Ketone monoesters to boost muscle protein synthesis and whole‑body protein use

The Effect of Ketone Monoesters on Skeletal Muscle Protein Synthesis and Whole-body Protein Metabolism.

Not applicable Interventional University of Exeter · NCT07082309

This study will test whether taking an oral ketone monoester with protein can increase muscle protein building and change whole‑body protein metabolism in healthy adults.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment12 (estimated)
Ages18 Years to 40 Years
SexAll
SponsorUniversity of Exeter Academic / other
Locations1 site (Exeter, Devon)
Trial IDNCT07082309 on ClinicalTrials.gov

What this trial studies

Researchers will give healthy adult volunteers an oral ketone monoester drink (about 0.5 g/kg body mass) co‑ingested with a whey protein beverage and compare it to a control beverage to raise blood β‑hydroxybutyrate (BHB) to levels seen in fasting. They will measure post‑meal muscle protein synthesis and whole‑body protein turnover using blood tests and muscle sampling over several hours after ingestion. The trial enrolls non‑smoking adults with BMI 18.5–30 and ages 18–40 and excludes those with metabolic, cardiovascular, or gastrointestinal disease, pregnancy, or medications that affect protein metabolism. Results will clarify how exogenous ketosis interacts with feeding to influence muscle remodelling.

Who should consider this trial

Good fit: Healthy, non‑smoking adults aged 18–40 with BMI 18.5–30 kg/m2 who are not pregnant and have no major metabolic, cardiovascular, or gastrointestinal disease are the intended participants.

Not a fit: People outside the age or BMI ranges, smokers, pregnant individuals, or those with diabetes, hypertension, cardiovascular or gastrointestinal disease, or on medications that affect protein metabolism may not benefit or are excluded.

Why it matters

Potential benefit: If successful, ketone monoester supplementation taken with protein could help improve post‑meal muscle protein synthesis and support muscle maintenance.

How similar studies have performed: Prior infusion studies and a small oral ketone monoester trial have shown that BHB can stimulate muscle protein synthesis, suggesting the approach has early supporting evidence.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

• BMI 18-30

Exclusion Criteria:

* Body mass index (BMI) \< 18.5 or \> 30 kg/m2
* Age \< 18 or \> 40
* Regularly smokes
* Type 2 diabetes
* Cardiovascular disease, metabolic disease and hypertension (≥ 140/90 mmHg)
* Gastrointestinal disorders
* Use medicines that may impact protein metabolism or that are anti-inflammatory (determined at the screening)
* Pregnancy

Where this trial is running

Exeter, Devon

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Healthy Participantsketone monoestersmuscle protein synthesisamino acid metabolism
Last reviewed 2026-06-13 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.