Clinical trial Recruiting at 1 site Interventional Ages 18 to 65

Effect of a Ketogenic Diet on Polycystic Kidney Disease

Official title: Feasibility and Efficacy of a Well-Formulated Ketogenic Diet in Delaying Progression of Polycystic Kidney Disease in Patients at Risk for Rapid Progression

Run by Ohio State University · NCT06325644 · Data updated 2026-11-12

This study is testing if following a ketogenic diet for a year can help people with polycystic kidney disease keep their kidneys healthier and slow down the disease.

More Autosomal Dominant Polycystic Kidney Disease trials

Quick facts

Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment20 (estimated)
SponsorOhio State University
Academic / other
Locations1 site (Columbus, Ohio)
StatusRecruiting
StartedJune 1, 2024
Main results expectedDecember 1, 2026
Study endsApril 1, 2027
Registry record updatedNovember 3, 2026
Trial IDNCT06325644 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18-65 with a diagnosis of ADPKD and specific risk factors for rapid disease progression.

Probably not a fit

Patients currently treated with Tolvaptan, those with diabetes, or severe kidney disease (GFR < 25 mg/dl) may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates the impact of a ketogenic diet on patients with autosomal dominant polycystic kidney disease (ADPKD) who are at high risk for progression to end-stage renal disease (ESRD). It is a prospective, single-center study involving 20 participants who will undergo MRI and various blood and urinary tests at baseline, 6 months, and 52 weeks. The ketogenic diet will be followed for a year, with monitoring of ketone and glucose levels, and the investigatory diet team will provide support throughout the intervention. The goal is to assess changes in kidney volume, glomerular filtration rate (GFR), and microalbuminuria.

Why it matters

Potential benefit: If successful, this approach could provide a dietary intervention that slows the progression of kidney disease in patients with ADPKD.

How similar studies have gone: While dietary interventions in kidney disease are being explored, this specific approach using a ketogenic diet in ADPKD is relatively novel and has not been extensively tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 18-65 years old
* Diagnosis of ADPKD by imaging and/or genetic testing
* GFR ≥ 25 mg/dl
* Patients at risk for rapid progression of ADPKD: Mayo Class 1C-1E along with any other high risk features including early decline in GFR, hypertension onset ≤ 35 years of age, urologic events ≤ 35 years of age, PKD 1 truncating mutation and PROPKD score of 4 or higher as determined by the treating physician
* No changes of medications within the last three months.
* Able to comply with dietary intervention
* Ability to sign informed consent

Exclusion Criteria:

* Patients currently being treated with Tolvaptan
* Diagnosed with diabetes.
* Pregnancy
* Contraindications to MRI
* Ketogenic diet within the last three months
* Severe kidney disease with GFR \< 25 mg/dl
* Unable to purchase food for the diet intervention
* Gastrointestinal disorders that will interfere with diet intervention
* Chronic alcohol or drug abuse

Where it's running

  • The Ohio State University
    Columbus, Ohio, United States
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.