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Evaluation of the safety and tolerability of a nutritional Formulation in patients with ANgelman Syndrome (FANS): study protocol for a randomized controlled trial

dc.contributor.authorHerber, Donna L.
dc.contributor.authorWeeber, Edwin J.
dc.contributor.authorD'Agostino, Dominic P.
dc.contributor.authorDuis, Jessica
dc.date.accessioned2020-10-22T16:38:44Z
dc.date.available2020-10-22T16:38:44Z
dc.date.issued2020-01-09
dc.identifier.citationHerber, D. L., Weeber, E. J., D'Agostino, D. P., & Duis, J. (2020). Evaluation of the safety and tolerability of a nutritional Formulation in patients with ANgelman Syndrome (FANS): study protocol for a randomized controlled trial. Trials, 21(1), 60. https://doi.org/10.1186/s13063-019-3996-xen_US
dc.identifier.othereISSN: 1745-6215
dc.identifier.urihttp://hdl.handle.net/1803/16243
dc.description.abstractBackground Ketogenic and low-glycemic-index diets are effective in treating drug-resistant seizures in children with Angelman syndrome. Cognition, mobility, sleep, and gastrointestinal health are intrinsically linked to seizure activity and overall quality of life. Ketogenic and low-glycemic diets restrict carbohydrate consumption and stabilize blood glucose levels. The ketogenic diet induces ketosis, a metabolic state where ketone bodies are preferentially used for fuel. The use of exogenous ketones in promoting ketosis in Angelman syndrome has not been previously studied. The study formulation evaluated herein contains the exogenous ketone beta-hydroxybutyrate to rapidly shift the body towards ketosis, resulting in enhanced metabolic efficiency. Methods/design This is a 16-week, randomized, double-blind, placebo-controlled, crossover study to assess the safety and tolerability of a nutritional formula containing exogenous ketones. It also examines the potential for exogenous ketones to improve the patient's nutritional status which can impact the physiologic, symptomatic, and health outcome liabilities of living with Angelman syndrome. Discussion This manuscript outlines the rationale for a study designed to be the first to provide data on nutritional approaches for patients with Angelman syndrome using exogenous ketones.en_US
dc.description.sponsorshipThis project is funded by the Foundation for Angelman Syndrome Therapeutics in collaboration with Disruptive Nutrition, LLC. The Foundation reviewed a grant application substantially equivalent to the protocol described herein, but did not have direct input into protocol design or writing the manuscript. DLH is employed by Disruptive Nutrition and was involved in the design of the study and writing the manuscript. Neither the Foundation nor Disruptive Enterprises has ultimate authority over study design, collection, management, analysis, and interpretation of data; writing of the report, or publication; this responsibility rests with the trial sponsor, Vanderbilt University, and principal investigator, Dr. Duis.en_US
dc.language.isoen_USen_US
dc.publisherTrialsen_US
dc.rightsCopyright © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.source.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6953273/
dc.subjectKetogenic dieten_US
dc.subjectKetosisen_US
dc.subjectAngelman syndromeen_US
dc.subjectPlacebo-controlled trialen_US
dc.subjectChildrenen_US
dc.subjectExogenous ketoneen_US
dc.subjectKetone esteren_US
dc.subjectKetone supplementen_US
dc.titleEvaluation of the safety and tolerability of a nutritional Formulation in patients with ANgelman Syndrome (FANS): study protocol for a randomized controlled trialen_US
dc.typeArticleen_US
dc.identifier.doi10.1186/s13063-019-3996-x


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