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CompletedNCT03010735Updated Oct 22, 2020

Effects of Probiotics on the Patients With End Stage Renal Disease (ESRD)

A Phase 2/3 interventional study of probiotics and Placebo in Kidney Failure, Chronic, sponsored by China Agricultural University. Completed at 3 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-10-22.

Sponsored by China Agricultural University · Phase 2/3, Interventional, and Prevention

Phase
Phase 2/3
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to investigate the effects of oral administration of probiotics on the metabolism of uremic toxins, in the patients with End Stage Renal Disease (ESRD). One hundred and fifty hemodialysis patients are recruited, and a Double Blind Randomized Parallel Controlled Trial was performed.The microbiota-derived uremic toxin, such as indoxyl sulfate and p-cresol sulfate, are measured as Primary Outcome. The Fecal microbiome, fecal metabolites, blood metabolites, defecation, Gastrointestinal Symptoms The Kidney Disease Quality of Life and The Occurrence of Cardiovascular Event are also assessed.

02

Conditions studied

  • Kidney Failure, Chronic

Keywords

  • Kidney Failure, Chronic
  • Probiotics
  • Uremic toxins
  • Gastrointestinal Microbiome
03

In context

Kidney Failure, Chronic

2,085 studies on the registry are indexed under Kidney Failure, Chronic; 260 are open to participants now.

This study's enrollment of 150 is above the median of 55 across 1,557 interventional studies indexed under Kidney Failure, Chronic.

Browse Kidney Failure, Chronic studies →

Lead sponsor

China Agricultural University is the lead sponsor of 6 studies on the registry; none 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

Inclusion criteria

  • Age over 18 years old
  • Patients who diagnosed as ESRD with hemodialysis
  • Fixed hemodialysis cycle (average 3 times a week)
  • Agree to take the products to be studied during the study period, and no longer take other fermented dairy products (live lactic acid bacteria drinks, cheese, yogurt, probiotic products, etc.)
  • Agree to sign the informed consent form

Exclusion criteria

Exclusion Criteria:

  • Taking antibiotics or antifungal drugs within 30 days before the study
  • Have serious allergic reaction to skim milk powder
  • Researcher are not sure whether the subjects are willing or able to complete the study
  • Subject participated in other research projects within two months before the study
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
150 participants (actual)

Study arms

  • Active comparator
    Probiotics

    The patient take two chewing tablet per day, which contain 4.0E+10 CFU of probiotics.

    Dietary Supplement: probiotics

  • Placebo comparator
    Placebo

    The patient take two placebo chewing tablet per day.

    Dietary Supplement: Placebo

Interventions

  • Dietary supplementprobiotics

    Daily take 4.0E+10 CFU of probiotics

  • Dietary supplementPlacebo
06

What researchers measure

Primary outcomes

  1. Changes in Microbiota-derived uremic toxin

    follow up the patients at Month 0, 3, 6

    Time frame: 6 months

Secondary outcomes

  1. Changes in Fecal Microbiome

    follow up the patients at Month 0, 3, 6

    Time frame: 6 months

  2. Changes in Fecal metabolites

    follow up the patients at Month 0, 3, 6

    Time frame: 6 months

  3. Changes in Blood metabolites

    follow up the patients at Month 0, 3, 6

    Time frame: 6 months

  4. Defecation questionnaire

    follow up the patients at Month 0, 3, 6

    Time frame: 6 months

  5. Gastrointestinal Symptoms

    follow up the patients at Month 0, 3, 6

    Time frame: 6 months

  6. The Kidney Disease Quality of Life

    follow up the patients at Month 0, 3, 6

    Time frame: 6 months

  7. The Occurrence of Cardiovascular Event

    Time frame: 6 month follow-up

07

Study locations

3 sites
  • Beijing Anzhen Hospital
    Beijing, 100029, China
  • General Hospital of Chinese Armed Police Forces
    Beijing, 100039, China
  • Peking University Aerospace Centre Hospital
    Beijing, 100049, China
08

References and documents

Publications

  • 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. PubMed 22992469 ↗
  • Poesen R, Windey K, Neven E, Kuypers D, De Preter V, Augustijns P, D'Haese P, Evenepoel P, Verbeke K, Meijers B. The Influence of CKD on Colonic Microbial Metabolism. J Am Soc Nephrol. 2016 May;27(5):1389-99. doi: 10.1681/ASN.2015030279. Epub 2015 Sep 23. PubMed 26400570 ↗
  • Koppe L, Mafra D, Fouque D. Probiotics and chronic kidney disease. Kidney Int. 2015 Nov;88(5):958-66. doi: 10.1038/ki.2015.255. Epub 2015 Sep 16. PubMed 26376131 ↗
  • Anders HJ, Andersen K, Stecher B. The intestinal microbiota, a leaky gut, and abnormal immunity in kidney disease. Kidney Int. 2013 Jun;83(6):1010-6. doi: 10.1038/ki.2012.440. Epub 2013 Jan 16. PubMed 23325079 ↗
  • Ramezani A, Raj DS. The gut microbiome, kidney disease, and targeted interventions. J Am Soc Nephrol. 2014 Apr;25(4):657-70. doi: 10.1681/ASN.2013080905. Epub 2013 Nov 14. PubMed 24231662 ↗
  • Poesen R, Claes K, Evenepoel P, de Loor H, Augustijns P, Kuypers D, Meijers B. Microbiota-Derived Phenylacetylglutamine Associates with Overall Mortality and Cardiovascular Disease in Patients with CKD. J Am Soc Nephrol. 2016 Nov;27(11):3479-3487. doi: 10.1681/ASN.2015121302. Epub 2016 May 26. PubMed 27230658 ↗
  • Meyer TW, Hostetter TH. Uremia. N Engl J Med. 2007 Sep 27;357(13):1316-25. doi: 10.1056/NEJMra071313. No abstract available. PubMed 17898101 ↗
  • Aronov PA, Luo FJ, Plummer NS, Quan Z, Holmes S, Hostetter TH, Meyer TW. Colonic contribution to uremic solutes. J Am Soc Nephrol. 2011 Sep;22(9):1769-76. doi: 10.1681/ASN.2010121220. Epub 2011 Jul 22. PubMed 21784895 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 22, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03010735
Lead sponsor
China Agricultural University
Collaborators
Peking University Aerospace Centre Hospital, General Hospital of Chinese Armed Police Forces, Beijing Anzhen Hospital, Beijing Biostats Technology Co. Ltd., Beijing Heyiyuan Biotech Co. Ltd.
Responsible party
Fazheng Ren (Professor, China Agricultural University) — Principal investigator
First posted
Jan 5, 2017
Start date
Jun 2015
Primary completion
Feb 2017
Completion
Dec 2017
Last update
Oct 22, 2020

Study contacts

Fazheng Ren, PhD
principal investigator · China Agricultural Universtiy

Oversight

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

Not currently enrolling

This study is completed, as verified in Oct 2020. You cannot join it, but the record below documents what was studied.

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