ClinicalTrials.gg
CompletedNCT02050139CINDYUpdated Jun 30, 2015

L-Cysteine in Peritoneal Dialysis

A Phase 2 interventional study of L-cysteine and Placebo in Uremia, sponsored by Mario Negri Institute for Pharmacological Research. Completed at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-06-30.

Sponsored by Mario Negri Institute for Pharmacological Research · Phase 2, Interventional, and Supportive care

Phase
Phase 2
Study type
Interventional
Enrollment
10
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Over the last decades, peritoneal dialysis has grown worldwide to become one of the most common modalities of renal replacement therapy, particularly in developing or newly industrialized countries, such as India, China, Korea, Turkey, Malaysia, Mexico and Brazil. Peritoneal dialysis has been associated with an initial survival benefit compared to hemodialysis, although this advantage becomes less apparent over time, likely due to the progressive loss of residual renal function and the development of pathological alterations of peritoneum . Recent results suggest that an antioxidant therapy by N-acetyl-cysteine oral supplementation may improve residual renal function in peritoneal dialysis patients. This finding may have major clinical relevance, as preserving residual renal function in peritoneal dialysis patients has been associated with improved survival . Aim of the present randomized, double-blind, crossover study is to confirm the preliminary evidence of the beneficial effects of antioxidant agents on residual renal function by using the L-enantiomeric form of cysteine in 10 prevalent peritoneal dialysis patients with residual diuresis.

02

Conditions studied

  • Uremia

Keywords

  • L-Cysteine
  • Peritoneal dialysis
  • Diuresis
  • Glomerular filtration rate
  • Peritoneal function
  • Inflammation
03

In context

Uremia

53 studies on the registry are indexed under Uremia; 10 are open to participants now.

This study's enrollment of 10 is below the median of 60 across 38 interventional studies indexed under Uremia.

Browse Uremia studies →

Lead sponsor

Mario Negri Institute for Pharmacological Research is the lead sponsor of 160 studies on the registry; 37 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Males and females aged ≥ 18 years;
  • Chronic automated peritoneal dialysis;
  • Residual 24-hour diuresis ≥ 100 ml with less than 30% changes over the three months preceding randomization;
  • Written .

Exclusion criteria

Exclusion Criteria:

  • Chronic automated peritoneal dialysis therapy since less than three months;
  • Diabetes mellitus;
  • Acute peritonitis during the three months before enrollment;
  • Concomitant treatment with other antioxidant agents (including N-acetyl-cysteine and vitamin C);
  • Cystinuria;
  • Pregnancy or breastfeeding;
  • without reliable methods during the whole study period;
  • Alcohol or drug (excluding tobacco) abuse;
  • Inability to comply with the study procedures during the whole study period, legal incapacity;
  • Cancer and any severe systemic disease or clinical condition that may jeopardize data interpretation or completion of the study.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 2
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Care provider)
Enrollment
10 participants (actual)

Study arms

  • Experimental
    L-cysteine (Biocysan®)

    Study subjects will take one tablet of L-cysteine or placebo every morning four times a week and two tablets of L-cysteine or placebo three times a week during the whole study period

    Dietary Supplement: L-cysteine

  • Placebo comparator
    Placebo

    Study subjects will take one tablet of L-cysteine or placebo every morning four times a week and two tablets of L-cysteine or placebo three times a week during the whole study period

    Other: Placebo

Interventions

  • Dietary supplementL-cysteine

    Also known as: Biocysan®

  • OtherPlacebo
06

What researchers measure

Primary outcomes

  1. 24-hour urine output

    Time frame: Changes from Baseline at 1,2 and 3 month.

  2. Measured Glomerular Filtration Rate (GFR)

    Time frame: Changes from baseline at 1, 2 and 3 month.

Secondary outcomes

  1. Office systolic, diastolic, pulse and mean blood pressure

    Time frame: Changes from Baseline at 1,2 and 3 month.

  2. Urinary albumin excretion.

    Time frame: Changes from Baseline at 1,2 and 3 month.

  3. 2.27% Peritoneal Equilibration test (PET)

    Time frame: Changes from Baseline at 1,2 and 3 month.

  4. Pulse wave velocity (measured by tonometry)

    Time frame: Changes from Baseline at 1,2 and 3 month.

  5. Augmentation Index (measured by tonometry)

    Time frame: Changes from Baseline at 1,2 and 3 month.

07

Study locations

1 site
  • Clinical Research Center for Rare Diseases
    Ranica, Bergamo 24020, Italy
08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Feb 2014, a primary completion of Jun 2015 and a completion of Jun 2015. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 28, 2014
First posted
Jan 30, 2014
Start
Feb 2014
Primary completionActual
Jun 2015
CompletionActual
Jun 2015
Last update
Jun 30, 2015
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 30, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02050139
Collaborators
Bio3 Research s.r.l. - Milan Italy
Responsible party
Sponsor
First posted
Jan 30, 2014
Start date
Feb 2014
Primary completion
Jun 2015
Completion
Jun 2015
Last update
Jun 30, 2015

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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

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Studies of the drug tested here: Cysteine

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