Investigation of β-hydroxybutyrate Supplementation as Chemoprevention in Familial Adenomatous Polyposis

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorAbramson Cancer Center at Penn Medicine

About this trial

The aim of this study is to evaluate the potential of BHB supplementation as a novel strategy to impede the development and progression of intestinal adenomas in individuals with FAP, thus potentially reducing the need for frequent upper endoscopies and colonoscopies and preventing the need for risk-reducing surgical intervention.

Eligibility criteria

Qualifiers

Have a diagnosis of FAP with genetic testing demonstrating a pathogenic or likely pathogenic germline variant in APC, must have a clinical FAP phenotype with at least one member of the family who has a pathogenic or likely pathogenic germline variant in APC, or must have a clinical diagnosis of FAP as agreed by two gastrointestinal cancer genetics experts

Must have an extensive colonic resection with either a subtotal colectomy with ileorectal anastomosis (STC-IRA) or total proctocolectomy with ileal pouch anal anastomosis (TPC-IPAA)

Can provide informed consent

Disqualifiers

Subject is pregnant, a prisoner, or is under 18 years of age

Prior total proctocolectomy with end ileostomy

History of inflammatory bowel disease

History of diabetes mellitus and are currently on medical diabetes therapy

Trial design

Treatments tested in this trial

  • R-1,3-Butanediol (10G-A)
  • R-1,3-Butanediol (20G-A)
  • R-1,3-Butanediol (30G-A)
  • R-1,3-Butanediol (30G-B)

Treatment groups

20 Participants
are divided into 4 treatment groups

Sponsors and collaborators

Abramson Cancer Center at Penn Medicine

Lead sponsor

The V Foundation for Cancer Research

Collaborator