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CompletedNCT01255020Updated May 22, 2015

Renal Protective Effects of Restricted Protein Dietary With α-keto Acid in CAPD Patients

An interventional study of α-Keto Acid with restricted protein diet and Placebo plus restricted protein diet in Renal Function Disorder, sponsored by Sun Yat-sen University. Completed at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2015-05-22.

Sponsored by Sun Yat-sen University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
160
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The prospective, double blind randomized, parallel control, and multi-center clinical trial will evaluate the safety and efficacy of α-keto acid with restricted protein diet on protecting residual renal function in continuous ambulatory peritoneal dialysis (CAPD) patients.

Read the detailed description

Residual renal function (RRF) is associated with cardiovascular complication, nutritional status, incidence of peritonitis, and quality of life in peritoneal dialysis (PD) patients. Therefore, RRF is an important determinant of mortality and morbidity in PD patients.

Previous studies have suggested that dietary protein restriction supplemented with α-keto acids may slow the loss of RRF in chronic kidney disease patients. However, these trials are small sample and short-time research. In PD patients, there is very few reports to indicate the effect of α-keto acid with restricted protein diet on RRF.

The aim of this study is to evaluate the safety and efficacy of α-keto acid with restricted protein diet on protecting residual renal function in continuous ambulatory peritoneal dialysis (CAPD) patients.This is a prospective, double blind randomized, parallel control, and multi-center clinical study. 160 patients who meet Inclusion/Exclusion criteria will be randomized into α-Keto Acid group or control group at the ratio of 1:1. The α-Keto Acid group will use compound α-Keto Acid plus restricted protein diet, while control group will use placebo plus restricted protein diet.The α-Keto Acid dosage is 100mg/kg/d daily. The restricted protein dosage is 1g/kg/d. The safety and efficacy of α-Keto Acid with restricted protein diet on RRF will be evaluated after 1 year treatment.

02

Conditions studied

  • Renal Function Disorder

Keywords

  • α-Keto Acid
  • Restricted Protein Diet
  • Residual Renal Function
03

In context

Lead sponsor

Sun Yat-sen University is the lead sponsor of 1,644 studies on the registry; 602 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Patients on peritoneal dialysis (PD) at least three month prior to study entry.
  2. Subjects of either sex, more than 18 years old, the range of age is 18 to 70 year old.
  3. Residual GFR ≥ 3 ml/min/1.73m2.
  4. Without α-Keto Acid therapy in recent 4 weeks.
  5. Subjects who agree to participate in the study and sign the informed consent.

Exclusion criteria

Exclusion Criteria:

  1. History of peritonitis or other infection within one month.
  2. Patients with insufficient dialysis.
  3. History of taking drug which may influence amino acid metabolism within one month(glucocorticoid, thyroxin, antithyroid drug, androgens,amino acids,et al).
  4. Patients with diseases which contraindicate ketosteril.
  5. Cannot control diet according to protocol.
  6. Alcohol abuse or drug abuse.
  7. Having malignant tumor.
  8. History of psychiatric or neuropathic dysfunction.
  9. Cardiac failure, with New York Heart Association (NYHA) grade III-IV or history of severe heart and cerebrovascular disease in recent one month(acute stroke, acute heart failure, Lability angina)
  10. Serum albumin \< 30g/l.
  11. Serum calcium > 2.8mmol/l.
  12. Participation in another clinic trial within last three months
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
160 participants (actual)

Study arms

  • Active comparator
    α-Keto Acid plus restricted protein diet

    Participants randomized to this group will receive 12 months treatment of α-Keto Acid. The dose of α-Keto Acid is 100mg/kg per day and will divided into three times per day, and the α-Keto Acid will be asked to be taken during the meal. In addition, the participants will be asked to restrict the protein intake. The protein intake is restricted as 1g/kg/d.

    Drug: α-Keto Acid with restricted protein diet

  • Placebo comparator
    Placebo plus restricted protein diet

    All participants will receive 12 months treatment of placebo, at the same time they will be asked to restrict the protein intake.The dose of placebo is 100mg/kg per day, and the protein intake is restricted as 1g/kg/d.

    Drug: Placebo plus restricted protein diet

Interventions

  • Drugα-Keto Acid with restricted protein diet

    α-Keto Acid: The daily dose of compound α-Keto Acid is 100mg/kg/d. The total daily dose will be divided into three times a day. Restricted Protein Diet: Diet contain protein 1.0g/kg/d

    Also known as: Test Group

  • DrugPlacebo plus restricted protein diet

    placebo: The daily dose of placebo is 100mg/kg/d. The total daily dose will be divided into three times a day. Diet contain protein 1.0 g/kg/d.

    Also known as: Control Group

06

What researchers measure

Primary outcomes

  1. The longitudinal change in residual glomerular filtration rate (GFR)

    Time frame: Every 3 months up to 12 months

Secondary outcomes

  1. Peritoneal membrane transport characteristics

    Time frame: Every 3 months up to 12 months

  2. Cardiovascular events

    Time frame: Every 3 months up to 12 months

  3. Nutritional status

    Time frame: Every 3 months up to 12 months

  4. Hospitalization

    Time frame: Every 3 months up to 12 months

07

Study locations

1 site
  • The 1st Affiliated Hospital, Sun Yet-sen University
    GuangZhou, Guangdong 510080, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 22, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01255020
Lead sponsor
Sun Yat-sen University
Collaborators
Beijing Fresenius Kabi Pharmaceutical Co
Responsible party
Xue Qing Yu (Professor, Sun Yat-sen University) — Principal investigator
First posted
Dec 7, 2010
Start date
Mar 2010
Primary completion
Dec 2013
Completion
Dec 2013
Last update
May 22, 2015

Study contacts

Xueqing YU, M.D. & Ph.D.
principal investigator · 1st Affiliated Hospital, Sun Yat-Sen University
Lan Chen, M.D. & Ph.D
principal investigator · Ruijin Hospital
Jianghua Chen, M.D. & Ph.D
principal investigator · First Affiliated Hospital of Zhejiang University
Zhangsuo Liu, M.D. & Ph.D
principal investigator · The First Affiliated Hospital of Zhengzhou University
Fei Xiong, M.D.
principal investigator · Wuhan Chinese and Western Medicine Combined Hospital
Qinfeng Han, M.D.&Ph.D
principal investigator · Peking University Third Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2015. You cannot join it, but the record below documents what was studied.

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