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临床试验/NCT05757193
NCT05757193已完成1 期

Ketone Pharmacokinetic Study in Heart Failure With Reduced Ejection Fraction

Duke University2 个研究点 分布在 1 个国家目标入组 20 人开始时间: 2023年6月2日最近更新:
适应症

试验速览

阶段
1 期
状态
已完成
入组人数
20
试验地点
2
主要终点
Venous pH Measured Via Peripheral Blood

研究概览

简要总结

The purpose of this study is to test whether an over-the-counter ketone ester drink is well tolerated in people with heart failure on, and not on, a heart failure medication class called SGLT2 inhibitors. The research team is trying to determine the safest dose of Delta G. The study has a single visit. Participants will be served a light breakfast with the study drink, a physical exam will be conducted, and the study team will obtain information about demographics and medical history. The study team will draw blood intravenously up to eight times over the course of the half-day visit.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Other
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Diagnosis of HFrEF (ejection fraction<=45%)
  • Systolic blood pressure greater >=90 mmHg

排除标准

  • Intentional ketogenic (high fat, low carbohydrate) diet (must be off ketogenic diet for >7 days prior to visit)
  • Significant liver disease (cirrhosis) or alcohol abuse disorder (>14 drinks/week).
  • Unique cardiomyopathies: infiltrative/hypertrophic cardiomyopathy, pericardial disease, or other cardiomyopathies that in the investigator's opinion have unique treatment options that would be less likely to be affected by ketone therapy.
  • Estimated glomerular filtration rate<25 mL/min/1.73 m2 as the most recent value in the last year.
  • Type 1 diabetes mellitus
  • Use of ventricular assist device, history of heart transplant, or use of continuous inotropes
  • Pregnant women. Due to unknown affects of nutritional ketosis in pregnant women, pregnancy will be an exclusion. Accordingly, women of childbearing age with a menstrual cycle within the past year will be asked to submit a urine specimen for pregnancy testing.

结局指标

主要结局

Venous pH Measured Via Peripheral Blood

时间窗: 1 hour

The pH scale ranges from 0 to 14, with 7 being neutral. Each number on the pH scale represents a ten-fold change in the acidity or basicity of a solution.

Glucose Level Measured Via Peripheral Blood

时间窗: 1 hour

Systolic Blood Pressure

时间窗: 1 hour

Taken by blood pressure cuff on the arm

Beta-hydroxybutyrate (BHB) Level Measured Via Peripheral Blood

时间窗: 1 hour

BHB is a chemical that is made by the body. It provides energy when not enough carbohydrates or sugars have been eaten.

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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