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Behavioral Variant Frontotemporal DementiaJT821NCT06761729

The Ketogenic Diet in the Treatment of Behavioral Variant Frontotemporal Dementia

A study testing Ketogenic diet in people with Behavioral Variant Frontotemporal Dementia, run by Xuanwu Hospital, Beijing.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This study is an exploratory clinical research on the use of JT821 (a ketogenic diet formulation) for the treatment of patients with behavioral variant frontotemporal dementia (bvFTD), aiming to evaluate the effectiveness, safety, and tolerability of JT821 in the intervention of bvFTD. Read more about this study

Who is it for?
Ages 45 to 70 years
What is being tested?
Ketogenic diet
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3 participants
Where
No sites listed yet
Study dates
10 Feb 2025to 31 Oct 2025
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 45 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject is between the ages of 45 - 70;
  • Meetting the diagnostic criteria for "probable bvFTD published by the International bvFTD Standards Consortium in 2011;
  • Subjects must not undergo any drug adjustment treatment for 2 months prior to the enrollment and during the enrollment period ;
  • Subjects must sign a written informed consent form prior to the screening visit examination. If the subject cannot sign due to limited cognitive ability or other reasons, the signature may be left blank, and the rationale must be stated. The legal guardian should provide the reason, sign the name, date, and time in the reason description area, and also sign the name, date, and time in the legal guardian column.
  • Subject is between the ages of 45 - 70;
  • Meetting the diagnostic criteria for "probable bvFTD published by the International bvFTD Standards Consortium in 2011;
  • Subjects must not undergo any drug adjustment treatment for 2 months prior to the enrollment and during the enrollment period ;
  • Subjects must sign a written informed consent form prior to the screening visit examination. If the subject cannot sign due to limited cognitive ability or other reasons, the signature may be left blank, and the rationale must be stated. The legal guardian should provide the reason, sign the name, date, and time in the reason description area, and also sign the name, date, and time in the legal guardian column.

Who cannot join

  • Dementia caused by other factors: Alzheimer's Disease,vascular dementia, central nervous system infections (such as AIDS, syphilis, etc.), Huntington's disease and Parkinson's disease, Lewy body dementia, traumatic brain injury dementia, other physical and chemical factors (such as drug poisoning, alcohol poisoning, carbon monoxide poisoning, etc.), significant somatic diseases (such as hepatic encephalopathy, pulmonary etc.), intracranial space-occupying lesions (such as subdural hematoma, brain tumors), endocrine system disorders (such as thyroid diseases, parathyroid diseases) and dementia caused by vitamin deficiency or any other known causes;
  • Having a low-carb diet , ketogenic diet, or vegan diet within 3 months before the screening visit or being currently doing.
  • Patients diagnosed with schizophrenia spectrum disorder ,bipolar disorder, moderate to severe depression or delirium according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).
  • Abnormal laboratory tests at screening visit and baseline: including liver function tests (alanine aminotransferase [ALT], aspartate aminotransferase [AST]) exceeding twice the upper limit of normal; and renal function (creatinine [Cr]) exceeding 1.5 times the upper limit of normal. Slight exceedances that are not clinically significance, as judged by the investigator, may not be excluded;
  • Fasting triglycerides ≥ 5.7 mmol/L or total cholesterol ≥ 10.34 mmol/L at the screening visit and baseline;
  • Presence any of the following infections at the screening visit:
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  • Positive human immunodeficiency virus antibody (HIV Ab); Positive Treponema pallidum antibody (TP Ab);
  • Gastrointestinal diseases that could affect the absorption or metabolism of the investigational product as judged by the investigator, within 2 months before the screening visit;
  • Having undergone major surgeries deemed unsuitable for enrollment by the investigator within 6 months before the screening visit or those planning to undergo major surgeries during the study period (The definition of major surgeries refers to Grade 3 and Grade 4 surgeries as outlined in the "Administrative Measures for Grading of Surgeries in Medical Institutions (Trial)" implemented on December 6, 2022);
  • Patients who have suffered from malignant tumors within 3 years prior to the screening visit (excluding basal cell carcinoma of the skin that has been radically cured, squamous cell carcinoma of the skin and/or carcinoma in situ that has been radically resected);
  • Having a history of alcohol or drug abuse within 1 year prior to the screening visit;
  • Known allergy to any components of the investigational product in this study;
  • Having uncorrectable visual or auditory impairments or any other conditions that would affect the assessment of the scale;
  • Contraindications to JT821:
  • Absolute contraindications:
  • Type 1 diabetes
  • Primary carnitine deficiency (Laboratory tests: Hypoglycemia with low ketone levels, elevated creatine kinase (CK), etc.)
  • Carnitine palmitoyl transferase (CPT) I and II deficiency (Laboratory tests: Hypoglycemia with low ketone levels, elevated transaminases, CK, elevated blood ammonia, tandem mass spectrometry for measurement of blood acylcarnitine profile, etc.)
  • Carnitine translocase deficiency (Laboratory tests: Hypoglycemia with low ketone levels, elevated transaminases, CK, elevated blood ammonia, tandem mass spectrometry for measurement of blood acylcarnitine profile, etc.)
  • β-Oxidation disorders (Laboratory tests: Blood glucose, electrolytes, blood lipids, coagulation, liver function, kidney function)
  • Medium-chain acyl dehydrogenase deficiency (MCAD) (Laboratory tests: Hypoglycemia with low ketone levels, elevated transaminases, CK, elevated blood ammonia, metabolic acidosis, tandem mass spectrometry for measurement of blood acylcarnitine profile, etc.)
  • Very long-chain acyl dehydrogenase deficiency (VLCAD) (Laboratory tests: Hypoglycemia with low ketone levels, elevated transaminases, CK, elevated creatine kinase isoenzyme (CK-MB) and lactate dehydrogenase (LDH), tandem mass spectrometry for measurement of blood acylcarnitine profile)
  • Long-chain acyl dehydrogenase deficiency (LCAD) (Laboratory tests: Hypoglycemia with low ketone levels, elevated transaminases, CK, elevated creatine kinase isoenzyme (CK-MB) and lactate dehydrogenase (LDH), tandem mass spectrometry for measurement of blood acylcarnitine profile)
  • Short-chain acyl dehydrogenase deficiency (SCAD) (Laboratory tests: Tandem mass spectrometry for measurement of blood acylcarnitine profile, determination of SCAD enzyme activity)
  • Long-chain 3-hydroxyacyl-CoA deficiency (Laboratory tests: Hypoglycemia with low ketone levels, elevated transaminases, CK, elevated CK-MB and LDH, analysis of blood acylcarnitine profile, etc.)
  • Medium-chain 3-hydroxyacyl-CoA deficiency (Laboratory tests: Hypoglycemia with low ketone levels, elevated transaminases, CK, elevated CK-MB and LDH, analysis of blood acylcarnitine profile, etc.)
  • Pyruvate carboxylase deficiency (Laboratory tests: Hypoglycemia with low ketone levels, elevated transaminases, CK, elevated CK-MB and LDH, analysis of blood acylcarnitine profile, etc.)
  • Porphyria (Laboratory tests: Sunlight test of urinary porphobilinogen)
  • Acute pancreatitis
  • Liver failure
  • Pregnancy
  • Relative contraindications:
  • Patients who cannot maintain adequate nutrition (Fasting blood glucose < 2.8 mmol/L, blood ketone > 0.5 mmol/L) (15) Any other situations that the investigator considers unsuitable for participating in this study; (16)Currently participating in other investigational product/device for treatment or participating in other clinical trials for treatment purposes.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Longfei Jia, Dr. contact

0086-10 - 83199449

jialongfei@163.com

About this study

Official title: An Exploratory Study for Evaluating the Efficacy, Safety and Tolerability of JT821 in the Intervention of Behavioral Variant Frontotemporal Dementia

This study is an exploratory clinical research on the use of JT821 (a ketogenic diet formulation) for the treatment of patients with behavioral variant frontotemporal dementia (bvFTD), aiming to evaluate the effectiveness, safety, and tolerability of JT821 in the intervention of bvFTD.

The ketogenic diet (KD) is a low-carbohydrate, adequate protein and high-fat diet. KD was shown to be effective in treating different neurodegenerative diseases.

Read the detailed description

This is an exploratory clinical research planned to include 20 subjects diagnosed with behavioral variant frontotemporal dementia (bvFTD). The primary aim of the study is to evaluate the tolerability, efficacy, and safety of JT821 in the treatment of bvFTD.

All subjects will undergo a 1-week product titration period before entering a 12 week treatment period.

Efficacy assessments will be conducted at week 4 and week 12 during the treatment period, utilizing the Montreal Cognitive Assessment (MoCA), the Mini-Mental State Examination (MMSE), and the Clinical Dementia Rating (CDR) scale to assesses the overall cognitive function of the subjects. Additionally, the Frontal Assessment Battery (FAB) will evaluate the executive functions of the frontal lobes; the Neuropsychiatric Inventory (NPI) and the Frontal Behavioral Inventory (FBI) assess the neuropsychiatric and behavioral symptoms of patients; the Boston Naming Test (BNT) and the Verbal Fluency Test (VFT) assess language functions.

Safety evaluation will include the vital signs, laboratory tests (fasting blood glucose, blood ketone levels (β-hydroxybutyrate), urinalysis, complete blood count, fasting lipid profile, liver and kidney function), as well as the recording of any adverse events.

Subjects may withdraw from the study at any time. If subjects experience a serious adverse event, become pregnant, are lost to follow-up, show poor adherence, or if the subject or their legal guardian actively requests to withdraw or retracts informed consent, they may be withdrawn based on the investigator's determination. The sponsor reserves the right to terminate the study at any time for special reasons (such as major safety concerns, force majeure, etc.).

A safety follow-up will be conducted two weeks after the termination of treatment.

Being tested
Ketogenic diet

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Ketogenic dietDietary supplement

    Ketogenic diet

Study groups in NCT06761729
Study groupRoleWhat they receive
Ketogenic dietExperimentalThe subjects initially enter the screening phase (≤ 2 weeks); they undergo the titration period (1 week), gradually titrating to the maximum dose stipulated in the protocol or the maximum tolerable dose for the subject; during the treatment period (12 weeks), but if intolerance emerges during the treatment, the subject can revert to the previous tolerated dose for continued treatment. The dosage was titrated incrementally until reaching the maximum daily dose of 30g * 3 meals a day as stipulated in the protocol or the maximum tolerable daily dose for the subject. After entering the treatment period (from week 2 to week 13), this dose was maintained for 12 weeks.
Receives: Dietary Supplement: Ketogenic diet

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Montreal Cognitive Assessment (MoCA)

    After 4 and 12 weeks of treatment, the changes in MoCA scores compared to the baseline MoCA evaluates various cognitive domains including attention, executive functions, memory, language, visuospatial skills, abstraction, calculation, and orientation. It takes about 10 minutes to administer and is scored out of 30 points, with a score of 26 or above considered normal.

    Measured: After 4 and 12 weeks of treatment, changes in MoCa scores relative to baseline.

  2. Mini-Mental State Examination (MMSE)

    After 4 and 12 weeks of treatment, changes in MMSE score compared to the baseline. MMSE tests cognitive function in five areas: orientation, registration, attention and calculation, recall, and language. It consists of 11 questions, with total score ranging from 0-30 points. Lower score indicate greater cognitive impairment.

    Measured: After 4 and 12 weeks of treatment, changes in MMSE score relative to baseline.

  3. Clinical Dementia Rating (CDR) scale

    After 4 and 12 weeks of treatment, changes in CDR score compared to the baseline. CDR assess the progression of dementia, it evaluates six cognitive domains: memory, orientation, judgment/problem solving, community affairs, home and hobbies, and personal care. The CDR provides both a global score and a "Sum of Boxes" score, which ranges from 0 to 18. Higher scores on the CDR indicate more severe dementia.

    Measured: After 4 weeks and 12 weeks of treatment, changes relative to baseline

  4. Frontal Assessment Battery (FAB)

    After 4 and 12 weeks of treatment, changes in FAB score compared to the baseline. FAB assess frontal lobe functions, with tasks evaluating conceptualization, mental flexibility, motor programming, sensitivity to interference, inhibitory control, and environmental autonomy. The total maximum score is 18, with higher scores indicating better performance.

    Measured: After 4 weeks and 12 weeks of treatment, changes relative to baseline

  5. Neuropsychiatric Inventory (NPI)

    After 4 and 12 weeks of treatment, changes in NPI score compared to the baseline It evaluates 12 domains including delusions, hallucinations, and apathy, with severity rated from 1 to 3 and frequency from 1 to 4. Higher scores indicate more severe symptoms.

    Measured: After 4 weeks and 12 weeks of treatment, changes relative to baseline

  6. Frontal Behavioral Inventory (FBI)

    After 4 and 12 weeks of treatment, changes in FBI score compared to the baseline. The FBI is a 24-item caregiver questionnaire that measures behaviors associated with frontal lobe dysfunction, such as apathy and disinhibition. It uses a four-point scale for each item and is scored based on caregiver responses, with higher scores indicating greater impairment.

    Measured: After 4 weeks and 12 weeks of treatment, changes relative to baseline

  7. Boston Naming Test (BNT)

    After 4 and 12 weeks of treatment, changes in BNT score compared to the baseline. BNT score changes from baseline after 4 and 12 weeks of treatment. The BNT is a quantitative measure of confrontation naming ability, consisting of 60 line drawings of objects. It assesses dysnomia and is sensitive in detecting naming difficulties compared to physical object naming.

    Measured: After 4 weeks and 12 weeks of treatment, changes relative to baseline

  8. Verbal Fluency Test (VFT)

    After 4 and 12 weeks of treatment, changes in VFT score compared to the baseline.The VFT involves generating words within a category or starting with a specific letter within a time limit. It measures executive functions and language use, with fewer words indicating potential cognitive deficits.

    Measured: After 4 weeks and 12 weeks of treatment, changes relative to baseline

Secondary outcomes (1)
  1. Comparison of the variations in blood ketone values relative to baseline during the treatment period

    This measure compares the variations in blood ketone levels relative to the baseline during the treatment period. It also examines the influence of blood ketone levels on cognitive function; higher blood ketone levels are associated with improved cognitive function and therapeutic efficacy.

    Measured: During the 12-week treatment course

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Jan 2025
  2. Study start10 Feb 2025 (estimated)
  3. Primary completion31 Aug 2025 (estimated)
  4. Study completion31 Oct 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
Single Group Assignment,
Masking
None (open label)
Enrolment
3 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06761729
Sponsor's protocol ID
XWYY-bvFTD-01
Acronym
JT821
Status last verified
Jan 2025
First submitted
24 Dec 2024
Last updated
10 Feb 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Ketogenic diet in people with Behavioral Variant Frontotemporal Dementia, run by Xuanwu Hospital, Beijing.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 33 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 10 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Longfei Jia, Dr. (0086-10 - 83199449, jialongfei@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Montreal Cognitive Assessment (MoCA) (time frame: After 4 and 12 weeks of treatment, changes in MoCa scores relative to baseline.). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Feb 2025.

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