Effects of Probiotics on the Patients With End Stage Renal Disease (ESRD)

NCT ID: NCT03010735

Last Updated: 2020-10-22

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

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-06-30

Study Completion Date

2017-12-31

Brief Summary

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The purpose of this study is to investigate the effects of oral administration of probiotics on the metabolism of uremic toxins, in the patients with End Stage Renal Disease (ESRD). One hundred and fifty hemodialysis patients are recruited, and a Double Blind Randomized Parallel Controlled Trial was performed.The microbiota-derived uremic toxin, such as indoxyl sulfate and p-cresol sulfate, are measured as Primary Outcome. The Fecal microbiome, fecal metabolites, blood metabolites, defecation, Gastrointestinal Symptoms The Kidney Disease Quality of Life and The Occurrence of Cardiovascular Event are also assessed.

Detailed Description

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Conditions

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Kidney Failure, Chronic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Probiotics

The patient take two chewing tablet per day, which contain 4.0E+10 CFU of probiotics.

Group Type ACTIVE_COMPARATOR

probiotics

Intervention Type DIETARY_SUPPLEMENT

Daily take 4.0E+10 CFU of probiotics

Placebo

The patient take two placebo chewing tablet per day.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Interventions

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probiotics

Daily take 4.0E+10 CFU of probiotics

Intervention Type DIETARY_SUPPLEMENT

Placebo

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Age over 18 years old
* Patients who diagnosed as ESRD with hemodialysis
* Fixed hemodialysis cycle (average 3 times a week)
* Agree to take the products to be studied during the study period, and no longer take other fermented dairy products (live lactic acid bacteria drinks, cheese, yogurt, probiotic products, etc.)
* Agree to sign the informed consent form

Exclusion Criteria

* Taking antibiotics or antifungal drugs within 30 days before the study
* Have serious allergic reaction to skim milk powder
* Researcher are not sure whether the subjects are willing or able to complete the study
* Subject participated in other research projects within two months before the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University Aerospace Center Hospital

OTHER

Sponsor Role collaborator

General Hospital of Chinese Armed Police Forces

OTHER

Sponsor Role collaborator

Beijing Anzhen Hospital

OTHER

Sponsor Role collaborator

Beijing Biostats Technology Co. Ltd.

UNKNOWN

Sponsor Role collaborator

Beijing Heyiyuan Biotech Co. Ltd.

OTHER

Sponsor Role collaborator

China Agricultural University

OTHER

Sponsor Role lead

Responsible Party

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Fazheng Ren

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Fazheng Ren, PhD

Role: PRINCIPAL_INVESTIGATOR

China Agricultural Universtiy

Locations

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Beijing Anzhen Hospital

Beijing, , China

Site Status

General Hospital of Chinese Armed Police Forces

Beijing, , China

Site Status

Peking University Aerospace Centre Hospital

Beijing, , China

Site Status

Countries

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China

References

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Vaziri ND, Wong J, Pahl M, Piceno YM, Yuan J, DeSantis TZ, Ni Z, Nguyen TH, Andersen GL. Chronic kidney disease alters intestinal microbial flora. Kidney Int. 2013 Feb;83(2):308-15. doi: 10.1038/ki.2012.345. Epub 2012 Sep 19.

Reference Type BACKGROUND
PMID: 22992469 (View on PubMed)

Poesen R, Windey K, Neven E, Kuypers D, De Preter V, Augustijns P, D'Haese P, Evenepoel P, Verbeke K, Meijers B. The Influence of CKD on Colonic Microbial Metabolism. J Am Soc Nephrol. 2016 May;27(5):1389-99. doi: 10.1681/ASN.2015030279. Epub 2015 Sep 23.

Reference Type BACKGROUND
PMID: 26400570 (View on PubMed)

Koppe L, Mafra D, Fouque D. Probiotics and chronic kidney disease. Kidney Int. 2015 Nov;88(5):958-66. doi: 10.1038/ki.2015.255. Epub 2015 Sep 16.

Reference Type BACKGROUND
PMID: 26376131 (View on PubMed)

Anders HJ, Andersen K, Stecher B. The intestinal microbiota, a leaky gut, and abnormal immunity in kidney disease. Kidney Int. 2013 Jun;83(6):1010-6. doi: 10.1038/ki.2012.440. Epub 2013 Jan 16.

Reference Type BACKGROUND
PMID: 23325079 (View on PubMed)

Ramezani A, Raj DS. The gut microbiome, kidney disease, and targeted interventions. J Am Soc Nephrol. 2014 Apr;25(4):657-70. doi: 10.1681/ASN.2013080905. Epub 2013 Nov 14.

Reference Type BACKGROUND
PMID: 24231662 (View on PubMed)

Poesen R, Claes K, Evenepoel P, de Loor H, Augustijns P, Kuypers D, Meijers B. Microbiota-Derived Phenylacetylglutamine Associates with Overall Mortality and Cardiovascular Disease in Patients with CKD. J Am Soc Nephrol. 2016 Nov;27(11):3479-3487. doi: 10.1681/ASN.2015121302. Epub 2016 May 26.

Reference Type BACKGROUND
PMID: 27230658 (View on PubMed)

Meyer TW, Hostetter TH. Uremia. N Engl J Med. 2007 Sep 27;357(13):1316-25. doi: 10.1056/NEJMra071313. No abstract available.

Reference Type BACKGROUND
PMID: 17898101 (View on PubMed)

Aronov PA, Luo FJ, Plummer NS, Quan Z, Holmes S, Hostetter TH, Meyer TW. Colonic contribution to uremic solutes. J Am Soc Nephrol. 2011 Sep;22(9):1769-76. doi: 10.1681/ASN.2010121220. Epub 2011 Jul 22.

Reference Type BACKGROUND
PMID: 21784895 (View on PubMed)

Other Identifiers

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CAUPCKD-02

Identifier Type: -

Identifier Source: org_study_id

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