Hydroxycitrate: A Novel Therapy for Calcium Phosphate Urinary Stones

NCT ID: NCT06003348

Last Updated: 2025-04-06

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

PHASE4

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-13

Study Completion Date

2028-08-31

Brief Summary

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This study tests whether hydroxycitrate, a molecule closely related to citrate, can reduce calcium phosphate stone recurrence.

Detailed Description

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In this double-blind, placebo-controlled, randomized, crossover study, each participant will undergo 4 phases of study, with the order randomized by a blocked randomization scheme. The 4 phases will be Placebo, Super CitriMax (hydroxycitrate) OHCit low dose, OHCit standard dose, or Potassium Citrate. Randomization will be stratified based on sex, concomitant thiazide use, and concomitant alkali use.

Each phase will be 1 week in duration, during which subjects will take assigned study medications. A minimum 1-week washout period will be imposed between phases. During the first 2 days of each phase, subjects will be instructed to adhere to a prescribed diet. On the last 5 days of each phase, subjects will be kept on a constant metabolic diet. Use of metabolic diet is essential to eliminate confounders that could occur from changes in dietary intake across phases. During the final two study days (days 6-7), two 24-hr urines will be collected for urine biochemistry and crystallization studies. Fasting blood will be obtained at the end of the last urine collection.

Study Medications: Subjects will receive three tablets twice daily during each phase. These will consist of either placebo, Potassium Citrate (KCit), or Super CitriMax (OHCit). Study tablets will be prepared by a compounding pharmacy, with placebo tablets similar in appearance and size to the active medication tablets.

Conditions

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Calcium Phosphate Kidney Stones

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

In this double-blind, placebo-controlled, randomized, crossover study, each participant will undergo 4 phases of study, with the order randomized by a blocked randomization scheme. The 4 phases will be Placebo, Super CitriMax (OHCit) low dose, Super CitriMax (OHCit) standard dose, or Potassium Citrate. Randomization will be stratified based on sex, concomitant thiazide use, and concomitant alkali use.
Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Potassium Citrate (UrocitĀ®-K)

Potassium Citrate KCit 10 mEq 2 tabs, twice daily and Placebo 1 tab, twice daily Total Daily Dose: Citrate 40 mEq/d

Group Type ACTIVE_COMPARATOR

Potassium Citrate

Intervention Type DRUG

10 mEq Extended-release tablets for oral use

Super CitriMax; OHCit-standard dose

Super CitriMax 7 mEq 3 tabs, twice daily Total Daily Dose: OHCit 42 mEq/d

Group Type EXPERIMENTAL

OHCit- standard dose

Intervention Type DIETARY_SUPPLEMENT

Hydroxycitrate Over-the-counter supplement, not FDA approved or regulated.

Super CitriMax; OHCit-low dose

Super CitriMax 7 mEq 2 tabs, twice daily And Placebo 1 tab, twice daily Total Daily Dose: OHCit 28 mEq/d

Group Type EXPERIMENTAL

OHCit- low dose

Intervention Type DIETARY_SUPPLEMENT

Hydroxycitrate Over-the-counter supplement, not FDA approved or regulated.

Placebo

Placebo 3 tablets twice daily Total Daily Dose: None

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo

Interventions

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OHCit- standard dose

Hydroxycitrate Over-the-counter supplement, not FDA approved or regulated.

Intervention Type DIETARY_SUPPLEMENT

Potassium Citrate

10 mEq Extended-release tablets for oral use

Intervention Type DRUG

Placebo

Placebo

Intervention Type DRUG

OHCit- low dose

Hydroxycitrate Over-the-counter supplement, not FDA approved or regulated.

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Super Citrimax UrocitĀ®-K Super Citrimax

Eligibility Criteria

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Inclusion Criteria

\- Calcium Phosphate stone formers

Exclusion Criteria

* History of recurrent urinary tract infections
* Chronic diarrhea
* Estimated Glomerular Filtration Rate (eGFR) \< 45 ml/min/1.73 m2
* History of primary hyperparathyroidism
* Hypokalemia
* Hyperkalemia
* Pregnancy
Minimum Eligible Age

21 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Texas Southwestern Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Naim Maalouf

Professor, Internal Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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NAIM M MAALOUF

Role: PRINCIPAL_INVESTIGATOR

University of Texas Southwestern Medical Center

Locations

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UT Southwestern Medical Center

Dallas, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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NAIM M MAALOUF, MD

Role: CONTACT

214/648-2954

Miranda King

Role: CONTACT

2146482117

Facility Contacts

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Naim M Maalouf, MD

Role: primary

Other Identifiers

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2023-0339

Identifier Type: -

Identifier Source: org_study_id

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