Chronic Exogenous Ketosis in HFpEF
NCT06937320 · Status: ENROLLING_BY_INVITATION · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 20
Last updated 2025-09-17
Summary
The goal of this clinical research study is to test what effects a ketone drink will have in people with heart failure with preserved ejection fraction (HFpEF), including on exercise and heart function. Patients with HFpEF often have difficulty exercising, and our goal is to understand whether a ketone drink changes much patients can exercise. The study has three visits, including a baseline visit to assess for study eligibility, and two visits (one after 8 weeks of a ketone drink or a placebo drink, and another one after 8 weeks of whichever drink the participant did not receive the first time).
Conditions
- Heart Failure With Preserved Ejection Fraction (HFPEF)
- Heart Failure With Normal Ejection Fraction
- Heart Failure, Diastolic
Interventions
- DIETARY_SUPPLEMENT
-
Exogenous Ketone Drink
(R)-1,3-butanediol (BD, commercially available as "KetoneIQ") initially dosed 300 mg/kg BID (target dose 400 mg/kg grams BID if tolerated) for 8 weeks
- DIETARY_SUPPLEMENT
-
Placebo
equi-volume placebo administered for 8 weeks
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Senthil Selvaraj, MD · Duke University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-07-28
- Primary Completion
- 2027-06-30
- Completion
- 2027-06-30
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
High-intensity Interval Training in Heart Failure Patients With Preserved Ejection Fraction
NCT03184311 ·Status: UNKNOWN ·Phase: NA
-
A Randomised, Controlled Trial of a Low-energy Diet for Improving Functional Status in Heart Failure With PRESERVED Ejection Fraction Preserved Ejection Fraction
NCT05887271 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
Understanding and Treating Heart Failure With Preserved Ejection Fraction: Novel Mechanisms, Diagnostics and Potential Therapeutics
NCT02052804 ·Status: COMPLETED
-
Isometric Exercise Training in Participants With Heart Failure With Preserved Ejection Fraction
NCT05551663 ·Status: UNKNOWN ·Phase: NA
-
Heart Failure and a Preserved Ejection Fraction
NCT00586833 ·Status: COMPLETED
-
Weight Loss as Therapy for Heart Failure With Preserved Ejection Fraction
NCT02911337 ·Status: COMPLETED ·Phase: NA
-
Flexible vs. Fixed Diuretic Regimen in the Management of Chronic Heart Failure: A Pilot Study
NCT05594823 ·Status: UNKNOWN ·Phase: PHASE4
-
Chemoreflex Sensitivity in HFpEF
NCT06309537 ·Status: NOT_YET_RECRUITING
-
A Study to Evaluate the Effects of EECP in Patients With Heart Failure
NCT03857022 ·Status: UNKNOWN ·Phase: NA
-
Translational and Clinical Aspects of Metabolic, Anabolic and Endothelial Dysfunction in Heart Failure
NCT05277415 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Classification of Heart Failure With Preserved Ejection Fraction
NCT01030991 ·Status: COMPLETED
-
Prediabetes and Newly Diagnosed Diabetes in Chronic Heart Failure
NCT05090202 ·Status: UNKNOWN
-
Study on Heart Failure with Preserved Ejection Fraction with Qishen Granules
NCT06377761 ·Status: RECRUITING ·Phase: NA
-
Provocative Tests for HFpEF
NCT06309550 ·Status: RECRUITING
-
Accelerated Pacing and Cardiac Filling Pressures During Exercise in Patients With Heart Failure With Preserved Ejection Fraction
NCT07270536 ·Status: RECRUITING ·Phase: NA
-
Clinical Characteristics and Predictors of Adverse Outcomes in HFpEF
NCT06228807 ·Status: COMPLETED
-
Characteristics, Phenotypes, and TRAITS of Heart Failure With Preserved Ejection Fraction (TRAITS-HFpEF)
NCT05383287 ·Status: RECRUITING
-
Heart Failure Food Intervention Trial: Impact of a Guideline-based Nutrition Digital Tool in Heart Failure Patient Clinical Outcomes
NCT06999369 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Treating Heart Failure With Enhanced External Counterpulsation (EECP)
NCT03021213 ·Status: WITHDRAWN
-
Optimising Management of Patients With Heart Failure With Preserved Ejection Fraction in Primary Care
NCT03617848 ·Status: COMPLETED
-
The Role of Epicardial Adiposity in Heart Failure With Preserved Ejection Fraction
NCT06768437 ·Status: RECRUITING
-
The Use of Advanced Imaging in HFpEF
NCT06905405 ·Status: RECRUITING
-
Value of Intense Phenotyping in Heart Failure With Preserved Ejection Fraction
NCT05479669 ·Status: RECRUITING
-
Assessment of Coronary Flow Reserve in Heart Failure Patients After Ultrafiltration Versus Diuretics
NCT01457053 ·Status: TERMINATED ·Phase: NA
-
DevElopMent of Clinical PATHwaYs to the Diagnosis of Heart Failure With Preserved Ejection Fraction
NCT05792059 ·Status: UNKNOWN