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Clinical Trials/NCT05236335
NCT05236335
Completed
Not Applicable

Modulation of Circulating Levels of the Ketone Body 3-hydroxybutyrate in Patients With Type 2 Diabetes and Heart Failure With Preserved Ejection Fraction: Cardiovascular Effects.

University of Aarhus1 site in 1 country24 target enrollmentFebruary 1, 2022

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
Heart Failure With Preserved Ejection Fraction
Sponsor
University of Aarhus
Enrollment
24
Locations
1
Primary Endpoint
Cardiac Output (L/min)
Status
Completed
Last Updated
2 years ago

Overview

Brief Summary

Heart failure (HF) is among the most common causes of death in patients with type 2 diabetes (T2D). Ketones, 3-hydroxybutyrate (3-OHB), have shown to have beneficial hemodynamics effect in patients with hearth failure with reduced ejection fraction. However, this have never been investigated in patients with heart failure with preserved ejection fraction (HFpEF).

In this study we would like to investigate the effect of 14 days modulation of circulating ketone body levels on cardiac function and exercise capacity in patients with HFpEF and T2D.

Registry
clinicaltrials.gov
Start Date
February 1, 2022
End Date
June 15, 2023
Last Updated
2 years ago
Study Type
Interventional
Study Design
Crossover
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Type 2 diabetes
  • LVEF \> 40 %
  • a clinical diagnosis of HFpEF and/or left ventricular hypertrophy (posterior wall thickness \> 12 mm) and/or previous myocardial infarction
  • age ≥ 18 years old,
  • one of the following criteria (a-d) should be fulfilled:
  • Echocardiographic signs of diastolic dysfunction E/e' \> 8
  • Septal e ́\< 7 cm/s and/or lateral e ́ \< 10 cm/s
  • Left atrium volume index ≥34 mL/m2 and/or left atrial diameter \> 4 cm
  • NT-proBNP \> 125 pg/ml.

Exclusion Criteria

  • Insulin treatment, inability to give informed consent

Outcomes

Primary Outcomes

Cardiac Output (L/min)

Time Frame: 14 days ketone ester treatment

Right heart catheterization

Secondary Outcomes

  • Exercise capacity (METs)(14 days ketone ester treatment)
  • Pulmonal wedge capillary Pressure (PCWP)(14 days ketone ester treatment)

Study Sites (1)

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