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Kidney Disease, ChronicNCT06186843

Plant-based Diet for Kidney Transplant Recipients

A study testing Plant-based diet in people with Kidney Disease, Chronic and Transplant Complication, run by George Washington University at 1 site in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The goal of this clinical trial is to evaluate cardiometabolic and inflammatory parameters in kidney transplant recipients after transitioning to a plant-based diet (PBD). The main aims of the study are as follows: To test the feasibility of transiting renal allograft recipients who are > 3 months post-transplant to a… Read more about this study

Who is it for?
Ages 18 to 80 years
What is being tested?
Plant-based diet
Could I receive a placebo?
No, everyone receives an active treatment
How many people
25 participants
Where
1 siteUnited States
Study dates
29 Feb 2024to 1 Jun 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • > 3 months post-kidney transplant
  • On style immunosuppressive medication
  • Without evidence of active infection/ inflammatory conditions
  • Estimated glomerular filtration rate > 45ml/min/1.73 m^2
  • English speaking
  • Reliable internet access

Who cannot join

  • Acute/ chronic allograft rejection
  • History of non-compliance
  • Advance heart failure
  • Liver disease
  • Pregnancy
  • Malignancy
  • Chronic Infection
  • Currently following a plant-based diet

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Transplant Institute

    Washington D.C., District of Columbia, 20037

Other trials in United States

About this study

Official title: Effect of Plant-based Diet on Cardiometabolic and Inflammatory Parameters in Kidney Transplant Recipients

The goal of this clinical trial is to evaluate cardiometabolic and inflammatory parameters in kidney transplant recipients after transitioning to a plant-based diet (PBD). The main aims of the study are as follows:

  • To test the feasibility of transiting renal allograft recipients who are > 3 months post-transplant to a PBD
  • To study the effect of a PBD on cardiometabolic parameters in kidney transplant recipients
  • To assess the effect of a PBD on peripheral blood Th17/Treg ratio and systemic inflammation in kidney transplant recipients
Read more

Participants will be asked to:

  • Complete a 2-week investigator-designed PBD transition program
  • Follow a PBD for a minimum of 16 weeks
  • Consent for blood draws, urine samples, and fecal samples along with physical exams
  • Complete intermittent food frequency questionnaires and quality of life questionnaires
  • Periodically meet with investigators and other study participants

Researchers will compare baseline measurements with future measurements for each participant.

Read the detailed description

Patients will initially be identified through electronic medical record screening.

Eligible patients will be approached in clinic and informed about the study. Patients who agree to participate will sign the informed consent document to complete enrollment.

Phase 1: Dietary Training (weeks 1-2). Patients receive instruction from a Nephrologist, who is experienced in PBDs and medical student investigators about transitioning to a plant-based diet. Patients will complete a 2 week training program consisting of presentations, videos, informational documents, and group sessions. The program is designed such that at the 2 week point, participants will feel comfortable purchasing, cooking, and eating plant-based foods.

Phase 2: Intervention (weeks 3-18). Patients will consume a PBD under supervision for 16 weeks. Each participant will receive weekly phone calls from the study team and there will be monthly large in-person group sessions.

During Phase 2, there will be an optional, but highly recommended, in person group session that occurs every month. These sessions are designed to facilitate conversations and connections between participants. The sessions will help create a sense of community amongst participants. The group sessions will entail answering participants' questions, having discussions about challenges, and breakout groups will be used so participants can talk in a smaller group environment.

Phase 3: Unsupervised PBD (weeks 19-26). Patients will continue to be followed without dietary supervision.

Dietary compliance will be assessed via food frequency questionnaires (Nutrition Quest) at baseline and weeks 18 and 26. In addition, weekly 1 day food recalls will be collected from participants.

All participants will undergo physical examination at baseline and assessment of interval medical history, medication reconciliation, clinical examination, anthropometric studies (Body mass index (BMI), abdominal circumference and mid-arm circumference) at baseline and weeks 18 and 26 of the study.

Blood, urine, and stool samples will be collected and analyzed at baseline and weeks 10, 18 and 26 of the study.

Two 5 mL vials of blood will be drawn per visit (10 mL) (at baseline, 10, 18, 26 weeks). 40 mL of blood total throughout the study.

Per visit, one 5 mL vial of blood will be used for peripheral blood mononuclear cell (PBMC) prep for flow cytometry. The other 5 mL vial of blood will be used for enzyme-linked immunoassay (ELISA).

30-50 mL of urine will be collected at each visit and processed for urinalysis.

Stool samples will be used to evaluate the composition of the gastrointestinal microbiome.

Being tested
Plant-based diet
Keywords
Kidney transplant, Lifestyle change, Plant-based diet, Metabolic syndrome, Diabetes, Hypertension, Kidney function, Inflammatory states
Medical subject headings
Renal Insufficiency, Chronic, Hypertension, Diabetes Mellitus, Metabolic Syndrome, Inflammation, Feeding Behavior

What participants receive

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

  • Plant-based dietBehavioural

    A two week training program will be completed which consists of information, resources and activities that will help participants transition to a plant-based diet. Each day of the program, participants will engage with material that provides information about how a plant-based diet can improve health outcomes, how to cook plant-based meals, what to shop for when eating plant-based, and other information that will help participants become comfortable with this dietary change. In addition, each participant will have a virtual, weekly check-in with one of the investigators. Finally, participants will be encouraged to attend a once monthly group session with all participants.

Study groups in NCT06186843
Study groupRoleWhat they receive
Plant-based dietExperimentalThe group will follow a plant-based diet. Compliance will be checked with dietary questionnaires.
Receives: Behavioral: Plant-based diet

What is being measured

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

  1. Th17/ Treg ratio

    Th17/Treg cell ratio in peripheral blood. Results expressed as cell frequencies

    Measured: Baseline, week 10, 18, 26

  2. hsCRP

    Plasma levels measured using enzyme-linked immunosorbent assay (ELISA) expressed as units/ mL

    Measured: Baseline, week 10, 18, 26

  3. Interleukin (IL) Levels (IL-6, IL-17, IL-21)

    Plasma levels measured using ELISA expressed as units/ mL

    Measured: Baseline, week 10, 18, 26

  4. Weight

    Kilograms

    Measured: Baseline, week 10, 18, 26

  5. BMI

    Weight in kilograms (kg) and height (m) in meters will be combined to report BMI kg/m^2

    Measured: Baseline, week 10, 18, 26

  6. Anthropometry

    Mid arm and abdominal circumference will be measured in centimeters

    Measured: Baseline, week 18, 26

  7. Blood pressure

    Systolic blood pressure (mmHg)/ Diastolic blood pressure (mmHg)

    Measured: Baseline, week 10, 18, 26

  8. HbA1c

    mmol/mol and percent (percent of total hemoglobin)

    Measured: Baseline, week 10, 18, 26

  9. Non-fasting blood glucose

    mg/dL

    Measured: Baseline, week 10, 18, 26

  10. Total cholesterol

    mg/dL

    Measured: Baseline, week 10, 18, 26

  11. Food frequency questionnaire

    Nutrient intake and physical activity levels will be calculated

    Measured: Baseline, week 18, 26

  12. Weekly one day food recall

    Dietary compliance will be measured with weekly one day food recall. The percentage of total daily food that is whole food plant-based will be calculated

    Measured: Once per week at baseline and weeks 3-18

Secondary outcomes (7)
  1. Estimated glomerular filtration rate

    mL/min/1.73m^2

    Measured: Baseline, week 10, 18, 26

  2. Creatinine

    mg/dL

    Measured: Baseline, week 10, 18, 26

  3. Kidney disease and quality of life (KDQOL-36)

    Questions are divided into 5 categories (symptom/problem list; effect of kidney disease; burden of kidney disease; physical health composite; mental health composite). Each category is evaluated on a scale from 0 - 100. Higher scores indicate better outcomes

    Measured: Baseline, week 18, 26

  4. Changes in gut microbiome

    Stool samples collected at pre-specified time points and analyzed by metagenomics for gut microbiome profile

    Measured: Baseline, week 18, 26

  5. Low-density lipoprotein (LDL) cholesterol

    mg/dL

    Measured: Baseline, week 10, 18, 26

  6. High-density lipoprotein (HDL) cholesterol

    mg/dL

    Measured: Baseline, week 10, 18, 26

  7. Triglycerides

    mg/dL

    Measured: Baseline, week 10, 18, 26

Timeline

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

  1. First posted2 Jan 2024
  2. Study start29 Feb 2024
  3. Primary completion25 Mar 2027 (estimated)
  4. Study completion1 Jun 2027 (estimated)

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
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
A single group of kidney transplant recipients will transition to a plant-based diet and be followed for 24 weeks.
Masking
None (open label)
Enrolment
25 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06186843
Sponsor's protocol ID
KTX-PBD-001
Status last verified
May 2026
First submitted
18 Oct 2023
Last updated
22 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The details of the plan are still being decided.

Publications

  • Jezior D, Krajewska M, Madziarska K, Kurc-Darak B, Janczak D, Patrzalek D, Boryslawski K, Klinger M. Posttransplant overweight and obesity: myth or reality? Transplant Proc. 2007 Nov;39(9):2772-5. doi: 10.1016/j.transproceed.2007.09.001.

    PubMed 18021984
  • Malgorzewicz S, Woloszyk P, Chamienia A, Jankowska M, Debska-Slizien A. Obesity Risk Factors in Patients After Kidney Transplantation. Transplant Proc. 2018 Jul-Aug;50(6):1786-1789. doi: 10.1016/j.transproceed.2018.02.099. Epub 2018 Mar 13.

    PubMed 29937291
  • Shah B, Newman JD, Woolf K, Ganguzza L, Guo Y, Allen N, Zhong J, Fisher EA, Slater J. Anti-Inflammatory Effects of a Vegan Diet Versus the American Heart Association-Recommended Diet in Coronary Artery Disease Trial. J Am Heart Assoc. 2018 Dec 4;7(23):e011367. doi: 10.1161/JAHA.118.011367.

    PubMed 30571591
  • Tan TG, Sefik E, Geva-Zatorsky N, Kua L, Naskar D, Teng F, Pasman L, Ortiz-Lopez A, Jupp R, Wu HJ, Kasper DL, Benoist C, Mathis D. Identifying species of symbiont bacteria from the human gut that, alone, can induce intestinal Th17 cells in mice. Proc Natl Acad Sci U S A. 2016 Dec 13;113(50):E8141-E8150. doi: 10.1073/pnas.1617460113. Epub 2016 Nov 23.

    PubMed 27911839
  • Raj DS, Sohn MB, Charytan DM, Himmelfarb J, Ikizler TA, Mehrotra R, Ramezani A, Regunathan-Shenk R, Hsu JY, Landis JR, Li H, Kimmel PL, Kliger AS, Dember LM; Hemodialysis Novel Therapies Consortium. The Microbiome and p-Inulin in Hemodialysis: A Feasibility Study. Kidney360. 2021 Jan 15;2(3):445-455. doi: 10.34067/KID.0006132020. eCollection 2021 Mar 25.

    PubMed 35369018
  • Serrano M, Srivastava A, Buck G, Zhu B, Edupuganti L, Adegbulugbe E, Shankaranarayanan D, Kopp JB, Raj DS. Dietary Protein and Fiber Affect Gut Microbiome and Treg/Th17 Commitment in Chronic Kidney Disease Mice. Am J Nephrol. 2022;53(8-9):646-651. doi: 10.1159/000526957. Epub 2022 Nov 7.

    PubMed 36349783
  • Hoogeveen EK, Aalten J, Rothman KJ, Roodnat JI, Mallat MJ, Borm G, Weimar W, Hoitsma AJ, de Fijter JW. Effect of obesity on the outcome of kidney transplantation: a 20-year follow-up. Transplantation. 2011 Apr 27;91(8):869-74. doi: 10.1097/TP.0b013e3182100f3a.

    PubMed 21326138
  • Hill CJ, Courtney AE, Cardwell CR, Maxwell AP, Lucarelli G, Veroux M, Furriel F, Cannon RM, Hoogeveen EK, Doshi M, McCaughan JA. Recipient obesity and outcomes after kidney transplantation: a systematic review and meta-analysis. Nephrol Dial Transplant. 2015 Aug;30(8):1403-11. doi: 10.1093/ndt/gfv214. Epub 2015 Jun 4.

    PubMed 26044837
  • Nicoletto BB, Fonseca NK, Manfro RC, Goncalves LF, Leitao CB, Souza GC. Effects of obesity on kidney transplantation outcomes: a systematic review and meta-analysis. Transplantation. 2014 Jul 27;98(2):167-76. doi: 10.1097/TP.0000000000000028.

    PubMed 24911038
  • Wing MR, Yang W, Teal V, Navaneethan S, Tao K, Ojo A, Guzman NN, Reilly M, Wolman M, Rosas SE, Cuevas M, Fischer M, Lustigova E, Master SR, Xie D, Appleby D, Joffe M, Kusek J, Feldman HI, Raj DS; Chronic Renal Insufficiency Cohort (CRIC) Study. Race modifies the association between adiposity and inflammation in patients with chronic kidney disease: findings from the chronic renal insufficiency cohort study. Obesity (Silver Spring). 2014 May;22(5):1359-66. doi: 10.1002/oby.20692. Epub 2014 Feb 11.

    PubMed 24415732
  • Abedini S, Holme I, Marz W, Weihrauch G, Fellstrom B, Jardine A, Cole E, Maes B, Neumayer HH, Gronhagen-Riska C, Ambuhl P, Holdaas H; ALERT study group. Inflammation in renal transplantation. Clin J Am Soc Nephrol. 2009 Jul;4(7):1246-54. doi: 10.2215/CJN.00930209. Epub 2009 Jun 18.

    PubMed 19541816
  • Nettleton JA, Steffen LM, Palmas W, Burke GL, Jacobs DR Jr. Associations between microalbuminuria and animal foods, plant foods, and dietary patterns in the Multiethnic Study of Atherosclerosis. Am J Clin Nutr. 2008 Jun;87(6):1825-36. doi: 10.1093/ajcn/87.6.1825.

    PubMed 18541574
  • Gutierrez OM, Muntner P, Rizk DV, McClellan WM, Warnock DG, Newby PK, Judd SE. Dietary patterns and risk of death and progression to ESRD in individuals with CKD: a cohort study. Am J Kidney Dis. 2014 Aug;64(2):204-13. doi: 10.1053/j.ajkd.2014.02.013. Epub 2014 Mar 27.

    PubMed 24679894
  • Cyrino LG, Galpern J, Moore L, Borgi L, Riella LV. A Narrative Review of Dietary Approaches for Kidney Transplant Patients. Kidney Int Rep. 2021 Apr 27;6(7):1764-1774. doi: 10.1016/j.ekir.2021.04.009. eCollection 2021 Jul.

    PubMed 34307973
  • Gao B, Alonzo-Palma N, Brooks B, Jose A, Barupal D, Jagadeesan M, Nobakht E, Collins A, Ramezani A, Omar B, Amdur RL, Raj DS. A Pilot Study on the Effect of Prebiotic on Host-Microbial Co-metabolism in Peritoneal Dialysis Patients. Kidney Int Rep. 2020 Jun 1;5(8):1309-1315. doi: 10.1016/j.ekir.2020.05.023. eCollection 2020 Aug. No abstract available.

    PubMed 32775832

Questions about this trial

What is this clinical trial studying?

A study testing Plant-based diet in people with Kidney Disease, Chronic and Transplant Complication, run by George Washington University 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 6 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: under way, not looking for participants, as of the sponsor's last update on 22 May 2026. 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?

This study is still under way. Results are not available in the source record yet.

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?

Th17/ Treg ratio (time frame: Baseline, week 10, 18, 26). The study lists 12 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 NCT06186843, which also lists 18 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 22 May 2026.

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