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Ketone-IQ for Sleep Apnea (KETO-SLEEP 2 Trial)

Phase 1 & 2
Waitlist Available
Led By Jonathan Jun, MD
Research Sponsored by Johns Hopkins University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Adherent to CPAP (objectively determined via device download over last 30 days) using CPAP at least 70% of days for >=4 hours
CPAP pressure ≤10 cm water (H2O) (based on prescribed CPAP pressure, or median pressure on an auto-titrating CPAP device)
Must not have
No use of supplemental oxygen
No concomitant sleep disorder (such as insomnia, restless leg syndrome, narcolepsy, idiopathic hypersomnia)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 2 nights ketone-iq, 2 nights placebo

Summary

This trial aims to test if taking a product called Ketone-IQ before bedtime can improve sleep quality and reduce the severity of obstructive sleep apnea. The researchers believe that ingesting exogenous ket

Who is the study for?
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.
What is being tested?
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.
What are the potential side effects?
While specific side effects are not listed, exogenous ketones may cause gastrointestinal discomfort such as stomach ache, nausea, diarrhea or constipation in some people.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I use my CPAP machine regularly, at least 4 hours on 70% of days.
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My CPAP pressure is set at or below 10 cm water.
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I am between 18 and 65 years old with a BMI between 18 and 35.
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I have been diagnosed with moderate to severe sleep apnea.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I do not use supplemental oxygen.
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I do not have any sleep disorders like insomnia or narcolepsy.
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I do not have uncontrolled breathing problems during the day.
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I take medications at night that can affect my breathing.
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I am currently taking medication for diabetes that includes drugs like Invokana, Farxiga, Jardiance, or Steglatro.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~2 nights ketone-iq, 2 nights placebo
This trial's timeline: 3 weeks for screening, Varies for treatment, and 2 nights ketone-iq, 2 nights placebo for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Apnea Hypopnea Index (AHI)
Secondary study objectives
Gastrointestinal Symptoms Questionnaire
Nadir Oxygen Level
Oxygen Desaturation Index
+4 more

Trial Design

2Treatment groups
Experimental Treatment
Group I: Placebo firstExperimental Treatment2 Interventions
This is a crossover study where participants will ingest either Ketone-IQ for 2 nights, or placebo for 2 nights before sleep. This arm will ingest Placebo first, then Ketone-IQ.
Group II: Ketone-IQ firstExperimental Treatment2 Interventions
This is a crossover study where participants will ingest either Ketone-IQ for 2 nights, or placebo for 2 nights before sleep. This arm will ingest Ketone-IQ first, then placebo.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Placebo
1995
Completed Phase 3
~2670

Find a Location

Who is running the clinical trial?

Johns Hopkins UniversityLead Sponsor
2,332 Previous Clinical Trials
14,874,870 Total Patients Enrolled
HVMN IncIndustry Sponsor
2 Previous Clinical Trials
46 Total Patients Enrolled
KETONE-IQUNKNOWN
1 Previous Clinical Trials
30 Total Patients Enrolled
Jonathan Jun, MDPrincipal InvestigatorJohns Hopkins University
6 Previous Clinical Trials
286 Total Patients Enrolled
~20 spots leftby Jun 2026