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CompletedNCT05390385Updated Aug 16, 2023

Acceptability and Tolerability of Ketone Supplements and Effects of BHB Concentrations in Young Adults

An interventional study of KE1 5g and KE1 10g in Exogenous Ketosis, sponsored by University of Alabama at Birmingham. Completed at 1 site in United States. Open to participants aged 18 Years to 25 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-08-16.

Sponsored by University of Alabama at Birmingham · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
14
Allocation
Randomized
Ages
18 Years to 25 Years
Sex
All
01

Study summary

Assess the acceptability and tolerability of two different commercially available ketone supplements and determine their effects on capillary blood concentrations of the ketone beta-hydroxybutyrate and glucose in young adults.

Read the detailed description

Past findings suggest that raising ketone concentrations through the use of a ketogenic diet (high-fat, moderate-protein, low-carbohydrate) is effective for preventing weight gain and decreasing appetite. However, strict adherence to this diet is difficult, and ending the diet can result in the regaining of body weight. Our group has investigated the effects of various ketone supplements in both rodents and humans. Past results of our group and that of our colleagues suggest that ketone supplements have the ability to increase ketone concentrations in the blood, decrease appetite, lower body weight, and maintain lean body mass. Exogenous ketones may serve as an alternative to the ketogenic diet by increasing concentrations of ketones without the need for adherence to a strict diet. However, little is known about ketone supplements as it relates to their tolerability and efficacy. For example, the taste of these supplements is unacceptable to some individuals and it is unclear if ketone supplements provide an adequate approach to raise and maintain circulating ketone concentrations as observed with the ketogenic diet. This information will be valuable before launching larger-scale human trials.

Ketone supplements (KE1 and KE4) will be obtained from KetoneAid (Falls Church, VA). Participants will be asked to drink (5g and 10g) of each supplement separated by at least 3 days. Capillary blood samples will be measured using a handheld device to measure circulating beta-hydroxybutyrate (BHB) and glucose concentrations while a questionnaire will be used to assess the acceptability and tolerability of the ketone supplements.

02

Conditions studied

  • Exogenous Ketosis

Keywords

  • exogenous ketones
  • ketone supplementation
  • ketone monoester
  • ketone salt
  • tolerability
  • acceptability
  • beta-hydroxybutyrate
03

In context

Lead sponsor

University of Alabama at Birmingham is the lead sponsor of 1,416 studies on the registry; 278 are open to participants now.

Of its 160 completed or terminated interventional studies of FDA-regulated products, 128 (80%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 25 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adult 18-25 years of age
  • In generally good health
  • Able and willing to attend study visits (once every 3 days for \~2 weeks)
  • BMI 18.5-29.9

Exclusion criteria

Exclusion Criteria:

  • Pregnant
  • Has preexisting medical conditions, including Type 2 diabetes, heart disease, or cancer
  • BMI ≥ 30
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
14 participants (actual)

Study arms

  • Placebo comparator
    Control placebo

    Other: Placebo drink

  • Experimental
    KE1 5g

    Dietary Supplement: KE1 5g

  • Experimental
    KE1 10g

    Dietary Supplement: KE1 10g

  • Experimental
    KE4 5g

    Dietary Supplement: KE4 5g

  • Experimental
    KE4 10g

    Dietary Supplement: KE 10g

Interventions

  • Dietary supplementKE1 5g

    5g of KE1 (KetoneAid, Falls Church, VA), diluted to 4 ounces

  • Dietary supplementKE1 10g

    10g of KE1 (KetoneAid, Falls Church, VA), equal to 4 ounces

  • Dietary supplementKE4 5g

    5g of KE4 (KetoneAid, Falls Church, VA), diluted to 4 ounces

  • Dietary supplementKE 10g

    10g of KE4 (KetoneAid, Falls Church, VA), diluted to 4 ounces

  • OtherPlacebo drink

    Flavor-matched control placebo drink (KetoneAid, Falls Church, VA), 4 ounces

06

What researchers measure

Primary outcomes

  1. Supplement tolerability and acceptability

    The ketone supplements being used have been described as having strong, disagreeable flavors. Therefore, the first outcome measure will be understanding how the flavors and gastrointestinal effects of both supplements may impact subjects. This outcome measure will be assessed by measuring the symptoms experienced, the time at which each symptom occurred, and the duration of each symptom using a scaled symptom questionnaire titled "Symptom Questionnaire." The questionnaire rates symptoms on an ordinal scale from absent, mild, moderate, to severe, with absent being the minimum value and better outcome, and severe being the maximum value and worst outcome. The questionnaire will assess the time that each symptom occurred, on a scale from immediately, one hour, and two hours after supplement consumption. The questionnaire will assess the duration of each symptom, on a scale of less than thirty minutes, one hour, and two hours after each symptom occurred.

    Time frame: 2 hours

  2. Capillary beta-hydroxybutyrate concentrations

    Exogenous ketone supplements are now widely available at the commercial level, so it is important to understand the concentration-dependent effects of these supplements on circulating ketone concentrations, measured by concentrations of beta-hydroxybutyrate following a capillary blood fingerstick.

    Time frame: 2 hours

07

Study locations

1 site
  • University of Alabama at Birmingham
    Birmingham, Alabama 35294, United States
08

References and documents

Publications

  • Stubbs BJ, Cox PJ, Evans RD, Santer P, Miller JJ, Faull OK, Magor-Elliott S, Hiyama S, Stirling M, Clarke K. On the Metabolism of Exogenous Ketones in Humans. Front Physiol. 2017 Oct 30;8:848. doi: 10.3389/fphys.2017.00848. eCollection 2017. PubMed 29163194 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 16, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05390385
Responsible party
Eric P. Plaisance (Chairperson of the Department of Human Studies and Associate Professor of Exercise Physiology, University of Alabama at Birmingham) — Principal investigator
First posted
May 25, 2022
Start date
Sep 23, 2022
Primary completion
Aug 15, 2023
Completion
Aug 15, 2023
Last update
Aug 16, 2023

Oversight

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

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This study is completed, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.

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