NCT05939011

Brief Summary

The goal of this pilot intervention is to learn about how a well-formulated ketogenic diet (WFKD) impacts various health factors in generally healthy adults. The main questions it aims to answer are:

  • Establish whether an 8-week isocaloric, WFKD improves body composition and metabolic biomarkers in adults without chronic disease.
  • Examine changes in transcriptomic sequencing pathways pre- and post-WFKD intervention.
  • Explore gut microbial changes in adults without chronic disease that consume a WFKD. Participants will follow a well-formulated ketogenic diet for 8-weeks. Study procedures include:
  • Weekly body weight tracking
  • Daily urinary ketone assessment
  • Pre/post stool samples for gut microbiota analyses
  • Pre/post DXA scans
  • Diet quality tracking through 3-day food records

Trial Health

87
On Track

Trial Health Score

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

Enrollment
20

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Apr 2022

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

Study Start

First participant enrolled

April 8, 2022

Completed
10 months until next milestone

First Submitted

Initial submission to the registry

February 10, 2023

Completed
5 months until next milestone

First Posted

Study publicly available on registry

July 11, 2023

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 15, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 15, 2023

Completed
Last Updated

November 28, 2023

Status Verified

November 1, 2023

Enrollment Period

1.4 years

First QC Date

February 10, 2023

Last Update Submit

November 27, 2023

Conditions

Keywords

ketogenicwell-formulated ketogenic dietketo

Outcome Measures

Primary Outcomes (6)

  • Changes in Body Composition-- dual x-ray absorptiometry (DXA)

    Measures of tissue distribution

    Baseline, 8 Week

  • Changes in Waist Circumference (WC)

    Waist circumference (cm)

    Baseline, 4 Week, 8 Week

  • Changes in Body Mass Index (BMI)

    Ratio of height and weight in kg/m\^2

    Baseline, 4 Week, 8 Week

  • Changes in Homeostatic model assessment of Insulin Resistance (HOMA-IR)

    Ratio of fasting glucose and fasting insulin with a conversion factor, unitless

    Baseline, 4 Week, 8 Week

  • Changes in Advanced Lipid Panel

    Baseline, 8 Week

  • Changes in Inflammation

    Changes in high sensitivity C-reactive protein (hs-CRP) (mg/L)

    Baseline, 8 Week

Secondary Outcomes (2)

  • Changes in transcriptomic sequencing pathways

    Baseline, 8 weeks

  • Gut microbial changes

    Baseline, 8 weeks

Study Arms (1)

Well-formulated ketogenic diet (WFKD)

EXPERIMENTAL

The researchers aim to enroll 20 healthy adults recruited from Kansas City and surrounding areas for an 8-week WFKD diet intervention. Study personnel will obtain baseline (week 0), mid-point (week 4), and end-of-study (8 weeks) blood samples, anthropometrics, and dietary intake data. Fecal microbiome samples and dual energy x-ray absorptiometry (DXA) are collected at baseline and 8-weeks. Blood samples collected at baseline and 8-week visits will be measured for metabolic biomarkers, inflammatory biomarkers, and RNA. The blood sample collected at the 4-week visit will include glucose, insulin, insulin resistance, and beta-hydroxybutyrate to track diet adherence and adjust the diet as needed.

Behavioral: Well-formulated Ketogenic Diet

Interventions

1:1 ketogenic diet that is focused on intake of high-quality fats (nuts/seeds, fatty fish, avocado) and reduction in processed food.

Well-formulated ketogenic diet (WFKD)

Eligibility Criteria

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

You may qualify if:

  • to 55 years
  • Speaks English as primary language
  • BMI 20.0-34.9 kg/m\^2

You may not qualify if:

  • Certain medications (statin, blood pressure, thyroid hormone replacement, etc.)
  • Prior medical diagnosis of type 1 or type 2 diabetes mellitus, cancer requiring chemotherapy or radiation therapy within 5 years, cardiac event, GI disorders, traumatic brain injury/multiple concussions, hypertension, dyslipidemia, or any diagnosis deemed ineligible by study team
  • History of renal stones
  • Currently lactating
  • Already following a ketogenic diet
  • Adherence to a specialized diet regimen that disallows compliance
  • Use of tobacco or tobacco replacement products within 1 year

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Kansas Medical Center

Kansas City, Kansas, 66208, United States

Location

MeSH Terms

Conditions

Ketosis

Condition Hierarchy (Ancestors)

AcidosisAcid-Base ImbalanceMetabolic DiseasesNutritional and Metabolic Diseases

Study Officials

  • Debra K Sullivan, PhD

    University of Kansas Medical Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
PREVENTION
Intervention Model
SINGLE GROUP
Model Details: Single-arm, pilot clinical trial
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Department Chair, Dietetics and Nutrition

Study Record Dates

First Submitted

February 10, 2023

First Posted

July 11, 2023

Study Start

April 8, 2022

Primary Completion

September 15, 2023

Study Completion

September 15, 2023

Last Updated

November 28, 2023

Record last verified: 2023-11

Data Sharing

IPD Sharing
Will not share

Locations