Dietary Protein Requirements in Hemodialysis Patients
Dietary Protein Intake and Its Effect on Nitrogen Balance in Maintenance Hemodialysis (MHD) Patients
1 other identifier
interventional
13
1 country
1
Brief Summary
The primary purpose of this study is to assess dietary protein requirements in clinically stable maintenance hemodialysis (MHD) patients. It is hypothesized that the average dietary protein intake (DPI) that will maintain nitrogen balance is 1.00 g protein/kg/day, but that a safe intake that maintains balance in almost all MHD patients is about 1.25g protein/kg/day.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jan 2004
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2004
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2008
CompletedFirst Submitted
Initial submission to the registry
July 16, 2014
CompletedFirst Posted
Study publicly available on registry
July 18, 2014
CompletedJuly 18, 2014
July 1, 2014
4 years
July 16, 2014
July 16, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Nitrogen Balance
One year
Study Arms (1)
Dietary Protein Intake
EXPERIMENTALOne treatment Arm; Protein Diet: All patients will be fed the following five diets, in random order, each for 17-19 days: 0.6 g protein/kg/day, 0.8 g protein/kg/day, 1.0 g protein/kg/day, 1.15 g protein/kg/day, 1.3 g protein/kg/day.
Interventions
Protein diets fed for 17-19 days to each patient in random order: 0.6 g protein/kg/day, 0.8 g protein/kg/day, 1.0 g protein/kg/day, 1.15 g protein/kg/day, 1.3 g protein/kg/day.
Eligibility Criteria
You may qualify if:
- Ages from 30 years through 65 years
- Both men and women and all ethnic and racial groups
- Treatment with MHD for 6 months or greater
- Hemoglobin of at least 11 g/dL
- Neurological examination indicating no severe neuropathy
- A negative test for peripheral arterial occlusive disease
You may not qualify if:
- Obesity: body weight greater than \>115% of standard
- History of active cancer other than basal cell carcinoma
- Symptomatic severe ischemic heart disease, uncontrolled serious dysrhythmias, uncontrolled congestive heart failure, poorly controlled hypertension, severe musculoskeletal disease, arthritis or amputations of the lower extremities
- Insulin dependent or insulin independent diabetes mellitus
- Severe lung or liver disease, uncontrolled asthma, active vasculitis. Severe chronic infection or any other acute or chronic inflammatory or catabolic illnesses
- Psychosis, inability to give informed consent, evidence that patient will not comply with study protocol
- Alcohol or other recreational drug abuse
- Patients who received L-carnitine or anabolic hormones within the previous 6 months
- Pregnancy
- Patients who are physically and/or psychologically incapable of undergoing the protocol
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Harbor-UCLA Medical Center
Torrance, California, 90509, United States
Related Publications (1)
Shah A, Bross R, Shapiro BB, Morrison G, Kopple JD. Dietary energy requirements in relatively healthy maintenance hemodialysis patients estimated from long-term metabolic studies. Am J Clin Nutr. 2016 Mar;103(3):757-65. doi: 10.3945/ajcn.115.112995. Epub 2016 Feb 10.
PMID: 26864370DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Joel D Kopple, MD
Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 16, 2014
First Posted
July 18, 2014
Study Start
January 1, 2004
Primary Completion
January 1, 2008
Study Completion
January 1, 2008
Last Updated
July 18, 2014
Record last verified: 2014-07