Protein Supplementation in Hyponatremia Due to the Syndrome of Inappropriate Antidiuresis

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity Hospital, Basel, Switzerland

About this trial

The goal of this study is to assess the impact of protein supplementation on hyponatremia caused by the syndrome of inappropriate antidiuresis during hospitalization.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Plasma sodium concentration <135 mmol/L

Plasma osmolality <300 mOsm/kg

Urine osmolality >100 mOsm/kg

Urine sodium concentration >30 mmol/L

Disqualifiers

Lactose intolerance, milk protein allergy, soy allergy, nuts allergy, or hypersensitivity to components of the protein supplement.

Inborn metabolic disorders affecting carbohydrate, lipid, or protein metabolism.

Severe symptomatic hyponatremia requiring 3% NaCl or intensive care.

New (within the last five days) treatment with SGLT2 inhibitors, vaptans or oral urea

Trial design

Design model

Parallel

Treatments tested in this trial

  • Moltein PURE Protein Powder

    Dietary supplement

    80 g protein supplementation per day (two bottles, each containing 40 g protein)

  • Fluid restriction

    Behavioral

    total daily fluid intake to a maximum of 1000 ml

Treatment groups

70 Participants
are divided into 2 treatment groups
Group A: Protein SupplementationExperimental treatment 1 intervention
Group B: Fluid restrictionActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Acceptability of Intervention Measure (AIM) questionnaire

Treatment acceptability is assessed using the Acceptability of Intervention Measure (AIM) questionnaire, a validated patient-reported outcome measure scored on a 1 to 5 Likert scale. The total AIM score ranges from 4 to 20, with higher scores indicating greater acceptability. The primary analysis will compare AIM scores between the two treatment groups at the end of the intervention (day 5 or discharge).

Time frame
On day 5 (or discharge)

Secondary outcomes

1

Plasma sodium levels

Change in change in plasma sodium levels in mmol/l will be assessed at study inclusion to day 5 of treatment or until discharge

Time frame
Daily measurements from the day of inclusion to day 5
2

Estimated glomerular filtration rate (eGFR)

Assessement of creatinine levels

Time frame
On the day of inclusion and on day 5
3

Changes in blood electrolytes

Assessement of sodium levels

Time frame
On the day of inclusion and on day 5
4

Changes in urine electrolytes

Assessement of sodium levels

Time frame
On the day of inclusion and on day 5

Other outcomes

Sponsors and contacts

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