ClinicalTrials.gg
Active, not recruitingNCT06815237Updated Oct 14, 2026

Effects of Ketone Supplement and Alcohol on Brain Metabolism

A Phase 2/3 interventional study of Kenetik and Alcohol beverage in Ketosis, Alcohol Drinking and MRI, sponsored by University of Pennsylvania. Active, not recruiting at 1 site in United States. Open to participants aged 21 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-14.

Sponsored by University of Pennsylvania · Phase 2/3, Interventional, and Basic science

Updated Oct 14, 2026Now Active, not recruitingGo to Updates ↓
Phase
Phase 2/3
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
21 Years to 65 Years
Sex
All
01

Study summary

The research study is being conducted to better understand the effects of ketones and alcohol on brain functioning and brain metabolism. Participants will be asked to undergo three identical MRI visits after three single-dose interventions: (1) drink a ketone supplement drink, (2) drink an alcoholic beverage, (3) no intervention. These interventions will be randomly assigned (meaning everyone receives all 3 interventions, but in different orders).

Read the detailed description

Screening Visit: Participants will complete a screening visit at the CSA (Center for Studies of Addiction). At the visit participants will be asked to show legal photo identification and undergo a breath alcohol test to ensure a breath alcohol concentration (BrAC) of \<0.000%, to ensure that the participant is not intoxicated, which would make it difficult to provide informed consent. Participants will be given the informed consent form to read, which a study staff member will then review, as well as provide an explanation of the study protocol, risks, potential benefits, and alternative treatments. Following resolution of any questions, participants will be asked to sign the consent form and an entire copy of it will be given to the participants. The participant will be reminded that signing the consent form represents their willingness to participate in the study but that the subsequent screening process will determine their eligibility to do so.

Next, the participant will meet with a study clinician who will obtain a medical history and conduct a physical examination. Trained staff will measure subjects' weight, height, and vital signs (blood pressure and heart rate). Study staff trained in phlebotomy will draw approximately 3 tablespoons (44 mL) of blood for baseline laboratory measure. Baseline laboratory samples will include:

  • Complete blood count (CBC)
  • Blood chemistries (i.e., standard blood work and lipids)
  • Urinalysis
  • Urine toxicology (presence of psychoactive drugs)
  • Urine pregnancy test for women In cases where blood samples are drawn and potential lab errors or abnormal findings occur, subjects will be asked to provide an additional blood sample to repeat the test(s).

Study staff will complete the following assessments with participants during Consent/Screening:

  • Sociodemographic/general participant information: An assessment of medical history, personal and family history of alcohol use disorder, marital status, educational and occupational information, and substance abuse treatment history will be obtained, along with the individual's self-identified ancestry.
  • A structured diagnostic psychiatric interview for DSM-5, which will be used to identify current substance use- and psychiatric disorders.
  • Timeline Follow-Back (TLFB) is a 90-day assessment of use of alcohol, opioids, caffeine, nicotine, marijuana, cocaine, amphetamine, methamphetamine, and benzodiazepines.
  • MRI safety form: This standard assessment form, created by the Department of Radiology at the Hospital of the University of Pennsylvania, assesses the history of specific prostheses, surgical implants, and other MRI contraindications.
  • Oral HIV test: participants will be administered an oral HIV test. If the HIV test positive, study staff will inform the participants of the results, counsel the participants regarding the need to confirm the finding with a blood test and to avoid potential exposure of others to HIV, and draw an additional 1/2 tablespoon of blood to conduct a confirmatory HIV blood test. If the blood test is positive for HIV, the participants will be referred for medical care and given a copy of the test to provide to the doctor for the follow-up visit.

After the screening visit is complete, staff will call participants within 5 business days to let them know whether or not the study is a good fit. If it is a good fit for staff will schedule the 3 study lab visits.

Study lab visits: Staff will contact the participant the day before the lab visit to take the breakfast order, snack order, and tell subjects if they need to take a Lyft into the study visit located at Stellar Chance Laboratories (440 Curie Blvd.). On the lab visit that participants receive alcohol beverages, they will need to take a Lyft to the visit and back home after the visit.

Each visit will start at approximately 8:30 am, and participants will meet staff at Stellar chance Lab. They will be asked to not eat or drink anything except water after midnight the day before and on the day of each of the study lab visits. Staff will provide a light breakfast,

Table 2. Timeline of events on Lab days Approximate time Study procedure 08:30 AM Participant arrives at the study site and breathalyzer (BrAC must be 0.000) 8:35 AM Vital signs, finger stick for blood glucose, and ketone levels 8:40 AM Urine sample for UDS and urine pregnancy test if you are a woman who is able to become pregnant. 8:45 AM Light breakfast 9:00 AM Staff will review with you any recently used drugs, alcohol, medications, or vitamins since your last visit. 9:45 AM Administration of KS (20g), or alcohol, or no intervention 10:00AM MRI 11:30 AM Breathalyzer, finger stick for blood glucose, and ketone levels 11:45 AM Snack 12:20 AM Breathalyzer (repeated until below 0.020), finger stick for blood glucose (repeated if glucose is below 70 mg/dl, until it returns to normal). 12:30 AM Once BrACH is below 0.020 and blood glucose levels return to normal levels a study clinician will meet with you to ask you some questions and complete a brief sobriety assessment to make sure it is safe for you to go home.

Follow-up (\~5 minutes): On the first business day following the study visits, participants will receive a follow-up phone call from study staff to ask about any changes to their health and to ensure that they did not experience any side effects from the MRI scan or other laboratory procedures. If the next business day falls on a holiday, then the follow-up call may occur on the next business day.

02

Conditions studied

  • Ketosis
  • Alcohol Drinking
  • MRI

Keywords

  • ketone supplement
03

In context

Ketosis

218 studies on the registry are indexed under Ketosis; 50 are open to participants now.

This study's planned enrollment of 60 is above the median of 20 across 190 interventional studies indexed under Ketosis.

Browse Ketosis studies →

Lead sponsor

University of Pennsylvania is the lead sponsor of 1,668 studies on the registry; 235 are open to participants now.

Of its 158 completed or terminated interventional studies of FDA-regulated products, 109 (69%) have results posted.

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

04

Who can participate

Ages eligible
21 Years to 65 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

  1. Able to provide written and commit to completing study procedures.
  2. Reported on at least one day in the month before consent of consuming 2 or more standard alcoholic drinks on a single day.

Exclusion criteria

Exclusion Criteria:

  1. Unwilling or unable to refrain from the use of psychoactive medications, medication that may affect study results, and or alcohol, within 24 hours of the Alcohol lab, and MRI procedures (self-report, medical history, UDS, and breathalyzer).
  2. Current diagnosis of a major psychiatric disorder (other than marijuana and nicotine use disorders) as identified by clinical examination or structured interview that could interfere with study participation or make it hazardous for the subject.
  3. Currently taking a medication that could interfere with study participation or make it hazardous for the subject to participate. (e.g., anticholinergics; antipsychotics; psychotropic drugs not otherwise specified)
  4. Positive urine drug screen positive for all substances but marijuana on study visits (may be repeated once and if the result is negative on repeat it is not exclusionary).
  5. A current, physical disease or abnormality on the basis of medical history, physical examination, or routine laboratory evaluation that could interfere with study participation or make it hazardous for the subject to do so (e.g., bleeding disorder, pancreatitis, epilepsy, liver disease, kidney disease, or diabetes as determined by history and clinical exam); ALAT or ASAT concentration greater than 3 times the (ULN), or above the ULN. (Note-abnormal laboratory tests during screening may be repeated once).
  6. Current, major gastrointestinal (GI) diseases, such as: GERD, Crohn's disease, Irritable bowel syndrome, Ulcerative colitis, Celiac disease Diverticulitis, or other clinically significant physical disease that may interfere with the intake of the Ketone Supplement based on medical history, and evaluation of the Study Physician.
  7. Head trauma with loss of consciousness for more than 30 minutes (self-report, medical history).
  8. Pregnant or breast-feeding
  9. Weight greater than 250lbs (Need to cap amount of alcohol give based on weight to individuals).
  10. Self-reported claustrophobia
  11. to MRI (e.g., metal in the body that cannot be removed and is not MRI compatible).
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Ketone Supplement

    Subjects will receive ketone supplement once by mouth, 20g of kentones.

    Dietary Supplement: Kenetik

  • Experimental
    Alcohol beverage

    Alcohol lab, participants will receive ethanol drinks that are dose-adjusted for body weight and sex differences in pharmacokinetics and calculated to obtain a final breath alcohol concentration of 0.050%

    Other: Alcohol beverage

  • No intervention
    No Intervention

    No intervention will be given

Interventions

  • Dietary supplementKenetik

    Drug pages: 3-Hydroxybutyric Acid · Butylene glycol · Butylene Glycols

    Ketone supplement is randomly given once.

    Also known as: D-Beta-hydroxybutyric acid and R-1,3 butanediol, Ketone supplement

  • OtherAlcohol beverage

    Alcohol beverage is randomly given once. Participants will receive the alcohol beverage that dose-adjusts for body weight and sex differences in pharmacokinetics and calculated to obtain a final breath alcohol concentration of 0.050%

    Also known as: Ethanol

06

What researchers measure

Primary outcomes

  1. To examine the acute effects of ketone supplements compared to no intervention on Nicotinamide adenine dinucleotide levels in the brain.

    Use MRI imaging to measure the amount of Nicotinamide adenine dinucleotide levels in the brain measured in mmol/L in participants after receiving ketone supplement intervention compared to no intervention.

    Time frame: 60 minutes

  2. To examine the acute effects of ketone supplements compared to no intervention on brain Glutamate levels.

    Use MRI imaging to measure the amount of Glutamate levels in the brain measured in mmol/L in participants after receiving ketone supplement intervention compared to no intervention.

    Time frame: 45 minutes

  3. To examine the acute effects of ketone supplements compared to no intervention on brain Gamma-aminobutyric acid levels.

    Use MRI imaging to measure the amount of Gamma-aminobutyric acid levels in the brain measured in mmol/L in participants after receiving ketone supplement intervention compared to no intervention.

    Time frame: 75 minutes

Secondary outcomes

  1. To examine the acute effects of alcohol (dose adjusted by weight) compared to no intervention on Nicotinamide adenine dinucleotide levels in the brain.

    Use MRI imaging to measure the amount of Nicotinamide adenine dinucleotide levels in the brain measured in mmol/L in participants after receiving an alcohol (dose adjusted by weight) intervention compared to no intervention.

    Time frame: 60 minutes

  2. To examine the acute effects of alcohol (dose adjusted by weight) compared to no intervention on brain Glutamate levels.

    Use MRI imaging to measure the amount of Glutamate levels in the brain measured in mmol/L in participants after receiving an alcohol (dose adjusted by weight) intervention compared to no intervention.

    Time frame: 45 minutes

  3. To examine the acute effects of alcohol (dose adjusted by weight) compared to no intervention on brain Gamma-aminobutyric acid levels.

    Use MRI imaging to measure the amount of Gamma-aminobutyric acid levels in the brain measured in mmol/L in participants after receiving an alcohol (dose adjusted by weight) intervention compared to no intervention.

    Time frame: 75 minutes

07

Study locations

1 site
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started May 2025 (actual). Primary completion is estimated for May 2029, 48 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 3, 2025
First posted
Feb 7, 2025
StartActual
May 13, 2025
Primary completionEst.
May 31, 2029
CompletionEst.
May 31, 2029
Last update
Oct 14, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Recruiting→Active, not recruiting
changed Oct 14, 2026
Show all 1 update
  1. Oct 14, 2026
    Recruiting→Active, not recruiting
    + 3 other changes: verification date, contact details and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT06815237
Responsible party
Sponsor
First posted
Feb 7, 2025
Start date
May 13, 2025
Primary completion
May 31, 2029 (estimated)
Completion
May 31, 2029 (estimated)
Last update
Oct 14, 2026

Study contacts

Corinde Wiers, Ph.D.
principal investigator · University of Pennsylvania

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 active, not recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: 3-Hydroxybutyric Acid · Butylene glycol · Butylene Glycols

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