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AzTrials

CKDNCT03832166

Reducing Chronic Kidney Disease Burden in an Underserved Population

A study testing Fruits and Vegetables and Cooking in people with CKD and ESRD, run by Baylor Research Institute at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To evaluate a scalable population health strategy to 1) screen, 2) identify, and 3) intervene with individuals at high risk of CKD progression to ESRD that could be implemented in other high risk communities and health care systems. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
CKD, ESRD
What is being tested?
Fruits and Vegetables and Cooking
Could I receive a placebo?
No, everyone receives an active treatment
How many people
142 participants
Where
1 siteUnited States
Study dates
24 Jan 2019to 14 Jul 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Willingness to participate in 6 month F\&V study
  • Positive urine dipstick.
  • African American (self declared) race
  • Access to internet via personal computer or mobile device
  • Ability to read and write in English

Who cannot join

  • Negative urine dipstick
  • Currently receiving dialysis or needing dialysis (stage 5 Kidney disease)
  • Have received or need kidney transplant
  • Pregnant or plan to become pregnant in the next 6 months
  • Baseline urine potassium > 60 mEq/g creatinine
  • Nephrotic proteinuria demonstrated on urine ACR measurement
  • Lacking access to the internet via personal computer or mobile device
  • Unable to read or write in English

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Baylor Research Institute

    Dallas, Texas, 75210

Other trials in United States

About this study

Official title: A Prospective, Randomized Two Group Study to Evaluate the Feasibility and Initial Efficacy of a Community-engaged Screening, Identification, and F&V Intervention to Improve F&V Intake and CKD Outcomes in 140 AA Adults

To evaluate a scalable population health strategy to 1) screen, 2) identify, and 3) intervene with individuals at high risk of CKD progression to ESRD that could be implemented in other high risk communities and health care systems. This novel study will evaluate the feasibility and preliminary efficacy of providing F\&V to individuals identified at high risk study for CKD and ESRD through community health screenings. Further, it will evaluate whether providing education as to how to prepare F\&V for consumption, the latter being done for all F\&V recipients in PI's preliminary published studies but its efficacy was not specifically tested, increases F\&V intake and thereby reduces CKD progression risk as well as related clinical outcomes.

Read the detailed description

"Fruits and Veggies for Health" is a prospective, randomized two group study to evaluate a community-engaged screening, identification, and F\&V intervention to improve CKD outcomes in 140 AA adults (greater than 18 years). Participants will be randomized to a 1) F\&V only (F\&V Only), or 2) F\&V plus a nutrition/cooking program (F\&V + Cook).

Conditions
CKD, ESRD
Being tested
Fruits and Vegetables, Cooking
Keywords
CKD, Low Income, Diet, Fruits and Vegetables
Medical subject headings
Kidney Failure, Chronic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Fruits and VegetablesOther

    Fruits and vegetables delivery, once/week for 24 weeks

  • CookingOther

    Also called The Happy Kitchen

    Nutrition education and cooking instruction class, one class/week for 6 weeks

Study groups in NCT03832166
Study groupRoleWhat they receive
Fruits and Vegetables OnlyExperimentalThis group will receive a prescribed amount of free fruits and vegetables (F \& V) for 6 weeks through pick-up at a farm stand, or direct delivery. After 6 weekly pick-up/deliveries, participants will be provided vouchers and reminders to obtain F\&V at farm stands for an additional 18 weeks with minimal contact
Receives: Other: Fruits and Vegetables
Fruits and Vegetables and CookExperimentalIn addition to the prescribed amount of free F\&V, participants will receive 6 weekly, group nutrition and cooking education classes based on "The Happy Kitchen" curriculum. Participants will also receive free ingredients to complete the recipe from each weekly session at home.
Receives: Other: Fruits and Vegetables; Other: Cooking

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from baseline concentration of Urine angiotensinogen (AGT) at 6 weeks and 6 months

    Primary surrogate marker of eGFR

    Measured: Baseline; 6 weeks; 6 months

  2. Change from baseline of Urine albumin-to-creatinine ratio (ACR) at 6 weeks and 6 months

    Measure of renal damage

    Measured: Baseline; 6 weeks; 6 months

  3. Changes from baseline in fruit and vegetable intake at 6 weeks and 6 months

    Track changes in fruit and vegetable intake via ASA24 food diary

    Measured: Baseline; 6 weeks; 6 months

  4. Changes from baseline in dietary fat intake at 6 weeks and 6 months

    Track changes in fat (g) intake via ASA24 food diary

    Measured: Baseline; 6 weeks; 6 months

  5. Changes from baseline in caloric intake at 6 weeks and 6 months

    Track changes in total caloric(kcal) intake via ASA24 food diary

    Measured: Baseline; 6 weeks; 6 months

Secondary outcomes (5)
  1. Changes from baseline in systolic and diastolic Blood pressure at 6 weeks and 6 months

    Measure changes in systolic/diastolic blood pressure (mm Hg) to assess cardiovascular disease risk (CVD)

    Measured: Baseline; 6 weeks; 6 months

  2. Changes from baseline in serum Lipoprotein levels at 6 weeks and 6 months

    Measure changes in total cholesterol, HDL, and LDL (mg/dL) by fingerstick to assess CVD risk

    Measured: Baseline; 6 weeks; 6 months

  3. Changes from baseline in serum Glycosolated hemoglobin A1C (HgA1C) levels at 6 weeks and 6 months

    Measure changes in HgA1C (mg/dL) by fingerstick as a marker of diabetes and to assess CVD risk

    Measured: Baseline; 6 weeks; 6 months

  4. Changes from baseline in Blood glucose at 6 weeks and 6 months

    Measure fasting glucose(mg/dL) as a marker of diabetes and to assess CVD risk

    Measured: Baseline; 6 weeks; 6 months

  5. Changes from baseline in Body mass index (BMI) at 6 weeks and 6 months

    Measure body mass index(lb/inches squared) to assess CVD risk

    Measured: Baseline; 6 weeks; 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Feb 2019
  2. Study start24 Jan 2019
  3. Primary completion13 Jun 2020
  4. Study completion14 Jul 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Model description
Prospective, randomized two group study
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
142 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03832166
Sponsor's protocol ID
1R21DK113440-01A1
Status last verified
Jul 2020
First submitted
1 Feb 2019
Last updated
27 Nov 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: All IPD that underlie results in a publication

Publications

  • Mendu ML, Erickson KF, Hostetter TH, Winkelmayer WC, Olan G, Meyer RN, Hakim R, Sedor JR. Federal Funding for Kidney Disease Research: A Missed Opportunity. Am J Public Health. 2016 Mar;106(3):406-7. doi: 10.2105/AJPH.2015.303009. No abstract available.

    PubMed 26885959
  • System USRD. Annual Data Report 2015: Epidemiology of Kidney Disease in the United States. Washington DC: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases; 2015

  • Ojo A. Addressing the global burden of chronic kidney disease through clinical and translational research. Trans Am Clin Climatol Assoc. 2014;125:229-43; discussion 243-6.

    PubMed 25125737
  • Assari S. Distal, intermediate, and proximal mediators of racial disparities in renal disease mortality in the United States. J Nephropathol. 2016 Jan;5(1):51-9. doi: 10.15171/jnp.2016.09. Epub 2015 Dec 4.

    PubMed 27047811
  • Hsu CY, Lin F, Vittinghoff E, Shlipak MG. Racial differences in the progression from chronic renal insufficiency to end-stage renal disease in the United States. J Am Soc Nephrol. 2003 Nov;14(11):2902-7. doi: 10.1097/01.asn.0000091586.46532.b4.

    PubMed 14569100
  • Genovese G, Friedman DJ, Ross MD, Lecordier L, Uzureau P, Freedman BI, Bowden DW, Langefeld CD, Oleksyk TK, Uscinski Knob AL, Bernhardy AJ, Hicks PJ, Nelson GW, Vanhollebeke B, Winkler CA, Kopp JB, Pays E, Pollak MR. Association of trypanolytic ApoL1 variants with kidney disease in African Americans. Science. 2010 Aug 13;329(5993):841-5. doi: 10.1126/science.1193032. Epub 2010 Jul 15.

    PubMed 20647424
  • Freedman BI, Skorecki K. Gene-gene and gene-environment interactions in apolipoprotein L1 gene-associated nephropathy. Clin J Am Soc Nephrol. 2014 Nov 7;9(11):2006-13. doi: 10.2215/CJN.01330214. Epub 2014 Jun 5.

    PubMed 24903390
  • Parsa A, Kao WH, Xie D, Astor BC, Li M, Hsu CY, Feldman HI, Parekh RS, Kusek JW, Greene TH, Fink JC, Anderson AH, Choi MJ, Wright JT Jr, Lash JP, Freedman BI, Ojo A, Winkler CA, Raj DS, Kopp JB, He J, Jensvold NG, Tao K, Lipkowitz MS, Appel LJ; AASK Study Investigators; CRIC Study Investigators. APOL1 risk variants, race, and progression of chronic kidney disease. N Engl J Med. 2013 Dec 5;369(23):2183-96. doi: 10.1056/NEJMoa1310345. Epub 2013 Nov 9.

    PubMed 24206458
  • Goraya N, Simoni J, Jo C, Wesson DE. Dietary acid reduction with fruits and vegetables or bicarbonate attenuates kidney injury in patients with a moderately reduced glomerular filtration rate due to hypertensive nephropathy. Kidney Int. 2012 Jan;81(1):86-93. doi: 10.1038/ki.2011.313. Epub 2011 Aug 31.

    PubMed 21881553
  • Goraya N, Simoni J, Jo CH, Wesson DE. A comparison of treating metabolic acidosis in CKD stage 4 hypertensive kidney disease with fruits and vegetables or sodium bicarbonate. Clin J Am Soc Nephrol. 2013 Mar;8(3):371-81. doi: 10.2215/CJN.02430312. Epub 2013 Feb 7.

    PubMed 23393104
  • Goraya N, Simoni J, Jo CH, Wesson DE. Treatment of metabolic acidosis in patients with stage 3 chronic kidney disease with fruits and vegetables or oral bicarbonate reduces urine angiotensinogen and preserves glomerular filtration rate. Kidney Int. 2014 Nov;86(5):1031-8. doi: 10.1038/ki.2014.83. Epub 2014 Apr 2.

    PubMed 24694986
  • Navaneethan SD, Schold JD, Arrigain S, Jolly SE, Nally JV Jr. Cause-Specific Deaths in Non-Dialysis-Dependent CKD. J Am Soc Nephrol. 2015 Oct;26(10):2512-20. doi: 10.1681/ASN.2014101034. Epub 2015 Jun 4.

    PubMed 26045089
  • Honeycutt AA, Segel JE, Zhuo X, Hoerger TJ, Imai K, Williams D. Medical costs of CKD in the Medicare population. J Am Soc Nephrol. 2013 Sep;24(9):1478-83. doi: 10.1681/ASN.2012040392. Epub 2013 Aug 1.

    PubMed 23907508
  • Banks J, Marmot M, Oldfield Z, Smith JP. Disease and disadvantage in the United States and in England. JAMA. 2006 May 3;295(17):2037-45. doi: 10.1001/jama.295.17.2037.

    PubMed 16670412
  • So BH, Methven S, Hair MD, Jardine AG, MacGregor MS. Socio-economic status influences chronic kidney disease prevalence in primary care: a community-based cross-sectional analysis. Nephrol Dial Transplant. 2015 Jun;30(6):1010-7. doi: 10.1093/ndt/gfu408. Epub 2015 Jan 13.

    PubMed 25586406

Questions about this trial

What is this clinical trial studying?

A study testing Fruits and Vegetables and Cooking in people with CKD and ESRD, run by Baylor Research Institute at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Nov 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline concentration of Urine angiotensinogen (AGT) at 6 weeks and 6 months (time frame: Baseline; 6 weeks; 6 months). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03832166, which also lists 46 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Nov 2020.

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