MedPath

AN OPEN-LABEL, ACUTE CLINICAL TRIAL TO ASSESS THE LEVEL OF KETONE PRODUCTION FOLLOWING CONSUMPTION OF AVELA™ (R)-1,3-BUTANEDIOL IN AN ADULT POPULATION

Not Applicable
Conditions
Healthy
Interventions
Dietary Supplement: (R)-1,3-butanediol
Registration Number
NCT05384106
Lead Sponsor
Genomatica Inc.
Brief Summary

The purpose of the pilot clinical trial described herein is to determine the level of ketone production \[measured as β hydroxybutyrate (BHB)\] following consumption of (R)-1,3-butanediol in a beverage and to record gastrointestinal (GI) symptomology, as well as any effects on alertness/sleepiness.

Detailed Description

Primary:

To evaluate the level of production of BHB following the consumption of 3 servings of Avela™, with consumption of each serving separated by 30 minutes and each serving providing 11.5 g of (R)-1,3-butanediol \[total intake of 34.5 g of (R)-1,3-butanediol\].

BHB levels will be measured using capillary whole blood from the fingertips using at home Keto-Mojo monitoring system (β-Ketone, as beta-hydroxybutyrate, in fingertip capillary whole blood).

Measurement Range: 0.1 - 8.0 mmol/L Measurement time (min): 0, 30, 60, 90, 120, 180, 240, 300

Secondary:

To evaluate the acute effects of 3 servings of Avela™, with consumption of each serving separated by 30 minutes and each serving providing 11.5 g of (R)-1,3-butanediol \[i.e., total intake of 34.5 g (R)-1,3-butanediol\] on: GI tolerance.

All subjects will complete the mVAS GI symptoms tool at baseline (0 minutes), and at 30, 60, 90, 120, 180, 240, and 300 minutes.

A validated tool to measure GI tolerability of (R)-1,3-butanediol will be utilized. The mVAS GI symptoms tool is a self-administered questionnaire, which is modeled after the validated "gold standard" measurement tool predominantly used to test clinical gastroenterology scenarios (Bengtsson et al., 2013).

Sleepiness/alertness The SSS (Shahid et al., 2012) is a subjective tool to assess how alert a subject is feeling at specific moments in time. The scale requires respondents to select a rating of 1 to 7, where a "1" indicates the subject is "feeling active, vital, alert, or wide awake" and the highest score of "7" indicates the subject is "no longer fighting sleep, sleep onset soon; having dream-like thoughts" (Hoddes et al., 1973). The scale is validated, correlating r = 0.68 with performance on the Wilkinson tests. All subjects will complete the SSS at baseline (0 minutes) and at 30, 60, 90, 120, 180, 240, and 300 minutes.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Males and females, 18 to 65 years of age
  • BMI 18 to <35.0 kg/m2, inclusive
  • Weight ≥ 110 lbs
  • Subject is judged to be in good health on the basis of medical history
  • Subject is willing to fast for 12 hours prior to study start
  • Subject is willing to avoid alcohol and intense physical activity the day prior to and on the day of testing
  • Subject is capable of giving informed consent and complying with all study procedures/requirements.
Exclusion Criteria
  • Previous GI disorders (e.g., inflammatory bowel disease, irritable bowel syndrome, history of surgery for weight loss, or gastroparesis)
  • Gastroenteritis in the 2 weeks preceding the study
  • Diabetes
  • Weight <110 lbs
  • History of alcohol or drug abuse
  • Previous diagnosis of neurological disorders, depression, or mental illness with psychosis
  • Unexplained alarm features (i.e., unintentional weight loss >10% body weight in the last 3 months, fevers, or blood in stools)
  • Use of an antibiotic or any medication impacting gut transit during the 2 weeks before the study
  • Constipation or diarrhea (defined as, on average, less than 3 stools per week or more than 3 stools per day, respectively)
  • Allergy to tree nuts
  • Women who are pregnant or breastfeeding
  • Persons with medical conditions affecting the pancreas, liver, thyroid, or gall bladder.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Avela™ (R)-1,3-Butanediol(R)-1,3-butanediol3 servings of Avela™, with consumption of each serving separated by 30 minutes and each serving providing 11.5 g of (R)-1,3-butanediol \[total intake of 34.5 g of (R)-1,3-butanediol\].
Primary Outcome Measures
NameTimeMethod
To evaluate the level of production of BHB measure of blood ketones levels (i.e., blood BHB levels)0, 30, 60, 90, 120, 180, 240, and 300 minutes

β-Ketone, as beta-hydroxybutyrate, in fingertip capillary whole blood, Measurement Range: 0.1 - 8.0 mmol/L

Secondary Outcome Measures
NameTimeMethod
To assess GI symptomology0, 30, 60, 90, 120, 180, 240, and 300 minutes

Modified visual analogue scale (mVAS) GI symptoms tool

To assess Sleepiness/alertness0, 30, 60, 90, 120, 180, 240, and 300 minutes

Stanford Sleepiness Scale (SSS)

Trial Locations

Locations (1)

Moniker Commons

🇺🇸

San Diego, California, United States

© Copyright 2025. All Rights Reserved by MedPath