Oral Omega-3 for Reduction of Kidney Scar Due to Pyelonephritis in Children

NCT ID: NCT02192580

Last Updated: 2014-07-17

Study Results

Results pending

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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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-31

Study Completion Date

2015-09-30

Brief Summary

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Urinary tract infections (UTI) are a common and important clinical problem in childhood.Upper urinary tract infections (ie, acute pyelonephritis) may lead to renal scarring, hypertension, and end-stage renal disease.Pathogenesis of acute pyelonephritis (APN) is associated with urinary tract anatomy and function, bacterial virulence factors, the host innate immune system and production of free radicals. Oxygen-free radicals and oxidative stress play a role in renal scar formation after an APN. Oxygen-free radical scavengers and antioxidants can reduce tissue damage and renal scaring during acute pyelonephritis.we want to publish a study that indicates that antioxidant therapy with omega-3 given to children with pyelonephritis may indeed lower the risk for renal scarring.

Several studies show that omega-3 alleviated oxidative stress and inflammation.This study is a simple randomized clinical trial (RCT) evaluating the effect of omega-3 in addition to antibiotic on preventing renal scaring after acute pyelonephritis in children. This randomized clinical trial on 60 patients in 2 groups (intervention \& control) is conducted.Children aged 1 month to 10 years with positive urine culture, clinical findings, and 99mTc-dimercaptosuccinic acid (DMSA) scintigraphy-based evidence in favor of acute pyelonephritis were enrolled into a clinical trial. Patients with neurogenic bladder, systemic hypertension, obstructive uropathy and high grade vesicouretera are excluded.Patients in Intervention group are administered omega-3 based on body weight in divided doses in addition to antibiotic regimens and patients in control group received antibiotic regimens without omega-3. Primary outcome is the development of renal scar by doing DMSA renal scan on the 7th day of admission and four to six months after the intervention and compared between groups.Also,measurement of urinary biomarker of acute kidney injury (NGAL) three days after antibiotic or omega-3 administration for assessing of subsequent scarring in both groups will be done . Secondary outcome is the incidence and severity of renal scarring after pyelonephritis and response to treatment between two groups.

Detailed Description

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Conditions

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Acute Pyelonephritis(APN)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Omega-3

omega-3 (DHA+EPA) in divided 3 times/day in addition to standard regimens: Children less than 18 kg:26 mg/kg EPA and 11 mg/kg DHA Children 18-24 kg:504 mg EPA and 216 mg DHA Children 25-32 kg:672 mg EPA and 288 mg DHA Children 33-41 kg:840 mg EPA and 360 mg DHA Children 5-15 years:1000 mg EPA and 878 mg DHA omega-3 in divided 3 times/day in addition to standard regimens

Group Type ACTIVE_COMPARATOR

Omega-3

Intervention Type DRUG

Children less than 18 kg:26 mg/kg EPA and 11 mg/kg DHA Children 18-24 kg:504 mg EPA and 216 mg DHA Children 25-32 kg:672 mg EPA and 288 mg DHA Children 33-41 kg:840 mg EPA and 360 mg DHA Children 5-15 years:1000 mg EPA and 878 mg DHA omega-3 in divided 3 times/day in addition to standard regimens

Control

control group received just standard regimens without omega-3

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Omega-3

Children less than 18 kg:26 mg/kg EPA and 11 mg/kg DHA Children 18-24 kg:504 mg EPA and 216 mg DHA Children 25-32 kg:672 mg EPA and 288 mg DHA Children 33-41 kg:840 mg EPA and 360 mg DHA Children 5-15 years:1000 mg EPA and 878 mg DHA omega-3 in divided 3 times/day in addition to standard regimens

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Children aged 1 month to 10 years with positive urine culture, clinical findings, and 99mTc-dimercaptosuccinic acid (DMSA) scintigraphy-based evidence in favor of acute pyelonephritis

Exclusion Criteria

* neurogenic bladder,
* systemic hypertension,
* obstructive uropathy,
* High grade vesicoureteral
Minimum Eligible Age

1 Month

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shahid Beheshti University

OTHER

Sponsor Role lead

Responsible Party

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Azadeh Eshraghi

Clinical Pharmacist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Maryam Mehrpooya, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Hamedan University of Medical Sciences

Alaleh Gheisari

Role: PRINCIPAL_INVESTIGATOR

Pediatric Nephrologist,Isfahan University, Isfahan, Iran

Elham Jafari, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Isfahan University, Isfahan, Iran

Azadeh Eshraghi, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Shahid Beheshti University of Medical Sciences

Golnaz Vaseghi, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Physiology Research Center,Isfahan University of Medical Sciences

Iraj Sedighi

Role: PRINCIPAL_INVESTIGATOR

Pediatric infectious disease,Hamedan University of Medical Sciences

Locations

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Hamedan University of Medical Sciences

Hamadan, , Iran

Site Status RECRUITING

Countries

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Iran

Central Contacts

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Azadeh Eshraghi, Ph.D

Role: CONTACT

Golnaz Vaseghi, Ph.D

Role: CONTACT

Facility Contacts

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Azadeh Eshraghi, Ph.d

Role: primary

Golnaz Vaseghi, Ph.D

Role: backup

Other Identifiers

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Shahid Behesti University

Identifier Type: -

Identifier Source: org_study_id

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