.

  • Nutritional suitability: ketone levels

    Ketoflo's nutritional suitability will be assessed by evaluating ketone levels (mmol/l) recorded by participants as part of routine care. These data will be recorded in the Daily Study Diaries.

    Days 1 - 28

  • Nutritional suitability: seizure frequency

    Ketoflo's nutritional suitability will be assessed by evaluating seizure frequency (number per day) recorded by participants as part of routine care. These data will be recorded in the Daily Study Diaries.

    Days 1 - 28

Study Arms (1)

Ketoflo

EXPERIMENTAL

Ketoflo to be incorporated into each participant's usual ketogenic diet for 28 days. Amount taken and frequency of intake to be determined by the dietitian.

Dietary Supplement: Ketoflo

Interventions

KetofloDIETARY_SUPPLEMENT

Ketoflo is a ready to use liquid feed for the dietary management of epilepsy and other conditions that may require a ketogenic diet. It has a 4:1 ratio of fat to carbohydrate and protein and can be administered enterally via a tube feeding or oral consumption.

Ketoflo

Eligibility Criteria

Age3 Years - 18 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • i) Diagnosis of a condition requiring a ketogenic diet (KD) e.g. intractable epilepsy, Glut-1 deficiency syndrome (Glut-1 DS) etc.
  • ii) Aged 3 - 18 years of age (inclusive).
  • iii) Established on a ketogenic diet for at least 3 months under the supervision of a clinician and/or dietitian trained in the use of the KD.
  • iv) Requirement for a liquid ketogenic feed.
  • v) In the opinion of the investigator, the participant (and parent/guardian, if relevant) is/are able to comply with the study protocol requirements and complete the diary and questionnaire.
  • vi) Willingly given, written, informed consent from participant (or parent/guardian, if relevant)
  • vii) Willingly given, written assent (if appropriate).

You may not qualify if:

  • i) Inability to comply with the study protocol, in the opinion of the investigator.
  • ii) Under 3 years of age or over 18 years of age.
  • iii) Medical conditions in which the KD is contraindicated.
  • iv) Previous clinical evaluation indicating unsuitability for the KD.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

Royal Aberdeen Children's Hospital

Aberdeen, AB25 2ZG, United Kingdom

Location

Barberry

Birmingham, B15 2SY, United Kingdom

Location

Bristol Royal Hospital for Children

Bristol, BS2 8BJ, United Kingdom

Location

Leeds Children's Hospital

Leeds, LS1 3EX, United Kingdom

Location

Great Ormond Street Hospital for Children

London, WC1N 3JH, United Kingdom

Location

MeSH Terms

Conditions

Drug Resistant EpilepsyGlut1 Deficiency Syndrome

Condition Hierarchy (Ancestors)

EpilepsyBrain DiseasesCentral Nervous System DiseasesNervous System Diseases

Study Officials

  • Kathryn Lightfoot

    Leeds Teaching Hospitals NHS Trust

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Masking Details
No masking, product will be given open label.
Purpose
SUPPORTIVE CARE
Intervention Model
SINGLE GROUP
Model Details: Single group - all patients to receive Ketoflo.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 18, 2020

First Posted

May 22, 2020

Study Start

February 24, 2020

Primary Completion

June 30, 2023

Study Completion

June 30, 2023

Last Updated

February 15, 2024

Record last verified: 2024-02

Data Sharing

IPD Sharing
Will not share

No plans to share IPD.

Locations