Pharmacokinetics of Two Fatty Acid Ketone Esters

Study Overview
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Brief Summary
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Randomized, cross over pharmacokinetic study of a novel ketone di-ester and C6 ketone di-ester in ready to drink beverage matrices.

Detailed Description
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Recruiting 12 healthy adults to participate in a pharmacokinetic (PK) study of a novel ketone di-ester and C6 ketone di-ester in ready to drink beverage matrices. Following randomization, subjects will participate in three full days of PK sample collection. Blood samples will be collected for 8 hours following test product consumption on all PK days.

Official Title
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A Randomized, Crossover Study to Assess the Pharmacokinetics of a Novel Ketone Di-ester in Healthy Adults

Conditions
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Pharmacokinetics

Intervention / Treatment
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* Dietary Supplement: C6 ketone di-ester
* Dietary Supplement: Novel ketone di-ester


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subject has a BMI 18.5-34.99 kg/m2 (inclusive) Subject is not a smoker and has no plans to change his/her usage of the following products throughout the study period: tobacco, smoking products (including, but not limited to cigarettes, cigars, chewing tobacco, e-cigarettes), and nicotine products (e.g., nicotine gum and/or nicotine patches) Subject is a non-user or former user (cessation ≥3 months) of any marijuana or hemp products and has no plans to use marijuana or hemp products during the study period. No washout is required for topical marijuana or hemp products, but subjects are required to abstain from these products during the study period. Subject is willing and able to comply with all study procedures including overnight fasting (12 ± 2 h, water only), maintenance of usual body weight, avoidance of foods or supplements that increase ketone production in the body throughout the entire study period, avoidance of vigorous exercise (moderate habitual exercise is allowed) with the exception of the 24 h prior to Visits 2, 3, and 4 (Days 0, 7, and 14) when subjects must avoid exercise completely Subjects is willing to abstain from caffeine during Visits 2 and 3 (Days 0 and 7). Subject has a score of 7 to 10 on the Vein Access Scale Subject is willing and able to comply with the visit schedule. Subject has no health conditions that would prevent him/her from fulfilling the study requirements as judged by the Clinical Investigator on the basis of medical history, physical examination findings, and routine laboratory test results. Subject understands the study procedures and signs forms providing informed consent to participate in the study and authorizes the release of relevant protected health information to the Clinical Investigator. Exclusion Criteria: Subject has a known allergy, intolerance, or sensitivity to any of the ingredients in the study beverages and all other foods/beverages provided in this study, including soy, and milk. Subject has extreme dietary habits (e.g., intermittent fasting or time restricted eating, Atkins diet, vegan, very high protein/low carbohydrate within 30 days of Visit 1 (Day -7). Subject has used weight-loss medications (including over-the-counter medications and/or supplements) or participated in weight loss programs within 30 days of Visit 1 (Day -7). Unstable use of any prescription medications is not allowed. Prescription medications must be kept at a stable dose (defined as same dose for the past 30 days prior to Visit 1, Day -7). Subject has used ketone supplements (ketone salts or esters, and medium chain triglycerides [MCT]) within 30 days of Visit 1 (Day -7). Subject has been exposed to any non-registered drug product within 30 days of Visit 1 (Day -7). Subject has a history or presence of clinically important endocrine (including hyperparathyroidism, type 1 or 2 diabetes mellitus and/or hypoglycemia), cardiovascular (including, but not limited to history of myocardial infarction, peripheral arterial disease, stroke), pulmonary (including uncontrolled asthma), hepatic, renal, gastrointestinal, hematologic, immunologic, dermatologic, rheumatic (including gout), and/or biliary condition(s), that, in the opinion of the Clinical Investigator (has MD qualifications), could interfere with the interpretation of the study results. Subject has a history of bariatric surgery for weight reducing purposes. Subject has a history or presence of cancer in the prior two years, except for non-melanoma skin cancer. Subject has an abnormal laboratory test result(s) of clinical importance at Visit 1 (Day -7), at the discretion of the Clinical Investigator. One re-test will be allowed on a separate day prior to Visit 2 (Day 0), for subjects with abnormal laboratory test results. Subject has any signs or symptoms of an active infection of clinical relevance (e.g., urinary tract or respiratory) within 5 days of Visit 2 (Day 0). If an infection occurs during the study period, test visits should be rescheduled until all signs and symptoms have resolved (at the discretion of the Clinical Investigator) and any treatment (e.g., antibiotic therapy) has been completed at least 5 days prior to testing. Subject has experienced any major trauma or any other surgical event within three months of Visit 1 (Day -7). Subject has had a loss of 400 mL of blood (e.g., blood/plasma donation) within 30 days of Visit 2 (Day 0). Subject has recently (within 6 months of Visit 1; Day -7) had a weight loss or gain >4.5 kg. Subject has uncontrolled hypertension (systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥90 mm Hg) as defined by the blood pressure measured at Visit 1 (Day -7). One re-test will be allowed on a separate day before Visit 2 (Day 0), for subjects with abnormal blood pressure at the discretion of the Clinical Investigator. Subject is a female who is pregnant, planning to be pregnant during the study period, lactating, or is of childbearing potential and is unwilling to commit to the use of a medically approved form of contraception throughout the study period. The method of contraception must be recorded. Subject has a recent history of (within 12 months of screening; Visit 1; Day -7) or strong potential for alcohol or substance abuse. Alcohol abuse is defined as >14 drinks per week (1 drink = 12 oz beer, 5 oz wine, or 1½ oz distilled spirits). Individual has a condition the Clinical Investigator believes would interfere with his/her ability to provide informed consent, comply with the study protocol, which might confound the interpretation of the study results, or put the subject at undue risk.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Basic Science
Allocation: Randomized
Intervention Model: Crossover Assignment
Interventional Model Description: Three way crossover in a random order
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: 12.5 g of C6 ketone di-ester<br>Low dose of C6 ketone di-ester. | Dietary Supplement: C6 ketone di-ester<br>* C6 ketone di-ester<br>|
| Active Comparator: 12.5 g of novel ketone di-ester<br>Low dose of novel ketone di-ester. | Dietary Supplement: Novel ketone di-ester<br>* Novel ketone di-ester<br>|
| Active Comparator: 25 g of novel ketone di-ester<br>High dose of novel ketone di-ester. | Dietary Supplement: Novel ketone di-ester<br>* Novel ketone di-ester<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Area under the curve (AUC) | AUC of circulating metabolites in blood | 0 - 8 hours | 
| Cmax | Maximum concentration of circulating metabolites in blood | 0 - 8 hours | 
| Tmax | Time to maximum concentration of circulating metabolites in blood | 0 - 8 hours | 
| Elimination half-life | Time required to reduce metabolite concentration by 50% | 0 - 8 hours |