Impact of Predialytic Oral Protein on Nutritional Status and Quality of Life in HD Patients

NCT ID: NCT05952570

Last Updated: 2024-07-09

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

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-01

Study Completion Date

2024-07-01

Brief Summary

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The aim of this work is to study the effects of oral protein-based supplements on nutritional status in hemodialysis patients

Detailed Description

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Chronic kidney disease (CKD) is a prevalent chronic condition and the incidence of end-stage renal disease (ESRD) is expected to increase over the next few decades. In patients with CKD, especially in those with ESRD and undergoing maintenance dialysis therapy (MDT), a state of metabolic and nutritional derangements, more aptly called protein-energy wasting (PEW), caused by a combination of insufficient intake, uremic toxins, inflammation, and superimposed catabolism, plays a major role among the many risk factors that affect outcomes of CKD .

Oral nutritional supplement (ONS) is a simple and effective way to supplement energy and protein to malnourished patients on the basis of regular diet. Therefore, if the protein of regular diet in dialysis patients are not enough, they should be supplemented with (ONS) when appropriate.

Conditions

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Hemodialysis Complication

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This research is a randomized multi-center clinical trial in which 100 hemodialysis patients will be randomly assigned to one of the study groups using block randomization with a ratio of 1:1.

* Group A: 50 patients will receive oral protein nutritional supplement (Fresubin protein powder 25mg/5scoops per hemodialysis session) 1 hour before the start of the session (predialytic) for 3 months.
* Group B: 50 patients will receive a routine nutrition regimen for 3 months. (control group)
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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protein supplement

50 patients will receive oral protein nutritional supplement (Fresubin protein powder 25mg/5scoops per hemodialysis session) 1 hour before the start of the session (predialytic) for 3 months

Group Type EXPERIMENTAL

oral protein nutritional supplement (Fresubin protein powder)

Intervention Type DIETARY_SUPPLEMENT

50 patients will receive oral protein nutritional supplement (Fresubin protein powder 25mg/5scoops per hemodialysis session) 1 hour before the start of the session (predialytic) for 3 months

control

50 patients will receive a routine nutrition regimen for 3 months. (control group)

Group Type PLACEBO_COMPARATOR

routine nutrition regimen

Intervention Type OTHER

50 patients will receive a routine nutrition regimen for 3 months. (control group)

Interventions

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oral protein nutritional supplement (Fresubin protein powder)

50 patients will receive oral protein nutritional supplement (Fresubin protein powder 25mg/5scoops per hemodialysis session) 1 hour before the start of the session (predialytic) for 3 months

Intervention Type DIETARY_SUPPLEMENT

routine nutrition regimen

50 patients will receive a routine nutrition regimen for 3 months. (control group)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult hemodialysis patients (≥18 years of age).
* Received dialysis for at least 6 months prior to study screening.
* Receive hemodialysis at least 3 times per week .

Exclusion Criteria

* Receiving nutritional supplementation prior to study commencing or within 1 month of commencement in the study .
* Participants with an allergy to any ingredients in the nutritional supplements.
* Persistent hyperkalemia or hyperphosphatemia (defined as the last 3 months).
* Significant edema and fluid overload.
* Hepatic patients
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alexandria University

OTHER

Sponsor Role lead

Responsible Party

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Mohamed Mamdouh Mahmoud Mohamed Elsayed , MD

Lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mohamed Mamdouh Elsayed, MD

Role: STUDY_CHAIR

lecturer

Amr El Kazaz, MBBCh

Role: STUDY_CHAIR

resident

Eman E EL Gohary, MD

Role: STUDY_CHAIR

Professor

Mohamed M Abdel Kader, MD

Role: PRINCIPAL_INVESTIGATOR

Professor

Locations

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Faculty of Medicine, Aexandria University

Alexandria, , Egypt

Site Status

Countries

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Egypt

References

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Kalantar-Zadeh K, Ikizler TA, Block G, Avram MM, Kopple JD. Malnutrition-inflammation complex syndrome in dialysis patients: causes and consequences. Am J Kidney Dis. 2003 Nov;42(5):864-81. doi: 10.1016/j.ajkd.2003.07.016.

Reference Type BACKGROUND
PMID: 14582032 (View on PubMed)

Carrero JJ, Nakashima A, Qureshi AR, Lindholm B, Heimburger O, Barany P, Stenvinkel P. Protein-energy wasting modifies the association of ghrelin with inflammation, leptin, and mortality in hemodialysis patients. Kidney Int. 2011 Apr;79(7):749-56. doi: 10.1038/ki.2010.487. Epub 2010 Dec 22.

Reference Type BACKGROUND
PMID: 21178976 (View on PubMed)

Chan M, Kelly J, Batterham M, Tapsell L. Malnutrition (subjective global assessment) scores and serum albumin levels, but not body mass index values, at initiation of dialysis are independent predictors of mortality: a 10-year clinical cohort study. J Ren Nutr. 2012 Nov;22(6):547-57. doi: 10.1053/j.jrn.2011.11.002. Epub 2012 Mar 9.

Reference Type BACKGROUND
PMID: 22406122 (View on PubMed)

Ho LC, Wang HH, Peng YS, Chiang CK, Huang JW, Hung KY, Hu FC, Wu KD. Clinical utility of malnutrition-inflammation score in maintenance hemodialysis patients: focus on identifying the best cut-off point. Am J Nephrol. 2008;28(5):840-6. doi: 10.1159/000137684. Epub 2008 Jun 6.

Reference Type BACKGROUND
PMID: 18535370 (View on PubMed)

Forquet F, Calin V, Trescol-Biemont MC, Kanellopoulos J, Mottez E, Kourilsky P, Rabourdin-Combe C, Gerlier D. Generation of hen egg lysozyme-specific and major histocompatibility complex class I-restricted cytolytic T lymphocytes: recognition of cytosolic and secreted antigen expressed by transfected cells. Eur J Immunol. 1990 Oct;20(10):2325-32. doi: 10.1002/eji.1830201023.

Reference Type BACKGROUND
PMID: 2242761 (View on PubMed)

Elsayed MM, Abdelkader MM, ElKazaz AM, Elgohary IE. The impact of predialytic oral protein-based supplements on nutritional status and quality of life in hemodialysis patients: a randomized clinical trial. BMC Nephrol. 2025 Feb 26;26(1):103. doi: 10.1186/s12882-025-03999-3.

Reference Type DERIVED
PMID: 40011815 (View on PubMed)

Other Identifiers

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oral protein in HD

Identifier Type: -

Identifier Source: org_study_id

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