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
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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COMPLETED
NA
100 participants
INTERVENTIONAL
2023-08-01
2024-07-01
Brief Summary
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Detailed Description
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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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Study Design
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RANDOMIZED
PARALLEL
* 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)
TREATMENT
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
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
control
50 patients will receive a routine nutrition regimen for 3 months. (control group)
routine nutrition regimen
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
routine nutrition regimen
50 patients will receive a routine nutrition regimen for 3 months. (control group)
Eligibility Criteria
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Inclusion Criteria
* Received dialysis for at least 6 months prior to study screening.
* Receive hemodialysis at least 3 times per week .
Exclusion Criteria
* 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
18 Years
ALL
No
Sponsors
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Alexandria University
OTHER
Responsible Party
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Mohamed Mamdouh Mahmoud Mohamed Elsayed , MD
Lecturer
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
Countries
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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.
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.
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.
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.
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.
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.
Other Identifiers
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oral protein in HD
Identifier Type: -
Identifier Source: org_study_id
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