Probiotics Against Erythropoietin Resistance in Chronic Kidney Disease Patients.

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-65
SponsorBadr University

About this trial

The goal of this clinical trial is to assess whether probiotic supplementation can improve the hematological response of CKD patients to erythropoietin therapy and prevent or reduce erythropoietin resistance. The main questions it aims to answer are:

Can probiotic be used as an adjuvant strategy in anemia management and increasing ESA responsiveness in CKD? What medical problems do participants have when taking probiotic? Researchers will compare Erythropoietin only with Erythropoietin + Probiotic to see if Probiotic aids in treating anaemic chronic kidney disease patients.

Participants will:

Take Erythropoietin + Probiotic or Probiotic only every day for 3 months Visit the clinic once every 4 weeks for checkups and tests Keep a diary of their symptoms

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult patients with end stage renal disease for more than 3 months on regular hemodialysis (GFR less than 15 ml/min/m2

Receiving stable doses of erythropoietin therapy

Able and willing to provide informed consent

Disqualifiers

Recent probiotic, antibiotic, or immunosuppressive therapy

Microcytic hypochromic anemia.

Patients with hyperparathyroidism

Recent or planned kidney transplantation Gastrointestinal disorders (active IBD, cancer)

Trial design

Design model

Parallel

Treatments tested in this trial

  • Erythropoietin + Probiotic

    Drug

    Anaemic chronic kidney disease patients on regular hemodialysis treated with Erythropoietin + Probiotic

  • EPO

    Drug

    Anaemic chronic kidney disease patients on regular hemodialysis treated with Erythropoietin

Treatment groups

80 Participants
are divided into 2 treatment groups
Group A: EPO + ProbioticActive comparator 1 intervention
Group B: EPOActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

- Hemoglobin concentration

\- Hemoglobin concentration (g/dL)at 2 weeks, and 3-months postoperatively

Time frame
at baseline, and 3-months postintervention
2

- Erythropoietin resistance index (ERI)

\- ERI = (ESA dose per week) / (body weight) / (hemoglobin level).

Time frame
at baseline, and 3-months postintervention

Secondary outcomes

1

C-reactive protein

mg/dl

Time frame
at baseline, and 3-months postintervention
2

serum urea

mg/dl

Time frame
at baseline, and 3-months postintervention

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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