Omega-3 Fatty Acids That Affect the Immune System in Kidney Transplant Patients
NCT ID: NCT00047983
Last Updated: 2017-01-11
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
EARLY_PHASE1
75 participants
INTERVENTIONAL
2004-04-30
Brief Summary
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Detailed Description
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Prior to transplantation, participants are randomized to one of three groups. Group 1 participants serve as controls and receive no dietary supplements. Participants in Group 2 receive daily nutritional supplements of arginine and canola oil according to body weight. Group 3 participants receive daily nutritional supplements of arginine and a fish oil emulsion according to body weight. All participants receive a standard, low-fat dietary consultation. The status of participants is evaluated peri-transplant and at 1, 3, 6, and 9 months.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Control
Controls and will receive no dietary supplements
No interventions assigned to this group
Arginine and Canola Oil
Daily nutritional supplements of arginine and canola oil
Canola oil
Arginine
Arginine and Coromega
Daily nutritional supplements of arginine and Coromega
Arginine
Fish oil emulsion
Interventions
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Canola oil
Arginine
Fish oil emulsion
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Candidate to receive a living-related donor, living unrelated donor, or first cadaver kidney with at least 1 HLA mismatch.
* Negative crossmatch with the intended donor.
* Adults must have moderate to severe hypertension and/or take at least 1 medication for hypertension daily.
* Willingness to comply with the dietary supplements, including canola oil, a flavored drink mix, or an orange flavored pudding.
Exclusion Criteria
* Women of childbearing age who are not willing or able to practice acceptable methods of contraception.
* HIV-positive.
* Positive test for HBV E-AG/DNA and HCV.
* Received an organ transplant or plan to receive a multiple organ transplant.
* Phenylketonuria.
* Participation in other investigational studies within 30 days of the renal transplant.
* Allergy or anaphylactic reactions to eggs or L-arginine.
* ABO blood incompatibility.
* Children who have previously received more than 5 blood transfusions.
* History of stroke.
4 Years
ALL
No
Sponsors
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National Institute of Allergy and Infectious Diseases (NIAID)
NIH
Responsible Party
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Principal Investigators
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J. W. Alexander, MD
Role: PRINCIPAL_INVESTIGATOR
University of Cincinnati
Locations
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Washington Hospital Center
Washington D.C., District of Columbia, United States
University of Maryland School of Medicine
Baltimore, Maryland, United States
Duke University Medical Center
Durham, North Carolina, United States
University of Cincinnati College of Medicine
Cincinnati, Ohio, United States
Countries
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References
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van der Heide JJ, Bilo HJ, Donker JM, Wilmink JM, Tegzess AM. Effect of dietary fish oil on renal function and rejection in cyclosporine-treated recipients of renal transplants. N Engl J Med. 1993 Sep 9;329(11):769-73. doi: 10.1056/NEJM199309093291105.
Daly JM, Lieberman MD, Goldfine J, Shou J, Weintraub F, Rosato EF, Lavin P. Enteral nutrition with supplemental arginine, RNA, and omega-3 fatty acids in patients after operation: immunologic, metabolic, and clinical outcome. Surgery. 1992 Jul;112(1):56-67.
Bower RH, Cerra FB, Bershadsky B, Licari JJ, Hoyt DB, Jensen GL, Van Buren CT, Rothkopf MM, Daly JM, Adelsberg BR. Early enteral administration of a formula (Impact) supplemented with arginine, nucleotides, and fish oil in intensive care unit patients: results of a multicenter, prospective, randomized, clinical trial. Crit Care Med. 1995 Mar;23(3):436-49. doi: 10.1097/00003246-199503000-00006.
Alexander JW, Levy A, Custer D, Valente JF, Babcock G, Ogle CK, Schroeder TJ. Arginine, fish oil, and donor-specific transfusions independently improve cardiac allograft survival in rats given subtherapeutic doses of cyclosporin. JPEN J Parenter Enteral Nutr. 1998 May-Jun;22(3):152-5. doi: 10.1177/0148607198022003152.
Natale P, Mooi PK, Palmer SC, Cross NB, Cooper TE, Webster AC, Masson P, Craig JC, Strippoli GF. Antihypertensive treatment for kidney transplant recipients. Cochrane Database Syst Rev. 2024 Jul 31;7(7):CD003598. doi: 10.1002/14651858.CD003598.pub3.
Related Links
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National Institute of Allergy and Infectious Diseases (NIAID)
Division of Allergy, Immunology, and Transplantation (DAIT)
Other Identifiers
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DAIT ID01
Identifier Type: -
Identifier Source: org_study_id
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