AzTrials
AzTrials

Kidney TransplantationPITONNCT07884084

Effect of Probiotics on Immunosuppressant Therapy in Kidney Transplant Recipients

A study testing Probiotic formulation in people with Kidney Transplantation and Kidney Transplantation Recipients, run by Federico II University at 1 site in Italy.

Completed

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

Official record
Search all trials

Trial summary

People who receive a donor kidney must take drugs to prevent their bodies from attacking the new organ. These drugs are called immunosuppressants. Probiotics are beneficial microbes that support gut health. They are often given to reduce immunosuppressant toxicity for the gut. Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
Probiotic formulation
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
40 participants
Where
1 siteItaly
Study dates
18 Jun 2025to 3 Oct 2025
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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • kidney transplant at least 12 months prior to enrollment
  • No episodes of rejection in the 6 months prior to enrollment
  • Immunosuppressive therapy with (in various combinations) corticosteroids, cyclosporine, tacrolimus, sirolimus, everolimus, or mycophenolic acid at stable doses that do not require further adjustments

Who cannot join

  • Acute transplant rejection
  • Acute or chronic bacterial or fungal infections
  • Gastrointestinal resections
  • Intensive care unit admission
  • Recent (within the last 6 months) major surgeries
  • Malabsorption syndromes
Show all 11Show fewer
  • Enteral or parenteral nutrition
  • Metastatic cancer or systemic chemotherapy
  • Terminal illnesses
  • Severe cognitive impairments that may reduce adherence to treatment
  • Acquired or congenital immunodeficiencies

Trial locations and contacts

1 site in 1 country.

Italy1 site
  • AOU Federico II

    Naples, 80131

Other trials in Italy

About this study

Official title: Probiotics for Immunosuppressant Therapy Optimization

People who receive a donor kidney must take drugs to prevent their bodies from attacking the new organ. These drugs are called immunosuppressants. Probiotics are beneficial microbes that support gut health. They are often given to reduce immunosuppressant toxicity for the gut. The goal of this clinical trial is to learn if probiotics change the levels of immunosuppressants in the blood in patients who have received a kidney transplant.

The main question it aims to answer is:

Read more
  • Does a short-term treatment with a probiotic mixture change the circulating levels of the immunosuppressant drugs cyclosporine A, tacrolimus, sirolimus, everolimus, mycophenolic acid, mycophenolate mofetil, and prednisolone? In addition, researchers will also see if probiotics reduce systemic inflammation or ameliorate renal function.

Study participants will be patients with kidney transplant. At different times, each participant will take either probiotics or look-alike capsules with no probiotics. Researchers will compare the levels of immunosuppressant in the blood when participants take the probiotics with those when they take the capsules with no microbes.

Study participants will have to:

  • Take oral capsules containing a probiotc mixture for one month and look-alike capsules with no probiotics for another month with a one-month interval between these two treatments;
  • Go to the hospital every 30 days for three months for the collection of blood samples;
  • Collect feces specimens for microbiome analysis every 30 days for three months and bring them to the hospital.
Being tested
Probiotic formulation, Placebo
Keywords
kidney transplantation, immunosuppressant drugs, Cyclosporin A, Tacrolimus, Mycophenolic Acid, everolimus, prednisolone, sirolimus, probiotics

What participants receive

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

  • Probiotic formulationOther

    A multistrain probiotic mixture, formulated in capsules for oral administration, containing L. plantarum, L. rhamnosus, L. acidophilus, L. casei, S. thermophilus, B. lactis and an extract of the plant Boswellia serrata. Capsules also contain microcrystalline cellulose, soy lecithin and magnesium dioxide as excipients.

  • PlaceboOther

    Placebo capsules contain only the excipients found in the probiotic preparation (microcrystalline cellulose, soy lecithin and magnesium dioxide). They are indistinguishable from probiotic capsules.

Study groups in NCT07884084
Study groupRoleWhat they receive
Placebo firstExperimentalPatients first receive a placebo, followed by probiotics after a washout period
Receives: Other: Probiotic formulation; Other: Placebo
probiotic firstExperimentalPatients first receive probiotic, followed by placebo after a washout period
Receives: Other: Probiotic formulation; Other: Placebo

What is being measured

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

  1. Changes in immunosuppressant drug blood levels

    Cyclosporin A, tacrolimus and sirolimus will be measured using CMIA (Chemiluminescent Microparticle Immunoassay); everolimus using QMS (Quantitative Microsphere System); mycophenolic acid using CEDIA (Cloned Enzyme Donor Immunoassay); and prednisolone using ELISA (Enzyme-Linked Immunosorbent Assay).

    Measured: Immunosuppressant blood levels will be measured at the following time points: • Day 0: baseline • Day 30: end of the first treatment period • Day 60: end of the washout period • Day 90: end of the second treatment period.

Secondary outcomes (15)
  1. Changes in the blood levels of high-sensitivity C-reactive protein (hsCRP)

    High-sensitivity C-reactive protein (hsCRP) will be measured in mg/L using ELISA (Enzyme-Linked ImmunoSorbent Assay).

    Measured: High-sensitivity C-reactive protein (hsCRP) will be measured at the following time points: • Day 0: baseline • Day 30: end of the first treatment period • Day 60: end of the washout period • Day 90: end of the second treatment period.

  2. Changes in the blood levels of interleukin-1β (IL-1β)

    Interleukin-1β (IL-1β) will be measured in ng/L using ELISA (Enzyme-Linked ImmunoSorbent Assay).

    Measured: Interleukin-1β (IL-1β) will be measured at the following time points: • Day 0: baseline • Day 30: end of the first treatment period • Day 60: end of the washout period • Day 90: end of the second treatment period.

  3. Changes in the blood levels of interleukin-6 (IL-6)

    Interleukin-6 (IL-6) will be measured in ng/L using ELISA (Enzyme-Linked ImmunoSorbent Assay).

    Measured: Interleukin-1β (IL-1β) will be measured at the following time points: • Day 0: baseline • Day 30: end of the first treatment period • Day 60: end of the washout period • Day 90: end of the second treatment period.

  4. Changes in the blood levels of tumor necrosis factor-α (TNF-α)

    Tumor necrosis factor-α (TNF-α) will be measured in ng/L using ELISA (Enzyme-Linked ImmunoSorbent Assay).

    Measured: Tumor necrosis factor-α (TNF-α) will be measured at the following time points: • Day 0: baseline • Day 30: end of the first treatment period • Day 60: end of the washout period • Day 90: end of the second treatment period.

  5. Changes in the blood urea nitrogen (BUN)

    Blood urea nitrogen (BUN) will be measured in mg/dL using a standard clinical chemistry analyzer.

    Measured: BUN will be measured at the following time points: • Day 0: baseline • Day 30: end of the first treatment period • Day 60: end of the washout period • Day 90: end of the second treatment period.

  6. Changes in serum creatinine

    Serum creatinine will be measured in mg/dL using a standard clinical chemistry analyzer.

    Measured: Serum creatinine will be measured at the following time points: • Day 0: baseline • Day 30: end of the first treatment period • Day 60: end of the washout period • Day 90: end of the second treatment period.

  7. Changes in Estimated Glomerular Filtration Rate (eGFR)

    eGFR will be measured in ml/min using a standard clinical chemistry analyzer.

    Measured: eGFR will be measured at the following time points: • Day 0: baseline • Day 30: end of the first treatment period • Day 60: end of the washout period • Day 90: end of the second treatment period.

  8. Body weight

    Body weight in Kg will be measured using a professional medical scale.

    Measured: Body weight will be measured at the following time points: • Day 0: baseline • Day 30: end of the first treatment period • Day 60: end of the washout period • Day 90: end of the second treatment period

  9. Body Mass Index (BMI)

    Body Mass Index (BMI) will be calculated as the ratio of body weight to the square of height.

    Measured: Body Mass Index (BMI) will be measured at the following time points: • Day 0: baseline • Day 30: end of the first treatment period • Day 60: end of the washout period • Day 90: end of the second treatment period.

  10. Waist circumference

    Waist circumference in cm will be measured using a tape measure.

    Measured: Waist circumference will be measured at the following time points: • Day 0: baseline • Day 30: end of the first treatment period • Day 60: end of the washout period • Day 90: end of the second treatment period.

  11. Total body water

    Total body water in Liters will be measured using Bioelectrical Impedance Analysis (BIA).

    Measured: Total body water will be measured at the following time points: • Day 0: baseline • Day 30: end of the first treatment period • Day 60: end of the washout period • Day 90: end of the second treatment period.

  12. Extracellular water

    Extracellular water in Liters will be measured using Bioelectrical Impedance Analysis (BIA).

    Measured: Extracellular water will be measured at the following time points: • Day 0: baseline • Day 30: end of the first treatment period • Day 60: end of the washout period • Day 90: end of the second treatment period.

  13. Fat Mass (FM)

    Fat Mass (FM) in Kg will be measured using Bioelectrical Impedance Analysis (BIA).

    Measured: Fat Mass (FM) will be measured at the following time points: • Day 0: baseline • Day 30: end of the first treatment period • Day 60: end of the washout period • Day 90: end of the second treatment period.

  14. Fat Free Mass (FFM)

    Fat Free Mass (FFM) in Kg will be measured using Bioelectrical Impedance Analysis (BIA).

    Measured: Fat Free Mass (FFM) will be measured at the following time points: • Day 0: baseline • Day 30: end of the first treatment period • Day 60: end of the washout period • Day 90: end of the second treatment period.

  15. Phase Angle (PhA)

    Phase Angle (PhA) will be calculated using the resistance and reactance values measured with BIA.

    Measured: Phase Angle (PhA) will be measured at the following time points: • Day 0: baseline • Day 30: end of the first treatment period • Day 60: end of the washout period • Day 90: end of the second treatment period.

Timeline

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

  1. First posted20 Oct 2026
  2. Study start18 Jun 2025
  3. Primary completion3 Oct 2025
  4. Study completion3 Oct 2025

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
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07884084
Sponsor's protocol ID
96/2023 prot. 15107 28/3/2023
Other IDs
PNRR-MAD-2022-12376812
Acronym
PITON
Status last verified
Oct 2026
First submitted
6 Oct 2026
Last updated
20 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Huang HW, Chen MJ. Exploring the Preventive and Therapeutic Mechanisms of Probiotics in Chronic Kidney Disease through the Gut-Kidney Axis. J Agric Food Chem. 2024 Apr 17;72(15):8347-8364. doi: 10.1021/acs.jafc.4c00263. Epub 2024 Apr 4.

    PubMed 38571475
  • Chung S, Barnes JL, Astroth KS. Gastrointestinal Microbiota in Patients with Chronic Kidney Disease: A Systematic Review. Adv Nutr. 2019 Sep 1;10(5):888-901. doi: 10.1093/advances/nmz028.

    PubMed 31165878
  • Chen Z, Chang X, Ye Q, Gao Y, Deng R. Kidney transplantation and gut microbiota. Clin Kidney J. 2024 Aug 14;17(8):sfae214. doi: 10.1093/ckj/sfae214. eCollection 2024 Aug.

    PubMed 39170931
  • Di Renzo T, Reale A, Nazzaro S, Iovanna D, Evangelista D, Gautam V, Guida B, Carrano R, Cataldi M. Impact of Probiotics, Prebiotics and Synbiotics Supplementation in Chronic Kidney Disease: A Comprehensive Review of Clinical Trials. Nutrients. 2026 Apr 8;18(8):1176. doi: 10.3390/nu18081176.

    PubMed 42074989
  • Manes A, Di Renzo T, Dodani L, Reale A, Gautiero C, Di Lauro M, Nasti G, Manco F, Muscariello E, Guida B, Tarantino G, Cataldi M. Pharmacomicrobiomics of Classical Immunosuppressant Drugs: A Systematic Review. Biomedicines. 2023 Sep 18;11(9):2562. doi: 10.3390/biomedicines11092562.

    PubMed 37761003

Questions about this trial

What is this clinical trial studying?

A study testing Probiotic formulation in people with Kidney Transplantation and Kidney Transplantation Recipients, run by Federico II University at 1 site in Italy.

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 3 inclusion and 11 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 20 Oct 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 Italy. 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?

Changes in immunosuppressant drug blood levels (time frame: Immunosuppressant blood levels will be measured at the following time points: • Day 0: baseline • Day 30: end of the first treatment period • Day 60: end of the washout period • Day 90: end of the second treatment period.). 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 NCT07884084, which also lists 5 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 20 Oct 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in