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EndotoxemiaNCT04064268

Anabolic Potential of 3-hydroxybutyrate (3-OHB) and Whey Protein in a Human Catabolic Inflammatory Disease Model

A study testing Whey and 3-OHB + Whey in people with Endotoxemia and Muscle Loss, run by University of Aarhus at 1 site in Denmark.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study aims to investigate the muscle anabolic potential of adding ketone (3-hydroxybutyrate) to whey protein compared with isocaloric, isonitrogenous whey protein in a human model of inflammatory catabolic disease. Read more about this study

Who is it for?
Ages 20 to 40 years, men onlyHealthy volunteers can take part
Conditions the study is for
Endotoxemia, Muscle Loss, Catabolic State
What is being tested?
Whey and 3-OHB + Whey
Could I receive a placebo?
No, everyone receives an active treatment
How many people
8 participants
Where
1 siteDenmark
Study dates
17 Jun 2019to 23 Jan 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 40 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Between 20-40 years of age
  • Body mass index between 20-30 kg/m^2
  • Healthy
  • Oral and written consent forms obtained prior to study day

Who cannot join

  • Recent immobilization of an extremity that is not fully rehabilitated
  • Lactose, lidocain or rubber allergies
  • Current disease
  • Use of anabolic steroids
  • Smoking
  • Former major abdominal surgery (Or current problems with the GI tract)
Show all 10Show fewer
  • >10 hours of exercise/weak
  • Present ketogenic diets or high-protein diets
  • Blood doner that does not want to discontinue blood donations until study completion
  • Pending MR scan

Trial locations and contacts

1 site in 1 country.

Denmark1 site
  • Medical Research Laboratory, DoH, Aarhus University Hospital

    Aarhus, 8000

Other trials in Denmark

About this study

Official title: Anabolic Potential of Adding 3-hydroxybutyrate (3-OHB) to Whey Protein in a Catabolic Inflammatory Disease Model: A Human Randomized Controlled Trial

This study aims to investigate the muscle anabolic potential of adding ketone (3-hydroxybutyrate) to whey protein compared with isocaloric, isonitrogenous whey protein in a human model of inflammatory catabolic disease. Further, this study aims to investigate whether the same amount of whey protein has different effects on muscles in an catabolic inflammatory setting compared with a healthy setting.

Read the detailed description

Background: Muscle wasting during hospitalization is caused by a combination of immobilization (bed rest), hypocaloric diet and inflammation (e.g. sepsis), and preventive measures are needed. Whey protein is particularly potent in inducing muscle protein synthesis compared with other proteins, at least in healthy populations. Further, the ketone body 3-hydroxybutyrate (3-OHB) effectively preserved muscle in a model of acute inflammatory disease. However, little is known about whether 3-OHB can potentiate the effects of whey protein in a catabolic inflammatory setting.

Aim: This study aims to investigate the muscle anabolic potential of adding ketone (3-OHB) to whey protein compared with isocaloric, isonitrogenous whey protein in a human model of catabolic inflammatory disease. Further, this study aims to investigate whether the same amount of whey protein has different effects on muscles in an catabolic inflammatory setting compared with a healthy setting.

Hypothesis:

  1. 3-OHB potentiates the effect of whey protein in maintaining muscle mass in a catabolic inflammatory setting.
  2. The same amount of whey protein will have decreased muscle anabolic effects during catabolic inflammatory conditions compared with healthy conditions Interventions: In a randomized crossover design, eight healthy, lean, young men will undergo either:
  3. Healthy conditions (overnight fast) + whey protein^ ii) Catabolic conditions (Inflammation (LPS) + 36-hour fast and bed rest*) + whey protein^ iii) Catabolic conditions (Inflammation (LPS) + 36-hour fast and bed rest*) + 3-OHB/whey protein^" *LPS will be administered (1 ng/kg) the day prior to the study together with fast and bed rest. On the study day LPS (0.5 ng/kg) will be injected. ^Beverages will be isonitrogenous and isocaloric (fat will be added) with 45 g whey protein + 20 g maltodextrin. Bolus/sip administration will be applied (1/3 bolus, 1/2 sip) " 50 grams of 3-OHB will be orally administered (1/2 bolus, 1/2 sip) Before each study day: The participants arrive fasting (only tap water allowed) by taxi on the study days. They have been without febrile disease the week prior to investigation, and have not performed exercise for 24 hours.
Being tested
Whey, 3-OHB + Whey
Keywords
endotoxemia, muscle loss, catabolic state, whey protein, 3-hydroxy butyrate
Medical subject headings
Endotoxemia, Muscular Atrophy, Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • WheyDietary supplement

    45 g whey + 20 g maltodextrin

  • 3-OHB + WheyDietary supplement

    50 g ketone + 45 g whey + 20 g maltodextrin

Study groups in NCT04064268
Study groupRoleWhat they receive
Healthy + WheyExperimentalHealthy conditions (overnight fast)
Receives: Dietary Supplement: Whey
Catabolic + WheyExperimentalCatabolic conditions (36-hour fast, bed rest and inflammation (LPS))
Receives: Dietary Supplement: Whey
Catabolic + 3-OHB / WheyExperimentalCatabolic conditions (36-hour fast, bed rest and inflammation (LPS))
Receives: Dietary Supplement: 3-OHB + Whey

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in forearm muscle kinetics measured by phenylalanine tracer (Netbalance, rate of disappearence and rate of apperance of phenylanine, nmol/100ml muscle/min)

    Changes of forearm muscle phenylalanine kinetics from baseline to 3.5 hours after intervention using the forearm model

    Measured: Change from baseline to 3.5 hours after intervention

Secondary outcomes (25)
  1. Change in concentration of total aminoacids

    Change in total aminoacids from baseline to the end of the 3.5 hour sipping period

    Measured: Change from baseline to 3.5 hours after intervention

  2. Change in concentration of 3-hydroxybutyrate (mmol/L) )

    Change in blood BHB levels from baseline to the end of the 3.5 hour sipping period (iAUC)

    Measured: Measured at baseline and every 30. min throughout the 3.5 hour sipping period

  3. Change in glucose kinetics measured by glucose tracer (rate of apperance and rate of disappearance, mg/kg/min)

    Change in glucose kinetics from baseline to to the end of the 3.5 hour sipping period

    Measured: Change from baseline to 3.5 hours after intervention

  4. Change in concentration of plasma insulin

    Change in plasma insulin levels from baseline to the end of the 3.5 hour sipping period (iAUC)

    Measured: Measured at baseline and every 30. min throughout the 3.5 hour sipping period

  5. Change in concentration of plasma glucose

    Change in glucose levels from baseline and after 3.5 hour sipping period expressed as iAUC.

    Measured: Measured at baseline and every 30. min throughout the 3.5 hour sipping period

  6. Change in concentration of free fatty acids (FFA) levels

    Change in FFA from baseline to the end of the sipping period

    Measured: Change from baseline to 3.5 hours after intervention

  7. Change in concentration of C-reactive peptide (CRP)

    Change in CRP from baseline to the end of the sipping period

    Measured: Change from baseline to 3.5 hours after intervention

  8. Change in concentration of blood leucocytes (x10^9/L)

    Change in leucocytes from baseline to the end of the sipping period

    Measured: Change from baseline to 3.5 hours after intervention

  9. Change in concentration of stress hormones (glucagon, cortisol, adrenalin, noradrenalin)

    Change in hormones from baseline and after 3.5 hour sipping period

    Measured: Change from baseline to 3.5 hours after intervention

  10. Change in intracellular muscle signalling

    Change in muscle signalling in muscle biopsies by western blot from baseline to the sipping period

    Measured: Change from baseline to 3.5 hours after intervention

  11. Difference in muscle forearm kinetics measured by phenylalanine tracer (Netbalance, rate of apperance, rate og disappearance) (healthy vs catabolic)

    Phenylalanine forearm kinetics measured by phenylalanine tracer at the end of the 3.5 hour basal period in healthy vs catabolic (pooled mean of the two catabolic days, if there is no difference between the first and second time of LPS exposure)

    Measured: measured at the end of the 3.5 hour basal period

  12. Difference in concentration of total amino acids (healthy vs catabolic)

    Total amino acids measured at the end of the 3.5 hour basal period in healthy vs catabolic conditions (pooled mean of the two catabolic days, if there is no difference between the first and second time of LPS exposure)

    Measured: measured at the end of the 3.5 hour basal period

  13. Difference in glucose kinetics measured with glucose tracer (mg/kg/min) (healthy vs catabolic)

    Glucose kinetics measured by glucose tracer at the end of the 3.5 hour basal period in healthy vs catabolic conditions (pooled mean of the two catabolic days, if there is no difference between the first and second time of LPS exposure)

    Measured: measured at the end of the 3.5 hour basal period

  14. Difference in concentration of free fatty acids (FFA) (healthy vs catabolic)

    FFA measured at the end of the basal period in healthy vs catabolic (pooled mean of the two catabolic days)

    Measured: Measured at the end of the 3.5 hour basal period.

  15. Difference in concentration of C-reactive peptide (CRP) (healthy vs catabolic)

    CRP measured at the end of the basal period in healthy vs catabolic (pooled mean of the two catabolic days)

    Measured: Measured at the end of the 3.5 hour basal period.

  16. Difference in concentration of leucocytes (healthy vs catabolic)

    Leucocytes measured at the end of the basal period in healthy vs catabolic (pooled mean of the two catabolic days)

    Measured: Measured at the end of the 3.5 hour basal period.

  17. Difference in intracellular muscle signalling (healthy vs catabolic)

    Muscle signalling measured in muscle biopsies by western blot during the 3.5 hour basal period in healthy vs catabolic (pooled mean of the two catabolic days)

    Measured: Measured at the end of the 3.5 hour basal period.

  18. Difference in concentration of 3-hydroxybutyrate (mmol/L) (healthy vs catabolic)

    3-hydroxybutyrate measured at the end of the basal period in healthy vs catabolic (pooled mean of the two catabolic days)

    Measured: Measured at the end of the 3.5 hour basal period.

  19. Difference in concentration of hormones (insulin, glucagon, cortisol, growth hormone, adrenaline, noradrenalin) (healthy vs catabolic)

    Hormones (insulin, glucagon, cortisol, growth hormone, adrenaline, noradrenalin) measured at the end of the basal period in healthy vs catabolic (pooled mean of the two catabolic days)

    Measured: Measured at the end of the 3.5 hour basal period.

  20. Difference in whole body protein metabolism (healthy vs catabolic)

    Difference in whole body protein metabolism measured with tyrosine tracers at the end of the basal period in healthy vs catabolic (pooled mean of the two catabolic days)

    Measured: Measured at the end of the 3.5 hour basal period.

  21. Difference in concentration of cytokines (healthy vs catabolic)

    Cytokines (TNFalfa, IL-10, IL-6 and IL-1beta) measured between healthy and catabolic conditions (iAUC, a pooled mean of the two catabolic days, if there is no difference between the first and second time of LPS exposure))

    Measured: Measured at baseline and 120 and 240 minutes after LPS administration

  22. Difference in axillary temperature (healthy vs catabolic)

    Change in axillary temperature (iAUC). A pooled mean of the two catabolic days, if there is no difference between the first and second time of LPS exposure.

    Measured: Measured at baseline and 1, 2, 3, 4, 5, 6 and 7 hours after LPS administration

  23. Difference in heart rate (healthy vs catabolic)

    Change in heart rate (iAUC). A pooled mean of the two catabolic days, if there is no difference between the first and second time of LPS exposure.

    Measured: Measured at baseline and 1, 2, 3, 4, 5, 6 and 7 hours after LPS administration

  24. Difference in mean arterial pressure (MAP) (healthy vs catabolic)

    Change in MAP (iAUC). A pooled mean of the two catabolic days, if there is no difference between the first and second time of LPS exposure.

    Measured: Measured at baseline and 1, 2, 3, 4, 5, 6 and 7 hours after LPS administration

  25. Difference in symptom score (healthy vs catabolic)

    Change from baseline and throughout the experiment (iAUC). A pooled mean of the two catabolic days, if there is no difference between the first and second time of LPS exposure. Scale 0-5, 0=no symptoms and 5=severe symptoms

    Measured: Measured at baseline and 1, 2, 3, 4, 5, 6 and 7 hours after LPS administration

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Aug 2019
  2. Study start17 Jun 2019
  3. Primary completion23 Jan 2020
  4. Study completion23 Jan 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Crossover
Model description
In a randomized crossover design, eight healthy lean young men will undergo either: i) Healthy conditions (overnight fast) + whey protein ii) Catabolic conditions (Inflammation (LPS) + 36-hour fast and bed rest) + whey protein iii) Catabolic conditions (Inflammation (LPS) + 36-hour fast and bed rest) + 3-OHB/whey protein
Masking
None (open label)
Enrolment
8 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04064268
Sponsor's protocol ID
Ketone Study
Status last verified
Jul 2019
First submitted
11 Jul 2019
Last updated
11 Jun 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Whey and 3-OHB + Whey in people with Endotoxemia and Muscle Loss, run by University of Aarhus at 1 site in Denmark.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 Jun 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in forearm muscle kinetics measured by phenylalanine tracer (Netbalance, rate of disappearence and rate of apperance of phenylanine, nmol/100ml muscle/min) (time frame: Change from baseline to 3.5 hours after intervention). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Jun 2020.

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