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Ketone Monoester Supplements, High Altitude, and Brain Blood Flow During Exercise

The Effect of Ketone Monoester Supplementation and High Altitude on Exercising Cerebral Blood Flow

Status
Recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07063732
Enrollment
14
Registered
2025-07-14
Start date
2025-05-28
Completion date
2025-08-31
Last updated
2025-07-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

High Altitude Hypoxia, Exercise

Brief summary

The purpose of this trial is to investigate the effect of acute ketone monoester ingestion (0.6 g KME/kg body weight) on the occurrence of the ventilatory threshold and the subsequent response of blood velocity in cerebral arteries during a maximal exercise test at low altitude and high altitude.

Interventions

DIETARY_SUPPLEMENTKetone Monoester (KME)

0.6 g KME per kg body mass; \[R\]-3-hydroxybutyl \[R\]-3-hydroxybutyrate. (Delta G Ketone, TΔS, Oxford).

DIETARY_SUPPLEMENTPlacebo

Inert, calorie-free placebo drink that is taste-matched to the ketone monoester supplement

Sponsors

McMaster University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
DOUBLE (Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 35 Years
Healthy volunteers
Yes

Inclusion criteria

\- Must be a member of the research expedition team travelling to the Barcroft Research Station in White Mountain California

Exclusion criteria

* BMI \> 30 * No prescribed medications (oral contraceptives excluded) * History of smoking * Currently following a ketogenic diet or consuming exogenous ketogenic supplements * History of heart, lung, blood vessel, or kidney disease * Currently pregnant

Design outcomes

Primary

MeasureTime frameDescription
Cerebral Blood Velocity3 hoursTranscranial Doppler ultrasound will be used to measure blood velocity in the middle cerebral artery and posterior cerebral artery. Location of measurements will remain consistent within participants.

Secondary

MeasureTime frameDescription
Blood Pressure3 hoursMean arterial pressure (mmHg) will be measured via a brachial cuff placed on the upper arm.
Ventilatory Threshold3 hoursVentilatory threshold (VT) will be calculated based on previously described methods (Gaskill et al., 2001).
End-Tidal Gases3 hoursEnd-tidal oxygen (PETO2) (mmHg) and carbon dioxide (PETCO2) (mmHg) will be collected using a metabolic cart.
Cardiac Output3 hoursCardiac output (L/min) will be measured using a non-invasive cardiac output monitor (Physioflow). The monitor uses signal morphology impedance cardiography to determine cardiac output.
Ventilation3 hoursVentilation (Ve) (L/min) will be collected using a metabolic cart.
Blood Lactate and Beta-Hydroxybutyrate3 hoursCapillary blood will be obtained via finger prick using a lancing device to measure concentrations of blood lactate (mmol/L) and beta-hydroxybutyrate (mmol/L) using a handheld metabolite analyzer.
Peak Work Rate (Maximal Exercise Test)3 hoursThe maximum wattage (W) achieved by the participant during the maximal exercise test will be recorded.
Rate of Oxygen Consumption and Carbon Dioxide Production3 hoursRate of oxygen consumption (VO2) (mL/min) and carbon dioxide production (VCO2) (mL/min) will be collected using a metabolic cart.

Countries

Canada, United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026