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Clinical Trials/NCT05398042
NCT05398042UnknownPhase 2

Effect of Oral Ketone Administration During Inactivity-induced Muscle Atrophy and Retraining-induced Regeneration

KU Leuven1 site in 1 country24 target enrollmentStarted: December 15, 2021Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Phase 2
Sponsor
KU Leuven
Enrollment
24
Locations
1
Primary Endpoint
Skeletal muscle biopsies

Study Overview

Brief Summary

The aim of this study is to investigate the effect of oral ketone administration during inactivity-induced muscle atrophy and retraining-induced regeneration. Potential changes in muscle function (cycling performance, knee-extension force and power, jump height) and mass, blood flow and the muscular extracellular matrix will be the main focus. In this context, the dominant leg of the participants (n=24) will be immobilized with a brace for 2 weeks and subsequently retrained in a 4-week progressive resistance exercise training program to stimulate muscle regeneration. During the immobilization and rehabilitation period, participants receive either ketone ester (KE) or placebo (CON). 4 experimental sessions are performed during this time frame in order to evaluate the effects of the trial.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Eligibility Criteria

Ages
18 Years to 35 Years (Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • •Recreational sports participation, including general fitness training, between 2 and 5 hours max per week
  • •Good health status confirmed by a medical screening
  • •Body mass index between 18 and 25

Exclusion Criteria

  • •Any kind of injury/pathology that is a contra-indication to perform resistance exercise
  • •Intake of any medication or nutritional supplement that could impact muscle protein synthesis during the period of the study
  • •Intake of any whey protein, casein or branched-chain amino acid supplement or anti-inflammatory drug from 1 month prior to the start of the study
  • •Blood donation within 3 months prior to the start of the study
  • •More than 3 alcoholic beverages per day
  • •Current participation in another research trial
  • •Any other argument to believe that the subject is unlikely to successfully complete the full study protocol
  • •Adherence to a high-fat, low-carbohydrate ketogenic diet (less than 20% of energy intake derived from carbohydrates)
  • •(Cow's) milk protein allergy

Arms & Interventions

Placebo

Placebo Comparator

Ketone placebo will be provided

Intervention: Medium Chain Triglyceride (MCT) oil (Dietary Supplement)

Ketone

Experimental

Ketone esters will be provided

Intervention: Ketone ester (Dietary Supplement)

Outcomes

Primary Outcomes

Skeletal muscle biopsies

Time Frame: Day 0 - Day 14 - Day 28 - Day 42

Changes in myofibrillar protein synthesis

Muscle volume

Time Frame: Day 0 - Day 14 - Day 28 - Day 42

Change in volume of quadriceps evaluated by computed-tomography scan

Muscular functional capacity

Time Frame: Day 0 - Day 14 - Day 28 - Day 42

Change in mean power produced during 30 unilateral knee extensions on a knee-extension apparatus

Exercise performance

Time Frame: Day 0 - day 14 - day 28 - day 42

Changes in exercise performance as evaluated during a graded exercise test

Echo-Doppler measurement of femoral artery

Time Frame: Day 0 - Day 14 - Day 28 - Day 42

Change in blood flow of arteria femoralis

Blood marker of collagen synthesis

Time Frame: Day 0 - Day 14 - Day 28 - Day 42

Change in PINP (n-terminal peptide of pro-collagen I) concentration in blood

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor
KU Leuven
Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Peter Hespel

Principal Investigator

KU Leuven

Study Sites (1)

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