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The Ketogenic Heart Failure Trial

Not Applicable
Conditions
Heart failure with reduced ejection fraction
Cardiovascular - Other cardiovascular diseases
Registration Number
ACTRN12624000058572
Lead Sponsor
The University of Sydney
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
All
Target Recruitment
60
Inclusion Criteria

1. Age 18 years and older
2. HFrEF with a LVEF less than or equal to 40%
3. Willingness to try and adhere to a dietary intervention and to be randomised.
4. At least one enrolment enhancing criteria:
a. N Terminal Prohormone Brain Natriuretic Peptide (NT-proBNP), pro-BNP =600 pg/mm in the preceding 12 months
b. Hospital admission for heart failure in the preceding 12 months (including admission at the time of diagnosis)
c. Current heart failure symptoms: NYHA Class II, III or IV
d. Type 2 Diabetes mellitus
e. Renal impairment eGFR<45ml/min

Exclusion Criteria

1. Type 1 Diabetes Mellitus or Type II Diabetes Mellitus requiring insulin.
2. Women who are pregnant, breastfeeding or planning a pregnancy during the study period
3. Symptomatic hypotension or systolic blood pressure <90mmHg
4. Body mass index (BMI) <18.5 kg/m2
5. History of rare metabolic conditions:
a. Insulinoma
b. Primary carnitine deficiency
c. Carnitine palmitoyl transferase I or II deficiency
d. Carnitine translocase deficiency
e. Beta-oxidation defects
f. Medium-chain acyl dehydrogenase deficiency
g. Long-chain acyl dehydrogenase deficiency
h. Short-chain acyl dehydrogenase deficiency
i. Long-chain 3-hydroxyacyl-CoA deficiency
j. Medium-chain 3-hydroxyacyl-CoA deficiency
k. Pyruvate carboxylase deficiency
l. Porphyria

6. Non-English-speaking participants can be included if they are amenable to undergo the intervention and follow-up with the assistance of an interpreter.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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