Ketone-IQ for Sleep Apnea

(KETO-SLEEP 2 Trial)

MP
AM
Overseen ByAthena Mavronis
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether Ketone-IQ, a type of exogenous ketone (a substance produced by the body during a keto diet), can improve sleep quality and reduce the severity of obstructive sleep apnea (OSA), a condition that disrupts breathing during sleep. Participants will use Ketone-IQ and a placebo (a substance with no active ingredient) on different nights to observe any differences. The trial targets individuals with moderate to severe OSA who regularly use a CPAP machine (a device that keeps airways open during sleep). As a Phase 1, Phase 2 trial, the research aims to understand how Ketone-IQ works in people and to measure its effectiveness in an initial, smaller group.

Do I have to stop taking my current medications for the trial?

The trial requires you to stop using nightly medications that affect breathing and Sodium-glucose cotransporter-2 (SGLT2) inhibitors. If you are taking these, you will need to stop before participating.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Earlier studies have shown that Ketone-IQ, which contains 1,3 butanediol, may benefit brain function and overall health. This suggests it has been generally well-received in past uses. Although specific safety information for sleep apnea is limited, current research is examining short-term responses to Ketone-IQ. As a purchasable product, many have used it without major issues. However, since testing for sleep apnea is still in early stages, participation in studies is crucial to confirm its safety and effectiveness for this condition.12345

Why do researchers think this study treatment might be promising for sleep apnea?

Unlike the standard treatments for sleep apnea, such as CPAP machines and oral appliances, Ketone-IQ offers a novel approach by utilizing ketone bodies to potentially improve sleep quality. Researchers are keen to explore this treatment because ketone bodies might enhance brain energy metabolism during sleep, which is a different mechanism than simply mechanically supporting airways. This innovative angle could lead to better patient compliance and offer benefits beyond what's currently available.

What evidence suggests that Ketone-IQ might be an effective treatment for sleep apnea?

This trial will evaluate the effects of Ketone-IQ on sleep apnea. Research has shown that a low-carb, high-fat ketogenic diet can reduce the severity of obstructive sleep apnea (OSA). Since following this diet can be challenging, supplements like Ketone-IQ might offer a useful alternative. Studies have found that these supplements can improve sleep quality, especially after intense exercise. The idea is that taking Ketone-IQ before bed could raise ketone levels overnight, potentially alleviating OSA symptoms. Although human research on Ketone-IQ for OSA is limited, early studies suggest a positive effect. Participants in this trial will experience both Ketone-IQ and placebo treatments in a crossover design to assess its impact on OSA.12367

Who Is on the Research Team?

Dr. Jonathan Jun, MD - Baltimore, MD ...

Jonathan Jun, MD

Principal Investigator

Johns Hopkins University

Are You a Good Fit for This Trial?

This trial is for individuals with Obstructive Sleep Apnea (OSA), a condition that disrupts sleep and increases heart disease risk. Participants should be interested in trying an alternative to the challenging ketogenic diet by taking Ketone-IQ at bedtime to potentially improve their sleep quality and reduce OSA severity.

Inclusion Criteria

I use my CPAP machine regularly, at least 4 hours on 70% of days.
I have been diagnosed with moderate to severe sleep apnea.
I am between 18 and 65 years old with a BMI between 18 and 35.
See 1 more

Exclusion Criteria

I am currently taking medication for diabetes that includes drugs like Invokana, Farxiga, Jardiance, or Steglatro.
Currently on a low carbohydrate (<130 g carbohydrate/day) or ketogenic diet, intermittent fasting, or consuming exogenous ketones
I do not use supplemental oxygen.
See 5 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants ingest exogenous ketones (Ketone-IQ) or placebo before sleep to assess effects on sleep apnea and related symptoms

2 weeks
4 nights total (2 nights Ketone-IQ, 2 nights Placebo)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Ketone-IQ
Trial Overview The study tests if drinking Ketone-IQ, an exogenous ketone product, before sleeping can help manage OSA better than a placebo. It aims to see whether this approach can increase overnight ketones and enhance sleep quality without adhering strictly to a ketogenic diet.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: Placebo firstExperimental Treatment2 Interventions
Group II: Ketone-IQ firstExperimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Johns Hopkins University

Lead Sponsor

Trials
2,366
Recruited
15,160,000+

HVMN Inc

Industry Sponsor

Trials
3
Recruited
80+

KETONE-IQ

Collaborator

Trials
2
Recruited
60+

Published Research Related to This Trial

Sleep disorders are often overlooked and can include a variety of conditions such as insomnia and sleep apnea, highlighting the need for better recognition and treatment.
The ketogenic diet (KD), which is high in fats and low in carbohydrates, has shown promise in treating sleep disorders, particularly obstructive sleep apnea, by potentially influencing sleep homeostasis through the effects of ketone bodies.
Is there a relationship between the ketogenic diet and sleep disorders?Barrea, L., Pugliese, G., Frias-Toral, E., et al.[2022]
A ketogenic diet (KD) and exogenous ketone supplements significantly increased blood ketone levels in rodent models, which correlated with a delayed onset of isoflurane-induced anesthesia, indicating that ketosis may influence anesthetic induction.
The study, involving chronic and sub-chronic feeding of KD and ketone supplements to different rodent models, suggests that elevated ketone levels could alter the effectiveness of anesthetics, potentially requiring adjustments in surgical anesthetic dosages.
Nutritional ketosis delays the onset of isoflurane induced anesthesia.Ari, C., Kovács, Z., Murdun, C., et al.[2019]
A study involving 24 healthy adults showed that consuming a ketone monoester three times a day for 28 days safely elevated blood ketone levels without affecting body weight, blood glucose, cholesterol, or kidney function.
The only reported side effect was mild nausea in a small number of instances, indicating that the ketone monoester is well-tolerated for sustained use.
Safety and tolerability of sustained exogenous ketosis using ketone monoester drinks for 28 days in healthy adults.Soto-Mota, A., Vansant, H., Evans, RD., et al.[2020]

Citations

Impact of Exogenous Ketones on Sleep ApneaThe specific ketone product to be tested for its impact on sleep and breathing is 1,3 butanediol (1,3BD) in a commercially available formulation called "Ketone ...
Exogenous Ketosis Improves Sleep Efficiency and ...These data indicate that KE ingestion improves sleep efficiency and quality after high-intensity exercise.
Impact of Exogenous Ketones on Sleep Disruption ...Our lab has shown that a low carbohydrate, high fat ketogenic diet (KD) can reduce OSA severity. Since it can be challenging to adhere to a ketogenic diet, the ...
Exogenous Ketones for Obstructive Sleep Apnea · Info ...Trial Overview The study tests if taking Ketone-IQ, an exogenous ketone supplement, at bedtime can improve overnight ketones and sleep quality in OSA patients.
Impact of Exogenous Ketones on Sleep Apnea | MedPathThe investigator's lab has shown that a low carbohydrate, high fat ketogenic diet (KD) can reduce OSA severity. Since it can be challenging to adhere to a ...
Ketogenic dietary lifestyle intervention effects on sleep ...The MCI Sleep Study assesses longitudinal changes in objective and subjective measures of sleep between two investigational diet groups.
What's the research behind Ketone-IQ?Learn about the effects of Ketone-IQ®. Research shows benefits for cognition, endurance, metabolic health, and appetite regulation.
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