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CompletedNCT05898204KEMESOUpdated Aug 14, 2025

KEtogenic Diet and Its Multiple EffectS on Obesity

An interventional study of Ketogenic diet and Balanced diet in Obesity, sponsored by University of Roma La Sapienza. Completed at 1 site in Italy. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-08-14.

Sponsored by University of Roma La Sapienza · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 2 months after the study started (first participant enrolled Feb 2022, registered Apr 2023).
Phase
Not applicable
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The prevalence of obesity and metabolic disturbances is worryingly increasing worldwide, therefore the study of their pathophysiology is extremely important to find new strategies for their treatment. Obesity has a strong impact not only on the metabolism of the patients, but also may impact hormonal, inflammatory and immune profile, and profoundly influence the daily life of the patients. Weight loss may determine an amelioration of these parameters, but the impact of the diet composition aimed to weight loss on them has not been profoundly studied yet.

The aim of our research project is to study the effects of a ketogenic diet in comparison with an isocaloric balanced diet on weight loss and anthropometric parameters, quality of life, hormone profile, sleep, sexual function, circadian rhythm, inflammatory and immunological parameters in obese patients.

02

Conditions studied

  • Obesity

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Keywords

  • obesity
  • metabolism
  • circadian rhythm
  • sleep
  • quality of life
  • balanced diet
  • ketogenic diet
  • immune profile
03

In context

Obesity

6,296 studies on the registry are indexed under Obesity; 1,692 are open to participants now.

This study's enrollment of 24 is below the median of 78 across 4,878 interventional studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

University of Roma La Sapienza is the lead sponsor of 388 studies on the registry; 55 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age between 18 and 65 years
  • BMI≥ 30 Kg/m2

Exclusion criteria

Exclusion Criteria:

  • Type 1 diabetes mellitus and latent autoimmune diabetes in adults
  • β-cell failure in type 2 diabetes mellitus
  • Use of sodium/glucose cotransporter 2 (SGLT2) inhibitors
  • Pregnancy and breastfeeding
  • Kidney failure and moderate-to-severe chronic kidney disease
  • Liver failure
  • Heart failure (NYHA III-IV)
  • Respiratory failure
  • Unstable angina, stroke or myocardial infarction in the last 12 months
  • Cardiac arrhythmias
  • Eating disorders and other severe mental illnesses, alcohol and substance abuse
  • Active/severe infections
  • Planned elective surgery or invasive procedures
  • Rare disorders: porphyria, carnitine deficiency, carnitine palmitoyltransferase deficiency, carnitine-acylcarnitine translocase deficiency, mitochondrial fatty acid β-oxidation disorders, pyruvate carboxylase deficiency
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    Ketogenic diet arm

    Ketogenic diet for a month, or a longer period if clinically necessary

    Other: Ketogenic diet

  • Active comparator
    Balanced diet arm

    Balanced diet for a month, or a longer period if clinically necessary

    Other: Balanced diet

Interventions

  • OtherKetogenic diet

    Prescription of a ketogenic diet, 1200 Kcal/die. Patients are encouraged to walk 30 minutes every day.

  • OtherBalanced diet

    Prescription of a balanced diet, 1200 Kcal/die. Patients are encouraged to walk 30 minutes every day.

06

What researchers measure

Primary outcomes

  1. Evaluation of changes in Perceived Quality of Life with IWQOL-Lite Questionnaires

    Assessment with the questionnaires Impact of weight/Quality of Life-Lite (IWQOL-Lite); global scale from 0 to 100; the higher the score, the better the quality of life

    Time frame: At baseline, at 15 days, at 30 days, at 60 days if the patient continued the diet

  2. Evaluation of changes in Perceived Quality of Life with SF-36 Questionnaires

    Assessment with the questionnaires Short Form Health Survey 36 (SF-36); scale of every item from 0 to 100; the higher the score, the better the quality of life

    Time frame: At baseline, at 15 days, at 30 days, at 60 days if the patient continued the diet

  3. Evaluation of changes in Perceived Quality of Life with "EQ-5D" Questionnaires

    Assessment with the questionnaires "EQ-5D"; scale of every item from 1 to 5; the higher the score, the worse the perceived problem

    Time frame: At baseline, at 15 days, at 30 days, at 60 days if the patient continued the diet

Secondary outcomes

  1. Evaluation of weight loss

    Weight loss expressed in Kg

    Time frame: At baseline, at 15 days, at 30 days, at 60 days if the patient continued the diet

  2. Evaluation of changes of perceived sleep

    Assessment with the questionnaires Pittsburgh Sleep Quality Index; global score on a scale from 0 to 21; the higher the score, the worse the sleep quality

    Time frame: At baseline, at 15 days, at 30 days, at 60 days if the patient continued the diet

  3. Evaluation of changes of perceived sleepiness

    Assessment with the questionnaires Epworth Sleepiness Scale (ESS); score on a scale from 0 to 24; the higher the score, the higher the sleepiness

    Time frame: At baseline, at 15 days, at 30 days, at 60 days if the patient continued the diet

  4. Evaluation of changes in clock genes expression

    Evaluation of the expression of the clock genes in blood cells

    Time frame: At baseline, at 30 days

  5. Evaluation of changes in hormonal profile

    Assessment of hormonal parameters, as cortisol, expressed in ug/dL

    Time frame: At baseline, at 30 days

  6. Evaluation of changes in sexual function in males

    Assessed with the questionnaires International Index of Erectile Function (IIEF-5); scale from 5 to 25; the higher the score, the better the erectile function

    Time frame: At baseline, at 15 days, at 30 days, at 60 days if the patient continued the diet

  7. Evaluation of changes in inflammation

    Measurements of circulating cytokines, as interleukin 2 and interleukin 10, expressed in ng/mL

    Time frame: At baseline, at 30 days, at 60 days if the patient continued the diet

  8. Evaluation of changes of peripheral blood mononuclear cells

    Number of cells of peripheral blood mononuclear cell subpopulations, expressed in number/mm3

    Time frame: At baseline, at 30 days, at 60 days if the patient continued the diet

  9. Evaluation of changes in sleep parameters (length)

    Assessment with actigraphy of latency, total minutes in bed, total sleep time, wake after sleep onset, average awakening length, expressed in minutes

    Time frame: At baseline, at 30 days

  10. Evaluation of changes in hip circumference

    Assessment of hip circumference, expressed in cm

    Time frame: At baseline, at 15 days, at 30 days, at 60 days if the patient continued the diet

  11. Evaluation of changes in waist circumference

    Assessment of waist circumference, expressed in cm

    Time frame: At baseline, at 15 days, at 30 days, at 60 days if the patient continued the diet

  12. Change in circadian rhythm

    Evaluation of change in midpoint of sleep, bedtime, sleep onset, rise time and circadian phase, expressed in hours

    Time frame: At baseline, at 30 days

  13. Evaluation of changes in Sexual Function in Females

    Assessed with the questionnaire Female Sexual Function Index (FSFI); scale of every item from 1 to 5; the higher score, the better the sexual function

    Time frame: At baseline, at 15 days, at 30 days, at 60 days if the patient continued the diet

  14. Evaluation of changes in sleep efficiency

    Sleep efficiency expressed as a percentage; measurement with actigraphy

    Time frame: At baseline, at 30 days

  15. Evaluation of changes in number of awakenings

    Measurement with actigraphy

    Time frame: At baseline, at 30 days

  16. Evaluation of changes in sleep parameters

    Evaluation of sleep fragmentation index and movement index, with actigraphy

    Time frame: At baseline, at 30 days

  17. Evaluation of changes in metabolic parameters

    Evaluation of changes in metabolic parameters, as glucose, triglycerides, cholesterol and HDL, expressed in mmol/L

    Time frame: At baseline, at 30 days

  18. Evaluation of changes in BMI

    Weight and height will be combined to report BMI in kg/m\^2

    Time frame: At baseline, at 15 days, at 30 days, at 60 days if the patient continued the diet

  19. Evaluation of height

    Assessment of height, expressed in cm

    Time frame: At baseline

  20. Evaluation of changes in whole blood cells gene expression

    Evaluation of the changes in the expression of blood cells genes, as metabolic, inflammatory and immunological genes, with RNA-seq in whole blood cells

    Time frame: At baseline, at 30 days

07

Study locations

1 site
  • Sapienza University of Rome
    Roma, Roma 00161, Italy
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 Aug 14, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05898204
Lead sponsor
University of Roma La Sapienza
Responsible party
Lucio Gnessi (Full Professor, University of Roma La Sapienza) — Principal investigator
First posted
Jun 12, 2023
Start date
Feb 3, 2022
Primary completion
May 6, 2022
Completion
Jun 23, 2022
Last update
Aug 14, 2025

Oversight

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

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