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Active Trials

Trials of ketogenic therapy for serious mental illness are being conducted around the world for a variety of diagnoses, including major depression, schizophrenia spectrum disorder, bipolar disorder, and anorexia. Explore this database to participate in active studies and discover the science behind metabolic psychiatry.

Note: Trial statuses are updated regularly but may differ from those on the official study websites.

Recruiting

Ketogenic Diet and Neuromodulation in Treatment Resistant Depression (ALIGN)

Treatment-resistant depression occurs when depressive symptoms persist despite standard therapies. Intermittent theta burst stimulation (iTBS) is an FDA-approved therapy designed to reduce depressive symptoms by stimulating brain activity. This clinical trial tests whether combining a ketogenic diet with accelerated, personalized iTBS further reduces depressive symptoms and is feasible for patients to follow successfully.

Diagnosis Depression
Principal Investigator Sean Nestor, MD, PhD
Institution Sunnybrook Health Sciences Centre
Location Toronto, Canada
Recruiting

An Online Psychoeducational and Support Program Implementing Ketogenic Metabolic Therapy for Mental Illness

This study will test an online group ketogenic metabolic therapy program for people with depression and anxiety, measuring its impact on mental health outcomes. The fully remote model combines education with sustained professional and peer support, designed for integration into existing clinical care.

Diagnosis Anxiety, Depression
Principal Investigator Erin Louise Bellamy, PhD
Institution University of East London
Location United Kingdom
Not Yet Recruiting

Ketogenic Diet Intervention in Schizophrenia, Bipolar Disorder, Major Depressive Disorder: Deep Omic Profiling

Serious mental illnesses like schizophrenia, bipolar disorder, and major depression affect hundreds of millions of people and are often linked to metabolic issues, reducing life expectancy. This randomized clinical trial (RCT) will study whether a ketogenic diet, which improves brain energy use and metabolism, can enhance quality of life and mental health outcomes for individuals with these conditions.

Diagnosis Depression, Schizophrenia, Bipolar Disorder
Principal Investigator Shebani Sethi, MD
Institution Stanford University
Location Palo Alto, California
Recruiting

Child Bipolar Network Ketogenic Diet Approach to Bipolar Disorder in Adolescents (CBN Keto)

This trial investigates the use of keto diets for adolescents and young adults (ages 12-21 yrs) in the depressive or mixed phases of bipolar disorder (BD). Investigators across four study sites (UCLA, U Cincinnati, U Colorado and U Pittsburgh) aim to determine if combining standard of care pharmacological treatment for bipolar disorder with a 16-week keto diet is well-tolerated and associated with improvements in depression, inflammatory and metabolic indicators, and executive functioning.

Diagnosis Bipolar Disorder
Principal Investigator David J. Miklowitz, Ph.D.
Institution University of California, Los Angeles
Location Los Angeles, California
Not Yet Recruiting

Ketogenic Diet for Depression (KETO-MOOD)

With depression affecting 300 million people globally and long-term recovery proving difficult, this study explores whether a ketogenic diet can alleviate depressive symptoms compared to a standard diet.

Diagnosis Depression, Bipolar Disorder
Principal Investigator Timur Liwinski, MD
Institution University Psychiatric Clinics Basel
Location Basel, Switzerland
Recruiting

Examining Neurobiological Mechanisms Underlying the Therapeutic Effect of the Ketogenic Diet in Bipolar Disorder (BD)

People with bipolar disorder often experience mania/hypomania. This study examines the impact of a ketogenic diet on periods of mania/hypomania in individuals with bipolar disorder.

Diagnosis Bipolar Disorder
Principal Investigator Mary Phillips, MD
Institution University of Pittsburgh
Location Pittsburgh, Pennsylvania
Recruiting

Therapeutic Ketogenic Diet in Anorexia Nervosa

In a previous study, patients with anorexia nervosa showed improvements on a ketogenic diet. This study investigates the impact of a therapeutic ketogenic diet on individuals with anorexia nervosa who have been weight normalized.

Diagnosis Anorexia Nervosa
Principal Investigator Guido Frank, MD
Institution University of California at San Diego (UCSD)
Location San Diego, California
Completed

The Effects of Diet on Metabolic and Mental Health Outcome Measures in Bipolar Disorder and Schizophrenia: A Randomized Controlled Clinical Trial

This study looks at the impact of dietary intervention alongside treatment in patients with a diagnosis of bipolar disorder, schizophrenia or schizoaffective disorder.

Diagnosis Schizophrenia, Bipolar Disorder
Principal Investigator Calogero Longhitano, MD & Zoltan Sarnyai, MD, PhD
Institution James Cook University
Location Queensland, Australia
Recruiting

Ketogenic Diet for Psychotic Disorders (PsyDiet)

Some people diagnosed with psychotic disorders have trouble using sugar as energy for their brain. This study investigates the impact of a ketogenic diet on depression and anxiety and psychotic symptoms such as delusions. Additionally, the study investigates the feasibility of a ketogenic diet in an inpatient setting.

Diagnosis Psychotic Symptoms
Principal Investigator Anu Ruusunen, PhD
Institution Kuopio University Hospital
Location Kuopio, Finland
Recruiting

Ketogenic and Nutritional Interventions for First Episode Bipolar Disorder

Early intervention is important in the recovery process after the first episode of psychosis. This study examines the effects of a ketogenic intervention on energy metabolism and psychiatric symptoms in individuals with first episode bipolar disorder or schizoaffective disorder.

Diagnosis Bipolar Disorder, Schizoaffective disorder
Principal Investigator Virginie-Anne Chouinard, MD & Dost Öngür, MD, PhD
Institution McLean Hospital
Location Belmont, Massachusetts

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Finding Support

If you’re exploring ketogenic therapy or other metabolic strategies to support mental health or overall well-being, clinical trials are just one possible path. We’ve consolidated lists of specialty clinics, providers, peer communities, and other resources.

Find Your People
Grid of Metabolic Psychiatry Providers