Alpha Lipoic Acid Against Cardiovascular Events in Patients With Haemodialysis

NCT ID: NCT03912727

Last Updated: 2019-12-26

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

NA

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-11

Study Completion Date

2019-09-01

Brief Summary

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Evaluate the association between possible benefit effects of oral administration of alpha lipoic acid by patients with hemodialysis and the possible reduction in cardiovascular events (CVEs); using Advanced glycation end products (AGEs) as a measure to assess endothelium function which correlate with CVEs.

Detailed Description

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Study design: double blind, Parallel, Randomized, Prospective, Controlled study. Setting: Nephrology Department, Dialysis units, Ain Shams University Hospitals, Ain Shams University, Cairo, Egypt.

Sample size:

36 patients with end-stage renal disease (ESRD) receiving dialysis treatment will be enrolled in the study and the patients will be identified by coded numbers to maintain the privacy.

Patients will be randomized into two groups each group includes 18 patients:

Control Group: 18 patients will receive their standard therapy only. Tested Group: 18 patients will receive alpha-lipoic acid (thiotacid R) product with their standard therapy.

Materials:

Thiotacid R 600 mg tablet. Each tablet contains: Thioctic acid (Alpha-lipoic acid) 600 mg; a product of EVA pharma, Cairo, Egypt.

Methods:

All Patients will be subjected to the following:

1. Informed consent
2. Demographics and history taking: Using Patient Data sheet
3. Laboratory evaluation including:

A- Routine laboratory measurements as hemoglobin, calcium, phosphate, and albumin will be determined.

The assessment will be done in 2 occasions:

i. At Baseline (before the beginning of the treatment) for all groups ii. After 3 months of addition of alpha lipoic acid to their standard therapy for the tested group.
4. Follow up:

A- During-treatment follows up of the patients:

All patients will be followed up during the study for treatment tolerability by assessing adverse effects, and compliance to drug regimen.

Drug regimen: - the patients in tested group will administered Thiotacid 600 mg; orally once daily for 3 months as add on the standard therapy that are receiving.

Patients will be interviewed weekly through face to face contact with the clinical pharmacist regarding treatment tolerability, and through telephone calls in between these weekly meetings.

B- Post-treatment follows up of the patients:

All patients in control group will be followed up clinically after 3 months from the start of the study and all laboratory examinations will be carried out.

All patients in tested group will be followed up clinically after 3 months from the start of treatment and all laboratory examinations will be carried out.

Conditions

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Hemodialysis Complication

Keywords

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alpha-lipoic acid Cardiovascular events Hemodialysis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

36 patients with end-stage renal disease (ESRD) receiving hemodialysis treatment will be enrolled in the study and the patients will be identified by coded numbers to maintain the privacy.

Patients will be randomized into two groups each group includes 18 patients:

Control Group: 18 patients will receive their standard therapy only. Tested Group: 18 patients will receive alpha lipoic acid (thiotacidR) product with their standard therapy.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Alpha-lipoic acid

18 patients will receive alpha lipoic acid (thiotacidR) product with their standard therapy.

Group Type EXPERIMENTAL

Alpha-Lipoic acid plus renal replacement therapy

Intervention Type DIETARY_SUPPLEMENT

Alpha lipoic acid (ALA) is a vitamin-like antioxidant

renal replacement therapy

Intervention Type OTHER

standard renal replacement therapy

Control

18 patients will receive their standard therapy only.

Group Type PLACEBO_COMPARATOR

renal replacement therapy

Intervention Type OTHER

standard renal replacement therapy

Interventions

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Alpha-Lipoic acid plus renal replacement therapy

Alpha lipoic acid (ALA) is a vitamin-like antioxidant

Intervention Type DIETARY_SUPPLEMENT

renal replacement therapy

standard renal replacement therapy

Intervention Type OTHER

Other Intervention Names

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Thiotacid ( Alpha-Lipoic acid 600 mg )

Eligibility Criteria

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Inclusion Criteria

1. Clinical stable patients on hemodialysis for at least 3 months.
2. Aged between18 - 60 years old.
3. Both sexes.
4. Patients who accept to participate in the study.

Exclusion Criteria

1. The patients suffering from other diseases, which may lead to oxidative stress, such as: Inflammatory diseases, hepatic or respiratory diseases …
2. Smokers and alcoholics
3. Non-compliant patients
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Al-Azhar University

OTHER

Sponsor Role collaborator

Rehab Werida

OTHER

Sponsor Role lead

Responsible Party

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Rehab Werida

Lecturer

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Zeinab A Zalat, Ass. Prof.

Role: STUDY_DIRECTOR

Al-Azhar University

Locations

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Nephrology Department, Dialysis units, Ain Shams University Hospitals, Ain Shams University, Cairo, Egypt.

Cairo, , Egypt

Site Status

Countries

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Egypt

References

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Rivara MB, Yeung CK, Robinson-Cohen C, Phillips BR, Ruzinski J, Rock D, Linke L, Shen DD, Ikizler TA, Himmelfarb J. Effect of Coenzyme Q10 on Biomarkers of Oxidative Stress and Cardiac Function in Hemodialysis Patients: The CoQ10 Biomarker Trial. Am J Kidney Dis. 2017 Mar;69(3):389-399. doi: 10.1053/j.ajkd.2016.08.041. Epub 2016 Dec 4.

Reference Type BACKGROUND
PMID: 27927588 (View on PubMed)

Liakopoulos V, Roumeliotis S, Bozikas A, Eleftheriadis T, Dounousi E. Antioxidant Supplementation in Renal Replacement Therapy Patients: Is There Evidence? Oxid Med Cell Longev. 2019 Jan 15;2019:9109473. doi: 10.1155/2019/9109473. eCollection 2019.

Reference Type BACKGROUND
PMID: 30774749 (View on PubMed)

Other Identifiers

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ALA in haemodialysis

Identifier Type: -

Identifier Source: org_study_id