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Chronic Kidney DiseaseEarly Phase 1BOOST_CKDNCT07437053

Sarcopenia in Chronic Kidney Disease (CKD) Patients

A Early Phase 1 study testing Valine and EEA in people with Chronic Kidney Disease and Sarcopenia, run by The University of Texas Health Science Center at San Antonio at 1 site in United States.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Sarcopenia, or loss of muscle and strength is common in patients with poor kidney function. Although a high protein diet is generally recommended for sarcopenia, patients with poor kidney function are advised to follow a low-protein diet. Read more about this study

Who is it for?
Ages 45 to 75 years
Conditions the study is for
Chronic Kidney Disease, Sarcopenia
What is being tested?
Valine and EEA
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteUnited States
Study dates
Jul 2027to Dec 2029
Phase
Early Phase 1
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 45 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Ability of participant to understand and the willingness to sign a written informed consent document.
  • Males and females of age 45-75 yrs
  • Hand grip strength of <26 kg for male and <16 kg for female
  • Documented diagnosis of estimated glomerular filtration rate (eGFR) of ≤15 mL/min/1.73 m2, based on CKD-EPI serum-creatinine based formula in the past ≥3 months in absence of acute kidney injury.
  • Not on dialysis and is not expected to initiate dialysis or any kidney replacement therapy in next 4 months
  • Receiving standard of care including dietary recommendation for diabetes, hypertension, CKD, and other comorbidities
Show all 12Show fewer
  • Patients who are on an SGLT2-i or GLP-1 agonist should be on a stable dose for at least 3 months prior randomization, with no dose adjustments expected in the next 4 months
  • Serum HCO3 concentration 20-29 mmol/L based on two consecutive recent routine labs
  • HbA1c 7-9% based on most recent routine lab
  • Serum albumin ≥3.8 g/dL based on most recent routine lab
  • Blood hemoglobin ≥10 g/dL based on most recent routine lab
  • Willingness to adhere to lifestyle management, including diet and exercise as recommended by care providers, and to the study intervention, procedures, and regimen.

Who cannot join

  • Any known history of hypersensitivity/intolerance to valine or specific amino acids
  • Any condition that may indicate the individual is not "metabolically stable" which may include active infection, currently on systemic antibiotic, hospitalization within 2 weeks on consenting, active malignancy, on immunosuppressive agents, and unexplained significant weight loss during the past 3 months
  • With a cardiac pacemaker and/or an implantable cardioverter-defibrillator
  • Significant arthritis prohibiting strength test and walk gait speed test
  • Significant comorbidities including heart failure (NY Class III or IV), neurological disorders, HIV AIDS, etiology of CKD other than diabetes and hypertension, or any condition that could compromise the subject's ability to study procedures as judged by study clinician
  • Currently taking any protein supplements
Show all 12Show fewer
  • Pregnant, lactating, childbearing women
  • History of Maple syrup urine disease (MSUD)
  • Scheduled for kidney transplantation or dialysis in next 4 months
  • Current participation in another interventional trial
  • Documented noncompliance with regard to clinic visits, medications, and lifestyle management.
  • Documentation of current or history of substance abuse.

Trial locations and contacts

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

Subrata Debnath, PhD contact

210-567-4700

nath@uthscsa.edu

United States1 site
  • The University of Texas Health Science Center at San Antonio

    San Antonio, Texas, 78229

    Subrata Debnath, PhD, 210-567-4700, nath@uthscsa.edu

Other trials in United States

About this study

Official title: Branched-chain Amino Acids to Improve Sarcopenia in Patients With Advanced Chronic Kidney Disease (BOOST-CKD)

Sarcopenia, or loss of muscle and strength is common in patients with poor kidney function. Although a high protein diet is generally recommended for sarcopenia, patients with poor kidney function are advised to follow a low-protein diet. In this study, we will evaluate the practicality and potential benefits of two different amino acids (molecules that form proteins) in improving sarcopenia in patients with advanced kidney disease.

The study aims to improve muscle mass and strength. All study procedures are free of cost and do not require significant time commitment. You will have time to ask questions and discuss the study with your family, primary care physician, and your kidney doctor to make the decision if this is right study for you to participate in.

Read the detailed description

The overall objective of this study is to evaluate the feasibility, tolerability, metabolic effects, and potential therapeutic potential of isolated valine or EAA in patients with CKD stage 5.

  • Primary Objective: To evaluate the feasibility, tolerability, and potential therapeutic benefits of isolated valine or EAA for the management of sarcopenia in patients with stage 5 CKD not on dialysis.
  • Secondary Objectives: To assess the effects of valine and EAA on measures of kidney function and anorexia in patients with stage 5 CKD not on dialysis.
Being tested
Valine, EEA
Keywords
Valine, Essential amino acid, Metabolic effects
Medical subject headings
Renal Insufficiency, Chronic, Sarcopenia

What participants receive

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

  • ValineDrug

    Also called Valine Amino Acid Supplement

    A medical food intended for use under medical supervision

  • EEADrug

    Also called Essential Amino Acid Supplement

    A medical food intended for use under medical supervision

Study groups in NCT07437053
Study groupRoleWhat they receive
Treatment group ValineExperimentalDaily oral consumption of 2 g valine, divided into two meals (1 g per meal, one packet), each equivalent to approximately 0.8 g of protein.
Receives: Drug: Valine
Treatment group EEAExperimentalDaily oral consumption of 20 g essential amino acids (EAA), divided into two meals (10 g per meal, one packet), each equivalent to 5 g of protein and 3.14 g of branched chain amino acids (BCAA).
Receives: Drug: EEA

What is being measured

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

  1. Skeletal muscle strength (handgrip strength test)

    Change from baseline handgrip strength test value (kg) measured using a hand dynamometer to the end of each 6-Week intervention

    Measured: Baseline to 14 weeks

  2. Muscle mass

    Change from baseline muscle mass using a bioelectrical impedance analysis to the end of each 6-Week intervention

    Measured: Baseline to 14 weeks

  3. Physical performance (4-meter Walk Gait Speed Test or 4MWT)

    Change from baseline 4MWT (measured in second) to the end of each 6-Week intervention

    Measured: Baseline to 14 weeks

  4. Incidence of patient-reported symptoms

    Change from baseline (number of symptoms) to the end of each 6-Week intervention

    Measured: Baseline to 14 weeks

Secondary outcomes (1)
  1. Functional Assessment of Anorexia/Cachexia Therapy (FAACT) Anorexia subscale

    Change from baseline scores (ranging from 0-48, with 0 being the worst possible score) to the end of each 6-Week intervention

    Measured: Baseline to 14 weeks

Timeline

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

  1. First posted27 Feb 2026
  2. Study startJul 2027 (estimated)
  3. Primary completionDec 2028 (estimated)
  4. Study completionDec 2029 (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
Early Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Model description
The study design will consist of a single center, prospective, randomized crossover open label pilot study
Masking
None (open label)
Enrolment
20 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07437053
Sponsor's protocol ID
STUDY00002368
Acronym
BOOST_CKD
Status last verified
Oct 2026
First submitted
20 Feb 2026
Last updated
2 Nov 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: This study will comply with the NIH Data Sharing Policy and Policy on the Dissemination of NIH-Funded Clinical Trial Information and the Clinical Trials Registration and Results Information Submission rule. As such, this trial will be registered at ClinicalTrials.gov, and results information from this trial will be submitted to ClinicalTrials.gov. In addition, every attempt will be made to publish results in peer-reviewed journals.

Publications

  • Duarte MP, Almeida LS, Neri SGR, Oliveira JS, Wilkinson TJ, Ribeiro HS, Lima RM. Prevalence of sarcopenia in patients with chronic kidney disease: a global systematic review and meta-analysis. J Cachexia Sarcopenia Muscle. 2024 Apr;15(2):501-512. doi: 10.1002/jcsm.13425. Epub 2024 Jan 24.

    PubMed 38263952
  • Alvestrand A, Furst P, Bergstrom J. Plasma and muscle free amino acids in uremia: influence of nutrition with amino acids. Clin Nephrol. 1982 Dec;18(6):297-305.

    PubMed 7151348
  • Ikizler TA, Burrowes JD, Byham-Gray LD, Campbell KL, Carrero JJ, Chan W, Fouque D, Friedman AN, Ghaddar S, Goldstein-Fuchs DJ, Kaysen GA, Kopple JD, Teta D, Yee-Moon Wang A, Cuppari L. KDOQI Clinical Practice Guideline for Nutrition in CKD: 2020 Update. Am J Kidney Dis. 2020 Sep;76(3 Suppl 1):S1-S107. doi: 10.1053/j.ajkd.2020.05.006.

    PubMed 32829751
  • Jiang S, Fang J, Li W. Protein restriction for diabetic kidney disease. Cochrane Database Syst Rev. 2023 Jan 3;1(1):CD014906. doi: 10.1002/14651858.CD014906.pub2.

    PubMed 36594428
  • Laidlaw SA, Berg RL, Kopple JD, Naito H, Walker WG, Walser M. Patterns of fasting plasma amino acid levels in chronic renal insufficiency: results from the feasibility phase of the Modification of Diet in Renal Disease Study. Am J Kidney Dis. 1994 Apr;23(4):504-13. doi: 10.1016/s0272-6386(12)80371-4.

    PubMed 8154485
  • Wu Y, Chen J, Tao Y, Xiao M, Xiong J, Chen A, Ma X, Li L, Jia H, Zhang Q, Xue Y, Jia Y, Zheng Z. Association between dietary protein intake and mortality among patients with diabetic kidney disease. Diabetes Metab Syndr. 2024 Jul;18(7):103091. doi: 10.1016/j.dsx.2024.103091. Epub 2024 Jul 27.

    PubMed 39084052
  • Tizianello A, Deferrari G, Garibotto G, Robaudo C, Lutman M, Passerone G, Bruzzone M. Branched-chain amino acid metabolism in chronic renal failure. Kidney Int Suppl. 1983 Dec;16:S17-22.

    PubMed 6588248
  • Block KP, Harper AE. Valine metabolism in vivo: effects of high dietary levels of leucine and isoleucine. Metabolism. 1984 Jun;33(6):559-66. doi: 10.1016/0026-0495(84)90012-x.

    PubMed 6727655
  • Burns J, Cresswell E, Ell S, Fynn M, Jackson MA, Lee HA, Richards P, Rowlands A, Talbot S. Comparison of the effects of keto acid analogues and essential amino acids on nitrogen homeostasis in uremic patients on moderately protein-restricted diets. Am J Clin Nutr. 1978 Oct;31(10):1767-75. doi: 10.1093/ajcn/31.10.1767.

    PubMed 707331
  • Masud T, Young VR, Chapman T, Maroni BJ. Adaptive responses to very low protein diets: the first comparison of ketoacids to essential amino acids. Kidney Int. 1994 Apr;45(4):1182-92. doi: 10.1038/ki.1994.157.

    PubMed 8007590
  • Sunsandee N, Thimachai P, Satirapoj B, Supasyndh O. Anti-sarcopenic effect of leucine-enriched branched-chain amino acid supplementation among elderly chronic kidney disease patients: a double-blinded randomized controlled trial. Int Urol Nephrol. 2025 Nov;57(11):3811-3819. doi: 10.1007/s11255-025-04560-9. Epub 2025 May 17.

    PubMed 40381110
  • Studenski SA, Peters KW, Alley DE, Cawthon PM, McLean RR, Harris TB, Ferrucci L, Guralnik JM, Fragala MS, Kenny AM, Kiel DP, Kritchevsky SB, Shardell MD, Dam TT, Vassileva MT. The FNIH sarcopenia project: rationale, study description, conference recommendations, and final estimates. J Gerontol A Biol Sci Med Sci. 2014 May;69(5):547-58. doi: 10.1093/gerona/glu010.

    PubMed 24737557
  • Bhasin S, Travison TG, Manini TM, Patel S, Pencina KM, Fielding RA, Magaziner JM, Newman AB, Kiel DP, Cooper C, Guralnik JM, Cauley JA, Arai H, Clark BC, Landi F, Schaap LA, Pereira SL, Rooks D, Woo J, Woodhouse LJ, Binder E, Brown T, Shardell M, Xue QL, D'Agostino RB Sr, Orwig D, Gorsicki G, Correa-De-Araujo R, Cawthon PM. Sarcopenia Definition: The Position Statements of the Sarcopenia Definition and Outcomes Consortium. J Am Geriatr Soc. 2020 Jul;68(7):1410-1418. doi: 10.1111/jgs.16372. Epub 2020 Mar 9.

    PubMed 32150289

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing Valine and EEA in people with Chronic Kidney Disease and Sarcopenia, run by The University of Texas Health Science Center at San Antonio 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 12 inclusion and 12 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: opening soon, as of the sponsor's last update on 2 Nov 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.

What does this phase mean?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

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 Subrata Debnath, PhD (210-567-4700, nath@uthscsa.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Skeletal muscle strength (handgrip strength test) (time frame: Baseline to 14 weeks). The study lists 4 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 NCT07437053, which also lists 13 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 2 Nov 2026.

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