Effect of Inulin on Gut Microbiota and Gut Barrier in Chronic Kidney Disease

NCT ID: NCT05071131

Last Updated: 2024-06-25

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

RECRUITING

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-01

Study Completion Date

2027-02-01

Brief Summary

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An adequate fiber intake is crucial for a well-balanced diet and reduces the risk of chronic diseases. However, nutritional recommendations for chronic kidney disease patients lead to an insufficient fiber intake with possible maladaptive effects on the gut microbiome. Therefore, we want to study the effects of a 35-day inulin supplementation on the gut microbiome, gut barrier function, bacterial metabolites and immune cell states in chronic kidney disease patients.

Detailed Description

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Conditions

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Chronic Kidney Disease 5D

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Inulin

15 grams inulin per day for 7 days, followed by 30 grams inulin per day for 28 days

Group Type ACTIVE_COMPARATOR

Inulin

Intervention Type DIETARY_SUPPLEMENT

1 sachet à 15 grams daily for 7 days, followed by 2 sachets à 15 grams daily for 28 days

Placebo

15 grams maltodextrin per day for 7 days, followed by 30 grams maltodextrin per day for 28 days

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

1 sachet à 15 grams daily for 7 days, followed by 2 sachets à 15 grams daily for 28 days

Interventions

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Inulin

1 sachet à 15 grams daily for 7 days, followed by 2 sachets à 15 grams daily for 28 days

Intervention Type DIETARY_SUPPLEMENT

Placebo

1 sachet à 15 grams daily for 7 days, followed by 2 sachets à 15 grams daily for 28 days

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Men and women in a ratio of 1:1
* Age 18-75 years
* Body mass index 25.0 - 39.9 kg/m\^2
* End-stage kidney disease, which has been treated regularly with hemodialysis for at least 3 months


* Age range was changed from 18-70 to 18-75 years
* BMI range was changed from 18.5 - 34.9 to 25.0 - 39.9 kg/m\^2
* The intervention scheme was adapted to increase patient adherence

* A 7-day adaption phase with half of the dose (15 grams per day) at the start of the intervention was introduced, changing treatment duration from 28 to 35 days

Changes applied in January 2024 according to amendment no. 2:


* BMI range was changed from 25 - 39,9 to 18,5 - 39,9 kg/m²
* Last visit was brought foward by 4 weeks.

Exclusion Criteria

* Malignant diseases
* Recent or current hospitalization
* Postoperative phase
* Acute infections
* Malnutrition
* Antibiotic treatment within the last 4 weeks
* Regular intake of probiotics and/or prebiotics
* Change of body weight of more than 2 kg in the month prior to study entry
* Known drug or alcohol abuse

Changes applied in July 2022 according to amendment no. 1:
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Charite University, Berlin, Germany

OTHER

Sponsor Role lead

Responsible Party

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Till Schütte

Principle Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Anja Mähler, PhD

Role: PRINCIPAL_INVESTIGATOR

Charite University, Berlin, Germany

Nicola Wilck, MD

Role: PRINCIPAL_INVESTIGATOR

Charite University, Berlin, Germany

Victoria McParland, PhD

Role: PRINCIPAL_INVESTIGATOR

Charite University, Berlin, Germany

Johannes Holle, MD

Role: PRINCIPAL_INVESTIGATOR

Charite University, Berlin, Germany

Locations

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Experimental and Clinical Research Center

Berlin, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Victoria McParland, PhD

Role: CONTACT

+49 30 450 540 464

Facility Contacts

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Victoria McParland, PhD

Role: primary

+4930450540464

Nicola Wilck, MD

Role: backup

+4930450540459

Other Identifiers

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RESTORE

Identifier Type: -

Identifier Source: org_study_id

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