Beta-Hydroxybutyrate Feasibility Treating IBD

Description

This clinical trial aims to understand the feasibility of patients taking ketone body supplement beta-hydroxybutyrate (BHB) for 4 weeks with a confirmed diagnosis of Crohn's disease and starting new therapy for active disease. The main questions it aims to answer are: * BHB supplementation will be feasible and acceptable to patients. * BHB supplementation will be associated with a reduction in systemic inflammation. * BHB supplementation will be associated with a reduction in pro-inflammatory bacterial colonies. Participants will: * Take 3 capsules x 3 times per day for 4 weeks. * Document food consumption using a 24-hour food recall questionnaire. * Provide blood and fecal samples twice, at the beginning of the study and the 4-week mark. Researchers will compare the group taking the ketone body supplement and the group not taking the supplement to see if the supplement provides relief of symptoms suffered from Crohn's disease.

Conditions

Crohn's Disease, Inflammatory Bowel Diseases

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Study Overview

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Study Details

Study overview

This clinical trial aims to understand the feasibility of patients taking ketone body supplement beta-hydroxybutyrate (BHB) for 4 weeks with a confirmed diagnosis of Crohn's disease and starting new therapy for active disease. The main questions it aims to answer are: * BHB supplementation will be feasible and acceptable to patients. * BHB supplementation will be associated with a reduction in systemic inflammation. * BHB supplementation will be associated with a reduction in pro-inflammatory bacterial colonies. Participants will: * Take 3 capsules x 3 times per day for 4 weeks. * Document food consumption using a 24-hour food recall questionnaire. * Provide blood and fecal samples twice, at the beginning of the study and the 4-week mark. Researchers will compare the group taking the ketone body supplement and the group not taking the supplement to see if the supplement provides relief of symptoms suffered from Crohn's disease.

Feasibility of Beta-hydroxybutyrate Supplementation to Reduce Inflammation in Patients with Inflammatory Bowel Disease

Beta-Hydroxybutyrate Feasibility Treating IBD

Condition
Crohn's Disease
Intervention / Treatment

-

Contacts and Locations

Austin

University of Texas at Austin, Austin, Texas, United States, 78712

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Age ≥18 years of age
  • * Confirmed diagnosis of Crohn's disease
  • * Active disease defined as either a fecal calprotectin \>250 µg/g or active disease on endoscopy within the prior 3 months
  • * Starting a new therapy defined as a biologic (anti-TNF, anti-integrin, IL-12/23, or IL-23) or small molecule therapy (JAK inhibitor, S1P receptor modulator)
  • * Willing to provide consent for participation.
  • * Managed at UT Digestive Health Clinic.
  • * Any current or recent (within 4 weeks) use of BHB supplement
  • * Currently or recently (within 4 weeks) following a ketogenic diet
  • * Currently or recently (within 4 weeks) following an intermittent fasting diet
  • * Any recent antibiotic use (within 3 months)
  • * Recent infection with C. difficile (within 6 months)
  • * Current or recent (within 4 weeks) daily use of acid-suppressing therapy (proton pump inhibitor or H2 receptor blocker)
  • * Current or recent use (within four weeks) of non-dietary probiotic supplements
  • * Unwilling to provide signed consent

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Texas at Austin,

Linda A. Feagins, Associate Professor, MD, PRINCIPAL_INVESTIGATOR, University of Texas at Austin

Study Record Dates

2025-12-31