Status:

RECRUITING

Acute and Chronic Effects of Oral Ketones in Subjects With HFrEF and Diabetes

Lead Sponsor:

The University of Texas Health Science Center at San Antonio

Collaborating Sponsors:

National Center for Advancing Translational Sciences (NCATS)

Conditions:

Type 2 Diabetes

Heart Failure, Reduced Ejection Fraction

Eligibility:

All Genders

18-80 years

Phase:

EARLY_PHASE1

Brief Summary

This study will provide insight into whether cardiac function changes with oral Ketone Esters (KE) administered to patients with Type 2 Diabetes Mellitus (T2DM) and Heart failure with reduced ejection...

Detailed Description

After the screening visit, subject will take two separate doses of oral ketones during visit two. Subjects will have their first dose (400mg/kg) upon completion of the baseline Magnetic Resonance Imag...

Eligibility Criteria

Inclusion

  • Subjects must be on a stable dose of guideline-directed medications for Heart Failure (HF).
  • Patients will have an established diagnosis of HF before the screening visit, documented by an acceptable imaging modality in the last 6 months.
  • Age = 18-80 y
  • Body Mass Index (BMI) =23-38 kg/m2
  • Glycated hemoglobin (HbA1c) = 6.0-10.0%
  • Blood Pressure (BP) \< 145/85 mmHg
  • Estimated Glomerular Filtration Rate (eGFR) \> 30 ml/min•1.73 m2
  • For women of child-bearing age (WOCBA) willingness to use contraception, if applicable.

Exclusion

  • Patients treated with Sodium-Glucose Transport Protein (SGLT2i's) or medications that may impair heart function or acutely worsen glycemic control will be excluded.
  • Pregnancy, lactation, or plans to become pregnant. A negative pregnancy test will be performed before each Magnetic resonance imaging (MRI) study to assess current status.
  • Allergy/sensitivity to study drugs or their ingredients.
  • Current drug or alcohol use or dependence that, in the opinion of the site investigator, would interfere with adherence to study requirements.
  • Inability or unwillingness of individual or legal guardian/representative to give written informed consent.
  • Subjects with a history of cancer (except basal or squamous cell cancer that has been resolved/remission for 5 years)
  • Cardiovascular event within the last 3 months
  • Major organ or metabolic diseases, or physical limitations that will not allow the subject to complete the study.

Key Trial Info

Start Date :

January 16 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2025

Estimated Enrollment :

10 Patients enrolled

Trial Details

Trial ID

NCT06108076

Start Date

January 16 2024

End Date

December 31 2025

Last Update

February 3 2025

Active Locations (1)

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1

University of Texas Health Science Center at San Antonio

San Antonio, Texas, United States, 78229