ClinicalTrials.gg
CompletedNCT03428464Updated Oct 22, 2020

Bicarbonate Administration in Kidney Transplant Recipients

An interventional study of Sodium Bicarbonate and Placebo in Kidney Transplant; Complications and Metabolic Acidosis, sponsored by University of Colorado, Denver. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-10-22.

Sponsored by University of Colorado, Denver · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 17 studies testing Sodium Bicarbonate in Acidosis — 4 open to participants now, 5 under way, 1 of them phase 3. Sodium Bicarbonate · Acidosis.

Enrollment
14th of 17
20 · median 50
Started
2018
with 1 other
No phase
6 of 17
1 open now
Registered
9th of 17
by date
Lead sponsor
5 of 17
University of Colorado, Denver

Among the 17 studies testing Sodium Bicarbonate in Acidosis, this one is the 14th largest by enrollment, is one of 2 that started in 2018, is one of 6 with no phase, and was the 9th registered.

Acidosis

111 studies on the registry are indexed under Acidosis; 19 are open to participants now.

Browse Acidosis studies →

Open to participants now

4 of the 17 studies testing Sodium Bicarbonate in Acidosis are open now, in 3 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 4 open studies →

About Sodium Bicarbonate

Sodium Bicarbonate: first FDA approval 1981 (BSS PLUS). What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 17 Acidosis studies recruiting now, 13 (76%) set no upper age limit and 2 (12%) stop at 75 or younger; 5 take children under 18; 1 takes healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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02

Study summary

Metabolic acidosis is associated with vascular endothelial dysfunction and is a common complication in patients who have received a kidney transplant. Kidney transplant recipients (KTR) with lower serum bicarbonate levels, even within the normal range, have an increased risk of graft loss and mortality. The investigators propose a prospective, double-blind, randomized, placebo-controlled, 18-week crossover pilot study to examine the effects of sodium bicarbonate on vascular endothelial function, graft function, and cognitive function in 20 KTR patients.

03

Conditions studied

  • Kidney Transplant; Complications
  • Metabolic Acidosis

Browse trials for

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

  • Age ≥ 18 years
  • Kidney transplant received at least 1 year ago
  • Serum bicarbonate 20-26 mEq/L on 2 separate measurements (at least 1 day apart)
  • >45 ml/min/1.73m2
  • Blood pressure \<140/90 mm Hg prior to randomization
  • \< 40 kg/m2 (FMD measurements can be inaccurate in severely obese patients).
  • Able to provide consent
  • Stable kidney transplant medication regimen for at least 1 month prior to randomization
  • Stable anti-hypertensive regimen for at least one month prior to randomization
  • Not taking medications that interact with agents administered during experimental sessions (e.g. sildenafil interacts with nitroglycerin).

Exclusion criteria

Exclusion Criteria:

  • Significant comorbid conditions that lead the investigator to conclude that is less than 1 year
  • Use of chronic daily oral alkali within the last 3 months (including sodium bicarbonate, calcium carbonate or baking soda)
  • Uncontrolled hypertension
  • Serum potassium \< 3.3 or ≥ 5.5 mEq/L at screening
  • Class 3 or 4 heart failure symptoms, known EF ≤30%, or hospital admission for heart failure within the past 3 months · Factors judged to limit adherence to interventions
  • Current participation in another research study
  • Pregnancy or planning to become pregnant or currently breastfeeding
  • Chronic use of supplemental oxygen
Terms in these criteria, in plain language(4)

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Sodium bicarbonate

    During the treatment period, participants will receive 0.5 mEq/kg-lean body weight (LBW)/day of oral sodium bicarbonate for 8 weeks.

    Drug: Sodium Bicarbonate

  • Placebo comparator
    Placebo

    During the control period, participants will take the same number of placebo capsules as if they were assigned 0.5 mEq/kg-LBW/day of sodium bicarbonate.

    Other: Placebo

Interventions

  • Participants will take ½ the daily dose of sodium bicarbonate in the morning and the other ½ in the evening.

    Also known as: Baking soda

  • OtherPlacebo

    Participants will take ½ the daily dose of a placebo in the morning and the other ½ in the evening.

06

What researchers measure

Primary outcomes

  1. Change in Brachial Artery Flow-Mediated Dilation

    Brachial artery Flow-Mediated Dilation (FMD) will be determined using high-resolution ultrasonography (Toshiba Xario 200) as described originally by Celermajer et al., and more recently by our group. FMD will be measured at the beginning and end of each study period for a total of 4 measurements. ECG-gated end-diastolic ultrasound images and Doppler flow of the brachial artery will be acquired during baseline and FMD conditions.

    Time frame: Baseline, 8, 10, and 18 weeks

Secondary outcomes

  1. Change in Transforming Growth Factor Beta 1 (TGF-B1)

    Urinary TGF-B1 will be measured from 24-hour urine collections. It will be measured by a commercially available ELISA (R\&D Systems). The within day precision for this assay is 6.7% at 257 pg/ml. All measurements will be performed at the Children's Pediatric CTRC at Children's Hospital Colorado.

    Time frame: Baseline, 8, 10, and 18 weeks

  2. Change in Cognitive Function

    Cognitive function will be assessed using the National Institutes of Health (NIH) Toolbox computerized tests to evaluate 1) attention, 2) episodic memory, 3) working memory, 4) language, 5) executive function, and 6) processing speed.

    Time frame: Baseline, 8, 10, and 18 weeks

07

Study locations

1 site
  • University of Colorado Hospital
    Aurora, Colorado 80045, United States
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2018 to primary completion in Mar 2020, 15 months.

Of 20 interventional studies with no phase under Acidosis, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 50. This study's 15 months is below that.

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

Registered
Jan 29, 2018
First posted
Feb 9, 2018
StartActual
Dec 5, 2018
Primary completionActual
Mar 25, 2020
CompletionActual
Mar 25, 2020
Last update
Oct 22, 2020
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 Oct 22, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03428464
Responsible party
Sponsor
First posted
Feb 9, 2018
Start date
Dec 5, 2018
Primary completion
Mar 25, 2020
Completion
Mar 25, 2020
Last update
Oct 22, 2020

Study contacts

Jessica Kendrick, MD MPH
principal investigator · University of Colorado, Denver

Oversight

FDA-regulated drug
No
FDA-regulated device
No
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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Discussion

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Studies of the drug tested here: Sodium Bicarbonate

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