Status:

ACTIVE_NOT_RECRUITING

Ketogenic Diet in People With Schizophrenia

Lead Sponsor:

University of Maryland, Baltimore

Conditions:

Schizophrenia

Schizo Affective Disorder

Eligibility:

All Genders

18-64 years

Phase:

NA

Brief Summary

Schizophrenia is a serious mental disorder with a heterogenous presentation, lack of clear understanding of pathophysiology and only partially effective treatments. First-line antipsychotic drugs bloc...

Eligibility Criteria

Inclusion

  • Age 18- 64 years
  • Diagnostic and Statistical Manual (DSM-IV/DSM 5) diagnosis of schizophrenia or schizoaffective disorder
  • Antipsychotic regimen with no dose change in last 14 days
  • Minimum score of 45 on BPRS
  • Body mass index \> 18.5
  • Ability to consent determined by a score of 10 or greater on the Evaluation to Sign Consent.

Exclusion

  • Pregnant or lactating females
  • Type I diabetes or insulin dependent Type II diabetes
  • Current diagnosis of DSM 5 eating disorder
  • Heart failure
  • corrected QT interval (QTc) prolongation greater than or equal to 500ms
  • Significant kidney disease
  • Indicators for possible acute kidney injury (AKI) or moderate chronic kidney disease (CKD) based on some factors below. Each is not used individually but a clinician will determine based on the following:
  • Creatinine \> 1.3mg/dL
  • Glomerular Filtration Rate (GFR) \< 60 mL/min/1.73 m2
  • Renal tubular disorders
  • History of kidney transplantation
  • Significant liver disease.
  • Indicators for possible acute or chronic liver disease. Each is not used individually but a clinician will determine based on the following:
  • Prolonged International Normalized Ratio (INR) greater than or equal to 1.5, elevated bilirubin and aminotransferases (3x normal upper limit) and/or Complete Blood Count (CBC) abnormalities (thrombocytopenia, anemia)
  • Physical examination abnormalities (jaundice, icteric sclera, asterixis)
  • Alcohol use disorder (AUD) based on DSM 5 criteria for moderate AUD
  • History of liver disease (cirrhosis, Wilson disease, Gilbert disease, chronic hepatitis, autoimmune hepatitis, primary biliary cirrhosis (PBC), primary Sclerosing Cholangitis (PSC) alpha-1 antitrypsin deficiency, hereditary hemochromatosis, Budd-Chiari syndrome)
  • History of liver transplantation
  • Porphyria
  • Genetic disorders that affect fat metabolism (Gaucher disease, Tay-Sachs disease, medium-chain acyl-CoA dehydrogenase deficiency (MCADD)
  • Carnitine deficiency syndromes (primary carnitine deficiency, carnitine palmitoyltransferase deficiency, carnitine translocase deficiency)
  • Pyruvate kinase deficiency
  • Gastroparesis
  • Refusal to eat intervention diet, food allergies or restrictions that the kitchen cannot accommodate, and/or dietary noncompliance with dietary energy needs

Key Trial Info

Start Date :

September 1 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 1 2027

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT05968638

Start Date

September 1 2023

End Date

August 1 2027

Last Update

November 12 2025

Active Locations (1)

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1

Maryland Psychiatric Research Center (MPRC) Treatment Research Program (TRP)

Catonsville, Maryland, United States, 21228