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End Stage Renal Disease (ESRD)Phase 4NCT06597201

Evaluate the Efficacy and Safety of Amino Acid (15) Peritoneal Dialysis Solution in Peritoneal Dialysis Patients with Malnutrition.

A Phase 4 study testing amino acid (15) peritoneal dialysis solution and glucose peritoneal dialysis solution in people with End Stage Renal Disease (ESRD), run by Chengdu Qingshan Likang Pharmaceutical Co., Ltd at 21 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This is a multicenter, randomized, parallel controlled Phase IV clinical study to evaluate the safety and efficacy of amino acid (15) peritoneal dialysis solution in patients undergoing peritoneal dialysis with malnutrition in CAPD patients undergoing peritoneal dialysis maintenance. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
End Stage Renal Disease (ESRD)
What is being tested?
amino acid (15) peritoneal dialysis solution and glucose peritoneal dialysis solution
Could I receive a placebo?
No, everyone receives an active treatment
How many people
400 participants
Where
21 sitesChina
Study dates
9 Aug 2024to 29 Jun 2025
Phase
Phase 4
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18 to 75 years of age (including 18 and 75 years of age), regardless of sex;
  • Stable CAPD patients treated with peritoneal dialysis for greater than or equal to 3 months;
  • 25 ≤ serum ALB ≤ 40 g/L on two consecutive occasions prior to enrollment (two occasions one week apart);
  • Blood potassium ≥ 3.5 mmol/L
  • C-reactive protein (CRP) ≤ 2 x upper limit of normal (ULN);
  • Carbon dioxide binding capacity >18 mmol/L;
  • Subjects voluntarily sign an informed consent form in writing prior to the commencement of any procedures related to the study, fully understand the purpose and significance of the trial, and are willing to comply with the trial protocol.

Who cannot join

  • Within the past 3 months prior to the screening period, there has been a history of peritonitis, other infections, or inflammatory diseases, with hospitalization records;
  • The possibility of receiving a kidney transplant during the study period;
  • Patients with inadequate dialysis and screening period kt/v<1.4;
  • Patients with hemoglobin less than 80g/L during the screening period;
  • Patients who have used amino acid (15) peritoneal dialysate within 6 months prior to the screening period.
  • Patients with bleeding events (active gastrointestinal hemorrhage, cerebral hemorrhage), cardiovascular and cerebrovascular events (cerebral infarction, myocardial infarction, etc., and NYHA grade ≥3 of cardiac function) within 30 days before screening period.
Show all 13Show fewer
  • In patients with active diarrhea during the screening period, as assessed by investigators, affecting nutrient absorption(Except for patients with chronic diarrhea, stool frequency < 3 times/day);
  • patients with contraindications to amino acid (15) peritoneal dialysis solutions: 1) hypersensitivity to any of the components of the product; 2) Serum urea level >38 mmol/l; 3) Presence of uremic symptoms such as marked loss of appetite, nausea and vomiting at the time of screening; 4) Various inborn abnormalities of amino acid metabolism; 5) hepatic insufficiency (active hepatitis); active hepatitis B or C, cirrhosis, active liver disease or positive seropositivity for human immunodeficiency virus (HIV) within 6 months prior to screening; 6) Uncorrectable mechanical defects that the investigator assesses as affecting efficacy or increasing the risk of infection; 7) History of loss of peritoneal function or impairment of peritoneal function due to extensive adhesions;
  • Suffers from a malignant tumor or has a life expectancy of \&lt;6 months;
  • Routine daily use of 4.25% glucose dialysis solution during the screening period;
  • Diabetic subjects with poor prior glycemic control, e.g., HbAlc > 8%;
  • Women during pregnancy or breastfeeding;
  • Other circumstances that, in the opinion of the investigator, may make participation in this study inappropriate.

Trial locations and contacts

21 sites in 1 country. Contact the study team or a site near you to ask about taking part.

21 sites in 1 country

China21 sites, 21 recruiting
  • Peking University People&amp;&#39;s Hospital

    Beijing, Beijing Municipality, 100044

    Li Zuo, 86 13910028495, zuolimd@yeah.net

    Recruiting
  • The Third Xiangya Hospital of Central South University

    Changsha, Hunan, 410000

    Hao Zhang, 86 13975806919, zhanghaoliaoqing@163.com

    Recruiting
  • West China Hospital, Sichuan University

    Chengdu, Sichuan, 610000

    Ping Fu, 86 028-85422335, fupinghx@163.com

    Recruiting
  • The Second Affiliated Hospital of Chongqing Medical University

    Chongqing

    Xiaohui Liao, 86 13594350439, 1263201771@qq.com

    Recruiting
  • Ganzhou People&amp;#39;s Hospital

    Ganzhou

    Dehui Liu, 86 19979819277, liudehui2008@126.com

    Recruiting
  • Affiliated Hospital of Guangdong Medical University

    Guangdong

    Cuiwei Yao, 86 13671458718, yaocuiwei826@163.com

    Recruiting
  • The First Affiliated Hospital, Sun Yat-sen University

    Guangzhou

    Wei Chen, 86 13924150966, vvchen99@126.com

    Recruiting
  • The First Affiliated Hospital of Anhui Medical University

    Hefei, Anhui, 230022

    Yonggui Wu, 86 13955178900, wuyongguixialiang@163.com

    Recruiting
  • The Affiliated Hospital of Southwest Medical University

    Luzhou

    Santao Ou, 86 13679676835, 422216756@qq.com

    Recruiting
  • Meishan Hospital, West China Hospital, Sichuan University (Meishan People&#39;s Hospital)

    Meishan

    Zaizhi Zhu, 86 15282333398, zhuzaizhi36@sina.cn

    Recruiting
  • Jiangsu Province Hosipital

    Nanjing

    Huijuan Mao, 86 13851746819, huijuanmao@126.com

    Recruiting
  • The Affiliated Hospital of Nanjing university Medical School

    Nanjing

    Chunming Jiang, 86 13815884488, guloujiang@sina.com

    Recruiting
  • The First Affiliated Hospital of Guangxi Medical University

    Nanning

    Zhenhua Yang, 86 13978806396, 593456108@qq.com

    Recruiting
  • Shanghai Sixth People&amp;amp;#39;s Hospital Affiliated to Shanghai JiaoTong University

    Shanghai

    Niansong Wang, 86 18930177399, wangniansong2012@163.com

    Recruiting
  • General Hospital of Northern Theater Command

    Shenyang

    Yanning Zhang, 86 18604105316, fupinghx@163.com

    Recruiting
  • Wuhan NO.1 Hospital

    Wuhan, Hubei

    Fei Xiong, 86 13986234626, xiongf23@sina.com

    Recruiting
  • The Central Hospital of Wuhan

    Wuhan

    Wenli Chen, 86 13307127509, whwenli@163.com

    Recruiting
  • Zhongshan Hospital Xiamen University

    Xiamen

    Hancheng Guo, 86 13606913285, 1104996835@qq.com

    Recruiting
  • The First Affiliated Hospital of Xinxiang Medical College

    Xinxiang

    Xiangdong Liu, 86 18568266234, azmlxd@163.com

    Recruiting
  • The Second People&#39;s Hospital of Yibin City

    Yibin

    Lei Zhu, 86 13547701638, 85989885@qq.com

    Recruiting
  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou

    Zhanzheng Zhao, 86 13938525666, zhanzhengzhao@zzu.edu.cn

    Recruiting

Other trials in China

About this study

Official title: Multicenter, Prospective, Open-label, Randomized, Parallel-group Clinical Trial to Evaluate the Efficacy and Safety of Amino Acid (15) Peritoneal Dialysis Solution in Peritoneal Dialysis Patients with Malnutrition.

This is a multicenter, randomized, parallel controlled Phase IV clinical study to evaluate the safety and efficacy of amino acid (15) peritoneal dialysis solution in patients undergoing peritoneal dialysis with malnutrition in CAPD patients undergoing peritoneal dialysis maintenance.

Read the detailed description

After the subjects signed the informed consent, they entered the screening period (D-28 to D-1) for corresponding examination. Participants who were successfully screened were examined at baseline (D-3 to D-1) to re-verify the inclusion criteria. After re-verification of successful screening subjects, they were enrolled in 1:1 parallel groups according to the research center: experimental group treated with amino acid (15) peritoneal dialysate; Control group - glucose peritoneal dialysate treatment. Subjects were randomly enrolled and given the experimental drug from the next morning according to the randomized results. Subjects in the experimental group were treated with 1 bag of amino acid (15) peritoneal dialysate (2L) once a day in the morning, and were subsequently treated with conventional glucose peritoneal dialysate (lactate). Control subjects received conventional treatment with glucose peritoneal dialysis solution (lactate), which must include 1.5% glucose peritoneal dialysis solution (lactate) (2L) once. The number of peritoneal dialysate exchange, the amount of fluid exchange and the duration of abdominal retention were adjusted by the researchers according to the specific conditions of the patients. Efficacy and safety were observed during the treatment period (D1-D90). Blood routine and blood biochemistry were monitored for 30 days, 60 days and 90 days of treatment. nPNA, AMC, MAMC, SGA, BMI, Kt/V, etc. are monitored only at 90 days. The total daily ultrafiltration volume of the patients (the experimental group also recorded the ultrafiltration volume of amino acid peritoneal fluid), and all adverse events (aes) and serious adverse events (SAEs) were recorded in detail.

Being tested
amino acid (15) peritoneal dialysis solution, glucose peritoneal dialysis solution
Keywords
End stage renal disease, peritoneal dialysis solution, malnutrition
Medical subject headings
Kidney Failure, Chronic, Malnutrition

What participants receive

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

  • amino acid (15) peritoneal dialysis solutionDrug

    Subjects were treated with 1 bag of amino acid (15) peritoneal dialysis solution (2L) once every morning, and then with conventional glucose peritoneal dialysate (lactate).

  • glucose peritoneal dialysis solutionDrug

    Subjects received conventional treatment with glucose peritoneal dialysis solution (lactate), which must include 1.5% glucose peritoneal dialysate (lactate) (2L) once.

Study groups in NCT06597201
Study groupRoleWhat they receive
experimental groupExperimentalSubjects were treated with 1 bag of amino acid (15) peritoneal dialysate (2L) once every morning, and then with conventional glucose peritoneal dialysate (lactate).
Receives: Drug: amino acid (15) peritoneal dialysis solution
control groupActive comparatorSubjects received conventional treatment with glucose peritoneal dialysis solution (lactate), which must include 1.5% glucose peritoneal dialysate (lactate) (2L) once.
Receives: Drug: glucose peritoneal dialysis solution

What is being measured

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

  1. ALB

    To compare the difference in change from baseline in serum albumin (ALB) after 90 days of treatment of CAPD patients with amino acid (15) peritoneal dialysis solution versus conventional glucose peritoneal dialysis solution (lactate).

    Measured: After 90 days of treatment

Secondary outcomes (8)
  1. serum transferrin

    To compare the changes of serum transferrin in CAPD patients treated with amino acid (15) peritoneal dialysate and conventional glucose peritoneal dialysate (lactate) at 30 days, 60 days and 90 days compared with baseline.

    Measured: After 30, 60, and 90 days of treatment

  2. arm muscle circumference (AMC)

    omparison of standardized upper arm muscle circumference (AMC) changes from baseline after fasting peritoneal dialysis fluid emptying between amino acid (15) peritoneal dialysis solution and conventional glucose peritoneal dialysis solution (lactate) in CAPD patients treated for 90 days.

    Measured: After 90 days of treatment

  3. standardized protein nitrogen occurrence rate (nPNA)

    To compare the change of standardized protein nitrogen occurrence rate (nPNA) in CAPD patients treated with amino acid (15) peritoneal dialysis solution and conventional glucose peritoneal dialysis solution (lactate) after 90 days from baseline.

    Measured: After 90 days of treatment

  4. subjective comprehensive nutritional assessment (SGA)

    To compare the change of subjective comprehensive nutritional assessment (SGA) in CAPD patients treated with amino acid (15) peritoneal dialysis solution and conventional glucose peritoneal dialysis solution (lactate) after 90 days from baseline.

    Measured: After 90 days of treatment

  5. middle arm muscle circumference (MAMC)

    To compare the change of middle arm muscle circumference (MAMC) in CAPD patients treated with amino acid (15) peritoneal dialysis solution and conventional glucose peritoneal dialysis solution (lactate) after 90 days from baseline.

    Measured: After 90 days of treatment

  6. serum prealbumin

    To compare the changes of serum prealbumin in CAPD patients treated with amino acid (15) peritoneal dialysate and conventional glucose peritoneal dialysate (lactate) at 30 days, 60 days and 90 days compared with baseline.

    Measured: After 30, 60, and 90 days of treatment

  7. serum albumin

    To compare the changes of serum albumin in CAPD patients treated with amino acid (15) peritoneal dialysate and conventional glucose peritoneal dialysate (lactate) at 30 days, 60 days and 90 days compared with baseline.

    Measured: After 30, 60, and 90 days of treatment

  8. body mass index (BMI)

    To compare the change of standardized protein nitrogen occurrence rate (nPNA) in CAPD patients treated with amino acid (15) peritoneal dialysis solution and conventional glucose peritoneal dialysis solution (lactate) after 90 days from baseline.

    Measured: After 90 days of treatment

Timeline

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

  1. First posted19 Sep 2024
  2. Study start9 Aug 2024
  3. Primary completion29 Jun 2025 (estimated)
  4. Study completion29 Jun 2025 (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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
400 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06597201
Sponsor's protocol ID
AAD-QSLK-401
Status last verified
Dec 2024
First submitted
9 Sep 2024
Last updated
30 Dec 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • My Thuc LT, Dung NQ, Ha VN, Tam ND, Hang Nga NT. Actual diet and nutritional deficiencies status in children on peritoneal dialysis at the Vietnam National Hospital of Pediatrics. Saudi J Kidney Dis Transpl. 2019 Jul-Aug;30(4):924-931. doi: 10.4103/1319-2442.265470.

    PubMed 31464251
  • Kopple JD, Bernard D, Messana J, Swartz R, Bergstrom J, Lindholm B, Lim V, Brunori G, Leiserowitz M, Bier DM, et al. Treatment of malnourished CAPD patients with an amino acid based dialysate. Kidney Int. 1995 Apr;47(4):1148-57. doi: 10.1038/ki.1995.164.

    PubMed 7783413
  • Tjiong HL, Swart R, van den Berg JW, Fieren MW. Amino Acid-based peritoneal dialysis solutions for malnutrition: new perspectives. Perit Dial Int. 2009 Jul-Aug;29(4):384-93.

    PubMed 19602603

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing amino acid (15) peritoneal dialysis solution and glucose peritoneal dialysis solution in people with End Stage Renal Disease (ESRD), run by Chengdu Qingshan Likang Pharmaceutical Co., Ltd at 21 sites in China.

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 7 inclusion and 13 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: looking for participants now, as of the sponsor's last update on 30 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 21 sites in China. 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.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

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?

Contact Qian Deng (86 136 9940 1416, dq0416@qq.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

ALB (time frame: After 90 days of treatment). 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 NCT06597201, which also lists 3 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 30 Dec 2024.

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