ClinicalTrials.gg
CompletedNCT06867471KETO-CKDUpdated Sep 15, 2026

Effects of Exogenous Ketosis on Proteinuria and Renal Function

An interventional study of Ketone Diol, R-1,3-butanediol (Ketone-IQ) and Placebo drink in Renal Insufficiency, Chronic, Polycystic Kidney Diseases and Proteinuria, sponsored by Gødstrup Hospital. Completed at 1 site in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-15.

Sponsored by Gødstrup Hospital · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
45
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 116 studies in Renal Insufficiency, Chronic with a site in Denmark — 27 open to participants now, 35 under way, 9 of them phase 3. Renal Insufficiency, Chronic · Denmark.

Enrollment
70th of 90
45 · median 136
Started
2024
with 13 others
No phase
27 of 116
7 open now
Registered
98th of 116
by date

Among the 116 studies in Renal Insufficiency, Chronic with a site in Denmark, this one is the 70th largest by enrollment of the 90 interventional ones, is one of 14 that started in 2024, is one of 27 with no phase, and was the 98th registered.

By phase

116 studies; the count open now beside each. This study's row is marked.

Phase 331 · 4 open
No phasethis study27 · 7 open
Observational26 · 9 open
Phase 222 · 3 open
Phase 48 · 4 open
Phase 1/21 · 0 open
Phase 2/31 · 0 open

By the year they started

First in 2002; this study’s year is marked. 14 started in 2024.

Size and results

Median enrollment 136 across the 90 interventional studies, 321 across the 26 observational. Of the 73 that completed or were terminated, 28 (38%) have results posted.

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02

Study summary

A randomized, placebo-controlled, double-blinded crossover study will be conducted. Fourteen patients with polycystic kidney disease (PKD) and 29 patients with proteinuric kidney disease will receive ketone bodies (Ketone-IQ) and placebo in a randomized order. Each treatment period is four weeks. There will be a wash-out period of two weeks in between treatment periods. Effect variables will be measured in the last day of each treatment period.

Read the detailed description

Background: Until recently, the only treatment shown to slow progression of chronic kidney disease (CKD) has been angiotensin converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs).

The use of sodium glucose transporter 2 (SGLT2)-inhibitors, which work by blocking the activity of sodium-glucose-cotransporter 2 channels in the proximal kidney tubule, has completely transformed the treatment of proteinuric kidney disease, with a 28% decrease in the risk for cardiorenal outcomes. Despite these new treatment options, a significant proportion of patients still succumb to kidney failure, require hospitalization for heart failure and die prematurely. Thus, additional preventive measures are essential.

Renewed interest in the physiological role of ketone bodies (KB) has emerged. It has become increasingly clear that ketosis has several beneficial effects including anti-epileptic effects, improved exercise capacity, lipid profile, cardiac function and cognition.

However, only few clinical studies have studied renal effects of exogenous ketosis, and to our knowledge there are no clinical studies examining the effects long term effects of renal ketosis in patients with CKD.

Hypothesis: Ketosis decreases urine albumin to creatinine ratio (ACR) and glomerular filtration rate (GFR) in patients with CKD/PKD.

Methods: A randomized, placebo-controlled, double-blinded crossover study will be conducted. Twenty-nine patients with proteinuric kidney disease (study a) and 14 patients with PKD (study b) will receive ketone bodies (Ketone-IQ) and placebo in a randomized order. Each treatment period is four weeks. There will be a wash-out period of two weeks in between treatment periods. Effect variables will be measured in the last day of each treatment period.

Perspectives: The study has the potential to provide information regarding the therapeutic potential of ketone bodies in patients with CKD/PKD.

03

Conditions studied

  • Renal Insufficiency, Chronic
  • Polycystic Kidney Diseases
  • Proteinuria
  • Ketosis

Keywords

  • Kidney physiology
  • Glomerular Filtration Rate
  • Chronic Kidney disease
  • Ketosis
  • Proteinuria
  • Natriuresis
04

Who can participate

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

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

Study A (patients with CKD):

  • ACR > 200 mg/g \<3000 mg/g
  • >30 ml/min/1,73m2
  • Treatment with Renin-Angiotension System (RAS) blockers and SGLT-2 inhibitors for a minimum of 4 weeks prior to inclusion
  • Safe if women in childbearing age

Study B (patients with PKD):

  • Prior diagnose with PKD
  • eGFR >30 ml/min/1,73m2
  • Treatment with Renin-Angiotension System (RAS) blockers for a minimum of 4 weeks prior to inclusion
  • Safe contraception if women in childbearing age

Exclusion criteria

Exclusion Criteria (Study A+B)

  • Diabetes Mellitus type 1
  • Heart Failure
  • Liver Disease
  • Kidney transplant
  • Malignant diseases (except skin cancer)
  • Recent acute myocardial infarction (AMI), apoplexia/ (TIA) (within 3 months of inclusion)
  • Pregnancy or breast feeding
  • Alcohol or drug abuse
  • Periodic fasting within four weeks of inclusion
  • Routinely intake of ketogenic diet within four weeks of inclusion
  • Treatment with nitrate
Terms in these criteria, in plain language(3)

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
45 participants (actual)

Study arms

  • Other
    Ketone diol (Ketone-IQ), then Placebo drink

    For four weeks each subject will receive Ketone Diol, R-1,3-butanediol, administered as a drink (Ketone-IQ) twice a day, then crossed over to receive a taste and volume matched placebo drink for four weeks. Each individual will receive 400mg/kg before bedtime in addition to 200mg/kg with a minimum of 6 hours in between throughout the treatment period.

    Dietary Supplement: Ketone Diol, R-1,3-butanediol (Ketone-IQ) · Other: Placebo drink

  • Other
    Placebo drink, then Ketone diol (Ketone-IQ)

    For four weeks each subject will receive a placebo drink twice a day, then crossed over to receive Ketone Diol, R-1,3-butanediol, administered as a drink (Ketone-IQ) twice a day for four weeks. Each individual will receive 400mg/kg before bedtime in addition to 200mg/kg with a minimum of 6 hours in between throughout the treatment period.

    Dietary Supplement: Ketone Diol, R-1,3-butanediol (Ketone-IQ) · Other: Placebo drink

Interventions

  • Effect variables will be measured on the last day of treatment with Ketone-IQ

  • OtherPlacebo drink

    Effect variables will be measured on the last day of treatment with Placebo

06

What researchers measure

Primary outcomes

  1. Proteinuria

    Mean difference between Log UACR after 4 weeks treatment with ketone bodies and placebo (primary outcome study a)

    Time frame: Measured on 24 hour urine collection on the last day in each treatment period (each treatment period is 4 weeks)

  2. GFR

    Mean difference between GFR measured by Technetium99 (Tc99m) - Diethylene Triamine Pentaacetic Acid (DTPA) clearance after 4 weeks treatment with ketone bodies and placebo (primary outcome study b, secondary outcome in study a)

    Time frame: Measured on the last day in each treatment period (each treatment period is 4 weeks)

Secondary outcomes

  1. Aldosterone

    Mean difference in plasma levels of aldosterone (pmol/L) after 4 weeks treatment with ketone bodies and placebo

    Time frame: Measured on the last day in each treatment period (each treatment period is 4 weeks)

  2. P-Beta-hydroxybutyrate

    Change ind p-beta-hydroxybutyrate concentration

    Time frame: Measured on the last day in each treatment period (each treatment period is 4 weeks)

  3. Excretion rate of renal tubular transport proteins

    Mean difference between urine excretion rate of aquaporin 2 (AQP2) (pq/min), thiazide-sensitive sodium-chloride cotransporter (NCC)(pg/min), and distal epithelial sodium channel (ENaC)(pg/min) after 4 weeks treatment with ketone bodies and placebo

    Time frame: Measured on the last day in each treatment period (each treatment period is 4 weeks)

  4. 24-hour Ambulatory Blood Pressure

    Mean difference between systolic and diastolic 24-hour ambulatory blood pressure (mmHg) after treatment with ketone bodies and placebo.

    Time frame: Measured using a Mobil-o-graph on the last day in each treatment period (each treatment period is 4 weeks)

  5. Sodium and potassium excretion

    Diffeence between mean fractional and absolute excretion af sodium and postassium after 4 weeks treatment with ketone bodies and placebo

    Time frame: Measured on 24 hour urine collection on the last day in each treatment period (each treatment period is 4 weeks)

  6. Peripherial Vascular Resistance

    Mean difference between peripherial vascular resistance (dyn\*s/cm5) during treatment with ketone bodies compared to placebo

    Time frame: Measured using a Mobil-o-graph on the last day in each treatment period (each treatment period is 4 weeks)

  7. Heart rate

    Mean difference between heart rate after 4 weeks treatment with ketone bodies and placebo

    Time frame: Measured using a Mobil-o-graph on the last day in each treatment period (each treatment period is 4 weeks)

  8. Pulse Wave Velocity

    Mean difference between pulse wave velocity (m/s) after 4 weeks treatment with ketone bodies and placebo

    Time frame: Measured using a Mobil-o-graph on the last day in each treatment period (each treatment period is 4 weeks)

  9. Renin

    Mean difference in plasma concentration of renin(pmol/L) after 4 weeks treatment with ketone bodies and placebo

    Time frame: Measured on the last day in each treatment period (each treatment period is 4 weeks)

07

Study locations

1 site
  • University Clinic in Nephrology and Hypertension, Gødstrup Region Hospital
    Herning, Jutland 7400, Denmark
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2024 to primary completion in Dec 2025, 14 months.

Of 576 non-industry interventional studies with no phase under Renal Insufficiency, Chronic, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 45. This study's 14 months is below that.

Counting every sponsor, half of 616 studies reached it within 23 months; a quarter within 10 and three quarters within 45.

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

Registered
Nov 20, 2024
First posted
Mar 10, 2025
StartActual
Sep 11, 2024
Primary completionActual
Dec 10, 2025
CompletionActual
Dec 11, 2025
Last update
Sep 15, 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.
No changes since tracking began. The registry record was last updated on Sep 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06867471
Lead sponsor
Gødstrup Hospital
Responsible party
Sponsor
First posted
Mar 10, 2025
Start date
Sep 11, 2024
Primary completion
Dec 10, 2025
Completion
Dec 11, 2025
Last update
Sep 15, 2026

Study contacts

Trine Z Lyksholm, MD
principal investigator · University Clinic in Nephrology and Hypertenion, Godstrup Region Hospital

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 Sep 2026. You cannot join it, but the record below documents what was studied.

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