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CompletedNCT02756520Updated Dec 5, 2018

Observational Study on CKD Treatment With a Ketosteril Supplemented Protein-restricted Diet (Keto-024-CNI)

An observational study in Chronic Kidney Disease, sponsored by Fresenius Kabi. Completed at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-12-05.

Sponsored by Fresenius Kabi · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
154
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to characterize the patient and disease profile under the influence of a protein-restricted diet supplemented with keto acids/amino acids (KA/AA), focusing on the progression of chronic renal insufficiency, calcium and phosphorus metabolism, nutritional status, patient compliance to diet and Ketosteril intake as well as the persistent dietary education to ensure compliance in a large group of pre-dialysis patients.

02

Conditions studied

  • Chronic Kidney Disease

Keywords

  • chronic kidney disease, pre-dialytic
  • Ketosteril, keto-acids
  • diet, protein-restricted
  • renal function
03

In context

Kidney Diseases

3,840 studies on the registry are indexed under Kidney Diseases; 500 are open to participants now.

This study's enrollment of 154 is below the median of 192 across 1,033 observational studies indexed under Kidney Diseases.

Browse Kidney Diseases studies →

Lead sponsor

Fresenius Kabi is the lead sponsor of 51 studies on the registry; 3 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
Sampling method
Non-probability sample

Study population

Pre-dialytic chronic kidney disease patients treated at nephrology units of selected hospitals in China

Inclusion criteria

  • written informed consent
  • non-dialyzed patients with CKD
  • indication for Ketosteril according to package insert (PI), including a glomerular filtration rate (GFR) \< 25 mL/min
  • accepted supplemented protein-restricted diet and newly starting with Ketosteril (treatment naïve, i.e., never treated with Ketosteril before)
  • adult patients ≥ 18 years

Exclusion criteria

Exclusion Criteria:

  • active cancer diseases
  • pregnancy or breast feeding
  • hypersensitivity to active substances or to any of the excipients in Ketosteril
  • hypercalcaemia
  • major disorder of amino acid metabolism, e.g., hereditary diseases
  • participation in any clinical trial with an investigational drug within 30 days prior to start of study or during the study
  • illiteracy or incapability to read or write
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
154 participants (actual)
Patient registry
No

Groups and cohorts

  • Chronic kidney disease (pre-dialysis)

    Observational study: supplemented protein-restricted diet

    Other: Observational study: Supplemented protein-restricted diet

Interventions

  • OtherObservational study: Supplemented protein-restricted diet

    Observational study: Supplemented protein-restricted diet

06

What researchers measure

Primary outcomes

  1. Patient compliance to Ketosteril (number of tablets taken; patient reported)

    This is an observational study aiming to characterise the patient profile and contemporary treatment of pre-dialytic chronic kidney disease (CKD) in patients receiving a restricted protein diet supplemented with Ketosteril®. There is no distinction between primary and secondary outcome measures in the observational plan, and only Routine procedures are documented. Patient compliance to Ketosteril will be assessed daily, for a total of 12 months.

    Time frame: 12 months

Secondary outcomes

  1. Patient compliance to diet (protein and energy intake; investigator and patient-reported, based on patient diary and a routine 3-day food diary)

    This is an observational study aiming to characterise the patient profile and contemporary treatment of pre-dialytic chronic kidney disease (CKD) in patients receiving a restricted protein diet supplemented with Ketosteril®. There is no distinction between primary and secondary outcome measures in the observational plan, and only Routine procedures are documented.

    Time frame: Monthly, starting 1 month after enrolment, for a total of 12 months

  2. CKD stage (according to Kidney Disease Improving Global Outcomes [KDIGO] guideline)

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  3. Presence of comorbidities

    Time frame: At baseline

  4. Serum creatinine

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  5. 24h urinary protein

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  6. Urinary microalbumin

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  7. Serum urea

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  8. Creatinine clearance

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  9. Glomerular Filtration Rate (GFR)

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  10. Estimated GFR (eGFR)

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  11. Fasting blood glucose

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  12. Fasting plasma glucose

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  13. Haemoglobin A1c (HbA1c)

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  14. Serum triglyceride

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  15. Serum cholesterol

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  16. Serum high-density lipoprotein (HDL)

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  17. Serum low-density lipoprotein (LDL)

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  18. Serum calcium

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  19. Serum phosphate

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  20. Serum parathyroid hormone (PTH)

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  21. Body weight

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  22. Skinfold thickness

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  23. Serum total protein

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  24. Serum albumin

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  25. Serum prealbumin

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  26. Body mass index (BMI)

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  27. Subjective global assessment (SGA)

    Time frame: At baseline and 3, 6, 9 and 12 months after enrolment

  28. Decline in eGFR

    Time frame: At 3, 6, 9 and 12 months after enrolment

  29. Worsening of CKD stage

    Time frame: At 3, 6, 9 and 12 months after enrolment

  30. Start of dialysis

    Time frame: At 3, 6, 9 and 12 months after enrolment

  31. Presence of a 50% reduction in eGFR

    Time frame: At 3, 6, 9 and 12 months after enrolment

  32. Serum bicarbonate

    Time frame: At baseline and 3, 6 and 12 months after enrolment

  33. Serum haemoglobin

    Time frame: At baseline and 3, 6 and 12 months after enrolment

  34. Serum potassium

    Time frame: At baseline and 3, 6 and 12 months after enrolment

  35. Reported nausea and vomiting

    Time frame: At baseline and 3, 6 and 12 months after enrolment

  36. Presence of concomitant disease

    Time frame: At 3, 6, 9 and 12 months after enrolment

  37. Administration of concomitant medication

    Time frame: At 3, 6, 9 and 12 months after enrolment

  38. Discontinuation of diet and Ketosteril with the reasons for discontinuation as reported by the investigator

    Time frame: Monthly starting at 1 month after enrolment for up to 12 months

  39. Acceptance of diet as documented in the patient diary

    Time frame: Daily for up to 12 months

  40. Appetite change as documented in the patient diary

    Time frame: Daily for up to 12 months

  41. Change of food intake as documented in the patient diary

    Time frame: Daily for up to 12 months

  42. Adverse events including adverse drug reactions and serious adverse events

    Time frame: At 3, 6, 9 and 12 months after enrolment

  43. Blood pressure

    Time frame: At baseline and 3, 6, 9 and at 12 months after enrolment

  44. Heart rate

    Time frame: At baseline and 3, 6, 9 and at 12 months after enrolment

  45. Body temperature

    Time frame: At baseline and 3, 6, 9 and at 12 months after enrolment

07

Study locations

1 site
  • Prof. Xiangmei
    Beijing, Beijing, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 5, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02756520
Lead sponsor
Fresenius Kabi
Responsible party
Sponsor
First posted
Apr 29, 2016
Start date
Sep 2016
Primary completion
Oct 10, 2018
Completion
Oct 10, 2018
Last update
Dec 5, 2018

Oversight

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

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