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Status unknownNCT04442555KETO-AHF1Updated Jul 18, 2022

Treatment With the Ketone Body 3-hydroxybutyrate in Patients With Acute Heart Failure

A Phase 1 interventional study of HVMN Ketone Ester and Maltodextrin in Acute Heart Failure, sponsored by University of Aarhus. Status unknown at 1 site in Denmark. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-07-18.

Sponsored by University of Aarhus · Phase 1, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2022), so the status shown — last known as Recruiting — may be out of date.

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Feb 2020, registered Jun 2020).
Phase
Phase 1
Study type
Interventional
Enrollment
12
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Study summary

Background:

Acute heart failure is a potentially life-threatening condition, reaching mortality rates of up to 50% in advanced cases. The investigators have shown that infusion of ketone bodies increase cardiac output by 40% in stabile patients with chronic heart failure. However, there are no data showing the effects of ketone on patients with acute heart failure

Objectives:

To investigate the effect of ketone supplementation in patients with acute heart failure and cardiogenic shock, using two different types of oral ketone supplements.

Methods:

The investigators will conduct four randomized placebo-controlled studies, to investigate the hemodynamic effect of exogenous ketones in acute heart failure and cardiogenic shock.

Perspectives:

The present study will determine the potential beneficial effects of ketone supplements in patients with acute heart failure.

02

Conditions studied

  • Acute Heart Failure

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03

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 12 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.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Hospitalized with worsening HF or de novo diagnosis of HF
  • LVEF \< 50%
  • Treatment with intravenous loop diuretics during the hospitalization and/or increased dosage of oral diuretics.

Exclusion criteria

Exclusion Criteria:

  • Cardiogenic shock
  • Systolic Blood Pressure \<85 mmHg
  • Acute myocardial infarction other than type II \<5 days prior to randomization *
  • Severe uncorrected cardiac valve disease
  • Expected or possible need for hemodialysis as judged by the investigator
  • Ongoing inotropic treatment
  • Possible need for advanced heart failure treatment (LVAD, heart transplantation) as judged by the investigator.
  • Ongoing, severe infection
  • Severe respiratory distress (SAT\<90% or RF> 24/min or receiving more than 2 l O2/min or intubated)
  • Atrial Fibrillation with heart >120 beats per minute
  • Inability to cooperate to or accept oral intake of food, including presence of major gastrointestinal discomfort.

    • If suspected or confirmed acute myocardial infarction as cause of acute heart failure, patients can be recruited 5 days after hospitalization in the absence of malignant arrhythmias (e.g. ventricular tachycardia) or clinically significant residual angina pectoris.
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Participant)
Enrollment
12 participants (estimated)

Study arms

  • Experimental
    3-Hydroxybutyrate treatment

    HVMN Ketone Ester 0,5 g / kg

    Dietary Supplement: HVMN Ketone Ester

  • Placebo comparator
    Placebo Treatment

    Maltodextrin-base isocaloric placebo

    Dietary Supplement: Maltodextrin

Interventions

  • Dietary supplementHVMN Ketone Ester

    Commercially available ketone supplement

  • Dietary supplementMaltodextrin

    Commercially available maltodextrin supplement

06

What researchers measure

Primary outcomes

  1. Cardiac Output (L/min)

    Right Heart Catherization

    Time frame: 3 hours - Area under the curve

  2. Left Ventricular Ejection Fraction

    Echocardiography

    Time frame: 3 hours - Area under the curve

Secondary outcomes

  1. Left Ventricular Outflow Tract Velocity Time Integral (cm)

    Echocardiography

    Time frame: 3 hours - Area under the curve

  2. Left Ventricular Filling Pressure (mmHg)

    Right Heart Catherization

    Time frame: 3 hours - Area under the curve

07

Study locations

1 of 1 sites recruiting
  • Aarhus University Hospital
    Aarhus, 8200, Denmark
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 18, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04442555
Lead sponsor
University of Aarhus
Responsible party
Kristian Hylleberg Christensen (MD, Principal Investigator, University of Aarhus) — Principal investigator
First posted
Jun 22, 2020
Start date
Feb 1, 2020
Primary completion
Mar 30, 2023 (estimated)
Completion
Mar 30, 2023 (estimated)
Last update
Jul 18, 2022

Study contacts

Kristian H Christensen, MD
Contact
kristianhylleberg@gmail.com
26603577
Henrik S Wiggers, DMsci
Contact

Oversight

Data monitoring committee
Yes
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 Jul 2022. You cannot join it, but the record below documents what was studied.

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