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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03889210
Registration number
NCT03889210
Ethics application status
Date submitted
18/03/2019
Date registered
26/03/2019
Titles & IDs
Public title
ß-hydroxybutyrate, Glucose Metabolism and Prediabetes
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Scientific title
Cross-over, Placebo-controlled, Randomized Trial of ß-hydroxybutyrate in Prediabetes
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Secondary ID [1]
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18/NTB/161
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Universal Trial Number (UTN)
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Trial acronym
CETUS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
PreDiabetes
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Condition category
Condition code
Metabolic and Endocrine
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Metabolic disorders
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Metabolic and Endocrine
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Diabetes
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Metabolic and Endocrine
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Other metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Other interventions - HVMN Ketone
Other interventions - Placebo
Active comparator: HVMN ketone drink - HVMN ketone drink will be given in a total volume of 100 ml.
Placebo comparator: Placebo - Placebo will be given in a total volume of 100 ml.
Other interventions: HVMN Ketone
Water-based, flavoured sport beverage
Other interventions: Placebo
Water, stevia, malic acid, and thickening agent
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Intervention code [1]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Rate of change in plasma glucose concentration
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Assessment method [1]
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Changes in plasma glucose concentration before and after administration of the intervention/placebo
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Timepoint [1]
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Baseline, 30, 60, 90, 120, and 150 minutes
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Secondary outcome [1]
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Rate of change in plasma insulin and C-peptide concentrations
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Assessment method [1]
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Changes in plasma insulin and C-peptide concentrations before and after administration of the intervention/placebo
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Timepoint [1]
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Baseline, 30, 60, 90, 120, and 150 minutes
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Secondary outcome [2]
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Rate of change in plasma concentration of gut and pancreatic hormones
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Assessment method [2]
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Changes in plasma concentrations of ghrelin, incretins, cholecystokinin, gastrin-releasing peptide, peptide YY, oxyntomodulin, motilin, glucagon, amylin, pancreatic polypeptide, and vasoactive intestinal peptide before and after administration of the intervention/placebo
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Timepoint [2]
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Baseline, 30, 60, 90, 120, and 150 minutes
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Secondary outcome [3]
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Rate of change in lipid profile and digestive enzymes
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Assessment method [3]
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Changes in plasma concentration of triglycerides, glycerol, cholesterol, lipases before and after administration of the intervention/placebo
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Timepoint [3]
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Baseline, 30, 60, 90, 120, and 150 minutes
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Secondary outcome [4]
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Rate of change in plasma concentration of pro-inflammatory cytokines
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Assessment method [4]
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Changes in plasma concentration of interleukin-1ß, interleukin-6, leptin, tumor necrosis factor a, and monocyte chemoattractant protein-1 and other cytokines before and after administration of the intervention/placebo
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Timepoint [4]
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Baseline, 30, 60, 90, 120, and 150 minutes
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Secondary outcome [5]
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Rate of change in plasma concentration of markers of iron metabolism
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Assessment method [5]
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Changes in plasma concentration of ferritin, hepcidin, transferrin receptor before and after administration of the intervention/placebo
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Timepoint [5]
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Baseline, 30, 60, 90, 120, and 150 minutes
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Secondary outcome [6]
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Correlation with body fat phenotypes
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Assessment method [6]
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Differences in the association between rate of change in plasma glucose concentration and magnetic resonance imaging-derived visceral fat volume in the intervention/placebo
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Timepoint [6]
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150 minutes
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Secondary outcome [7]
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Correlation with body fat phenotypes
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Assessment method [7]
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Differences in the association between rate of change in plasma glucose concentration and magnetic resonance imaging-derived subcutaneous fat volume in the intervention/placebo
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Timepoint [7]
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150 minutes
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Secondary outcome [8]
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Correlation with body fat phenotypes
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Assessment method [8]
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Differences in the association between rate of change in plasma glucose concentration and magnetic resonance imaging-derived liver fat per centage in the intervention/placebo
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Timepoint [8]
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150 minutes
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Secondary outcome [9]
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Correlation with physical activity
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Assessment method [9]
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Differences in the association between rate of change in plasma glucose concentration and metabolic equivalents score in the intervention/placebo
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Timepoint [9]
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150 minutes
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Eligibility
Key inclusion criteria
* Individuals over 18 years
* Individuals diagnosed with prediabetes; defined based on the American Diabetes Association guidelines
* History of at least one episode of acute pancreatitis
* Written informed consent
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Individuals who are on a ketogenic diet or consuming nutritional ketone supplements
* History of cancer or chronic pancreatitis
* History of bariatric or gastrointestinal surgery
* Pregnant or breastfeeding women
* Individuals involved in intensive endurance training or competitive athletics
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Crossover
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/04/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
30/08/2019
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Sample size
Target
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Accrual to date
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Final
18
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Auckland, New Zealand
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The study aims to investigate changes in blood glucose metabolism after administration of a ketone ester drink.
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Trial website
https://clinicaltrials.gov/study/NCT03889210
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Trial related presentations / publications
Liu Y, Bharmal SH, Kimita W, Petrov MS. Effect of acute ketosis on lipid profile in prediabetes: findings from a cross-over randomized controlled trial. Cardiovasc Diabetol. 2022 Jul 23;21(1):138. doi: 10.1186/s12933-022-01571-z. Bharmal SH, Alarcon Ramos GC, Ko J, Petrov MS. Abdominal fat distribution modulates the metabolic effects of exogenous ketones in individuals with new-onset prediabetes after acute pancreatitis: Results from a randomized placebo-controlled trial. Clin Nutr ESPEN. 2021 Jun;43:117-129. doi: 10.1016/j.clnesp.2021.03.013. Epub 2021 Mar 21. Bharmal SH, Cho J, Alarcon Ramos GC, Ko J, Cameron-Smith D, Petrov MS. Acute Nutritional Ketosis and Its Implications for Plasma Glucose and Glucoregulatory Peptides in Adults with Prediabetes: A Crossover Placebo-Controlled Randomized Trial. J Nutr. 2021 Apr 8;151(4):921-929. doi: 10.1093/jn/nxaa417.
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03889210