NATURE 3.2_New Approach for the Reduction of REnal Uremic Toxins

NCT ID: NCT03946176

Last Updated: 2019-05-10

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

16 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-05-17

Study Completion Date

2017-10-27

Brief Summary

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The objective of the pilot study is to validate a combined approach based on the use of an innovative symbiotic and an innovative dialysis cartridge in patients on hemodialysis (HD).

The symbiotic consists of a mixture of probiotics (Lactobacilli and Bifidobacteria), prebiotics (fructoligosaccharides and inulin) and natural antioxidants (a mix of quercetin, resveratrol and proanthocyanidins).

The cartridge is composed of a divinylbenzene (DVB) adsorbing resine, expected to have high affinity to protein-bound uremic toxins pCS and IS, on the basis of its chemical structure.

This combined approach will be aimed at achieving two main objectives:

1. reduction of blood levels of microbial-derived uremic toxins, involved in cardiovascular complications
2. reduction of inflammation markers and oxidative stress and reduction of intestinal permeability

Detailed Description

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Conditions

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Hemodialysis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Symbiotic

HD patients with 7 weeks symbiotic administration + 1 week overlapping with the 3 dialytic sessions with the DVB cartridge

Group Type EXPERIMENTAL

Symbiotic

Intervention Type DIETARY_SUPPLEMENT

HD patients follow a 8-weeks oral administration of the symbiotic supplement (2 bags/day)

DVB cartridge

Intervention Type DEVICE

On the last week of the symbiotic/placebo period, patients undergo 3 dialytic sessions with the DVB cartridge

Placebo

HD patients with 7 weeks placebo administration + 1 week overlapping with the 3 dialytic sessions with the DVB cartridge

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

HD patients follow a 8-weeks oral administration of the placebo (2 bags/day)

DVB cartridge

Intervention Type DEVICE

On the last week of the symbiotic/placebo period, patients undergo 3 dialytic sessions with the DVB cartridge

Interventions

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Symbiotic

HD patients follow a 8-weeks oral administration of the symbiotic supplement (2 bags/day)

Intervention Type DIETARY_SUPPLEMENT

Placebo

HD patients follow a 8-weeks oral administration of the placebo (2 bags/day)

Intervention Type DIETARY_SUPPLEMENT

DVB cartridge

On the last week of the symbiotic/placebo period, patients undergo 3 dialytic sessions with the DVB cartridge

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* CKD patients on bicarbonate hemodialysis
* Aged between 30 to 65
* BMI between 18.5 and 29.9
* Omnivore diet
* Informed consent signed

Exclusion Criteria

* Use of antibiotics or probiotics up to 30 days prior to recruitment
* Chronic gastrointestinal disorders
* Systemic inflammatory diseases
* Suspicion or clinical diagnosis of malignancy
* Chronic liver disease
* Treatment with corticosteroids or immunosuppressive drugs
* Psychiatric conditions reducing the compliance to treatment protocols
Minimum Eligible Age

30 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Bari Aldo Moro

OTHER

Sponsor Role collaborator

Azienda Ospedaliero-Universitaria Consorziale Policlinico di Bari

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Loreto Gesualdo, MD Full Prof

Role: PRINCIPAL_INVESTIGATOR

Nephrology, Dialysis and Transplantation Unit "Aldo Moro" University of Bari

Locations

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AOUConsorziale Policlinico Di Bari

Bari, , Italy

Site Status

Countries

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Italy

Other Identifiers

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XUANRO4-NATURE 3.2

Identifier Type: -

Identifier Source: org_study_id

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