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Ketosis, as a medicine

Ketosis is one of the best-documented metabolic interventions in medicine. For a century it could be reached only by strict diet or by short-acting supplements. Senovia develops drugs that deliver its benefits instead.

01The benefit

Ketosis changes the course of disease in people.

When the body runs on ketones, the effects reach the brain, the heart, the liver and the immune system. Ketone bodies are fuels and also signalling molecules, with receptor, inflammatory and gene-regulatory targets of their own.

Epilepsy
38%vs 6%

Children with drug-resistant epilepsy whose seizures fell by more than half on a ketogenic diet, against usual care.

Randomized controlled trial
Type 2 diabetes
94%

Insulin users who reduced or stopped insulin over a year of sustained nutritional ketosis, as HbA1c fell from 7.6% to 6.3%.

Nonrandomized controlled study
Heart failure
+40%

Rise in cardiac output when patients with heart failure received the ketone body β-hydroxybutyrate.

Randomized crossover study
Neal EG et al. Lancet Neurol 2008;7:500–506. Hallberg SJ et al. Diabetes Ther 2018;9:583–612. Nielsen R et al. Circulation 2019;139:2129–2141. Published results with diet or ketone infusion; not results of Senovia drugs.
02The problem

Every way of reaching ketosis has hit a ceiling.

The benefit depends on holding blood ketones in a therapeutic range every day, for months or years. None of the existing approaches can do that.

Ketogenic diet

Hard to sustain. Strict restriction under clinical supervision. Fewer than half of adults with epilepsy stay on it.

Ketone salts

Low potency, capped dose. Blood levels rise modestly, and every dose carries a mineral load that limits how much can be taken.

Ketone esters

Short-acting. Levels peak and return to baseline within three to four hours, so large doses are needed several times a day.

MCT oil

Weak and poorly tolerated. Brief, modest rises in ketones, with gastrointestinal side effects that limit the dose.

Ketogenic therapy has been used in medicine since 1921. No drug has yet delivered its benefits to patients.

Ye F et al. J Clin Neurol 2015;11:26–31 (pooled adherence 45% across 12 studies). Stubbs BJ et al. Front Physiol 2017;8:848. Kossoff EH et al. Epilepsia Open 2018;3:175–192. Wilder RM. Mayo Clin Bull 1921;2:307.
03The solution

Senovia designed new molecules to clear every ceiling.

Senovia's drugs are new chemical entities, built from the start for one profile: therapeutic ketosis held across the day from a single oral dose, with a normal diet, at a dose patients can take for years.

What a ketosis drug needsKetogenic dietKetone saltsKetone estersMCT oilSenovia
No change in diet
Therapeutic levels held across the day
One oral dose a dayn/a
Tolerable for long-term use
Low cost at scale
YesPartlyNo
Native GLP-1
~2min

Half-life in blood.

Semaglutide
~1week

Half-life of the engineered drug.

The precedent

Incretin biology was proven for decades before it became one of the largest drug classes in medicine. The change was chemistry that made the signal last. Ketosis had the same kind of delivery problem, and Senovia has solved it.

Comparison reflects published properties of each approach. The Senovia column reflects preclinical findings and design objectives; Senovia drugs are investigational and have not been tested in people. Deacon CF et al. Diabetes 1995;44:1126–1131. Lau J et al. J Med Chem 2015;58:7370–7380. Composition, data and patent filings are shared with partners under a confidentiality agreement.
04What it opens

The benefits of ketosis, as a prescription, across medicine.

Drug-resistant epilepsy

SNV-101. Adjunctive therapy alongside existing antiseizure medicines.

Lead program
Obesity and type 2 diabetes

SNV-102. Alone and alongside GLP-1-based medicines.

Lead program
Heart failure

Cardiac energy supply and function.

Research
Neurodegeneration

Brain energy metabolism.

Research
Oncology

Tumor and host metabolism alongside standard therapy.

Research
Inflammation and infection

Chronic inflammatory disease and host response.

Research
Partners

Data rooms for both lead programs.

Open to pharmaceutical, biotech and investment professionals.