Clinical trial Recruiting at 1 site Interventional Ages 45 to 65

Ketone Ester Effects on Brain Function in Healthy Adults

Official title: Effects of Acute Ketone Supplementation on the Brain [KETO-BRAIN]

Run by Ohio State University · NCT07711990 · Data updated 2026-11-12

In healthy middle-aged and older adults, this study will test whether a ketone ester drink changes brain activity, blood flow, and metabolism compared with a placebo.

Quick facts

Study typeInterventional
Ages45 Years to 65 Years
SexAll
Enrollment24 (estimated)
SponsorOhio State University
Academic / other
Locations1 site (Columbus, Ohio)
StatusRecruiting
StartedJune 15, 2026
Main results expectedDecember 2029
Study endsDecember 2029
Registry record updatedJuly 17, 2026
Trial IDNCT07711990 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 45–65 in good general health, willing to complete fasting visits and refrain from ketogenic diets during the study.

Probably not a fit

Individuals with certain neurological conditions, those on ketone supplements or ketogenic diets, or those with pregnancy, head trauma history with loss of consciousness, or current psychiatric medication use may not experience benefit.

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

What this trial studies

This is a randomized, double-blind, placebo-controlled crossover study to see if acutely elevating blood ketone levels with a ketone ester affects brain function in healthy adults aged 45–65. Participants receive both the ketone ester and a placebo in separate visits, with a washout period in between. The study uses brain imaging, blood measurements, and cognitive tests to compare effects after overnight fasting and prior to testing sessions. The goal is to understand whether ketones can influence cerebral blood flow, brain chemistry, functional connectivity, and cognitive performance in aging adults without neurodegenerative disease.

Why it matters

Potential benefit: If successful, the findings could inform future approaches to supporting brain metabolism and function during aging.

How similar studies have gone: Past research suggests ketones can serve as an alternative brain fuel and may influence brain metabolism, but acute effects on imaging and cognition in healthy adults remain exploratory.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Age ≥45 years and ≤65 years
2. Able to comply with study requirements including presenting for each test session following an overnight fast and not following a ketogenic diet during the duration of the study.
3. BMI between 18.5 and 30 kg/m2

Exclusion Criteria:

1. Non-English Speaking
2. Currently taking a ketone ester supplement, ketone salt supplement, or on a ketogenic diet
3. Pregnancy, a urine pregnancy test will be given to all women before scanning to confirm nonpregnant status
4. Currently breastfeeding
5. Allergies to components in the test products, including milk protein, and not lactose intolerant
6. History of high blood pressure
7. History of alcoholism (previous 2 years)
8. History of illicit drug use
9. History of head trauma involving loss of consciousness or skull fracture
10. Diagnosed neurological disease
11. Taking psychiatric prescriptive medications (antipsychotics, antidepressants, or barbiturates) or over-the-counter (OTC) medications (other than those taken as nutritional supplements for non-therapeutic indications)
12. Current smoker
13. Currently consuming a habitual ketogenic diet, or was consuming a habitual ketogenic diet in the past three months
14. Any condition or material in the body that is a contraindication for MRI procedures

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.