NCT03877081

Brief Summary

Septic acute kidney injury is a condition associated with highly related to inflammatory molecules. Prebiotics and probiotics have shown to improve inflammatory cascade in animal model; In this study, the investigators propose the use of probiotics to improve the clinical evolution of septic acute kidney injury patients.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
90

participants targeted

Target at below P25 for phase_3

Timeline
Completed

Started Jan 2019

Typical duration for phase_3

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 4, 2019

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

March 12, 2019

Completed
3 days until next milestone

First Posted

Study publicly available on registry

March 15, 2019

Completed
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 4, 2022

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 4, 2023

Completed
Last Updated

August 25, 2021

Status Verified

August 1, 2021

Enrollment Period

3.7 years

First QC Date

March 12, 2019

Last Update Submit

August 24, 2021

Conditions

Keywords

Acute kidney injuryProbioticsSepsisShock

Outcome Measures

Primary Outcomes (1)

  • Serum creatinine

    Number of participants with significative reduction of serum creatinine concentration from beginning of the intervention

    7 days

Secondary Outcomes (7)

  • Death

    7 days

  • Renal replacement therapy

    7 days

  • Final creatinine

    7 days

  • Urinary output (final)

    7 days

  • Shock days

    7 days

  • +2 more secondary outcomes

Study Arms (2)

Probiotics. Intervention patients

EXPERIMENTAL

This patients will receive 2 doses of oral probiotics a day, for seven days

Biological: Probiotics

Placebo group

PLACEBO COMPARATOR

This patients will receive 2 doses of oral placebo a day, for seven days

Other: Placebo

Interventions

ProbioticsBIOLOGICAL

Administration of oral probiotics with 2 doses a day

Probiotics. Intervention patients
PlaceboOTHER

Administration of oral placebo with 2 doses a day

Placebo group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Sepsis by SOFA
  • Acute kidney injury by KDIGO

You may not qualify if:

  • No presence of sepsis
  • No presence of AKI
  • Age below 18 years
  • Inability or contraindication for oral capsules or probiotics by nasogastric tube

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

HCG

Guadalajara, Jalisco, 44240, Mexico

RECRUITING

Related Publications (38)

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    PMID: 25229340BACKGROUND
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    PMID: 20032961BACKGROUND
  • Nisula S, Kaukonen KM, Vaara ST, Korhonen AM, Poukkanen M, Karlsson S, Haapio M, Inkinen O, Parviainen I, Suojaranta-Ylinen R, Laurila JJ, Tenhunen J, Reinikainen M, Ala-Kokko T, Ruokonen E, Kuitunen A, Pettila V; FINNAKI Study Group. Incidence, risk factors and 90-day mortality of patients with acute kidney injury in Finnish intensive care units: the FINNAKI study. Intensive Care Med. 2013 Mar;39(3):420-8. doi: 10.1007/s00134-012-2796-5. Epub 2013 Jan 5.

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    PMID: 17962378BACKGROUND
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    PMID: 17581483BACKGROUND
  • Hoste EA, Clermont G, Kersten A, Venkataraman R, Angus DC, De Bacquer D, Kellum JA. RIFLE criteria for acute kidney injury are associated with hospital mortality in critically ill patients: a cohort analysis. Crit Care. 2006;10(3):R73. doi: 10.1186/cc4915. Epub 2006 May 12.

    PMID: 16696865BACKGROUND
  • Hoste EA, Bagshaw SM, Bellomo R, Cely CM, Colman R, Cruz DN, Edipidis K, Forni LG, Gomersall CD, Govil D, Honore PM, Joannes-Boyau O, Joannidis M, Korhonen AM, Lavrentieva A, Mehta RL, Palevsky P, Roessler E, Ronco C, Uchino S, Vazquez JA, Vidal Andrade E, Webb S, Kellum JA. Epidemiology of acute kidney injury in critically ill patients: the multinational AKI-EPI study. Intensive Care Med. 2015 Aug;41(8):1411-23. doi: 10.1007/s00134-015-3934-7. Epub 2015 Jul 11.

    PMID: 26162677BACKGROUND
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    PMID: 16424713BACKGROUND
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    PMID: 21430640BACKGROUND
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    PMID: 22473149BACKGROUND
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    PMID: 21566052BACKGROUND
  • Gomez H, Ince C, De Backer D, Pickkers P, Payen D, Hotchkiss J, Kellum JA. A unified theory of sepsis-induced acute kidney injury: inflammation, microcirculatory dysfunction, bioenergetics, and the tubular cell adaptation to injury. Shock. 2014 Jan;41(1):3-11. doi: 10.1097/SHK.0000000000000052.

    PMID: 24346647BACKGROUND
  • Mehta RL, Bouchard J, Soroko SB, Ikizler TA, Paganini EP, Chertow GM, Himmelfarb J; Program to Improve Care in Acute Renal Disease (PICARD) Study Group. Sepsis as a cause and consequence of acute kidney injury: Program to Improve Care in Acute Renal Disease. Intensive Care Med. 2011 Feb;37(2):241-8. doi: 10.1007/s00134-010-2089-9. Epub 2010 Dec 9.

    PMID: 21152901BACKGROUND
  • Peters E, Antonelli M, Wittebole X, Nanchal R, Francois B, Sakr Y, Vincent JL, Pickkers P. A worldwide multicentre evaluation of the influence of deterioration or improvement of acute kidney injury on clinical outcome in critically ill patients with and without sepsis at ICU admission: results from The Intensive Care Over Nations audit. Crit Care. 2018 Aug 3;22(1):188. doi: 10.1186/s13054-018-2112-z.

    PMID: 30075798BACKGROUND
  • Bellomo R, Kellum JA, Ronco C, Wald R, Martensson J, Maiden M, Bagshaw SM, Glassford NJ, Lankadeva Y, Vaara ST, Schneider A. Acute kidney injury in sepsis. Intensive Care Med. 2017 Jun;43(6):816-828. doi: 10.1007/s00134-017-4755-7. Epub 2017 Mar 31.

    PMID: 28364303BACKGROUND
  • Gomez H, Kellum JA. Sepsis-induced acute kidney injury. Curr Opin Crit Care. 2016 Dec;22(6):546-553. doi: 10.1097/MCC.0000000000000356.

    PMID: 27661757BACKGROUND
  • Dellepiane S, Marengo M, Cantaluppi V. Detrimental cross-talk between sepsis and acute kidney injury: new pathogenic mechanisms, early biomarkers and targeted therapies. Crit Care. 2016 Mar 15;20:61. doi: 10.1186/s13054-016-1219-3.

    PMID: 26976392BACKGROUND
  • Mariano F, Cantaluppi V, Stella M, Romanazzi GM, Assenzio B, Cairo M, Biancone L, Triolo G, Ranieri VM, Camussi G. Circulating plasma factors induce tubular and glomerular alterations in septic burns patients. Crit Care. 2008;12(2):R42. doi: 10.1186/cc6848. Epub 2008 Mar 25.

    PMID: 18364044BACKGROUND
  • Pickkers P, Ostermann M, Joannidis M, Zarbock A, Hoste E, Bellomo R, Prowle J, Darmon M, Bonventre JV, Forni L, Bagshaw SM, Schetz M. The intensive care medicine agenda on acute kidney injury. Intensive Care Med. 2017 Sep;43(9):1198-1209. doi: 10.1007/s00134-017-4687-2. Epub 2017 Jan 30.

    PMID: 28138736BACKGROUND
  • Cigarran Guldris S, Gonzalez Parra E, Cases Amenos A. Gut microbiota in chronic kidney disease. Nefrologia. 2017 Jan-Feb;37(1):9-19. doi: 10.1016/j.nefro.2016.05.008. Epub 2016 Aug 21. English, Spanish.

    PMID: 27553986BACKGROUND
  • Vanholder R, Glorieux G. The intestine and the kidneys: a bad marriage can be hazardous. Clin Kidney J. 2015 Apr;8(2):168-79. doi: 10.1093/ckj/sfv004. Epub 2015 Feb 10.

    PMID: 25815173BACKGROUND
  • Ranganathan N, Friedman EA, Tam P, Rao V, Ranganathan P, Dheer R. Probiotic dietary supplementation in patients with stage 3 and 4 chronic kidney disease: a 6-month pilot scale trial in Canada. Curr Med Res Opin. 2009 Aug;25(8):1919-30. doi: 10.1185/03007990903069249.

    PMID: 19558344BACKGROUND
  • Icaza-Chavez ME. [Gut microbiota in health and disease]. Rev Gastroenterol Mex. 2013 Oct-Dec;78(4):240-8. doi: 10.1016/j.rgmx.2013.04.004. Epub 2013 Nov 28. Spanish.

    PMID: 24290319BACKGROUND
  • Vaziri ND, Wong J, Pahl M, Piceno YM, Yuan J, DeSantis TZ, Ni Z, Nguyen TH, Andersen GL. Chronic kidney disease alters intestinal microbial flora. Kidney Int. 2013 Feb;83(2):308-15. doi: 10.1038/ki.2012.345. Epub 2012 Sep 19.

    PMID: 22992469BACKGROUND
  • Natarajan R, Pechenyak B, Vyas U, Ranganathan P, Weinberg A, Liang P, Mallappallil MC, Norin AJ, Friedman EA, Saggi SJ. Randomized controlled trial of strain-specific probiotic formulation (Renadyl) in dialysis patients. Biomed Res Int. 2014;2014:568571. doi: 10.1155/2014/568571. Epub 2014 Jul 24.

    PMID: 25147806BACKGROUND
  • Miranda Alatriste PV, Urbina Arronte R, Gomez Espinosa CO, Espinosa Cuevas Mde L. Effect of probiotics on human blood urea levels in patients with chronic renal failure. Nutr Hosp. 2014 Mar 1;29(3):582-90. doi: 10.3305/nh.2014.29.3.7179.

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  • Chavez-Iniguez JS, Ibarra-Estrada M, Gallardo-Gonzalez AM, Cisneros-Hernandez A, Claure-Del Granado R, Chavez-Alonso G, Hernandez-Barajas EM, Romero-Munoz AC, Ramos-Avellaneda F, Prieto-Magallanes ML, Plascencia-Cruz M, Tanaka-Gutierrez JA, Perez-Hernandez C, Navarro-Blackaller G, Medina-Gonzalez R, Alcantar-Vallin L, Renoirte-Lopez K, Garcia-Garcia G. Probiotics in septic acute kidney injury, a double blind, randomized control trial. Ren Fail. 2023;45(2):2260003. doi: 10.1080/0886022X.2023.2260003. Epub 2023 Sep 19.

MeSH Terms

Conditions

Acute Kidney InjurySepsisShock

Interventions

Probiotics

Condition Hierarchy (Ancestors)

Renal InsufficiencyKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesInfectionsSystemic Inflammatory Response SyndromeInflammationPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Dietary SupplementsFoodDiet, Food, and NutritionPhysiological PhenomenaFood and Beverages

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Double blind randomized controlled trial
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD, Nephrologist, Principal investigator

Study Record Dates

First Submitted

March 12, 2019

First Posted

March 15, 2019

Study Start

January 4, 2019

Primary Completion

September 4, 2022

Study Completion

February 4, 2023

Last Updated

August 25, 2021

Record last verified: 2021-08

Locations