CClinicalTrials.gg
Status unknownNCT04379934Updated May 8, 2020

Functional and Metabolic Effects of Ketone Bodies on Human Atrial Tissue in Patients With and Without Heart Failure

An interventional study of 3-hydroxybuturate in Heart Failure, Ischemia Reperfusion Injury and Mitochondrial Pathology, sponsored by University of Aarhus. Status unknown at 1 site in Denmark. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2020-05-08.

Sponsored by University of Aarhus · Not applicable, Interventional, and Basic science

The sponsor has not verified this record recently (last verified Apr 2020), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Non-randomized
Ages
18 Years to 85 Years
Sex
All
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Study summary

This proof of concept study aims to evaluate the effects of applying ketone bodies to human atrial tissue biopsies using an atrial strips model and high resolution respirometry.

Read the detailed description

Ketone bodies are high energy molecules which are naturally occurring in the body during fasting or stress.

Recently, ketone bodies have been shown to improve cardiac function in patients with heart failure(1) through a mechanism, which has yet to be elaborated.

We wish to evaluate the effects of ketone body administration on cardiac tissue subjected to ischemia reperfusion injury. We will evaluate contractile force of the and the mitochondrial performance. Cardiac atrial tissue will be obtained from patients undergoing coronary artery bypass grafting (CABG) or valve replacement surgery. Patients will be recruited after signing an informed consent and allocated in heart failure / non-heart failure groups based on a clinical evaluation.

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Conditions studied

  • Heart Failure
  • Ischemia Reperfusion Injury
  • Mitochondrial Pathology
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In context

Heart Failure

5,701 studies on the registry are indexed under Heart Failure; 1,220 are open to participants now.

This study's planned enrollment of 40 is below the median of 72 across 3,736 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

University of Aarhus is the lead sponsor of 1,274 studies on the registry; 183 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • EF \< / > 45%, hospitalized for elective CABG or heart valve surgery

Exclusion criteria

Exclusion Criteria:

  • Myocardial infarction within 4 weeks, atrial fibrillation, medically treated thyroid disease, oral treatment with opioids.
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Other
    Heart failure

    Ejection fraction \< 45%

    Dietary Supplement: 3-hydroxybuturate

  • Other
    Non-heart failure

    Ejection fraction \> 45%

    Dietary Supplement: 3-hydroxybuturate

Interventions

  • Dietary supplement3-hydroxybuturate

    3-hydroxybuturate will be administered directly as a modified Krebs Henseleit buffer in a super perfused atrial strips model

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What researchers measure

Primary outcomes

  1. Contractile force recovery

    Atrial strips model, contractile force (nm\*mm\^-1) during stabilization, ischemia and reperfusion

    Time frame: Outcome will be assessed within a year when the inclusion of patients is complete

Secondary outcomes

  1. Mitochondrial respiratory capacity

    High Resolution Respirometry, Complex I and Complex I+II respiration (pmol O2 · s-1·mg-1) assessed via a substrate and inhibitor (SUIT) protocol.

    Time frame: Outcome will be assessed within a year when the inclusion of patients is complete

  2. Mitochondrial Reactive Oxygen Species production

    High Resolution FluoRespirometry, Complex I and Complex I+II linked ROS generation measured with AmplexUltra red and H2O2 interaction fluorescense

    Time frame: Outcome will be assessed within a year when the inclusion of patients is complete

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Study locations

1 site
  • Aarhus University Hospital
    Aarhus, 8200, Denmark
    • Jacob Seefeldt, M.B. · Contact · jacob.seefeldt@clin.au.dk · +45 4117633
    • Bent Roni Nielsen, M.D., Ph.D. · Contact · bent.nils@midt.rm.dk · +45 51219363
    • Bent Roni Nielsen, M.D., PhD · Principal investigator
    • Jacob Seefeldt, M.B · Sub investigator
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References and documents

Publications

  • Nielsen R, Moller N, Gormsen LC, Tolbod LP, Hansson NH, Sorensen J, Harms HJ, Frokiaer J, Eiskjaer H, Jespersen NR, Mellemkjaer S, Lassen TR, Pryds K, Botker HE, Wiggers H. Cardiovascular Effects of Treatment With the Ketone Body 3-Hydroxybutyrate in Chronic Heart Failure Patients. Circulation. 2019 Apr 30;139(18):2129-2141. doi: 10.1161/CIRCULATIONAHA.118.036459. PubMed 30884964 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 8, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04379934
Lead sponsor
University of Aarhus
Collaborators
Aarhus University Hospital
Responsible party
Sponsor
First posted
May 8, 2020
Start date
Jun 1, 2020 (estimated)
Primary completion
Jan 31, 2024 (estimated)
Completion
Jan 31, 2024 (estimated)
Last update
May 8, 2020

Study contacts

Jacob Seefeldt, B.M
Contact
jacob.seefeldt@clin.au.dk
+45 41178633
Bent Roni Nielsen, M.D., PhD.
Contact
bent.nils@midt.rm.dk
+45 51 21 93 63‬
Hans Erik Bøtker, M.D., Prof.
study director · Aarhus University Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Apr 2020. You cannot join it, but the record below documents what was studied.

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