RecruitingNot ApplicableNCT06867471

Effects of Exogenous Ketosis on Proteinuria and Renal Function

Effects of Exogenous Ketosis on Proteinuria and Renal Function in Patients with Chronic Kidney Disease and Patients with Polycystic Kidney Disease


Sponsor

Gødstrup Hospital

Enrollment

43 participants

Start Date

Sep 11, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

A randomized, placebo-controlled, double-blinded crossover study will be conducted. Fourteen patients with polycystic kidney disease (PKD) and 29 patients with proteinuric kidney disease will receive ketone bodies (Ketone-IQ) and placebo in a randomized order. Each treatment period is four weeks. There will be a wash-out period of two weeks in between treatment periods. Effect variables will be measured in the last day of each treatment period.


Eligibility

Min Age: 18 Years

Inclusion Criteria10

  • Study A (patients with CKD):
  • ACR \> 200 mg/g \<3000 mg/g
  • eGFR \>30 ml/min/1,73m2
  • Treatment with Renin-Angiotension System (RAS) blockers and SGLT-2 inhibitors for a minimum of 4 weeks prior to inclusion
  • Safe contraception if women in childbearing age
  • Study B (patients with PKD):
  • Prior diagnose with PKD
  • eGFR \>30 ml/min/1,73m2
  • Treatment with Renin-Angiotension System (RAS) blockers for a minimum of 4 weeks prior to inclusion
  • Safe contraception if women in childbearing age

Exclusion Criteria11

  • Diabetes Mellitus type 1
  • Heart Failure
  • Liver Disease
  • Kidney transplant
  • Malignant diseases (except skin cancer)
  • Recent acute myocardial infarction (AMI), apoplexia/transient ischemic attack (TIA) (within 3 months of inclusion)
  • Pregnancy or breast feeding
  • Alcohol or drug abuse
  • Periodic fasting within four weeks of inclusion
  • Routinely intake of ketogenic diet within four weeks of inclusion
  • Treatment with nitrate

Interventions

DIETARY_SUPPLEMENTKetone Diol, R-1,3-butanediol (Ketone-IQ)

Effect variables will be measured on the last day of treatment with Ketone-IQ

OTHERPlacebo drink

Effect variables will be measured on the last day of treatment with Placebo


Locations(1)

University Clinic in Nephrology and Hypertension, Gødstrup Region Hospital

Herning, Jutland, Denmark

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NCT06867471


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