Could a High-Fat diet help heal the brain after injury?
NCT ID NCT04530032
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at whether a ketogenic or modified Atkins diet can help people recover from moderate to severe traumatic brain injury. The diet aims to change how the brain uses energy, potentially improving function. Twenty-one participants were enrolled, and researchers measured changes in disability and brain metabolism over six months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ketogenic diet (modified Atkins diet)
- What this could lead to
- If it works, this could point toward a dietary approach to improve recovery after traumatic brain injury.
- What could go wrong
- This was a very small trial with only 21 people, so results may not apply widely. The diet can be hard to follow and may cause side effects like nutrient imbalances.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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21 people
The number who actually took part.
- Started
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Dec 2020
- Finished
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Aug 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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16 to 90 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * complicated mild (GCS 13-15), moderate (GCS 9 - 12) to severe (GCS ≤ 8) traumatic brain injury (TBI) between 2-30 days post injury * Admitted to Loma Linda University surgical intensive care unit (SICU) Exclusion Criteria: * history of comorbid ischemic stroke following qualifying TBI * history of premorbid brain injury with associated loss of consciousness * history of psychiatric disorder * history of premorbid neurological disorder or neurosurgical intervention * pregnancy * depressed GCS score due to acute intoxication * liver dysfunction as defined by liver enzymes 5 times the upper limit of normal or chronic cirrhosis * acute renal failure according to the Risk, Injury, Failure, Loss of kidney function, and End-stage kidenty disease (RIFLE) classification * abdominal surgery during the same admission * type 1 diabetes * gastroparesis * dyslipidemia * severe asphasia * known history of metabolic disorders that are a contradiction for ketogenic diet (KD) such as primary carnitine deficient, carnitine palmitoyltransferase (CPT) I or II deficiency, carnitine translocase deficiency, beta-oxidation defects, pyruvate carboxylase deficiency, or porphyria * prealbumin (transthyretin) levels of \<10 mg/dL within 3 days of admission * Metal, implanted device (ICP monitor), pregnancy, claustrophobia, or other contraindication to MRI
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Loma Linda University Health
Loma Linda, California, 92354, United States
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