RecruitingPhase 2Phase 3NCT05670847

Exogenous Ketone Esters for Drug Resistant Epilepsy

Efficacy of Ketone Esters for Children With Drug Resistant Epilepsy


Sponsor

Sohag University

Enrollment

60 participants

Start Date

Jan 10, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This study aims to investigate the efficacy of add-on exogenous ketone esters for treating children with drug-resistant epilepsy


Eligibility

Min Age: 1 YearMax Age: 16 Years

Inclusion Criteria2

  • Drug-resistant epilepsy
  • Seizure frequency ≥ 7 per week

Exclusion Criteria17

  • Failure to obtain informed consent
  • Recent intake of exogenous ketones, ketogenic diet, or any dietary restrictions/modifications
  • Severe disease conditions, including hepatic, renal, respiratory, cardiac, gastrointestinal, endocrinal, and immune systems
  • Hypo-/hyperglycemia
  • Metabolic acidosis
  • Ketosis (βHB > 2 mmol/L)
  • GIT disorders, including gastritis/peptic ulcer, diarrhea/constipation, and irritable bowel disease
  • Malnutrition/obesity
  • Limitations to oral feeding (e.g., severe gastroesophageal reflux)
  • Inborn errors of metabolism
  • Chromosomal disorders
  • Surgically-remediable epilepsy
  • Allergies or any other contraindication to ketone supplements
  • Inapplicable recording of seizures
  • Incompliance to anti-seizure medications and/or irregular follow-up
  • Recent propofol therapy
  • Intake of carbonic-anhydrase inhibitors

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Interventions

DRUGExogenous ketone ester

500 mg/kg orally three times daily (with at least 4 hours between each dose) for 28 days


Locations(1)

Department of Pediatrics at Sohag University Hospital

Sohag, Egypt

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NCT05670847


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