Effects of Exogenous Ketosis on Proteinuria and Renal Function in Patients with Chronic Kidney Disease and Patients with Polycystic Kidney Disease
A randomized, placebo-controlled, double-blinded crossover study will be conducted. Fourteen patients with polycystic kidney disease (PKD) and 29 patients with proteinuric kidney disease will receive ketone bodies (Ketone-IQ) and placebo in a randomized order. Each treatment period is four weeks. There will be a wash-out period of two weeks in between treatment periods. Effect variables will be measured in the last day of each treatment period.
⁃ Study A (patients with CKD):
• ACR \> 200 mg/g \<3000 mg/g
• eGFR \>30 ml/min/1,73m2
• Treatment with Renin-Angiotension System (RAS) blockers and SGLT-2 inhibitors for a minimum of 4 weeks prior to inclusion
• Safe contraception if women in childbearing age
⁃ Study B (patients with PKD):
• Prior diagnose with PKD
• eGFR \>30 ml/min/1,73m2
• Treatment with Renin-Angiotension System (RAS) blockers for a minimum of 4 weeks prior to inclusion
• Safe contraception if women in childbearing age