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Not yet recruitingNCT06609343BRISKUpdated Nov 2, 2026

Bupropion for Fatigue in End-stage Kidney Disease Patients on Hemodialysis

A Phase 1/2 interventional study of Bupropion Hydrochloride 150 MG in End Stage Renal Disease and Fatigue, sponsored by The University of Texas Health Science Center at San Antonio. Not yet recruiting at 1 site in United States. Open to participants aged 25 Years to 74 Years. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by The University of Texas Health Science Center at San Antonio · Phase 1/2, Interventional, and Treatment

Updated Nov 2, 2026Start date movedPrimary completion moved+1 moreGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
16
Allocation
Not applicable
Ages
25 Years to 74 Years
Sex
All
01

Study summary

Fatigue is the most common symptom reported by end-stage kidney disease patients on maintenance hemodialysis. Unfortunately, there currently is no medical management for this overwhelming feeling of tiredness. As a result, patients continue to suffer with poor quality of life and impaired daily activities. The purpose of this pilot trial is to find out if bupropion (a medicine commonly prescribed for stopping smoking, seasonal mood disorder, and depression) may help lessen fatigue in hemodialysis patients.

In this study, hemodialysis participants will receive bupropion tablet orally three times a week during routine dialysis procedure for consecutive 8 weeks. Study participants will complete a battery of questionnaires to self-report fatigue, cognition, and quality of life. The study team will collect biological specimens. All these procedures will be performed at the dialysis clinic during routine dialysis procedure.

Read the detailed description

While taking part in this study, participants will be asked to complete study procedures with the researchers or study staff three times a week during routine dialysis visits. Collections of blood, urine (if available) and stool will be collected at different time points over the 8-week intervention. Blood will be analyzed for markers of inflammation, amino acids, and for safety labs as needed. Blood will also be tested for pharmacokinetics of bupropion.

Primary Objective: To evaluate the feasibility and efficacy of bupropion for the treatment of fatigue in patients with end-stage kidney disease on maintenance hemodialysis.

Secondary Objective: To evaluate the effect of bupropion in reducing inflammatory markers in hemodialysis patients with fatigue.

Exploratory Objective: To examine whether bupropion improves cognitive function.

02

Conditions studied

  • End Stage Renal Disease
  • Fatigue

Keywords

  • Hemodialysis
  • Kidney dialysis
03

In context

Kidney Failure, Chronic

2,108 studies on the registry are indexed under Kidney Failure, Chronic; 273 are open to participants now.

This study's planned enrollment of 16 is below the median of 57 across 1,569 interventional studies indexed under Kidney Failure, Chronic.

Browse Kidney Failure, Chronic studies →

Lead sponsor

The University of Texas Health Science Center at San Antonio is the lead sponsor of 445 studies on the registry; 89 are open to participants now.

Of its 65 completed or terminated interventional studies of FDA-regulated products, 35 (54%) have results posted.

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

04

Who can participate

Ages eligible
25 Years to 74 Years
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

  1. Male and female ESKD patients between aged 25-74 yrs on maintenance in-center hemodialysis procedure 3 times/week for ≥3 months with an arteriovenous fistula or graft.
  2. Blood of ≥10.0 g/dL based on most recent routine laboratory profile.
  3. Dialysis adequacy measured with Kt/V of ≥1.2
  4. Ability to understand and the willingness to sign a written document

Exclusion criteria

Exclusion Criteria:

  1. Currently on bupropion or / intolerance to bupropion by history and monoamine oxidase inhibitors.
  2. Diagnosis or history of eating disorders (bulimia or anorexia nervosa) and seizure.
  3. Pregnant, lactating, childbearing women
  4. History of post-acute COVID-19 syndrome
  5. Diagnosis of depression and/or on antidepressants and bipolar affective disorder
  6. Patient Health Questionnaire (PHQ)-9 score of ≥10
  7. Diagnosis of cognitive impairment including dementia
  8. Current participation in another interventional trial
  9. Scheduled for kidney transplantation in next 6 months
  10. \<6 months as judged by the attending nephrologist/primary care physician.
  11. Current or history of substance abuse or dependency.
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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
16 participants (estimated)

Study arms

  • Experimental
    Hemodialysis Group

    Fixed dose bupropion hydrochloride 150 mg extended-release tablets will be administered orally thrice a week during routine dialysis sessions for consecutive 8 weeks.

    Drug: Bupropion Hydrochloride 150 MG

Interventions

  • Bupropion Hydrochloride Extended Release is administered orally three times a week during routine dialysis sessions for 8 consecutive weeks

06

What researchers measure

Primary outcomes

  1. Change in Brief Fatigue Inventory (BFI) Global Score

    This inventory contains 9 items scored from 0-10 with a total possible raw score of 0-90. A lower score indicates that there is less fatigue

    Time frame: Baseline to 8 weeks

Secondary outcomes

  1. Change in plasma concentration of inflammatory marker IL-6

    Plasma level of inflammatory marker of interleukin-6 (IL-6)

    Time frame: Baseline to 8 weeks

  2. Change in plasma concentration of inflammatory marker TNF-α

    Plasma level of tumor necrosis factor-alpha (TNF-α)

    Time frame: Baseline to 8 weeks

Other outcomes

  1. Change in Cognitive function using Trail Making Test B

    The participant will need a pencil to perform each part. The examiner starts timing as soon as the instructions are completed and the participant is signaled to begin. Timing is continued until the participant completes or discontinues the test. The time to completion in seconds is recorded. The maximum score for Part B is 300 seconds with 301" indicating the test was discontinued. A lower score indicates that the participant has better cognitive function and completed the task faster.

    Time frame: Baseline to 8 weeks

  2. Change in Mini-COG score

    The score is made up of 2 parts: recall score is 0-3 points, 1 point is assigned for each word correctly recalled without prompt, so the score is higher if more words are recalled. For the clock drawing score, the possible score is 0-2 points, a higher score indicates more accuracy. The total score is between 0-5 with a higher score indicating better cognitive function.

    Time frame: Baseline to 8 weeks

07

Study locations

1 site
  • University Hospital Dialysis Medical Center (DMC)
    San Antonio, Texas 78229, United States
08

References and documents

Individual participant data

Plan to share: Yes — Any manuscript, abstract or other publication or presentation of results or information arising in connection with the trial (including any ancillary trial involving trial participants) must use deidentified data.

Supporting information: Study protocol, Statistical analysis plan

Time frame: At study completion at the time of publication in a peer review journal

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Start date
Aug 24, 2026→Feb 2027
Nov 2, 2026
Primary completion
Nov 30, 2026→Feb 2028
Nov 2, 2026
Study completion
Jan 30, 2027→May 2028
Nov 2, 2026
Show all 1 update
  1. Nov 2, 2026
    Start date Aug 24, 2026→Feb 2027
    Primary completion Nov 30, 2026→Feb 2028
    Study completion Jan 30, 2027→May 2028
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06609343
Responsible party
Subrata Debnath (Assistant Professor, The University of Texas Health Science Center at San Antonio) — Principal investigator
First posted
Sep 24, 2024
Start date
Feb 2027 (estimated)
Primary completion
Feb 2028 (estimated)
Completion
May 2028 (estimated)
Last update
Nov 2, 2026

Study contacts

Subrata Debnath, MB.BS, PhD
Contact
nath@uthscsa.edu
210-567-4700
Swetha Kanduri, MD
Contact
kanduri@uthscsa.edu
210-567-4700
Subrata Debnath, MB.BS, Ph.D.
principal investigator · The University of Texas Health Science Center at San Antonio

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Bupropion

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